[
    {
        "id": "report_generation_4",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Active infiltrative, consolidation was not detected in both lungs. Linear densities, which may be compatible with pleuroparenchymal sequelae changes, are observed in the anterior segment of the right lung upper lobe. When examined in the lung parenchyma window; Minimal bronchiectatic changes and peribronchial thickness increases are observed at the level of the hilum of both lungs. There is a sequela calcific pulmonary nodule in the posterobasal segment of the lower lobe of the right lung. Ventilation of both lungs is normal.\n<pleura>: No pleural effusion or increased thickness was detected. There are pleural thickness increases in the lower lobe of the left lung, which are evaluated in favor of minimal sequelae in the posterior subpleural area.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. In the mediastinum, a few sequelae calcific lymph nodes, the largest of which is 9 mm in the pretracheal area, and hypodense hiluses can be distinguished, were primarily evaluated in favor of reactive lymph nodes. Evaluation of the mediastinal main vascular structures is suboptimal due to the lack of contrast, but their calibrations are normal. There was no lymphadenopathy in pathological size and appearance in both axillae and retropectoral regions.\n<heart>: No pericardial effusion or thickness increase was observed. Heart size increased. No mass appearance was observed in the precardiac fat pad.\n<esophagus>: Esophageal wall thickness is normal.\n<bone>: Mild scoliosis with left opening is observed in the thoracic region. In the vertebral column, osteophytes are observed in the anterior of the vertebral corpus, which are fused with each other. No fracture, lytic-sclerotic lesion was detected.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. In both kidneys included in the examination, appearances evaluated in favor of multiple cysts are observed.\n\nImpression:\nCalcific atheromatous plaques in coronary arteries.  Slight increase in heart size.  Several reactive-looking lymph nodes in the mediastinal area.  Minimal bronchiectatic changes and mild peribronchial thickness increases.  Sequelae of fibrotic densities in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3/train_3_a/train_3_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: This appearance may be less likely in pneumonic infiltrates. Both lungs have millimetric nodules, some of which are calcific. These appearances may be due to pulmonary edema. It is understood that these findings are new. It was also observed in millimetric centriacinar nodules. Apart from these, there are small consolidations in the right lung upper lobe posterior segment and lower lobe superior segment. There are uniform interlobular septal thickenings in both lungs. No mass was detected in both lungs.\n<pleura>: The pleural effusion continues to the apex of both lungs when the patient is in the supine position. The pleural effusion measured 50 mm on the right at its thickest point. There is bilateral pleural effusion. When evaluated together with the pleural effusion and the patient's clinical information, it was thought that the described manifestations might be due to pulmonary edema.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 15 mm. There are lymph nodes in the mediastinum and hilar regions. Central venous catheter is seen on the right. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. The catheter terminates in the right atrium.\n<esophagus>: There is an occlusive hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nChronic renal failure in follow-up.  Bilateral pleural effusion, interlobular septal thickenings and centriacinar nodules in both lungs (patient is recommended to be evaluated for pulmonary edema).  Minor consolidations in the right lung, which may again be compatible with pulmonary edema or pneumonic infiltration.  Millimetric nodules in both lungs.  Mediastinal and hilar lymph nodes.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3/train_3_b/train_3_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Widespread ground glass densities are observed in both lung parenchyma showing a tendency to central and peripheral fusion. A 5 mm calcific nodule was observed in the posterobasal region of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are present in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteodegenerative changes are observed in the vertebrae.\n<abdomen>: A millimetric hypodense lesion was observed in segment 2 of the liver in the upper abdominal organs included in the sections.\n\nImpression:\nFindings compatible with Covid pneumonia  Aortic and coronary artery atherosclerosis  Hypodense lesion (cyst?) in liver segment 2"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10/train_10_a/train_10_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with typical-probable Covid. No nodular or infiltrative lesion was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Widespread patchy ground glass areas are observed in both lungs, which are more prominent in the right lung, usually subpleural, forming consolidation from place to place.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11/train_11_a/train_11_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. In the mediastinum, lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: At the thoracic level, mild scoliosis with right-facing scoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Mild scoliosis with right thoracic opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14/train_14_a/train_14_a_1.npy"
        ]
    },
    {
        "id": "report_generation_49",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; A consolidated lesion with a size of up to 33x28 mm, which is located subpleural in the superior right lung lower lobe, and causes parenchymal recessions around it, is observed.\n<mediastinum>: Thoracic aorta diameter is normal. Postoperative changes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There are minimal calcific atheromatous plaques in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the end plates of the vertebral corpuscles.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nConsolidated mass lesion in the superior right lung lower lobe, infectious process mass lesion? Clinical laboratory correlation and close follow-up are recommended for the differential diagnosis of a carcinomatous process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_22/train_22_a/train_22_a_1.npy"
        ]
    },
    {
        "id": "report_generation_65",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and heart examination are not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures and heart examination are not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural. Pericardial minimal effusion is observed.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No solid mass was detected in the upper abdominal sections within the image as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nAreas of consolidation in both lungs showing progression from previous CT scan evaluated in favor of viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_29/train_29_b/train_29_b_1.npy"
        ]
    },
    {
        "id": "report_generation_70",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the lower lobes of both lungs, there are areas of increased density consistent with linear atelectasis in the left lung inferior lingular segment. It is recommended to be evaluated together with clinical and laboratory findings. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings.\n<pleura>: In the examination made in the lung parenchyma window; In both lungs, multilobar peripheral subpleural ground glass and areas of increase in density compatible with consolidation are observed. No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. In both axillary regions, no lymph node is observed in the mediastinum in pathological size and appearance.\n<heart>: It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: There are osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners. Vertebra corpus heights and alignments are natural. Stable lytic lesions are observed in the bone structures within the image.\n<abdomen>: No free fluid or loculated collection is observed. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs, areas of increased density consistent with linear atelectasis in both lung lower lobe posterobasal segment and left lung upper lobe lingula inferior lingular segment. Stable lytic bone lesions in bone structures within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_32/train_32_a/train_32_a_1.npy"
        ]
    },
    {
        "id": "report_generation_72",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the upper and lower lobes of both lungs and in the middle lobe of the right lung, there are peripheral and centrally located ground-glass appearances and interlobular septal thickenings in places. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_33/train_33_a/train_33_a_1.npy"
        ]
    },
    {
        "id": "report_generation_76",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A millimetric calcific focus is observed in the posterior of the right lung upper lobe.\n<mediastinum>: No enlargement or stenosis-occlusion was detected in the abdominal aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Grade I spondylolisthesis is observed at L4-L5 level. Bone structures entering the cross-sectional area are natural. There are hypertrophic osteophytic taperings in the anterior of the vertebral corpus endplates. A millimetric bone islet is observed in the central part of the L2 vertebra corpus. There is a hemangiomatous appearance in the central part of the TH9 and L1 vertebral corpuscles. L5 vertebra corpus superior end plate posteriorly, there is a finding that is evaluated primarily in favor of a milimetric cystic Schmorl nodule.\n<abdomen>: Extrahepatic biliary tract, gallbladder are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. No renal solid or cystic mass was detected. In the axial sections covering the canal almost completely in the distal of the common bile duct, there is a finding consistent with an obstructive stone, with a slight dilatation at the proximal part measuring 6.6 mm. There is also dilatation of the intrahepatic bile ducts. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. No significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. No space-occupying solid or cystic mass lesion is observed. Contour, size, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. No intraabdominal free-loculated fluid was detected. The contour, size, parenchyma density of the spleen is normal. Contour, size, parenchymal density of the liver are normal. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nA 6.6 mm stone distal to the common bile duct, proximal to it, causing dilatation of the intrahepatic bile ducts and the common bile duct.  Grade 0-1 spondylolisthesis at L4-L5 level.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_35/train_35_a/train_35_a_1.npy"
        ]
    },
    {
        "id": "report_generation_128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule with a diameter of 4 mm was observed in the thyroid isthmus.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Tubular bronchiectasis, which became prominent in the center of both lungs, was observed. Atelectasis change causing minimal volume loss and structural distortion in the posterior segment of the right lung upper lobe and adjacent traction bronchiectasis were observed. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. It is compatible with sequel. When examined in the lung parenchyma window; Both lungs are emphysematous.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In case of clinical necessity, it is recommended to be evaluated together with USG. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Gallbladder, spleen, pancreas, both adrenal glands, both kidneys are normal. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with fatty deposits.\n\nImpression:\nMilinetric hypodense nodule in thyroid isthmus; it is recommended to be evaluated together with USG if clinically necessary.  Emphysematous appearance in both lungs, tubular bronchiectasis and peribronchial thickening that becomes prominent in the center . Sequela fibroatelectasis change causing volume loss in the right lung upper lobe posterior segment and adjacent traction bronchiectasis . Hepatostesis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_49/train_49_a/train_49_a_1.npy"
        ]
    },
    {
        "id": "report_generation_146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: There are parenchymal sequelae bands in the anterior-apicoposterior segment transition of the left lung upper lobe. A calcific nodule with a diameter of 2 mm is observed laterally in the posterior segment of the right lung upper lobe. There was no apparent effusion, pneumonia or pneumothorax in both lungs.\n<mediastinum>: A catheter appearance extending from the left brachiocephalic vein to the superior vena cava and ending at the level of the right atrium is observed. Thymic tissue is observed in the anterior mediastinum, which does not show mass effect in conical configuration. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural.\n<heart>: A catheter appearance extending from the left brachiocephalic vein to the superior vena cava and ending at the level of the right atrium is observed. Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver in the sections passing through the upper abdomen.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_54/train_54_a/train_54_a_1.npy"
        ]
    },
    {
        "id": "report_generation_148",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, hyperdense leveling is observed in the gallbladder lumen, which is thought to belong to stones and sludge. Evaluation with USG examination is recommended.\n\nImpression:\nIn the sections passing through the upper part of the abdomen, hyperdense leveling is observed in the gallbladder lumen, which is thought to belong to stones and sludge. Evaluation with USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_55/train_55_a/train_55_a_1.npy"
        ]
    },
    {
        "id": "report_generation_159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There are also sequelae changes at the minor fissure level. Sequelae changes are observed at the level of the linguistic segment. There are sequelae changes in the middle lobe. Sequelae changes are observed at the apical level on the right. Pleuroparenchymal sequelae changes are observed in the right lung upper lobe anterior-posterior segments and lower lobe superior segment. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<pleura>: Pneumonia, pneumothorax, pleural effusion were not detected in both lungs. There are calcific 2-3 mm diameter nonspecific nodules superposed on the interlobular fissure in the subpleural area in the basal part of the left lung lower lobe.\n<mediastinum>: There are lymph nodes in the mediastinum and both hilar levels, the largest of which is on the right and cannot be clearly evaluated on non-contrast examination, but there are lymph nodes of approximately 15x11 mm, some of which have a partially calcified appearance. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural. There are calcific atheroma plaques in the aortic arch, subclavian artery, and coronary arteries.\n<heart>: CTO is within the normal range. There is significant calcification in the mitral valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed in the case.\n<bone>: Mild scoliosis with left opening is observed in the dorsal region. There are findings compatible with DISH. Degenerative changes are observed in the bone structure.\n<abdomen>: In the gallbladder, a prominent dense formation compatible with cholelithiasis is observed. Nodular density compatible with accessory spleen is observed adjacent to the spleen. A decrease in density consistent with steatosis is observed in the liver. There are calcific atheroma plaques in the aortic arch, subclavian artery, and coronary arteries.\n\nImpression:\nSlightly more pronounced but mild sequelae changes on the right in both lungs.  Hiatal hernia.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_58/train_58_a/train_58_a_1.npy"
        ]
    },
    {
        "id": "report_generation_185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Epiglottitis and neopharynx appear natural.\n<trachea_and_bronchie>: No procedure-related complications were observed. Nasopharynx and oropharyngeal mucosa are natural. Tracheostomy tube is observed. The cricoid cartilage is intact.\n<lung>: Bilateral parotid gland and submandibular glands are intact. When examined in the lung parenchyma window; Bronchopneumonic infiltrates in the form of budding tree views and centriacinar ground glass nodules are observed in both lung lower lobe superior and basal segments in the right lung upper lobe posterior segment.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Heart dimensions and compartments appear natural.\n<bone>: Aerial images are available in the left supraclavicular fossa. Bone structures in the study area are natural. No lymph node was observed in the parapharyngeal spaces and neck spaces in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: Orbital structures are natural. There is a cystic density lesion with a diameter of 2 cm in the liver segment 8 localization in the upper abdomen sections entering the image area. No additional features were detected in the upper abdomen sections.\n\nImpression:\nIn the case with a history of partial laryngectomy, no complications related to the operation are observed in the neck sections.  There is bronchopneumonic infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_65/train_65_a/train_65_a_1.npy"
        ]
    },
    {
        "id": "report_generation_187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are emphysematous changes in both lungs. In the apical segment of the upper lobe of the right lung, a pulmonary nodule of approximately 5 mm in diameter with irregular borders, which is primarily evaluated in favor of sequelae, is observed. When examined in the lung parenchyma window; Sequelae fibrotic densities are observed in both lungs. A 7x6 mm pulmonary nodule is observed in the lateral part of the lower lobe of the left lung. Apart from this, no mass was detected in both lungs. Mosaic attenuation pattern is observed in the parenchyma of both lungs. There is linear atelectasis in the lingular segment of the left lung.\n<pleura>: Bronchiectasis in the lower lobe bronchi of the left lung and sequela fibrotic densities in the subpleural areas are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. In the mediastinal area, lymph nodes with a short axis of approximately 10 mm, some with round borders, are observed. There are calcific atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fractures or lytic-sclerotic lesions were detected in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheromatous plaques in the aorta and coronary arteries. It is recommended to be evaluated together with previous examinations, if any.\n\nImpression:\nEmphysematous changes in both lungs, bronchiectasis more prominent in the lower lobe of the left lung in both lungs, pulmonary nodules in both lungs, if any, it is recommended to be evaluated together with previous examinations. Linear atelectasis in both lungs.  Round-limited lymph nodes reaching 1 cm on the short axis of the larger one in the mediastinal area, follow-up, and further examination if necessary are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_66/train_66_a/train_66_a_1.npy"
        ]
    },
    {
        "id": "report_generation_189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; In both lungs, more prominent on the left, there are peripherally located, patchy, ground glass densities in which enlargement of the vascular structures is observed. The findings were evaluated in favor of an infectious porces. Clinical laboratory correlation is recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. It can cause other similar manifestations such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_67/train_67_a/train_67_a_1.npy"
        ]
    },
    {
        "id": "report_generation_191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea, lobar and segmental lumens of both main bronchi are open.\n<lung>: When the lung parenchyma window is examined; Atypical infiltration areas in the form of bilaterally scattered ground-glass nodules are observed in both lungs. Consolidation area is not monitored. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. Radiological findings were evaluated as compatible with covid infection with lung parenchyma involvement.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No space-occupying lesions were detected in bone structures that can be distinguished by CT.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_68/train_68_a/train_68_a_1.npy"
        ]
    },
    {
        "id": "report_generation_248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Close follow-up of clinical laboratory correlation of findings in terms of bronchiolitis is recommended. Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are budding tree images and slight thickening of the bronchial walls at the middle and inferior posterior levels of the upper lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Oval-shaped hypodense findings measuring up to 24x15 mm in the paratracheal and aorticopulmonary window were evaluated in the direction of the lymph nodes.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Multiple lytic lesions are observed in the bone structures within the study area. If there is clinical laboratory correlation and follow-up in terms of multiple myeloma, it is recommended to compare with previous studies.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTree bud images and bronchiectasis in the upper lobe of the right lung. Clinical laboratory correlation and follow-up of findings in terms of infective process is recommended.  Small amount of effusion.  Lymph nodes measuring up to 23 mm in the paratracheal and aorticopulmonary window in the mediastinum. Lytic lesions in all multiple bone structures. Multiple myeloma?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_90/train_90_a/train_90_a_1.npy"
        ]
    },
    {
        "id": "report_generation_271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: No fractures or lytic lesions were detected in bone structures. Osteophytic tapering is observed in the anterior part of T3-4 vertebra.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_97/train_97_a/train_97_a_1.npy"
        ]
    },
    {
        "id": "report_generation_275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are areas of atelectasis accompanied by ground glass areas on the left in the posterior segments of both lung lower lobes. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. No mass was detected in both lungs.\n<mediastinum>: The diameter of the pulmonary trunk was measured 31 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: Minimal pericardial effusion is observed. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Vacuum phenomenon consistent with degeneration is observed in both glenohumeral joint spaces. There are intense sclerotic changes in the thoracic vertebrae within the sections and multiple hypodense lytic lesions, more prominently in the T10 vertebrae.\n<abdomen>: Sliding type hiatal hernia is observed at the esophagogastric junction. Calcific atheroma plaques are observed in the aorta and coronary arteries. Intraabdominal free fluid is observed. Liver contours show macrolobulation. Multiple calcified foci are observed in both kidneys. As far as it can be evaluated within the limits of non-contrast CT; The patient with polycystic kidney disease has multiple hypodense cystic lesions in both kidneys and two hyperdense lesions in the left kidney with a diameter of 17 mm, the largest in the upper pole (hemorrhagic cyst?).\n\nImpression:\nMassive cardiomegaly, minimal pericardial effusion, increased pulmonary trunk diameter, atheromatous plaques in the aorta and coronary arteries.  Areas of atelectasis accompanied by areas of ground glass on the left in the lower lobes of both lungs.  Macrolobulation in liver contours, intraabdominal free fluid.  Findings consistent with polycystic kidney disease, two hyperdense lesions (hemorrhagic cyst?) in the left kidney.  Millimetric calcific nodule in the left lobe of the thyroid gland.  Intense sclerosis and multiple hypodense lytic lesions in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_99/train_99_a/train_99_a_1.npy"
        ]
    },
    {
        "id": "report_generation_279",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. The right hemidiaphragm is elevated. Diffuse linear subsegmental atelectatic changes were observed in the middle and lower lobes of the right lung. No mass lesion with distinguishable borders was detected in both lungs. There are segmental-subsegmental bronchiectatic changes and peribronchial thickening in both lungs. When examined in the lung parenchyma window; In both lungs, ground-glass densities including central-peripheral, crazy paving pattern and consolidation areas showing signs of vascular enlargement were observed.\n<pleura>: Sequelae thickening was observed in the posterocostal pleura in both hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lymph node was observed in pathological size and appearance in the supraclavicular and axillary fossa. Mild dextroscoliosis with left opening was observed at the thoracic level. At mid-thoracic level, a bridging spur formation is observed in the right anterolateral corners of the vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). Diffuse thickening was observed in the left adrenal gland. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Within the sections, free fluid-pathological lymph node was not observed in the abdomen. A hypodense lesion area of 21x20 mm was observed at the junction of segment 4A-8 at the level of the liver dome and could not be characterized in this examination. The right adrenal gland and right kidney were not observed (operated).\n\nImpression:\nDiffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Elevation in the right hemidiaphragm, linear subsegmental atelectatic changes in the middle and lower lobes of the right lung.  Segmentary-subsegmentary tubular bronchiectasis, peribronchial thickening in both lungs.  Sequela thickening of posterocostal pleura in both hemithorax.  Hypodense lesion at the level of the liver dome (segment 4A-8 junction), which cannot be characterized in this examination.  Diffuse thickening of the left adrenal gland.  Spur formations bridging each other at the mid-thoracic level and mild dextroscoliosis with a secondary left-facing opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_101/train_101_a/train_101_a_1.npy"
        ]
    },
    {
        "id": "report_generation_281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Minimal bronchial dilatations are observed adjacent to the ground glass.\n<lung>: When examined in the lung parenchyma window; An increase in nodular ground glass densities and a tendency to coalesce are observed in both lungs, consistent with covid pneumonia.\n<mediastinum>: Lymph nodes that do not reach pathological size and appearance are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques in the aorta and coronary arteries are stable.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: Calcific plaques in the aorta and coronary arteries are stable. The left adrenal gland is diffusely thick. The gallbladder is operated. The right adrenal gland is not observed. In the upper abdominal organs included in the sections, the hypodense lesion in the liver segment 4A-8 is stable.\n\nImpression:\nIncrease in pneumonic infiltrates in both lungs in a patient followed up for Covid pneumonia. Apart from this , no significant difference was found between the examinations ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_101/train_101_b/train_101_b_1.npy"
        ]
    },
    {
        "id": "report_generation_305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are a few millimetric nonspecific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_108/train_108_a/train_108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: A stable millimetric nodule was observed in the lateral segment of the right lung middle lobe. No mass lesion-active infiltration with distinguishable borders was observed in both lungs. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the paracardiac areas in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Solid organs within the sections were evaluated in detail in MR examination.\n\nImpression:\nHiatal hernia  Passive atelectatic changes in right lung middle lobe medial and left lung upper lobe inferior lingular segment.  Stable millimetric nodule in the lateral segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_117/train_117_a/train_117_a_1.npy"
        ]
    },
    {
        "id": "report_generation_341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild paraseptal emphysematous changes are present at the apical levels of both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_123/train_123_a/train_123_a_1.npy"
        ]
    },
    {
        "id": "report_generation_350",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In hyperdense parenchyma areas, the lumens of slightly ectatic bronchi are open, and the shadow of the pulmonary vascular structures is evident in this localization.\n<lung>: A focus of parenchymal calcification is observed in the lingula superior segment of the left lung upper lobe. In parenchymal evaluation, a more distinct mosaic attenuation pattern is observed in the upper and lower lobes of both lungs. No pneumonic consolidation was detected in the lung parenchyma. Due to the absence of secondary findings suggestive of small airway disease, chronic thromboembolism was primarily suspected in the mosaic attenuation pattern, and it would be appropriate to evaluate the patient in this direction. Fissural edema is not observed.\n<pleura>: There is a pleural effusion reaching 13 mm in diameter between the right pleural leaves.\n<mediastinum>: No lymph node in pathological pathological size and appearance was observed in the mediastinum. There are several nonspecific mediastinal lymph nodes.\n<heart>: There are calcified atheroma plaques in the coronary arteries. A central venous catheter is observed. Pericardial effusion was not detected. There is aortic valve calcification. Heart size increased. Stent material is observed in LAD.\n<bone>: Osteoporosis is observed. There are degenerative changes in the vertebrae. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The splenic vein is dilated and has a tortuous appearance. Since it exceeds 4 cm, it will be appropriate to follow up. Due to its dimensions, it would be appropriate to follow up and evaluate it with MRI. In the left adrenal gland, there is a 4.5 cm diameter nodular lesion with areas of fat density, which is evaluated in favor of adenoma. There is lobulation in the liver contour in the upper abdominal sections and it was evaluated in favor of chronic liver parenchymal disease. There are areas of lobulation in both kidney contours and focal parenchymal thinning areas in both kidneys.\n\nImpression:\nStent in LAD, calcified atheroma plaques in coronary arteries, increase in heart size, aortic valve calcification . Mild pleural effusion on the right . Mosaic attenuation pattern in lung parenchyma, imaging findings are primarily considered suspicious in favor of chronic thromboembolism, and it is recommended to be examined in this direction.  Chronic liver parenchyma Findings compatible with the disease .Lesion compatible with left adrenal adenoma, it would be appropriate to follow up due to its large size. Pneumonic infiltration was not detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_129/train_129_a/train_129_a_1.npy"
        ]
    },
    {
        "id": "report_generation_357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Minimal peribronchial thickening was observed in the segmental bronchi of both lungs.\n<lung>: Diffuse pleuroparenchymal fibroateletatic sequelae causing structural distortion and volume loss were observed in the left lung lingular and lower lobe basal segments. Left lung volume decreased. Uniform interlobular septal thickenings were observed in the lower lobes of both lungs, the middle lobe of the right lung and the inferior lingular segment of the left lung (secondary to cardiac failure). Sequelae thickening was also observed in the fissure of the left lung. Both lungs have a more prominent emphysematous appearance in the upper lobes. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Passive atelectatic changes were also observed in the medial segment of the right lung middle lobe.\n<pleura>: When examined in the lung parenchyma window; Minimal sequela of pleural thickening accompanied by calcifications on the left was observed in both hemithorax.\n<mediastinum>: As far as can be seen; The diameter of the pulmonary trunk was 33 mm, and the diameter of the right pulmonary artery was 28 mm at its widest point. Calcified atherosclerotic changes were observed in the abdominal aorta and its visceral branches. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse osteodegenerative changes were observed in the bone structures in the study area. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. Gallbladder was not observed secondary to the operation in the upper abdominal organs included in the sections. Calcified atherosclerotic changes were observed in the abdominal aorta and its visceral branches. Cortical cysts with a diameter of 78 mm were observed in both kidneys, the largest on the left.\n\nImpression:\nIncreased diameters of the pulmonary trunk and right pulmonary artery, cardiomegaly, widespread atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries, sternotomy and bypass grafts in the anterior mediastinum  Emphysematous appearance in both lungs, minimal thickening of the bronchial walls  Both hemiteropleuras and posterior costal ribs sequela thickening in the fissure on the left  Pleuroparenchymal fibroatelectasis changes causing volume loss and structural distortion in the left lung, compressive atelectasis in the middle lobe of the right lung  Osteodegenerative changes in the bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_133/train_133_a/train_133_a_1.npy"
        ]
    },
    {
        "id": "report_generation_359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Linear pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung, the inferior lingular segment of the left lung upper lobe, and the mediobasal subsegment of the left lung lower lobe anteromediobasal segment. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPleuroparenchymal fibroatelectasis sequelae changes in both lungs  Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_134/train_134_a/train_134_a_1.npy"
        ]
    },
    {
        "id": "report_generation_375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear. There is mild thickening of the peribronchial sheath.\n<lung>: There are air bubbles in places. Changes consistent with pleuroparenchymal sequelae are observed in the lower lobe of the left lung. There is a wide pneumothorax appearance in the right lung extending from the basal to the apex. In a short segment in the upper lobe of the right lung, parenchyma is normal. However, at other levels, the lung parenchyma is mostly collapsed and is observed centrally in the mid-lower zone.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Calibration of mediastinal major vascular structures is natural.\n<heart>: KTO is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<breast>: Catheter appearance is observed at the pectoral level on the right. Intense post-op changes are observed around it. The patient who was operated for breast tumor has a prosthesis appearance on the right. The skin-subcutaneous soft tissue planes are thickened on the right.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae changes in the lower lobe of the left lung.  Prosthesis at the right breast level, intense post-op changes at the breast and pectoral level, air bubbles and catheter appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_140/train_140_a/train_140_a_1.npy"
        ]
    },
    {
        "id": "report_generation_379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed with inverted halo signs, mostly located peripherally. Findings are consistent with Covid-19 viral pneumonia.\n<mediastinum>: There are small lymph nodes with a short axis measuring up to 6 mm in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; A few hypodense, oval-shaped findings in both kidneys, the largest measuring 29 mm on the right side, were evaluated in favor of cysts.\n\nImpression:\nThe findings described in the lung parenchyma were evaluated in favor of Covid-19 viral pneumonia.  Bilateral cortical cysts . Small lymph nodes in the mediastinum . Atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_141/train_141_a/train_141_a_1.npy"
        ]
    },
    {
        "id": "report_generation_381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. There is an appearance compatible with mild steatosis in the liver parenchyma entering the section area.\n\nImpression:\nThoracic CT examination within normal limits.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_142/train_142_a/train_142_a_1.npy"
        ]
    },
    {
        "id": "report_generation_383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Plunging extension towards the interthoracic cavity is observed in the left thyroid lobe. Millimetric calcific foci are observed in both thyroid lobes.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Thickening of the interlobular septa in both lungs and mosaic attenuation patterns in the lower lobes are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the abdominal aorta and its branches. Small lymph nodes measuring up to 6 mm in multiple dimensions are observed in the mediastinum.\n<heart>: Heart size increased. Pericardial effusion with a thickness of 6 mm is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates are observed.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; In the fluid attenuation, one size of which was measured as 26 mm in the right lobe of the liver, an oval-shaped, well-contoured finding was evaluated in favor of a cyst. Calcific atheroma plaques are observed in the abdominal aorta and its branches. Hyperdense findings with multiple dimensions up to 6 mm in the gallbladder were evaluated in favor of stones.\n\nImpression:\nChanges secondary to cardiac stasis.  Small airway disease?, small vessel disease?.  Small lymph nodes in the mediastinum.  Atherosclerosis.  A small amount of bilateral effusion.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates.  Findings consistent with thyroid parenchymal disease; clinical laboratory correlation is recommended.  Cyst in the right lobe of the liver.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_143/train_143_a/train_143_a_1.npy"
        ]
    },
    {
        "id": "report_generation_390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The appearance is suggestive of interstitial lung disease. A large consolidation area extending along the paramediastinal fissure was observed in the upper lobe of the left lung. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Although the appearance is primarily suggestive of an infectious process, post-treatment control is recommended in terms of underlying malignancies.\n<pleura>: Bilateral minimal pleural effusion and atelectatic changes in the lower lobe of the left lung were observed. Contour irregularities, subpleural lines, and honeycomb appearances in the lower lobes were observed in both pleura.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Upper-lower paratracheal, prevascular, subcarinal, bilateral hilar and paraesophageal multiple lymph nodes measuring 19x15 mm in size were observed.\n<heart>: Heart size has increased (cardiomegaly). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Metallic suture materials were observed in the sternum. Tapering in the vertebral corpus corners and compression fracture in the T11 vertebra, which causes more than 50% height loss, were observed. Thoracic kyphosis has increased.\n<abdomen>: In the upper abdominal sections in the study area, the left lobe of the liver and the caudate lobe appear hypertrophied. A hypodense lesion with a diameter of 6 cm was observed in the upper pole of the right kidney (cortical cyst?). Liver contours are irregular. It is recommended to be evaluated for chronic liver disease. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly . Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Mediastinal multiple lymph nodes. Honeycombing in both lungs and an appearance suggestive of interstitial lung disease, emphysematous changes in both lungs.  Wide area of consolidation in the upper lobe of the left lung; the appearance is suggestive of an infectious process in the first place, but post-treatment control is recommended in terms of malignant processes that may lie behind. Bilateral mild pleural effusion, atelectatic changes in both lungs.  It is recommended to be evaluated in terms of chronic liver disease.  Right renal hypodense lesion (cyst?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_145/train_145_a/train_145_a_1.npy"
        ]
    },
    {
        "id": "report_generation_392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: There was no finding compatible with pneumonia. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion or pneumothorax is not observed.\n<mediastinum>: Thymic tissue without mass effect is observed in the anterior mediastinum. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\n? There was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_146/train_146_a/train_146_a_1.npy"
        ]
    },
    {
        "id": "report_generation_412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric non-specific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. No space occupying lesion was detected.\n\nImpression:\nMillimetric non-specific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_157/train_157_b/train_157_b_1.npy"
        ]
    },
    {
        "id": "report_generation_418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In general, peripherally located consolidation-ground glass areas are observed in both lungs. The outlook is compatible with Covid-19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_160/train_160_a/train_160_a_1.npy"
        ]
    },
    {
        "id": "report_generation_431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is thickening of the peribronchial sheath and consolidative lung parenchyma around it at the level of the right lung middle lobe and lower lobe basal segments. Thickening is observed in the peribronchial sheath of the left lung. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small vessel disease?small airway disease?).\n<pleura>: and in the right lung, there is a smear-like pleural effusion-pleural thickening at the base. Thickening of the subpleural interlobular septa in the anterior and lingular segments of the upper lobe and thickening of the central interlobular septa are also observed.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. Calibration in the aortic arch is at the maximal physiological limit. Calibration of other major mediastinal vascular structures is normal. There are multiple millimetric lymph nodes at the mediastinal and hilar levels. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pulmonary trunk calibration is 37 mm and wider than normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. Pericardial effusion-thickening was not observed. There is a prosthetic valve appearance in the tricuspid and mitral valves. CTO increased in favor of the heart. Especially the atria are dilated.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. Mild contamination is present in the mesenteric planes and slightly evident in peritoneal reflections. In the upper abdominal organs included in the sections, mild hepatosteatosis is observed in the liver. Calibration in the aortic arch is at the maximal physiological limit. There are also thickenings in the interlobular septa.\n\nImpression:\nCardiomegaly, localized increase in calibration and atherosclerotic changes in mediasintal main vascular structures . Smear-like effusion and pleural thickening in the right pleural space, thickening of interlobular septa and peribronchial sheath. It is recommended to evaluate the case in terms of cardiac stasis.  Mosaic attenuation pattern (small vessel disease?small airway disease?).  More prominent on the right and consolidative areas along the peribronchial sheath basally, partly in the middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_167/train_167_a/train_167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Little to moderate effusion is observed in both lungs on the right and a small amount on the left. There are mosaic attenuation patterns in both lungs, and linear atelectasis and areas of atelectasis consolidation with air bronchogram signs are observed in the left lung upper lobe inferior and superior lingula, and in the right lung middle lobe (small vessel disease?, small airway disease? accompanied by infectious processes?). Clinical-laboratory correlation is recommended.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour are normal. Lymph nodes measuring 11 mm are observed in the mediastinum, anterior to the carina and distal to the trachea.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdominal organs included in the sections are partially included in the examination and were evaluated as suboptimal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nCardiomegaly and atherosclerosis.  Infectious processes with minor to moderate effusion on the right and minor effusion on the left, accompanied by changes secondary to cardiac stasis?. Clinical-laboratory correlation follow-up is recommended.  Lymph nodes measuring 11 mm are observed in the mediastinum, anterior to the carina and distal to the trachea."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_169/train_169_a/train_169_a_1.npy"
        ]
    },
    {
        "id": "report_generation_457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there are parenchymal and subpleural ground-glass densities and septal thickenings in the upper lobe right, middle and lower lobes, and radiological findings are compatible with Covid pneumonia.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Heart dimensions and compartments appear natural.\n<esophagus>: Sliding type mild hiatal hernia is present.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nAtypical pneumonic infiltration in both lungs, radiological findings are compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_179/train_179_a/train_179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are pleuroparenchymal sequelae in the lung parenchyma, which can be observed in the lower lobe superior and basal segments of the right lung. Density increases are observed in the lung parenchyma adjacent to the effusion in the left lung upper lobe posterior and lower lobe superior segments. It causes atelectasis medially in the lingular segment of the left lung.\n<pleura>: In the upper middle and lower hemithorax, locating pleural fluids with a locating HU value that extends to the mass are observed, with a fluid density varying between about 4-12. In addition, a mass appearance of approximately 3.5x2 cm with irregular spiculated contours is observed in the paramediastinal localization, whose borders can hardly be distinguished from the pulmonary conus and aortic arch in the aortopulmonary localization of the left hemithorax. Pleural effusion with localized localization is observed in the left hemithorax. In the anterior segment of the upper lobe on the left, a few nodules with a diameter of 3.5 mm (IMA 68) subpleural, the present appearance of which is nonspecific, the largest of which is 3.5 cm in diameter, and the others with a nonspecific appearance, a few nodules with a diameter of 1-2 mm are observed.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nLeft pleural effusion. An irregularly contoured mass with a stable appearance (although not clearly evaluable) according to PET CT, which caused atelectasis in the middle lobe selected in the previous examination, whose borders could not be clearly distinguished from the pulmonary conus and aortic arch in the paramediastinal area in the anterior segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_186/train_186_a/train_186_a_1.npy"
        ]
    },
    {
        "id": "report_generation_479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 22x19 mm hypodense nodular lesion area was observed in the parenchyma.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. It is recommended to be evaluated together with US.\n<lung>: An atelectatic change was observed in the middle lobe of the right lung, in which air bronchograms were observed. In addition, a parenchymal nodule with a diameter of 6.5 mm was observed. Apart from this, no mass-active infiltration with a selectable border was detected in both lungs.\n<mediastinum>: Right upper-bilateral lower paratracheal, subcarinal, aortopulmonary, paraaortic short axis lymph nodes below 1 cm, some of which did not reach calcific pathological dimensions, were observed. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The transverse diameter of the pulmonary conus was 34 mm, and it was observed wider than normal. As far as can be observed: The anterior-posterior diameter of the ascending aorta is 36 mm, and the descending aorta is 30 mm in diameter, which is wider than normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed: The anterior-posterior diameter of the ascending aorta is 36 mm, and the descending aorta is 30 mm in diameter, which is wider than normal. As far as can be seen in the sections, liver sizes have increased, and parenchymal density has decreased diffusely, consistent with hepatosteatosis. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Gallbladder, both kidneys, both adrenal glands, spleen and pancreas are normal.\n\nImpression:\nHypodense nodule in the right thyroid lobe, it is recommended to be evaluated together with US.  Fusiform dilatation in the thoracic aorta, calcific atheromatous plaques in the thoracic aorta, its supraaortic branches and coronary arteries.  Hiatal hernia. Atelectasis change and millimetric nonspecific parenchymal nodule in right lung middle lobe.  Hepatomegaly, hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_189/train_189_a/train_189_a_1.npy"
        ]
    },
    {
        "id": "report_generation_491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_194/train_194_a/train_194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes and parenchymal air cysts in both lungs. A hand-in-glove appearance compatible with mucoid impaction is observed in the apical segment of the upper lobe of the right lung. In both lungs, 4.5 mm in diameter, some of them calcific nodules are observed in the superior segment of the right lung lower lobe, the largest one, and no significant difference was found between the examinations in their number and size. The described findings were not observed in the previous examination of the patient (infectious?).\n<pleura>: There is an appearance in the medial segment of the lower lobe of the right lung, at the level of T11-T12 vertebrae, in the prevertebral subpleural area, in dimensions of 26x18x40 mm, in the density of soft tissue adjacent to the bronchi, with areas of ground glass in the periphery. The increase in pleural thickness observed in the apicoposterior segment of the left lung upper lobe decreased, and it was measured as 4 mm in the thickest part of the current examination. There are areas of atelectasis accompanied by pleural retraction in the posterior segments of the lower lobes of both lungs.\n<mediastinum>: No enlarged lymph nodes in pathological size and appearance were detected adjacent to bilateral axillary, retropectoral, and internal mammarian vascular structures. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. No pericardial effusion or thickening was detected.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<breast>: The left breast was not observed (operated).\n<bone>: Diffuse litchi-sclerotic bone metastases are observed in the thoracolumbar vertebrae, sternum, ribs and scapula within the sections. No compression fracture was detected in the vertebrae.\n<abdomen>: The gallbladder was not observed (operated). Within the limits of non-contrast BT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nOperated breast Ca, left mastectomized  Glove-finger appearance compatible with mucoid impaction in the upper lobe of the right lung  Subpleural localized appearance in the lower lobe of the right lung, soft tissue density with ground glass areas in the periphery; has just emerged. Considering the clinical and physical examination findings of the patient, it was initially evaluated in favor of infectious pathologies. Post-treatment follow-up is recommended.  Emphysematous changes in both lungs, parenchymal air cysts, some calcific millimetric nodules in both lungs; is stable.  Hiatal hernia  Diffuse lytic-sclerotic bone metastases in the thoracolumbar vertebrae, sternum, ribs and scapula"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_199/train_199_a/train_199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In the superior segment of the right lung upper lobe, there are centriacinar nodules in the peripheral area, in the peribronchovascular interstitium, and a budding tree view. Evaluated in favor of infectious processes. There was no finding in favor of a mass lesion with a distinguishable border in the lung parenchyma. The described findings are also present in the previous examination of the patient. In both lungs, 4.5 mm in diameter, some of them calcific nodules, the largest of which is in the right lung lower lobe superior segment, were observed. Emphysematous changes, parenchymal sequelae atelectasis and parenchymal air cysts were observed in both lungs.\n<pleura>: The increase in pleural thickness observed in the apical posterior segment of the left lung upper lobe has increased and it was measured 7.3 mm in the thickest part in the current examination.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Lymph nodes that did not reach pathological dimensions were observed in the mediastinum, the largest of which was 6.3 mm in the short axis of the right lower paratracheal. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A calcific atheroma plaque was observed in the aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<breast>: The left breast was not observed secondary to the operation. In the mastectomy site, no mass lesion that could be delineated was detected in this examination. No mass lesion with clear borders was observed in the right breast.\n<bone>: No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae. Diffuse sclerotic bone lesions were observed in the thoracolumbar vertebrae, sternum, ribs and scapula within the sections.\n<abdomen>: The gallbladder was not observed (operated). The largest of the metastatic mass lesions was measured 23 mm in the long axis of the peripheral subcapsular at the junction of segment 4A-8. In the previous examination, it was measured 31 mm and there is a millimetric decrease in its dimensions. A calcific atheroma plaque was observed in the aortic arch. Hypodense mass lesions were observed in both lobes of the liver as far as can be seen on non-contrast sections, and it was evaluated in favor of metastasis in the primary case.\n\nImpression:\n· In follow-up, operated breast Ca, left mastectomized, multiple bone metastases. · Stable some calcific parenchymal nodules in both lungs, atelectasis sequelae, parenchymal air cysts. · Left swabbing style pleural effusion is new in the current study. · Metastases with reduced size in both lobes of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_199/train_199_b/train_199_b_1.npy"
        ]
    },
    {
        "id": "report_generation_520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The findings described are consistent with Covid-19 pneumonia. Consolidations are accompanied by linear atelectatic changes. In both lungs, a more common central-peripheral crazy paving pattern in the left lung and patchy ground glass consolidations indicating vascular enlargement were observed.\n<mediastinum>: Right upper bilateral, lower subcarinal, bilateral hilar large lymph nodes measuring 14 mm in the short axis were observed. In the middle part of the thoracic aorta, bridging spur formations in the right anterolateral corner of the right vertebra and mild scoliosis with the opening facing left were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is recommended to be evaluated together with the clinic and laboratory. In the middle part of the thoracic aorta, bridging spur formations in the right anterolateral corner of the right vertebra and mild scoliosis with the opening facing left were observed. Calcific atheroma plaques are observed in the aortic arch. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nPathologically sized lymph nodes in the mediastinum . Calcific atheroma plaques in the aortic arch.  Findings consistent with Covid-19 pneumonia in the lung parenchyma. Spur formations bridging each other in the right anterolateral corner at the mid-thoracic level and mild scoliosis with the opening facing left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_206/train_206_a/train_206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<bone>: No lytic-destructive lesions were detected in bone structures. Scoliotic angulation is observed with its opening facing left.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_209/train_209_a/train_209_a_1.npy"
        ]
    },
    {
        "id": "report_generation_539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The described appearance was evaluated in favor of sequelae change. There are minimal emphysematous changes in both lungs. In the upper lobe of the left lung, large calcific nodules measuring approximately 15 mm in diameter in the apicoposterior segment apical subsegment and structural distortion and linear density increases are observed around them. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis was observed in the medial segment of the middle lobe of the right lung and the lower lobe of the right lung. Minimal bronchiectasis was observed in the central parts of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. No pathologically enlarged lymph nodes were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: The adrenal glands are normal. There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of sequelae changes in the upper lobe of the left lung . Minimal bronchiectasis in both lungs . Minimal emphysematous changes in both lungs . Mediastinal and hilar lymph nodes . Atherosclerotic changes in the aorta and coronary arteries . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_215/train_215_a/train_215_a_1.npy"
        ]
    },
    {
        "id": "report_generation_551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Density increases and mosaic perfusion appearance are observed in the lower lobes of both lungs (small airway disease and small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atherosclerotic plaques are observed in the aortic arch, descending and abdominal aorta. The diameter of the descending aorta is 3.2 mm and wider than normal. Right upper-bilateral lower paratracheal hilar fat content is evident, narrow lymph nodes below 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index increased in favor of the heart. Stent-like appearances are observed in the coronary arteries.\n<bone>: Degenerative changes are observed in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the body part of the left adrenal gland is thick. Calcific atherosclerotic plaques are observed in the aortic arch, descending and abdominal aorta. The diameter of the descending aorta is 3.2 mm and wider than normal. An isodense nodular exophytic lesion with a diameter of 10 mm is observed in the posterior cortex of the left kidney in the examination area ( cyst?).\n\nImpression:\nCardiomegaly. Mosaic perfusion in the lower lobes of both lungs (small airway disease, small vessel disease?).  Thickening of the left adrenal gland body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_221/train_221_a/train_221_a_1.npy"
        ]
    },
    {
        "id": "report_generation_553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. Subsegmental atelectatic changes were observed in the lower lobe of the right lung. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Hiatal hernia was observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in the left lung. Millimetric sized nonspecific parenchymal nodules in both lungs.  Hiatal hernia. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_222/train_222_a/train_222_a_1.npy"
        ]
    },
    {
        "id": "report_generation_561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: In addition, areas of increase in density consistent with linear atelectasis are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. In the lung parenchyma adjacent to the effusion, there are areas of increased density evaluated in favor of compressive atelectasis.\n<pleura>: The effusion is 75 mm deep in the pericardial space, 65 mm deep in the right pleural space, and 35 mm deep in the left pleural space.\n<mediastinum>: Lymph nodes with fatty hilus in fusiform configuration with a short diameter of 18 mm were observed in the mediastinum, in the paratracheal, prevascular, aorticopulmonary window localization, the largest at the paratracheal level. As far as can be observed, the diameter of the ascending aorta increased by 48 mm and the diameter of the pulmonary trunk increased by 31 mm.\n<heart>: Mediastinal vascular structures were not evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area. Apart from this, as far as can be observed in the axillary region and supraclavicular fossa, no lymph nodes in pathological size and appearance were observed.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. As far as can be observed, the diameter of the ascending aorta increased by 48 mm and the diameter of the pulmonary trunk increased by 31 mm.\n\nImpression:\nAscending aorta, increase in pulmonary trunk calibration, increase in heart size, pericardial and bilateral pleural effusion  Lymph nodes with a short diameter over 1 cm in the mediastinum, the largest of which has a fusiform configuration at the paratracheal level, and fatty hilus observed in the paratracheal level  Increase in density evaluated in favor of compressive atelectasis adjacent to both lung effusions areas and areas of density increase compatible with linear atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_226/train_226_a/train_226_a_1.npy"
        ]
    },
    {
        "id": "report_generation_565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Diffuse linear-subsegmental atelectatic changes were observed in both lungs. A consolidation area in which air bronchograms are observed is observed in the superior and basal segments of the right lung lower lobe. The appearance is consistent with pneumonic infiltration (aspiration pneumonia?). No mass lesion with distinguishable borders was detected in both lungs. Millimetric nonspecific parenchymal nodules were observed in both lungs. Uniform interlobular septal thickening was observed in both lungs (cardiac stasis). Consolidation was also observed in the posterobasal and mediobasal segments of the left lung lower lobe.\n<pleura>: When examined in the lung parenchyma window; Bilateral pleural effusion was observed in both hemithoraxes, reaching a diameter of 61 mm in the thickest part on the right and 30 mm in the thickest part on the left and entering the fissures and causing fissuritis.\n<mediastinum>: In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Calibration of pulmonary arteries is natural. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is larger than normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant tumoral wall thickening and enlarged lymph nodes were detected.\n<bone>: Spur formations bridging with each other were observed in the right anterolateral corner of the vertebra at the mid-thoracic level.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is recommended to be evaluated together with the clinic and laboratory in terms of infection. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Appearance is nonspecific. As far as can be seen in the non-contrast sections, an increase in reticular density and thickening of the pararenal fascia were observed in bilateral perinephrtic fatty planes. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is larger than normal.\n\nImpression:\n· Fusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries, cardiomegaly. Bilateral pleural effusion and areas of more extensive consolidation on the right in the lower lobe lobes of both lungs; Compatible with pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory. · Cardiac stasis in both lungs, millimetric nonspecific parenchymal nodules. · Increases in reticular density in bilateral perinephric fatty planes, thickening of pararenal fascia, appearance is nonspecific. It is recommended to be evaluated together with the clinic and laboratory in terms of possible infection. · Findings compatible with mid-thoracic DISH"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_228/train_228_a/train_228_a_1.npy"
        ]
    },
    {
        "id": "report_generation_581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are subsegmental atelectatic changes in the lower lobe of the right lung. Clinical and laboratory correlation is recommended. There are imaging features that are frequently reported in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Diffuse ground glass density increases were observed in both lungs in the peribronchovascular and subpleural areas, especially in the lower lobes. No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis smaller than 1 cm were observed in the superior paratracheal subcarinal prevascular area above the mediastinum.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. The gallbladder was not observed. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lungs. Clinical and laboratory correlation is recommended.  Subsegmental atelectatic changes in the lower lobe of the right lung.  Hepatosteatosis, cholecystectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_236/train_236_a/train_236_a_1.npy"
        ]
    },
    {
        "id": "report_generation_597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In terms of viral infective processes, clinical and laboratory correlation of the patient is recommended.\n<pleura>: When examined in the lung parenchyma window; In the lower lobes of both lungs, reticulonodular density increases, some of which are nodular in character and some of them are of ground glass density, are observed in the vicinity of the subpleural areas.\n<mediastinum>: It was understood that an endovascular stent was placed in it. Thoracic aorta diameter is normal. The diameter of the descending thoracic aorta increased by 70 mm at its widest point. No stenosis was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Aneurysmatic dilatation is also observed in the partially penetrating intrarenal aorta entering the image area. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: It was understood that an endovascular stent was placed in it. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. The diameter of the descending thoracic aorta increased by 70 mm at its widest point. No stenosis was detected. Upper abdominal organs included in the sections are normal. Aneurysmatic dilatation is also observed in the partially penetrating intrarenal aorta entering the image area.\n\nImpression:\nClinical and laboratory correlation of reticulonodular ground-glass densities in the subpleural areas of the lower lobes of both lungs in terms of viral pneumonia is recommended.  Aneurysmatic dilatations with a stent in the thoracic aorta and the infrarenal, abdominal aorta entering the imaging field."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_240/train_240_a/train_240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: When examined in the lung parenchyma window; A few millimetric nonspecific subpleural nodules are observed in the right hemithorax, right lung upper lobe, apical level, right lung lower lobe anterior, subpleural area.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nHeart sizes have increased.  A few millimetric nonspecific subpleural nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_244/train_244_a/train_244_a_1.npy"
        ]
    },
    {
        "id": "report_generation_611",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; mild mosaic attenuation is observed in both lungs (small vessel disease?, small airway disease?). No lymph node with pathological size and configuration was detected at the hilar level. No significant finding in favor of pneumonia was detected.\n<pleura>: No pleural effusion or pneumothorax was observed.\n<mediastinum>: Its calibration in the aortic arch is 33 mm. Calibration of other mediastinal major vascular structures is normal. Multiple lymph nodes are observed in the prevascular area at the lower-upper paratracheal level in the subcarinal area, the largest of which is hilar fat and measured 19x18 mm in the right lower paratracheal area. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. Pulmonary conus calibration is 31 mm, wider than normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. Pericardial effusion-thickening was not observed. CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. A decrease in density consistent with hepatosteatosis is observed in the liver entering the cross-sectional area. Its calibration in the aortic arch is 33 mm. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo significant finding in favor of pneumonia was detected.  Increased calibration in mediastinal main vascular structures . Mild mosaic attenuation appearance in both lungs (small vessel disease? small airway disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_246/train_246_a/train_246_a_1.npy"
        ]
    },
    {
        "id": "report_generation_612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small vessel disease?, small airway disease?). No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcifications are observed in the walls of the aortic arch and coronary artery. Right upper-bilateral lower paratracheal, aortopulmonary lymph nodes with prominent hilar fat content are observed. The AP diameter of the descending aorta is 3.2 cm and wider than normal.\n<heart>: Calcifications are observed in the walls of the aortic arch and coronary artery. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic destructive lesion was observed in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. In sections passing through the upper part of the west; bilateral adrenal glands appear natural. Calcifications are observed in the walls of the aortic arch and coronary artery. The AP diameter of the descending aorta is 3.2 cm and wider than normal.\n\nImpression:\nEctasia in the descending aorta.  Cardiothoracic index increased in favor of the heart.  Mosaic attenuation in both lungs (small vessel disease?, small airway disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_246/train_246_b/train_246_b_1.npy"
        ]
    },
    {
        "id": "report_generation_618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: After infection, it should be evaluated under elective conditions. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: In the bilateral axilla, there are multiple lymphadenopathy with thick cortex, the largest of which is 24x17 mm on the right. The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<breast>: Retropectoral breast implant with bilateral extracapsular rupture was observed.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_249/train_249_a/train_249_a_1.npy"
        ]
    },
    {
        "id": "report_generation_630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_255/train_255_a/train_255_a_1.npy"
        ]
    },
    {
        "id": "report_generation_643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Lumens are clear. There is a small tracheal diverticulum appearance on the right posterolateral at the level of the thoracic inlet. Calibration of the trachea and main bronchi is normal.\n<lung>: Widespread ground glass-like density increases and consolidative areas observed in the previous examination have regressed in places, but there is a progression in consolidation and fibroatelectatic density increases are observed in places. It is more located along the peribronchial sheath and the lung periphery is partially preserved. When examined in the lung parenchyma window; Both hemithorax are symmetrical. In the case where it was learned that Covid was infected, the findings may be compatible with atypical viral pneumonias (PCP?).\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: CTO is normal. The aortic arch calibration is 32 mm. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. A well-circumscribed nodular lesion is observed in the anterior mediastinum, at the level of the aorta of the arch, extending to the level of the pulmonary runcus, with the widest axial plane dimension measuring approximately 59x25 mm. It is larger than normal. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Calibration of other major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a mild hiatal hernia.\n<bone>: Sequelae changes are observed at the level of the 5th and 6th ribs in the left hemithorax. Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. The aortic arch calibration is 32 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. A well-circumscribed nodular lesion is observed in the anterior mediastinum, at the level of the aorta of the arch, extending to the level of the pulmonary runcus, with the widest axial plane dimension measuring approximately 59x25 mm. Upper abdominal organs included in the sections are normal. It is larger than normal. Surrounding soft tissue plans are natural.\n\nImpression:\nConsolidative areas with predominantly peribronchial distribution in both lungs in the case who was learned to have Covid pneumonia - mild ground glass-like density increases, fibroatelectasis densities. In terms of atypical viral pneumonias (PCP?). Evaluation with clinical and laboratory findings is recommended.  Stable nonspecific soft tissue lesion in anterior mediastinum based on previous examination.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_a/train_263_a_1.npy"
        ]
    },
    {
        "id": "report_generation_645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Although parenchymal findings persist, diffuse fibroatelectasis is accompanied by increases in density. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_b/train_263_b_1.npy"
        ]
    },
    {
        "id": "report_generation_646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: At the junction of the upper lobe and middle lobe on the right, a minor fissure and an increase in nodular density with a contour of 12x6.5 mm were observed. Follow-up is recommended. Traction bronchiectasis and thin intralobar septal thickenings were noted at these levels. In the current examination, newly emerged consolidation areas were observed in the left lung upper lobe lingular and lower lobe basal segment. The outlook was evaluated in favor of pneumonic infiltration.\n<pleura>: No pleural effusion was observed on the right.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Surgical suture materials were observed secondary to an operation in the sternum, and it was understood that the mass lesion observed at the level of the aortic arch in the anterior mediastinum was operated on in previous examinations. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Surgical suture materials were observed secondary to an operation in the sternum, and it was understood that the mass lesion observed at the level of the aortic arch in the anterior mediastinum was operated on in previous examinations.\n<abdomen>: Surgical suture materials and contamination in oily planes and increased density were observed in the operation site (post-op sequelae changes). Surgical suture materials were observed secondary to an operation in the sternum, and it was understood that the mass lesion observed at the level of the aortic arch in the anterior mediastinum was operated on in previous examinations.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_c/train_263_c_1.npy"
        ]
    },
    {
        "id": "report_generation_648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: The appearance was initially evaluated in favor of pneumonic infiltration. No significant difference was detected. There are areas of infiltrative ground glass extending through the peribronchial sheath in both lungs. The consolidations described were also present in the patient's previous examination and showed progression. Traction bronchiectasis and thin intralobar septal thickenings were noted adjacent to the ground glass areas. Consolidation areas in which air bronchograms are observed are observed in the left lung upper lobe lingular and lower lobe basal segment. A 12x6.5 mm nodule was observed on the minor fissure at the junction of the upper-middle lobe of the right lung, and it was also present in the previous examination of the patient. Focal, centriacinar and nodular infiltration areas are observed in the anterior segment of the upper lobe of the right lung, adjacent to the subsegment bronchi. Other findings are stable. The described finding is new in the current review and was evaluated in favor of bronchiolitis.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are suture materials secondary to surgery in the sternum.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_d/train_263_d_1.npy"
        ]
    },
    {
        "id": "report_generation_650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: Traction bronchiectasis and thin intralobar septal thickenings were observed in both lungs with ground glass areas extending along the peribronchial sheath and adjacent to ground glass areas. In the previous examination, the consolidation areas defined in the left lung upper lobe lingular and lower lobe basal segments are markedly regressed. In the first plan, sequelae were evaluated in favor of changes. A stable sized nodule was observed on the minor fissure at the junction of the upper-middle lobe of the right lung.\n<pleura>: No pleural effusion was observed on the right. Sequelae thickening was observed in the posterior costal pleura in the right hemithorax.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the operation site, the lesion area was observed in soft tissue density starting from the level of the aortic arch in the anterior mediastinum and continuing along the pulmonary trunk, and it was evaluated in favor of post-RT changes in the first plan. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Surgical suture materials were observed in the operation site in the anterior mediastinum.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are suture materials secondary to surgery in the sternum.\n<abdomen>: In the operation site, the lesion area was observed in soft tissue density starting from the level of the aortic arch in the anterior mediastinum and continuing along the pulmonary trunk, and it was evaluated in favor of post-RT changes in the first plan.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_e/train_263_e_1.npy"
        ]
    },
    {
        "id": "report_generation_652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There were central bronchiectasis and thickening of the bronchial wall in both lungs, and no significant difference was found.\n<lung>: No significant difference was found between newly developed pathology and examinations. When examined in the lung parenchyma window; Ground-glass densities in both lung parenchyma, especially in the upper lobes, effusion in the lower part of the left hemithorax and effusion at the level of major fissure are stable.\n<mediastinum>: In the anterior medasthene, the appearance of the collection near the pulmonary artery is stable.\n<bone>: There are sternotomy changes in the sternum.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_f/train_263_f_1.npy"
        ]
    },
    {
        "id": "report_generation_654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No newly developed pathology was detected. It is observed that the ground glass densities in both lungs have decreased from place to place.\n<pleura>: Minimal pleural effusion is observed on the left, which does not differ significantly.\n<mediastinum>: Minimal effusion is observed in the anterior mediastinum. Truncus pulmonaris and pulmonary arteries are ectatic.\n<bone>: There are changes related to sternotomy.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_g/train_263_g_1.npy"
        ]
    },
    {
        "id": "report_generation_656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the midline of the trachea, both bronchi are open. Peribronchial thickness increases.\n<lung>: There are areas of linear atelectasis in both lungs. No lymphadenopathy was detected in the mediastinal area at the level of both lung hilum and bilateral axillae in pathological size and appearance. Mosaic attenuation pattern is observed in both lungs. In both lungs, nodules in the form of a budding tree view, which are more prominent in the middle and lower lobes of the right lung, are observed.\n<pleura>: When examined in the lung parenchyma window; Minimal pleural is observed in both lungs, more prominently on the left.\n<mediastinum>: As far as can be observed: The thoracic aortic diameter has increased by 32 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Other mediastinal main vascular structures are normal. No lymphadenopathy was detected in the mediastinal area at the level of both lung hilum and bilateral axillae in pathological size and appearance.\n<heart>: Effusion is observed in the pericardial area. Heart size increased.\n<esophagus>: Thoracic esophageal wall thickness is normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed: The thoracic aortic diameter has increased by 32 mm. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPulmonary nodules in the form of a budding tree view, which are more prominent in the middle and lower lobes of the right lung, are observed in both lungs. Interpreted in favor of the infective process,  Peribronchial thickness increases.  Mosaic lung pattern, which is more prominent in the upper lobes of both lungs, is observed.  There are atelectasis in both lungs.  An increase in heart size and pericardial effusion are observed.  Minimal pleural effusion is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_263/train_263_h/train_263_h_1.npy"
        ]
    },
    {
        "id": "report_generation_664",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Uniform interlobular septal thickenings are observed in both lungs. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe.\n<pleura>: Minimal pleural effusion is observed on the right. No pleural effusion was detected on the left.\n<mediastinum>: The main pulmonary artery diameter was 33 mm and was wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries. No enlarged enlarged lymph nodes were detected in pathological dimensions.\n<heart>: There is a stent appearance in the left coronary artery. No pericardial effusion or thickening was detected. When the patient was evaluated together with the findings described in the heart, these findings were thought to belong to cardiac pathology. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Aorta diameter is normal. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, coronary bypass surgery, increased pulmonary artery diameters, cardiomegaly. Minimal pleural effusion on the right.  Uniform interlobular septal thickenings in both lungs. Atelectasis in both lungs.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_266/train_266_b/train_266_b_1.npy"
        ]
    },
    {
        "id": "report_generation_678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the lower zones, faint ground-glass-like density increases, which can hardly be distinguished from the peripheral artifact, are observed, which is not typical for Covid pneumonia, but is suspicious. Small bleb formations are observed in both lungs at the apical level. When examined in the lung parenchyma window; there is an appearance compatible with mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).\n<pleura>: Bilateral pleural effusion pneumothorax was not detected.\n<mediastinum>: Calibration of the main mediastinal vascular structures is normal, except for the aortic arch. Calibration in the aortic arch was measured as 32 mm. It is slightly above normal. Mediastinal and hilar pathological size and configuration of lymph nodes were not detected.\n<heart>: CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Calibration of the main mediastinal vascular structures is normal, except for the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is slightly above normal. Upper abdominal organs included in the sections are normal. Calibration in the aortic arch was measured as 32 mm.\n\nImpression:\nMosaic attenuation pattern (small vessel disease?, small airway disease?), mild bleb appearances at the apical level of both lungs. Although intense artifact is observed in both lungs basal, there are faint ground-glass-like density increases. It raises suspicion for Covid pneumonia. Evaluation with clinical and laboratory findings is recommended. Mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_273/train_273_a/train_273_a_1.npy"
        ]
    },
    {
        "id": "report_generation_689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; In the right lung upper lobe anterior-middle lobe, an area of increase in density consistent with wide consolidation, in which air bronchograms are also observed, is observed in an indistinct border. No active infiltration or mass lesion was detected in the left lung parenchyma. The outlook was evaluated in favor of pneumonic infiltration. In both lungs, nonspecific nodules of millimeter size, some of which are calcified, are observed.\n<pleura>: No pericardial or pleural effusion was observed.\n<mediastinum>: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance.\n<heart>: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: Free fluid, loculated collection is not observed. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nDensity increase areas compatible with consolidation are observed in the right lung middle lobe and upper lobe anterior segment, in which air bronchograms are also observed, and pneumonic infiltration is considered in the etiology of the findings. It is recommended to evaluate the appearance together with clinical and laboratory findings in terms of Covid-19 pneumonia.  Millimetric in both lung parenchyma nonspecific nodules, some of which are calcified in size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_279/train_279_a/train_279_a_1.npy"
        ]
    },
    {
        "id": "report_generation_693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae pleuroparenchymal bands and atelectatic changes, and there are a few nodules of nonspecific millimetric dimensions in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheroma plaques on the walls of the vascular structures.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheroma plaques on the walls of the vascular structures.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are osteopenia and osteophytic degenerative changes. No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nCalcified atheromatous plaques on the wall of vascular structures . Sequelae pleuroparenchymal bands and atelectatic changes and a few nodules of nonspecific millimetric size . Osteopenia and osteophytic degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_281/train_281_a/train_281_a_1.npy"
        ]
    },
    {
        "id": "report_generation_695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Right lung upper lobe anterior segment, middle lobe medial segment, and areas of increase in density consistent with linear atelectasis were observed. No active infiltration or mass lesion was detected in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: There are calcified atheromatous plaques in the wall of the aortic arch. No lymph nodes in pathological size and appearance were detected in both axillary regions, mediastinum and bilateral supraclavicular fossa. Calibration of mediastinal vascular structures, heart contour and size are natural.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: There are calcified atheromatous plaques in the wall of the aortic arch.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)  Areas of increase in density consistent with linear atelectasis in the right lung upper lobe anterior and middle lobe medial segment.  Calcified atheroma plaques in the wall of the thoracic aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_283/train_283_a/train_283_a_1.npy"
        ]
    },
    {
        "id": "report_generation_697",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, widespread patchy and subpleural predominance ground glass densities are observed and these areas tend to merge into the consolidation area from place to place.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia  Calcific atheromatous plaques in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_284/train_284_a/train_284_a_1.npy"
        ]
    },
    {
        "id": "report_generation_699",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. There are emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. In the right lung lower lobe superior segment, bronchiectasis has become cystic in places. The views described are nonspecific. There was no finding evaluated in favor of a mass or pneumonic infiltration in both lungs. Minimal ground glass appearance is observed in the peripheral areas of the posterior parts of both lungs. Bronchiectasis and minimal peribronchial thickening were observed in the lower lobes of both lungs, more prominently on the right.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques were observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Atheroma plaques were observed in the aorta and coronary arteries. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners. Intervertebral disc spaces and neural foramina are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques were observed in the aorta and coronary arteries.\n\nImpression:\nBronchiectasis in both lower lobes of both lungs, more prominently in the right lung  Emphysematous changes in both lungs  Atelectasis in both lungs  Millimetric nodules in both lungs  Minimal ground-glass appearance in the posterior parts of both lungs  Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_285/train_285_a/train_285_a_1.npy"
        ]
    },
    {
        "id": "report_generation_703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Patchy ground-glass density increases and interlobular septal thickening were observed in both lungs (secondary to cardiac pathology?). However, viral pneumonia cannot be excluded in the background. Atelectatic changes were observed in the inferior lingular segment of the left lung.\n<pleura>: There is a free pleural effusion measuring 22 mm on the right and 21 mm on the left between bilateral pleural leaves.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 39 mm and it shows dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: The diameter of the ascending aorta is 42 mm and shows dilatation. Heart size has increased (cardiomegaly). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Diffuse degenerative changes were observed in bone structures.\n<abdomen>: Both kidney sizes are below physiological limits. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly . Dilatation of the thoracic aorta and pulmonary artery . Interlobular septal thickening and patchy ground-glass density increases in both lungs (secondary to cardiac pathology? Bilateral pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_287/train_287_a/train_287_a_1.npy"
        ]
    },
    {
        "id": "report_generation_749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No pneumonia was detected.\n<pleura>: Pleural effusion-thickening was not detected. No pneumothorax or pleural effusion was observed.\n<mediastinum>: There is thymic tissue in the anterior mediastinum that does not show mass effect in conical configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_307/train_307_a/train_307_a_1.npy"
        ]
    },
    {
        "id": "report_generation_764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. According to the previous examination, several nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. According to the previous examination, a stable subsegmentary atelectasis area was observed in the lower lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Soft tissue densities compatible with bilateral gynecomastia were observed.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No cystic areas were detected in the current examination. In the left subdiaphragmatic region, the solidified lesion containing cystic areas observed in the previous examination decreased in size. Liver right lobe transplantation was performed in the upper abdominal sections included in the study area. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Liver parenchyma density is diffusely decreased in line with fatty deposits.\n\nImpression:\nOperated HCC at follow-up.  Emphysematous changes in both lungs.  Stable nonspecific parenchymal nodules of millimeter size in both lungs.  Subsegmental atelectasis in the lower lobe of the right lung.  Nonspecific solidified lesion with loss of cystic content in the left subdiaphragmatic area.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_316/train_316_a/train_316_a_1.npy"
        ]
    },
    {
        "id": "report_generation_766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_317/train_317_a/train_317_a_1.npy"
        ]
    },
    {
        "id": "report_generation_768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Variational azygos lobe and fissure were observed in the upper lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; bilateral mild pleural effusion was observed.\n<mediastinum>: Further review is recommended. A catheter image extending to the superior vena cava was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; In the anterior mediastinum, a slightly hyperdense lesion with a size of 52x55x34 mm with slightly lobulated contours was observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The lesion observed in the anterior mediastinum may belong to a pericardial hematoma or an anterior mediastinal mass, but it cannot be characterized in this examination.\n<heart>: In addition, there is a dense effusion measuring 15 mm in the widest part of the pericardial area.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPericardial effusion with dense contents.  A slightly hyperdense soft tissue lesion in the anterior mediastinum may belong to a pericardial hematoma or a mediastinal mass, but cannot be characterized in this examination. Further testing is recommended.  Bilateral mild pleural effusion.  Variational azygos lobe and fissure in the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_317/train_317_b/train_317_b_1.npy"
        ]
    },
    {
        "id": "report_generation_770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It may be secondary to the primary disease. Nodular appearances in the posterobasal segments of the lower lobes of the lungs tend to merge and form consolidation from place to place. When examined in the lung parenchyma window; Diffuse reticulonodular nodular and density increases are observed in both lungs. Some of these nodules have ground glass densities around them. Variational azygos lobe and fissure are observed in the upper lobe of the right lung.\n<pleura>: Newly developed pleural effusion is observed in both hemithorax. There are pleural effusions that are approximately 28 mm in the thickest part on the left and 17 mm in the thickest part on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Lymphadenopathies with a short axis of approximately 15 mm in the pretracheal region are observed in the mediastinal area. The lesion observed in the anterior mediastinum could not be characterized within the limits of this examination. In the anterior mediastinum, a slightly hyperdense lesion with a slightly lobulated contour of 58x24 mm is observed in the axial plane.\n<heart>: The patient's port catheter extending from the right anterior chest wall to the right atrium is observed. In addition, a dense effusion reaching 18 mm in its widest part is observed in the pericardial area. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThese views tend to be consolidated in the lower lobes. First of all, it was evaluated in favor of opportunistic infections. It may be secondary to the involvement of the primary disease.  An increase in the amount of pleural effusion in both hemithorax is observed.  The lesion observed in the anterior mediastinum is stable.  The amount of pericardial effusion slightly increased.  An increase in the size of lymphadenopathies in the mediastinal area is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_317/train_317_c/train_317_c_1.npy"
        ]
    },
    {
        "id": "report_generation_772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It does not differ significantly. Dimensional regression and progression were suboptimal due to the patchy ground glass densities observed in the previous examination. In the previous examination of these described nodules, the patchy ground glass densities observed around them have undergone total resolution. When examined in the lung parenchyma window; There are more than one reticulonodular nodules in both lungs. The findings were evaluated in favor of secondary involvement of the primary disease accompanied by opportunistic infections.\n<pleura>: Pleural effusion is observed with a thickness of 23 mm on the right side and a thickness of 22 mm on the left. In his current examination, patchy subpleural contours of the left lung lower lobe, anteromedial and lateral consolidation area are observed.\n<mediastinum>: Thoracic aorta diameter is normal. It is evaluated as suboptimal within the limits of the study. There is a port catheter extending into the superior vena cava. There are several lymph nodes in the mediastinum, especially in the para-pretracheal region, with a short axis measuring up to 13 mm.\n<heart>: It does not show significant dimensional and structural differences. There is a pericardial effusion measuring 12 mm in thickness. It cannot be fully characterized within the limits of the study. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nNew consolidation area in left lung lower lobe anteromedial and lateral; findings were evaluated in favor of the involvement of the primary disease accompanied by opportunistic infections.  There was no significant difference in the amount of pleural effusion in both hemithorax.  There was no significant dimensional and structural difference in the mass lesion observed in the anterior mediastinum.  Pericardial effusion amount is stable.  No significant difference was found in lymph node sizes in the mediastinal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_317/train_317_d/train_317_d_1.npy"
        ]
    },
    {
        "id": "report_generation_774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea and both main bronchi, lobar and segmental bronchi are open.\n<lung>: Radiological findings are primarily in favor of the infectious process, pneumonia, and fungal infection should be considered primarily in the differential diagnosis. In his current examination, there are newly developed infiltration areas, most of which are of ground glass density and do not give a faintly limited contour. Nodular consolidations are more prominent especially in the basal segment of the left lung lower lobe. Nodular consolidation areas with irregular borders are observed in places.\n<pleura>: Pleural effusion was not observed in his current examination.\n<mediastinum>: Calibrations of mediastinal major vascular structures are normal.\n<heart>: The effusion diameter at the apex level was 11 mm and was stagnant. Mild pericardial effusion is observed. Heart dimensions and compartments are of normal width.\n<breast>: There is bilateral gynecomastia.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The presence of a space-occupying lesion in the parenchyma could not be excluded due to the lack of contrast material. No loculated or free fluid was observed in the upper abdominal sections. Nodulation was also present in the previous examination in both kidney contours, and no significant difference was detected. There is advanced fat in the liver parenchyma density.\n\nImpression:\nT-cell lymphoma.  Primary mass dimensions are stable in anterior mediastinum.  Mild pericardial effusion dimensions are stable.  There are areas of newly developed ground glass infiltration in the lung parenchyma and nodular consolidations in the lower lobe of the left lung. It was evaluated primarily in favor of pneumonia. Fungal infection should be considered first in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_317/train_317_e/train_317_e_1.npy"
        ]
    },
    {
        "id": "report_generation_783",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There were diffuse nodular ground glass densities in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Suspicious linear densities are observed at the level of the stomach greater croissant. Diffuse density loss is observed in the liver.\n\nImpression:\nFindings consistent with Covid pneumonia.  Hepatosteatosis.  Linear densities in the stomach. Past operation?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_322/train_322_a/train_322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_785",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are findings consistent with mild emphysema in the parenchyma. Mild sequelae changes were observed in the linguistic segment. In the upper lobe caudal in the right lung and in the middle lobe, in the lower lobe in the left lung, coarse bud branch views are observed, especially in the basal segments.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: CTO is normal.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: There is an area protected from fat near the gallbladder. A nonspecific hypodense formation of approximately 12x6 mm is observed in the spleen. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nRough bud branch views in both lungs, findings are atypical for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings in terms of coronavirus, other viral pneumonias and bacterial pneumonias.  Nonspecific hypodense formation in the spleen . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_323/train_323_a/train_323_a_1.npy"
        ]
    },
    {
        "id": "report_generation_787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma and there are sequela parenchymal changes.\n<mediastinum>: Aberrant right subclavian artery anomaly is observed. Mediastinal vascular structures are not evaluated optimally due to the lack of contrast in the cardiac examination, and the calibration of the vascular structures, heart contour, and size are normal. No pathologically enlarged lymph nodes were detected in the mediastinum, supraclavicular fossa and both axillary regions.\n<heart>: Mediastinal vascular structures are not evaluated optimally due to the lack of contrast in the cardiac examination, and the calibration of the vascular structures, heart contour, and size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration is normal, pathological wall thickness increase is not observed, and there is a slight sliding type hiatal hernia at the lower end.\n<bone>: An increase is observed in thoracic kyphosis. There are osteophytic degenerative changes in the vertebral corpus corners with a right weighted convergence tendency. No lytic-destructive lesion was observed in the bone structures in the study area, and the height of the vertebral corpus was preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAberrant right subclavian artery anomaly, sequelae parenchymal changes in both lungs, increase in thoracic kyphosis and osteophytic degenerative changes in vertebral corpus corners with right weighted convergence tendency"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_324/train_324_a/train_324_a_1.npy"
        ]
    },
    {
        "id": "report_generation_799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: A 9.2x7.8 mm semisolid nodule was observed adjacent to the minor fissure in the anterior segment of the upper lobe of the right lung. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. It is recommended to evaluate and follow-up together with previous examinations, if any.\n<pleura>: When examined in the lung parenchyma window; Linear-band atelectasis sequelae and subpleural striations were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. A calculi image with a diameter of 1.5 mm was observed in the upper pole of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_329/train_329_a/train_329_a_1.npy"
        ]
    },
    {
        "id": "report_generation_811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; No active infiltrative lesion or mass lesion was detected in both lungs. Sequela parenchymal changes are observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, no pathology was detected as far as can be observed within the limits of non-contrast CT. No space-occupying lesion was detected in the liver that entered the cross-sectional area. No lymph node was detected in pathological size and appearance. Intraabdominal free fluid, loculated collection was not observed.\n\nImpression:\nNo active infiltration mass lesion is observed in both lungs, and sequela parenchymal changes are observed in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_335/train_335_a/train_335_a_1.npy"
        ]
    },
    {
        "id": "report_generation_834",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of each thyroid gland has increased, more prominently on the right.\n<trachea_and_bronchie>: The nodule narrows the tracheal air column from the right.\n<lung>: A 12 mm diameter calcific nodule was observed in the middle lobe of the right lung. Apart from this, no mass lesion with distinguishable margins was detected in both lungs. When examined in the lung parenchyma window; Multilobar, multisegmented peripherally located nodular patchy ground glass consolidations were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. Subsegmental atelectic changes are observed in the anterior and lingular segments of the left lung upper lobe and in the right lung middle lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. A 48x50x61 mm nodule was observed in the widest part (anteroposteriorxtransversxkroniocaudal) extending to the mediastinum along the paratracheal area on the right. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Suture materials secondary to previous bypass surgery are observed in the sternum and anterior mediastinum.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Widespread degenerative changes are observed in the bone structures in the study area. Suture materials secondary to previous bypass surgery are observed in the sternum and anterior mediastinum.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Small epigastric hernia was observed. In bilateral perinephric fatty planes, a smear-like effusion and a reticular-like density increase are observed. Upper abdominal organs included in the sections are normal. It is recommended to be evaluated together with clinical and laboratory in terms of infection.\n\nImpression:\nIncreased size of both thyroid glands, large nodule in the right thyroid gland that compresses the trachea and extends to the mediastinum; It is recommended to be evaluated together with US.  Calcific atheroma plaques in the coronary arteries, cardiomegaly  Hiatal hernia  Anxious pleural effusion in the anterior of the left hemithorax, subsegmental atelectic changes in both lungs  Findings consistent with Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Placing-like effusion and reticular-like density increases in bilateral perinephric fatty planes; It is recommended to be evaluated together with clinical and laboratory in terms of infection)  Small epigastric hernia  Diffuse degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_343/train_343_a/train_343_a_1.npy"
        ]
    },
    {
        "id": "report_generation_846",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland is observed as hypertrophic in both lobes.\n<trachea_and_bronchie>: In the evaluation of the lung parenchyma window; Trachea, calibration of both main bronchi is normal. Lumens are clear.\n<lung>: No lymph node was detected in the size and morphology that could be evaluated in the non-contrast examination at both hilar levels. Consolidation is observed at the middle lobe level in the right lung. Consolidative lung parenchyma is observed in the air bronchograms in the area extending to the fissure neighborhood in the lower lobe of the right lung. No significant mass formation or pneumothorax was detected in both lungs.\n<pleura>: Pleural effusion extending from basal to apex in the previous examination and extending at the basal level at its thickest point has regressed in the current examination. There are nodular appearances (lymph node?) on the right, at the ectrapleural level, posteriorly, the largest of which is approximately 14x 8mm in size. There is a slight thickening of the pleura and a suspicious appearance in terms of empyema.\n<mediastinum>: CTO is within normal limits. The aortic arch calibration was measured as 30mm, slightly above normal. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, and in the aorticopulmonary window, the largest of which is measured in the aorticopulmonary window and measures approximately 13x7mm. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries. Calibration of other mediastinal major vascular structures is normal.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Possible breast tissue, which is considered compatible with gynecomastia, is observed on both sides.\n<bone>: It is sharply limited. Degenerative changes are observed in the bone structure. It did not cause destruction in the cortex.\n<abdomen>: CTO is within normal limits. In the sections passing through the upper abdomen, changes in the liver secondary to transplantation were observed. The aortic arch calibration was measured as 30mm, slightly above normal. Post-op changes are observed in the midline in the anterior of the abdomen. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mild air appearance in the intrahepatic biliary tract was also observed in previous examinations. A collection of approximately 13 HU density is observed under the skin, which was not detected in the previous examination.\n\nImpression:\nPleural effusion in the right lung, which was observed in the previous examination, regressed in the current examination. However, there is significant thickening of the anterior and posterior contours of the pleura at the level of the effusion (empyema?). Evaluation with the clinic and, if necessary, contrast-enhanced examination is recommended.  At this level, there are nodular appearances in the extrapleural-retrocrural areas in the posterior, compatible with a possible lymph node that was not observed in the previous examination.  Consolidative area with air bronchograms in the right lung, which is slightly more prominent than the previous examination, adjacent to the fissure in the lower lobe. Post-op changes are observed in the midline in the anterior of the abdomen. A 40x20 mm collection is observed under the skin, which was not detected in the previous examination.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_345/train_345_b/train_345_b_1.npy"
        ]
    },
    {
        "id": "report_generation_854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Clinical-laboratory correlation is recommended. In addition, nodular ground glass density increases were observed in the upper lobe of the right lung. Reticulonodular, irregular thickness increases were observed adjacent to the mass in the right lung (lymphangitic spread?). When examined in the lung parenchyma window; Multiple parenchymal nodules measuring 5 mm in diameter were observed in both lungs, especially in the left lobe, in different localizations. The outlook can be traced in Covid-19 pneumonia. However, it is not specific.\n<pleura>: On the right, there is a pericardial effusion measuring 23 mm in diameter at its widest point, showing fissure extending between the pleural leaves.\n<mediastinum>: Multiple lymphadenopathies were observed in both lower cervical chains included in the study area, in the supra-infraclavicular area, mediastinal upper-lower paratracheal, prevascular, and subcarinal areas with a conglomerate appearance and the short axis of the larger one measuring 22 mm. According to the current examination, there is an increase in the number and size of the lymph nodes.\n<bone>: In the bone structures within the study area; Multiple levels of sclerotic metastases were observed. Multiple lymphadenopathies were observed in both lower cervical chains included in the study area, in the supra-infraclavicular area, mediastinal upper-lower paratracheal, prevascular, and subcarinal areas with a conglomerate appearance and the short axis of the larger one measuring 22 mm.\n<abdomen>: In the upper abdominal sections in the study area; Since the liver is partially in the examination area and the examination is uncontrasted, metastatic lesions cannot be clearly evaluated in this examination. Millimetric calculus is observed in the gallbladder.\n\nImpression:\nMetastatic lung ca.  A mass obstructing the lower lobe in the right hilar area, showing an increase in size in the current examination and indistinguishable from the distal atelectasis-consolidation area.  Focal nodular ground glass density increases in the right lung; The outlook can be traced in Covid-19 pneumonia. However, it is not specific. Clinical-laboratory correlation is recommended.  Reticulonodular, irregular thickness increases in the right lung adjacent to the mass (lymphangitic spread?).  Metastatic lesions in the liver, which were observed in the previous examination, could not be evaluated clearly in this examination, since they did not enter the liver cross-section area clearly and had no contrast.  Multiple metastases in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_348/train_348_a/train_348_a_1.npy"
        ]
    },
    {
        "id": "report_generation_860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surgical suture materials were observed in the operation site. Other upper abdominal organs are normal. The gallbladder was not observed secondary to the operation.\n\nImpression:\nThere was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_351/train_351_a/train_351_a_1.npy"
        ]
    },
    {
        "id": "report_generation_862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are widespread ground glass densities in both lung parenchyma, which tend to merge from place to place, predominantly peripherally.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_352/train_352_a/train_352_a_1.npy"
        ]
    },
    {
        "id": "report_generation_887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described findings are consistent with the Covid-19 pneumonia mentioned in the clinical preliminary diagnosis. In addition, peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Consolidation and ground glass area are observed in the anterior segment of the right lung upper lobe. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. The main pulmonary artery diameter was 31 mm and wider than normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: The anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_361/train_361_a/train_361_a_1.npy"
        ]
    },
    {
        "id": "report_generation_889",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The imaging findings described were nonspecific and could not be characterized. Aeration differences are observed in the lung parenchyma. There is a 5 mm diameter low-density nodular opacity adjacent to the fissure in the posterior segment of the right lung upper lobe. The finding is nonspecific.\n<pleura>: In the right lung middle lobe lateral segment, there is an increase in subpleural density (atelectasis?), which causes shrinkage in the fissure adjacent to the fissure. In the anterior segment of the upper lobe of the right lung (series 201, ima 27), a subpleural area of 5 mm diameter ground glass density is observed.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. Heart dimensions and contours appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections. Imaging is markedly suboptimal due to motion artifact.\n\nImpression:\nMillimetric ground-glass nodule in the upper lobe of the right lung (uncharacterized, non-specific), subpleural nonspecific density increase in the middle lobe of the right lung (atelectasis?), millimeter-sized nodule in the posterior segment of the right lung upper lobe . Slight parenchymal aeration differences in the upper lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_362/train_362_a/train_362_a_1.npy"
        ]
    },
    {
        "id": "report_generation_891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric non-specific nodules are observed in both lungs. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the middle lobe of the right lung and the inferior lingula of the left lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A lipoma of 68x35x82 mm in size is observed in the left scapular region. A near-total compression fracture is observed in the T11 vertebral body, which does not show any significant difference.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Changes secondary to partial resection are observed in the left kidney entering the cross-sectional area.\n\nImpression:\nA few millimetric non-specific nodules are observed in both lungs.  A lipoma of 68x35x82 mm in size is observed in the left scapular region.  Mild atherosclerosis.  Near total compression fracture with no significant partial difference in the T11 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_363/train_363_a/train_363_a_1.npy"
        ]
    },
    {
        "id": "report_generation_909",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Patchy crazy paving appearances were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. Viral pneumonia? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_372/train_372_a/train_372_a_1.npy"
        ]
    },
    {
        "id": "report_generation_917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A small diverticulum is observed on the right posterolateral side of the trachea at the thoracic intrusion.\n<lung>: When examined in the lung parenchyma window; 4 mm diameter nodule is observed in the right lung lower lobe laterobasal segment. There is a 2 mm diameter nodule in the upper lobe posterior segment caudal.\n<pleura>: No pleural effusion, pneumothorax or pneumonia was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. In the anterior mediastinum, thymic tissue with trigonal configuration, which does not cause mass effect, is observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_376/train_376_a/train_376_a_1.npy"
        ]
    },
    {
        "id": "report_generation_925",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lung parenchyma. No active infiltration or mass lesion was detected in both lung parenchyma. In both lung parenchyma, peripheral pleuroparenchymal sequelae bands, more prominent in the lower lobe posterobasal segment, and ground glass densities are observed at these levels, and the appearance was evaluated primarily in favor of findings secondary to the dependent effect.\n<pleura>: Pericardial, pleural effusion or thickness increase was not observed.\n<mediastinum>: No lymph node is observed in pathological size and appearance in mediastinal lymph node stations. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the descending aortic AP diameter was measured as 31 mm and wider than normal. There are calcified atheroma plaques in the wall of the aortic arch.\n<heart>: The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the descending aortic AP diameter was measured as 31 mm and wider than normal. There is an increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections, and the vertebral corpus heights were preserved. Left-facing scoliosis is observed in the thoracic vertebral column.\n<abdomen>: There are calcified atheroma plaques in the wall of the aortic arch. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the descending aortic AP diameter was measured as 31 mm and wider than normal. In the upper abdomen sections within the image, no bordering mass was observed as far as it can be seen within the borders of non-contrast CT.\n\nImpression:\nIncreased AP diameter of the descending aorta, increased cardiothoracic ratio in favor of the heart. Emphysematous changes in both lung parenchyma and pleuroparenchymal sequelae bands and areas of increased density in the lower lobes of both lungs; The outlook was primarily evaluated in favor of changes secondary to the dependent effect. Degenerative changes in the thoracic vertebrae. Scoliosis with left-facing opening in the thoracic vertebral column."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_380/train_380_a/train_380_a_1.npy"
        ]
    },
    {
        "id": "report_generation_948",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Linear atelectasis was observed in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pericardial effusion or left pleural effusion was detected. There is minimal pleural effusion on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed within the sections.\n\nImpression:\nMillimetric nodules in both lungs . Linear atelectasis in both lungs.  Minimal emphysematous changes in both lungs. Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_389/train_389_a/train_389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are fibroatelectasis changes in the inferior lingular segment of the left lung. The outlook is consistent with typical-likely findings of Covid-19. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; Peripheral subpleural ground-glass density increases were observed in the upper lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). Calcified atherosclerotic changes are observed in the wall of the coronary artery.\n<esophagus>: Siliding type hiatal hernia is observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Mild degenerative changes are observed in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nTypical-probable findings of Covid-19 pneumonia are present in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Thoracic spondylosis.  Calcified atherosclerotic changes in the wall of the coronary artery.  Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_393/train_393_a/train_393_a_1.npy"
        ]
    },
    {
        "id": "report_generation_957",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Linear atelectasis was observed in the middle lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_394/train_394_a/train_394_a_1.npy"
        ]
    },
    {
        "id": "report_generation_959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_395/train_395_a/train_395_a_1.npy"
        ]
    },
    {
        "id": "report_generation_961",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; a few millimetric and some calcific nonspecific nodules are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??? A few millimetric and some calcific nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_396/train_396_a/train_396_a_1.npy"
        ]
    },
    {
        "id": "report_generation_965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: There are faint ground-glass-like density increments in the basal segments of both lungs. Although the described findings are nonspecific, they may be significant in terms of viral pneumonia. A subcentimetric air cyst is observed in the posterobasal segment of the lower lobe of the right lung. It is recommended to be supported with clinical and laboratory findings.\n<mediastinum>: Rest thymic tissue is observed in the anterior mediastinum. Calibration of mediastinal major vascular structures is natural. No pathological size and configuration lymph nodes were detected at the mediastinal and hilar level.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBlurred ground-glass-like density increases in the basal segments of both lungs. Although the findings are nonspecific, they may be significant in terms of viral pneumonia. It is recommended to be supported with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_398/train_398_a/train_398_a_1.npy"
        ]
    },
    {
        "id": "report_generation_974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Millimetric nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. There is minimal peribronchial thickening in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMinimal peribronchial thickening in both lungs.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_403/train_403_a/train_403_a_1.npy"
        ]
    },
    {
        "id": "report_generation_989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Linear atelectatic changes were observed in the left lung lingula superior and inferior segments.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion reaching a thickness of 7 cm on the right and 6 cm on the left was observed, and compression atelectasis was observed in the adjacent lung. No pleural thickening was detected.\n<mediastinum>: At this level, the skin is defective and it is noteworthy that air densities pass from the skin to the anterior mediastinum. Calcified atheroma plaques were observed in the mediastinal main vascular structures. Lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area and paratracheal area.\n<heart>: No pericardial effusion or thickening was detected. Tubular plaques were observed in the coronary arteries, and it is noteworthy that the patient underwent coronary artery bypass surgery. The heart is normal. The diameter of the ascending aorta was 38 mm at its widest point.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are slight reticular density increases in this area. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. In addition, there are significant degenerative changes in other bone structures. Fracture line is observed in the 1st rib on the left. Sternal dehiscence is noted in the patient, and there is a distance of 17.5 mm at the widest point on both sides of the sternal bone, especially in the corpus. In the lower thoracic vertebrae, sclerosis compatible with hyperosteosis is noted and the vertebral corpus heights are decreased.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs entering the imaging field are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nSternal dehiscence, defect in the skin at this level and air passage to the mediastinum, contamination and reticular lines in the mediastinal fatty planes . Bilateral pleural effusion and atelectasis in the adjacent lung . DISH disease in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_410/train_410_a/train_410_a_1.npy"
        ]
    },
    {
        "id": "report_generation_993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a nodular appearance in the apicoposterior segment of the left lung upper lobe, the margins of which cannot be clearly distinguished from consolidation, but when evaluated together with the patient's previous examination, it is understood to be a soft tissue mass. No mass or infiltrative lesion was detected in the right lung. Ground glass areas and centriacinar nodules are observed in the upper lobe lingular segment and apicoposterior segment of the left lung, especially in the posterobasal and anteromediobasal segments of the lower lobe. There are millimetric nonspecific nodules in both lungs. In the superior segment of the left lung lower lobe, there is a nodule with a minimal ground glass appearance around it and the longest diameter of 8 mm. This nodule is not observed in the previous examination. The anterior segment of the left upper lobe of the lung is completely consolidated in this examination. It was learned that the patient was followed up for pulmonary Ca. However, when evaluated together with other findings, it was thought that this appearance may belong to infective pathology. Consolidation is observed in the left lung upper lobe anterior segment and apicoposterior segment. The primary mass of the patient was the 1st target lesion, the mass in the left lung upper lobe apicoposterior segment was the 2nd target lesion, and the subcarinal lymphadenopathy was the 3rd target lesion. A mass is observed in the left pulmonary hilus that surrounds the distal part of the main bronchus and the proximal parts of the upper and lower lobe bronchi and causes significant narrowing of the upper lobe bronchus. The longest diameter of the described view was measured 31 mm at its widest point (series 2 section 155). It is understood that the described manifestations have just appeared and were evaluated in favor of infective pathology. The described mass was considered to be metastasis.\n<pleura>: Minimal pleural effusion is observed on the left. It appears that the pericardial or pleural effusion has just appeared. It appears that the pleural or pericardial effusion has just appeared.\n<mediastinum>: There are lymphadenopathies in the paratracheal and subcarinal regions. Their short diameters were measured 21 mm and 22 mm, respectively. The mass borders cannot be distinguished from the aorta and pulmonary artery. The widths of the mediastinal main vascular structures are normal. The larger lymphadenopathies described are observed in the proximal paraaortic region (series 2, section 120) and in the subcarinal region (series 2, section 184). No pathologically enlarged lymph nodes were observed. Since contrast material was not given, a clear assessment could not be made, but the longest diameter of the described mass was 58 mm at its widest part (series 2, section 156).\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. In the patient's previous examination, the diameters of the target lesions 90 were measured in this examination 111 (approximately 23% growth).\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<breast>: It just appeared in this view. The lesion observed at the head of the areola in the left breast in the PET CT examination of the patient could not be distinguished from the breast tissue in this examination. The findings were evaluated in favor of progressive disease.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No mass was detected in the adrenal glands. Their short diameters were measured 21 mm and 22 mm, respectively. No upper abdominal free fluid-collection was observed in the sections. The larger lymphadenopathies described are observed in the proximal paraaortic region (series 2, section 120) and in the subcarinal region (series 2, section 184). The mass borders cannot be distinguished from the aorta and pulmonary artery.\n\nImpression:\nLung Ca, mass in the left pulmonary hilum, mass evaluated in favor of metastasis in the left lung upper lobe, lymphadenopathies in the mediastinum in the follow-up. Findings evaluated primarily in favor of infective pathology in the left upper lobe of the left lung, consolidation in the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_412/train_412_a/train_412_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Nonspecific ground glass densities were observed in depanden sections in both lung lower lobes. Paraseptal emphysema areas were observed in the upper lobes of both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: Descending aorta and pulmonary artery calibrations are normal. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: The ascending aorta is wider than normal with an anterior-posterior diameter of 36.5 mm. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in the bilateral shoulder joint. There are findings of fracture secondary to the operation and sequelae in the proximal humerus on the right. Degenerative changes were observed in the bone structure.\n<abdomen>: Descending aorta and pulmonary artery calibrations are normal. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nEctasia in the ascending aorta, calcified atheroma plaques in the thoracic aorta and coronary arteries . Paraseptal emphysema areas in the upper lobes of both lungs.  . Findings and degenerative changes of right humeral fracture sequelae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_414/train_414_a/train_414_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Atelectasis is observed in both lung lower lobe basal segments. When examined in the lung parenchyma window; In the middle lobe of the right lung, there are patches of patchy light ground glass densities and thickenings in the interlobular septa.\n<mediastinum>: The mass lesion mentioned in the patient's history is not observed within the limits of the examination. Mediastinal main vascular structures, heart contour, size are normal. There are appearances compatible with hyperemia edema in mediastinal fatty tissues at the level of the right atrium. Postoperative clips are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSlightly patchy ground-glass densities described in the middle lobe of the right lung and thickening of the interlobular septa, clinical laboratory correlation is recommended in terms of the onset of an early infectious process due to the current pandemic.  Small-to-moderate effusion in the left hemithorax . Atelectatic changes secondary to effusion in the left lung lower lobe . Postoperative clips in the upper mediastinum, mild hyperemia and edema in the mediastinal fatty tissues in the right atrium, and a 5 cm mass all around the vena cava extending into the vena cava in the right atrium, known in the patient's history, were evaluated as suboptimal in the current non-contrast examination and are not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_416/train_416_a/train_416_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the anterior segment of the upper lobe of the right lung, bulla formations with a total size of 4.5 cm formed by thin-walled septa are observed. There are pleuroparenchymal sequelae densities in the right lung apex. In the evaluation of both lung parenchyma; The first noteworthy finding is that ground glass densities-consolidations are more dominant in the peripheral lung parenchyma in both lung parenchyma. It creates an inverted halo sign in the apicoposterior segment of the upper lobe of the left lung. In addition, mosaic attenuation is observed in the upper lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the wall of the coronary artery and in the aortic arch. No pathological LAP was detected in the mediastinum. Right upper-lower paratracheal, aorticopulmonary narrow lymph nodes less than 1 cm in diameter are observed.\n<heart>: Calcific plaques are observed in the wall of the coronary artery and in the aortic arch. The cardiothoracic index increased in favor of the heart.\n<bone>: There are degenerative changes in bone structures. There are posterior longitudinal ligament ossifications compatible with DISH disease in the dorsal localization.\n<abdomen>: No significant pathology was detected in the abdominal sections. The gallbladder is operated. Calcific plaques are observed in the wall of the coronary artery and in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nTypical findings for Covid-19 pneumonia in both lungs, . Mosaic attenuation in the upper lobes of both lungs, bulla formations containing thin septa in the upper lobe, the larger one in the upper lobe of the right lung, apicoposterior segment mediastinal area, . Cardiomegaly . DISH disease in dorsal localization"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_419/train_419_a/train_419_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: When examined in the lung parenchyma window; both hemithorax are symmetrical. Pleuroparenchymal sequelae changes are observed in the lingular segment.\n<pleura>: Pleural effusion or pneumothorax pneumonic infiltration is not observed in both lungs. There is a 4x2 mm nodule in the subpleural area in the laterobasal segment.\n<mediastinum>: CTO is normal. It is wider than normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of other mediastinal major vascular structures is normal. The aortic arch calibration is 36 mm.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes are observed in the bone structures entering the examination area.\n<abdomen>: In the sections passing through the upper abdomen, there is an appearance compatible with hepatosteatosis. CTO is normal. It is wider than normal. both adrenals are natural. The aortic arch calibration is 36 mm.\n\nImpression:\nStable millimetric nospecific nodules in both lungs . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_420/train_420_b/train_420_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; In the lungs, there are subpleural weighted ground glass densities, which are more prominent in the lower lobe and posterobasal areas, and slight consolidations, especially in the lower lobes. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings compatible with bilateral Covid pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_422/train_422_a/train_422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Linear atelectasis was observed in the medial and left lung inferior lingular segments of the right lung middle lobe, and in the lower lobe basals of both lungs. Nonspecific density increases were observed in both lungs dependent.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Linear atelectatic changes in right lung middle lobe medial and left lung inferior lingular segment, lower lobe basal segments of both lungs . Nonspecific ground-glass densities in both lungs depending on"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_427/train_427_a/train_427_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Bilateral peribronchial thickenings were observed.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs. Fibroatelectatic changes were observed in the inferior lingular segment of the left lung and the middle lobe of the right lung. A calcified parenchymal nodule with a diameter of 5.8 mm was observed in the anterobasal segment of the lower lobe of the right lung.\n<pleura>: Minimal pleural effusion is observed on the left.\n<mediastinum>: As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Calcified lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal and subcarinal areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: Heart size slightly increased. As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A hypodense lesion with a diameter of 4 mm was observed in the upper pole of the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nMild cardiomegaly.  Fibroatelectatic changes in both lungs, mild emphysematous changes in both lungs.  Mediastinal milimetric lymph nodes, some of which are calcified.  Calcified nonspecific parenchymal nodule in the right lung, bilateral peribronchial thickenings, minimal left pleural effusion.  Hypodense lesion in the upper pole of the spleen.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_432/train_432_a/train_432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea, both main bronchi and segmental bronchi.\n<lung>: Segmentary-subsegmental peribronchial thickness increases and luminal narrowing were observed in both lungs. A nonspecific calcific nodule with a diameter of 6 mm was observed in the laterobasal segment of the lower lobe of the right lung. There is a mosaic attenuation pattern in both lungs. Subsegmental atelectatic changes were observed in the right lung middle lobe medial, left lung upper lobe inferior lingular segment, and lower lobe basal segments of both lungs. Peribronchial sheath thickening was observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; A smear-like effusion was observed between the leaves of the pleura in both hemithorax.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the abdominal aorta and iliac artery walls. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. As far as can be seen; Calibration of mediastinal major vascular structures is normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. The findings were evaluated as secondary to cardiac stasis.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild scoliosis with left opening was observed in the thoracic vertebra. Thoracic kyphosis has increased. No lytic or destructive lesions were detected in the bone structures in the study area. Secondary sequelae changes are observed in the right 4th, 5th, and 6th ribs. There are degenerative changes in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the abdominal aorta and iliac artery walls. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Mosaic attenuation pattern secondary to small airway stenosis in both lungs  Cardiogenic edema accompanied by bilateral smearing pleural effusion  Sequelae teletatic changes in both lungs  Right 4,5 and Sequelae fracture views on the laterals of the 6th rib"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_439/train_439_a/train_439_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1066",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground-glass-like density increases that tend to merge from place to place, accompanied by thickenings in the interlobular septa, which are more prominent in the middle-upper zones of the lungs. A 5 mm diameter nodule is observed in the right lung lower lobe mediobasal segment. There is a parenchymal band in the inferior lingular segment.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Millimetric sized lymph nodes are observed in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: The pericardium is slightly prominent. CTO is normal.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Benign peripheral sclerotic subcentimetric nodular formation is observed in the right scapula body part.\n<abdomen>: There is a 16 mm diameter hypodense lesion with exophytic appearance in the middle part of the left kidney (cortical cyst?). A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Density consistent with multiple calculi is observed in the cystic duct in the gallbladder and in the area extending towards the proximal common bile duct. In the upper abdominal organs included in the sections, there is a slight decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nFindings compatible with Covid-19 pneumonia. Clinical-laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Density compatible with multiple calculi in the cystic duct in the gallbladder and in the area extending towards the proximal common bile duct . Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_441/train_441_a/train_441_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Segmental-subsegmental peripronchial thickening and luminal narrowing were observed in both lungs. Nonspecific parenchymal nodules with a diameter of 5 mm were observed in both lungs, the largest on the right minor fissure. Linear atelectasis were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. It is recommended to be evaluated together with clinical and laboratory in terms of infective processes. When examined in the lung parenchyma window; In both hemithorax, a 14 mm diameter effusion was observed in the deepest part on the right, and a smear-like effusion was observed on the left. Mosaic attenuation pattern was observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. No mass lesion with distinguishable borders was observed in the lung parenchyma. Peribronchial ground-glass centriacinar nodules were observed in the mediobasal segment of the lower lobe of the right lung.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The ascending aorta is wider than normal, with an anterior diameter of 41 mm and an anterior diameter of 35 mm in the descending aorta.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. An occlusive hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen within the sections; Sludge and millimetric stones that level the gallbladder lumen were observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. As far as can be seen; The ascending aorta is wider than normal, with an anterior diameter of 41 mm and an anterior diameter of 35 mm in the descending aorta.\n\nImpression:\nChanges in the sternum and anterior mediastinum secondary to bypass surgery, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries, fusiform aneurysmatic dilatation in the thoracic aorta.  Hiatal hernia.  Minimal free fluid in both hemithorax.  Mosaic attenuation patterns in both lung parenchyma secondary to small airway stenosis.  Sequela parenchymal changes in both lungs, millimetric nonspecific parenchymal nodules.  Appearance compatible with infective processes in the right lung lower lobe basal; It is recommended to be evaluated together with clinical and laboratory.  Hepatic steatosis.  Mud-stone in the gallbladder."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_449/train_449_a/train_449_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_458/train_458_a/train_458_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1104",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: It is recommended to evaluate with USG examination.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; There are sequela parenchymal changes in the middle lobe of the right lung. There are minimal emphysematous changes in both lungs. In both lungs, some pure calcified millimetric nonspecific nodules were observed.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in both axillary regions, bilateral supraclavicular fossae, mediastinum and both hilar regions. Mediastinal vascular structures and heart examination IV.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nNo active infiltration or mass lesion was observed in both lungs. There are a few nonspecific nodules in millimeter sizes, some of them purely calcified.  There are sequela parenchymal changes in the middle lobe of the right lung. Minimal emphysematous changes were observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_459/train_459_a/train_459_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Although it is located in several foci in the parenchyma, primarily atypical pneumonic infiltration was considered. In lung parenchyma evaluation; There is nodular consolidation area in two foci in the anterior segment of the right lung upper lobe and parenchymal infiltration in the form of ground glass opacity around it. Covid pneumonia ranks first in the differential diagnosis. Especially the lesion in the upper lobe of the right lung is in favor of pneumonic infiltration. Radiological follow-up will be appropriate. Ground glass opacity areas are observed in two millimetric foci in the upper lobe of the left lung.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. There are extensive calcified atheroma plaques in the thoracic and abdominal aorta.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are observed in the coronary arteries. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No intra-abdominal organ herniation was detected. There is a facial defect in a 2 cm segment of the anterior abdominal wall at the supraumbilical level. There is a 6 mm diameter calculus image in the gallbladder lumen. In the upper abdomen sections, cystic density lesions with a diameter of 8.5 cm in the right kidney and 7.5 cm in the left kidney are observed. There are extensive calcified atheroma plaques in the thoracic and abdominal aorta.\n\nImpression:\nParenchymal involvement areas in the form of consolidation area in the upper lobe of both lungs and a focus on the right, ATYPIC pneumonic infiltration is considered primarily in the differential diagnosis and Covid pneumonia is in the first place.  Calcified atheroma plaques in the coronary arteries . Cysts in both kidneys . Cholelithiasis . Ventral hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_460/train_460_a/train_460_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Subsegmental atelectasis is observed in the middle lobe of the right lung and the lingular segment of the left lung. In the evaluation of both lung parenchyma; Diffuse mosaic perfusion is observed in both lungs (small airway disease? small vessel disease?). Millimetric pleuroparenchymal recessions are observed in the left lung apex.\n<pleura>: In both hemithorax, pleural effusions measuring 22 mm in the thickest part on the right and 15 mm in the thickest part on the left are observed.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary lymphadenomegaly with a narrow diameter of 18 mm in the larger one is observed. Calcific plaques and stent-like appearance are observed in the coronary arteries in the aortic arch, ascending and descending aorta. No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques and stent-like appearance are observed in the coronary arteries in the aortic arch, ascending and descending aorta. The cardiothoracic index increased in favor of the heart.\n<bone>: Apart from this, no obvious pathology was distinguished in bone structures. Metallic sutures secondary to bypass surgery are observed in the sternum.\n<abdomen>: No additional pathology was distinguished in abdominal sections. Calcific plaques and stent-like appearance are observed in the coronary arteries in the aortic arch, ascending and descending aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDiffuse mosaic perfusion in both lungs (small airway disease? small vessel disease?).  Bilateral pleural effusion . Cardiomegaly . Mediastinal lymphadenopathies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_464/train_464_a/train_464_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1130",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Coarse calcifications are observed in both lobes of the thyroid gland.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the case treated with the diagnosis of Covid, diffuse ground-glass-like density increases in both lungs and thickening of the interstitial lobular septa and parenchymal sequelae bands are observed in these areas.\n<pleura>: Bilateral pleural effusion or pneumothorax was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. Degenerative changes were observed in the bone structure in the study area.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A decrease in density consistent with hepatosteatosis was observed in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nParenchymal findings consistent with the process in the case treated for Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_472/train_472_a/train_472_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<pleura>: Pericardial, pleural effusion was not detected. In the examination made in the lung parenchyma window; In both lungs, there are areas of indeterminate limited density increase consistent with nodular consolidation, the majority of which are multilobar located in the peripheral subpleural, and viral pneumonias (Covid 19 pneumonia) are considered in the etiology of the findings.\n<mediastinum>: It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. As far as can be seen; Calibration of mediastinal vascular structures, heart contour and size are natural. There are no lymph nodes in pathological size and appearance in the mediastinum and both axillary regions.\n<heart>: It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. As far as can be seen; Calibration of mediastinal vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: No intraabdominal free fluid, loculated collection was detected. No lymph node is observed in intraabdominal pathological size and appearance. No mass lesions were detected in the peritoneum and omentum. There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image.\n\nImpression:\nConcordant findings in favor of viral pneumonia in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_482/train_482_a/train_482_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltrative with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Minimal passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe, left lung upper lobe inferior lingular and lower lobe basal segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen within the sections; 8 mm diameter nonspecific hypodense area was observed in liver segment 2 (cyst?). No space-occupying lesion was detected in the gallbladder, spleen, both kidneys, both adrenal glands and pancreas.\n\nImpression:\nHiatal hernia  Passive atelectatic changes in the paracardiac areas of the right lung middle lobe, left lung lingular and basal segment.  Millimetric nonspecific hypodense lesion (cyst?) in liver segment 2."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_489/train_489_a/train_489_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Linear atelectasis was observed in the basal segments of the left lung inferior lingular, right lung middle lobe and both lung lower lobes. A few millimetric nonspecific paramchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Mild degenerative Schmorl nodule impressions were observed in the end plateaus. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the gallbladder was not observed (operated). Surgical suture materials were observed in the gallbladder fossa.\n\nImpression:\nBilateral gynecomastia . Linear atelectatic changes in the right lung middle lobe, left lung inferior lingular and lower lobe basal segments of both lungs . Cholecystectomized . Scoliosis with left opening at the thoracic level and mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_490/train_490_a/train_490_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1175",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Newly emerged metastases are also observed in the current examination. Right lung middle lobe, both lung lower lobe basal segments, and left lung inferior lingular segment, along the peribronchial area in which air brobcograms are observed, consolidation areas extending from the center to the periphery were observed, and it was seen that they appeared recently in the current examination. Post-treatment control is recommended. In the examination made in the lung parenchyma window; Metastatic nodules with increased number and size are observed in all segments of both lungs, the larger ones measuring 16.3 mm (10.2 mm in the previous examination) in the right lung lower lobe mediobasal segment and 12.2 mm (7 mm in the previous examination) at the junction level of the right lung upper lobe anterior-posterior segment. In the first place, it was evaluated in favor of infective processes.\n<pleura>: An effusion with a diameter of 13 mm was observed in the right pleural space. No left pleural effusion was observed.\n<mediastinum>: The port chamber and the catheter extending from the left internal jugular vein to the superior vena cava were observed on the anterior chest wall on the left. Although the mediastinal cannot be optimally evaluated in the patient who is not given IV contrast, the heart contour size of the main vascular structures in the mediastinum is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Minimal pericardial effusion was observed. Although the mediastinal cannot be optimally evaluated in the patient who is not given IV contrast, the heart contour size of the main vascular structures in the mediastinum is normal. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMetastatic nodules increasing in number and size in both lungs. Right pleural effusion on current review.  Large areas of consolidation in the right lung middle lobe, both lung lower lobes basal, and left lung inferior lingular segment, through which air brobcograms are observed; it has just emerged in the current examination, it has been evaluated as secondary to infective processes. Post-treatment control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_494/train_494_a/train_494_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When evaluated together with the patient's previous examinations and medical history, the findings were primarily evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: Peripheral and centrally located ground glass areas and interlobular septal thickenings accompanying the ground glass areas and linear density increases parallel to the pleura are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. No pleural or pericardial effusion was observed. Linear density increases observed in subpleural areas can be observed more frequently during the recovery period.\n<abdomen>: No intraabdominal free fluid-collection was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_519/train_519_b/train_519_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. When examined in the lung parenchyma window; Focal consolidation areas-ground glass density increases were observed in the upper and lower lobes of both lungs, the largest in the right lung lower lobe superior segment. Findings described There are frequently reported imaging features of Covid-19 pneumonia.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes measuring 1 cm in diameter on the short axis of the largest were observed in the mediastinal, upper-lower paratracheal, aorticopulmonary, and subcarinal areas.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections included in the examination area, a 12 mm diameter lesion with fat density was observed in the medial crus of the left adrenal gland (myelolipoma).\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. It is recommended to be evaluated together with clinical and laboratory data.  Myelolipoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_526/train_526_a/train_526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Linear atelectatic changes were observed in the left lung lingular segment. A 5 mm diameter parenchymal nodule was observed in the superior segment of the right lung lower lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. It is recommended to evaluate and follow-up together with previous examinations, if any.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. Calcific atheroma plaques were observed in the abdominal aorta. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the thoracic aorta and its supraaortic branches.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 38 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed in the thoracic aorta and its supraaortic branches.\n\nImpression:\nFusiform dilatation in the ascending aorta . Cardiomegaly . Linear atelectatic changes in the lingular segment of the left lung . Millimetric parenchymal nodule in the superior segment of the right lung lower lobe; If there is, it is recommended to be evaluated together with previous examinations. Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_531/train_531_a/train_531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Effusion is observed in the area extending from the superior to the inferior within the right major and minor fissures. Calcific fibrotic sequelae changes are observed at the apical level of the left lung upper lobe.\n<pleura>: There are pleural thickening and calcifications in the upper lobe of the right lung, and emphysematous changes in the upper lobes of both lungs.\n<mediastinum>: A few lymph nodes with a short axis of 7 mm are observed in the aorticopulmonary window. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hypertrophic osteophytic taperings are observed in the end plates of the vertebral body. There is diffuse density reduction in bone structures.\n<abdomen>: A 19 mm hyperdense finding was detected in the gallbladder. Other upper abdominal organs included in the sections are normal. In the lower left pole, there is a millimetric calcific focus within the pelvicalyceal structures. It was evaluated in favor of stone.\n\nImpression:\nCalcific atheromatous plaques in coronary arteries.  A finding consistent with a phantom tumor in the right lung parenchyma.  Calcific fibrotic sequelae changes at the apical levels of both lungs, pleural thickening, reduction in right lung volume, emphysematous changes in both lungs.  Cholelithiasis.  Left nephrolithiasis.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the end plates of the vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_544/train_544_a/train_544_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Subsegmental atelectatic changes were observed in the middle and lower lobes of the right lung, the lingular segment of the left lung and anteromediobasal.\n<pleura>: A spiculated contoured calcific nodule causing slight thickening and retraction in the pleura is observed in the apicoposterior segment of the left lung upper lobe. Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: Calcific atheroma plaques were observed in the abdominal aorta. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Minimal pericardial effusion was observed anteriorly. Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the abdominal aorta. The spleen was larger than normal. Both adrenal glands and pancreas are normal. A nonspecific hypodense lesion with a diameter of 6 mm with peripheral subcapsular location is observed in segment 2 of the liver. The left kidney has a malrote appearance. Free air images were observed in the right kidney collecting system (secondary to interference?). Both renal collecting systems are prominent. Millimetric calculi were observed in the gallbladder lumen. It is stable.\n\nImpression:\nSubsegmental sequelae atelectatic changes in both lungs . Stable calcific nodule with irregular borders in the apicoposterior segment of the left lung upper lobe . Stable hypodense lesion located subcapsular in liver segment 2 . Splenomegaly . Left kidney malrotation, both kidneys collecting system prominent, free kidney collecting system aerial images (secondary to interference?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_557/train_557_b/train_557_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There are atelectasis in the middle lobe of the right lung, the upper lobe of the left lung in the lingular segment, and the lower lobes of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: A mixed type large hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Compression and height loss are observed in the T11 vertebral body. There are no lytic-destructive lesions in the bone structures within the sections. There is a low density compatible with osteopenia in the bone structures within the sections. The height loss is about 50%. Other thoracic vertebral corpus heights are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Atelectasis in both lungs.  Several millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Compression and minimal height loss at T11 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_558/train_558_a/train_558_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In addition, there are newly developed frosted glass areas in the middle lobe on the right. When examined in the lung parenchyma window; In both lungs, there are consolidation areas with air bronchograms in the basal and peripheral areas, and ground glass-like density increases in the scattered peripheral areas. The outlook is progressive.\n<mediastinum>: Calibration of the aortic arch is slightly prominent. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. CTO is normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calibration of the aortic arch is slightly prominent.\n\nImpression:\nThere are findings that are compatible with Covid-19 pneumonia in both lungs. There are other viral pneumonias in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_560/train_560_b/train_560_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described findings are the findings that can be observed frequently in Covid-19 pneumonia and when evaluated together with the clinical findings, it was thought to be viral pneumonia. Peripheral and centrally located ground glass areas and nodules with ground glass areas around it are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_564/train_564_a/train_564_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Dependent ground glass densities are observed in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are osteophyte forms in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific dependent ground glass densities in bilateral lungs  Degenerative changes in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_567/train_567_a/train_567_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_568/train_568_a/train_568_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; scattered round-like ground-glass-like density increments are observed in both lungs. A nodule with a diameter of 4 mm is observed in the posterior segment of the right lung upper lobe.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. The aortic arch calibration is 30 mm, slightly wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. The aortic arch calibration is 30 mm, slightly wider than normal. Upper abdominal organs included in the sections are normal. There is a decrease in density consistent with hepatosteatosis in the liver entering the cross-sectional area.\n\nImpression:\nFindings consistent with Covid-19 pneumonia. Clinical correlation is recommended since other viral pneumonias are included in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_574/train_574_a/train_574_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1369",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A few nodular nodules up to 7 mm in size are observed around the described emphysematous changes, which are more prominent in the right lung lower lobe basal segment posterobasal segment. At the levels described, there are also slightly patchy ground glass densities in the lung parenchyma.\n<pleura>: A small amount of pleural effusion is observed in the right hemithorax. When examined in the lung parenchyma window; subpleural centrilobular emphysematous changes located mostly peripherally in both lungs, recessions are observed in the pleura at the levels described.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nNodules measuring up to 7 mm in the right lung lower lobe and middle lobe inferior in serial 2 image 318. Mild patchy ground-glass densities in the lung parenchyma around the paraseptal centrilobular emphysematous changes observed in both lungs are considered to be the beginning of an infectious process due to the current pandemic. clinical laboratory correlation is recommended.  Bronchiectasis and pleural retractions at levels of emphysematous changes in both lungs. A small amount of pleural effusion in the right lung. Atherosclerosis. Small hiatal hernia.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in end plates. Central fatty lymph nodes with a short axis of 9 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_575/train_575_a/train_575_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When evaluated together with his clinical knowledge, the appearance was thought to be post-obstructive pneumonia. However, as far as it can be seen, it measured approximately 30 mm at its widest point. Although the described appearances are not specific, it is recommended that the patient be evaluated for Covid-19 pneumonia during the pandemic process. No mass was detected in the right lung. There is a soft tissue lesion with calcifications in the central part of the lower lobe of the left lung, which is understood to be the primary mass of the patient. It is also understood that some of the ground glass appearances in the described localizations are in the form of nodules. In addition, enlarged vascular structures in ground glass appearance and ground glass appearance are observed in the peribronchovascular areas and peripheral areas of both lungs. From the central part described, there is consolidation in the anteromediobasal segment in the lower lobe of the left lung and in the posterobasal segment in which an air bronchogram is observed. Because of the consolidation, the mass dimensions described in the central part of the lung cannot be evaluated clearly. It was learned that the patient was followed up for lung cancer.\n<pleura>: There is minimal pericardial effusion and minimal pleural effusion on the left.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions. When the previous examinations of the patient were examined, it was understood that some of these lymph nodes were metastatic. The largest of the lymph nodes is observed in the subcarinal area and its short diameter is 14 mm.\n<bone>: There are metastatic masses with soft tissue component in some of the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_582/train_582_a/train_582_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings described may be metastases or may belong to infective processes, atypical viral pneumonias. There was no significant difference in the consolidation area in the lower lobe of the left lung, which tended to merge with the primary mass evaluated above the lower lobe bronchus. When examined in the lung parenchyma window; There is a lesion in the lower lobe of the left lung, which is known to be the primary mass of the patient in the posterior, around the lower lobe bronchus, and in the inferior part of the left lung, which tends to merge with the consolidation area observed at the lower lobe basal level in the previous examination, with no significant difference in size and structure. Clinical and laboratory correlation-follow-up is recommended.\n<pleura>: There is a significant decrease in the pleural effusion observed in the previous examination in both hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. Pre-paratracheal lymph nodes are observed in the mediastinum, and in the aorticopulmonary window, the meaning of which does not show any dimensional and structural differences. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There is a pericardial effusion with a thickness of 12 mm in the current examination and 19 mm in the previous examination.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Multiple metastases that do not differ significantly in bone structures are observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLung Ca in follow-up.  There was no significant difference in soft tissue density, lesion and consolidation area, which may have a primary mass in the central part of the lower lobe of the left lung.  An increase is observed in millimetric nodules and bronchiectasis in both lungs with a Halo sign around it. Infective processes, metastases? Clinic and lab. Close monitoring of correlation is recommended.  No significant difference was found in mediastinal and hilar lymphadenopathies.  No significant difference was found in bone metastases.  The effusions described in the previous examination are not observed in the current examination. Bilateral pleural effusions are not observed, there is a decrease in pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_582/train_582_b/train_582_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1389",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In general, the calibration of the trachea and main bronchi is normal. When examined in the lung parenchyma window; In the proximal part of the trachea, a density that may be compatible with the impacted mucus is observed on the left anterior-lateral wall.\n<lung>: Pathological size and configuration of lymph nodes were not detected in both hilar levels. Consolidative areas previously observed in the lingular segment and adjacent ground glass-like density increases were not detected in the current examination.\n<pleura>: A small bleb appearance is observed at the dorsal subpleural level of the superior segment of the left lung upper lobe.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: In the uncontrasted sections passing through the upper abdomen included in the sections, a millimeter-sized nodular density compatible with the accessory spleen is observed in the anterior of the spleen.\n\nImpression:\nConsolidative areas previously observed in the lingular segment and adjacent ground-glass-like density increments were not detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_583/train_583_a/train_583_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are widespread subsegmental atelectasis in the lower lobes of both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nIn the patient with emphysematous changes between the right pectoral muscles and a history of pneumothorax, no significant air image was detected in the right hemithorax, a catheter extending into the right hemithorax.  Diffuse atelectasis changes in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_584/train_584_a/train_584_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. No lymph nodes with pathological size and configuration were found at both hilar levels. There is a 14x7.5 mm lymph node at the right hilar level. Sequelae changes at the apical level, a decrease in density consistent with emphysema is observed in the present case. Fibroatelectatic density increases are observed in the lingular segment of the left lung. An increase in fibroatelectatic density is observed in the right middle lobe. Peripherally located frosted glass-style density increments are available. A 2 mm diameter nodule is observed in the anterior segment of the left lung upper lobe.\n<mediastinum>: Its calibration in the aortic arch is 35 mm. It is wider than normal. Calibration of major vascular structures in the mediastinum is natural. Millimetric sized lymph nodes are observed in the mediastinum. Pulmonary trunk calibration is 31 mm. Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta.\n<heart>: The ascending aorta calibration is 45 mm. CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Its calibration in the aortic arch is 35 mm. It is wider than normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. In the liver entering the cross-sectional area, a slight decrease in density is observed, which is compatible with adiposity. There is a hypodense appearance in the right kidney, which cannot be differentiated from paarpelvic cyst and hydronephrosis, since it partially enters the image. Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta.\n\nImpression:\nPeripheral ground-glass-style density increases are recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Mild sequelae changes in both lungs.  Mild hepatosteatosis.  Hypodense appearance that cannot be differentiated from paarpelvic cyst-hydronephrosis because it partially enters the image in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_585/train_585_a/train_585_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the posterior segment of the upper lobe of the right lung, the medial segment of the middle lobe, the lower lobe of both lungs and the lingular segment of the upper lobe of the left lung. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Synovial osteochondromatosis was considered in the differential diagnosis. The neural foramina are narrowed. There are osteophytes in the vertebral corpus corners. Synovial hypertrophy and nodular hyperdense appearances are observed in both shoulders. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs. Atelectasis in both lungs.  Millimetric nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries.,  Thoracic spondylosis. Findings evaluated in favor of synovial osteochondromatosis in both shoulders."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_586/train_586_a/train_586_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; There are nodular, subpleural weighted ground glass densities in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal coronary atherosclerosis. Findings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_588/train_588_a/train_588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Nodular ground glass density was observed in an area of approximately 18 mm in the medial part of the middle lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Anterior osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCoronary atherosclerosis.  Nodular ground glass density in the middle lobe of the right lung (It may be the onset of Covid pneumonia, clinical and laboratory correlation is recommended.)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_589/train_589_a/train_589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland is atrophic.\n<lung>: When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area, malignancy infiltrative involvement, suspicious nodular or mass-occupying lesion were detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcified atherosclerotic plaques were observed in LAD. Pericardial effusion-thickening was not observed. Heart dimensions and compartments appear natural.\n<esophagus>: Normal calibration of the esophagus is observed.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesion was detected in the bone structures in the study area.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_593/train_593_a/train_593_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A parenchymal nodule with a diameter of 11 mm was observed adjacent to the fissure in the anterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?). No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A millimetric nonspecific parenchymal nodule was observed in the right lung. Subsegmental atelectasis areas were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: An image of a catheter extending superiorly to the vena cava was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 26 mm.\n<heart>: increased heart size (cardiomegaly). The ascending aorta measures 41 mm in diameter and shows mild fusiform dilatation. As far as can be seen; On the left chest wall, there are electrodes showing the appearance of a pacemaker and extending to the floor of the ventricle. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy on the anterior thorax wall.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly.  Atherosclerotic changes.  Fusiform dilatation of the ascending aorta.  Emphysematous changes in both lungs.  Subsegmental atelectasis in both lungs.  Parenchymal nodule in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_596/train_596_a/train_596_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Sequelae changes were observed in the anterior segment caudal of the right lung upper lobe. Densities compatible with pleuroparenchymal sequelae were observed at the level of the lingular segment on the left. In the posterior segment of the upper lobe of the right lung, a slight prominence is observed in the interlobar septa. There was no finding compatible with pneumonia in both lungs.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, a decrease in density consistent with mild hepatosteatosis is observed in the liver.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_599/train_599_a/train_599_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described findings are the findings that can be observed in Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs.\n<pleura>: There are nodules with a ground glass area around them in the peribrocovascular area and subpleural area in the lower lobe of both lungs and the upper lobe of the right lung. There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings that may be compatible with Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_600/train_600_a/train_600_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In the case, which was learned to have Covid-19 pneumonia, it was understood that abscess drainage was performed in the apicoposterior segment of the left lung upper lobe. There are findings consistent with covid-19 pneumonia in the lung parenchyma. Other findings are stable.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_602/train_602_b/train_602_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific nodules in the bilateral lungs. There is a subsegmental atelectasis area accompanied by minimal bronchiectasis and parenchymal distortion in the left lung upper lobe apicoposterior.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, band-shaped ground-glass densities are observed in the peribronchial and subpleural areas, more prominently in the upper lobes, without clear boundaries.\n<mediastinum>: Lymph nodes with short axes reaching 7 mm in diameter, especially located in the right upper and lower paratracheal region, are observed in the mediastinum. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nChanges evaluated in favor of sequelae in both lungs in a patient with a history of Covid pneumonia  Subsegmental atelectasis in the apicoposterior of the left lung upper lobe  Mediastinal lymph nodes  Coronary atherosclerosis  Bilateral millimetric nonspecific nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_602/train_602_d/train_602_d_1.npy"
        ]
    },
    {
        "id": "report_generation_1455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There was no finding compatible with pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Thoracic aorta diameter is normal. In the sections passing through the upper abdomen, a slight decrease in density consistent with hepatosteatosis is observed in the liver. There is nodular formation compatible with the accessory spleen adjacent to the spleen.\n\nImpression:\nNo findings consistent with pneumonia were detected. Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_614/train_614_a/train_614_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of the infection process and can be seen in covid-19 viral pneumonia. When examined in the lung parenchyma window; In the left lung lower lobe superior and right lung lower lobe in the lateral segment, patchy light ground glass densities are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are findings that can be seen in Covid-19 viral pneumonia, and clinical and laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_626/train_626_a/train_626_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1492",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. An intubation catheter is observed in the trachea.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Depandant density increases are observed in the posterior parts of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDepandant density increments in the posterior segments of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_631/train_631_a/train_631_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_632/train_632_a/train_632_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was slightly deviated to the right and no occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. The outlook was evaluated in favor of Covid-19 pneumonia and superimposed ARDS. When examined in the lung parenchyma window; partially ventilated lung parenchyma in the lower lobe basal and upper lobe anterior parts, which cover almost all of both lungs; Wide consolidation areas accompanied by frosted glass areas with crazy paving pattern extending from the central to the periphery were observed. Passive atelectatic changes were observed in the right lung middle lobe medial and left lung lower lobe basal segment.\n<pleura>: A pleural effusion with a diameter of 17.5 mm on the right and 13 mm on the left was observed in both hemithorax. The presence of bilateral pleural effusion may be compatible with superimposed bacterial infection of Covid-19 pneumonia.\n<mediastinum>: The diameters of the pulmonary trunk and right and left pulmonary arteries were measured as 34 mm, 27 mm and 25 mm, respectively. It is wider than normal. The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, showing dilatation. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The thoracic aorta is elongated and tortoised. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing rotoscoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, showing dilatation. Upper abdominal organs included in the sections are normal. As far as can be seen; The thoracic aorta is elongated and tortoised.\n\nImpression:\nFusiform ectasia in the thoracic aorta, increased pulmonary artery diameters (pulmonary hypertension?), cardiomegaly, calcific atheroma plaques in the coronary arteries  Findings consistent with ARDS superimposed on Covid-19 pneumonia in both lungs, pleural effusion; The pleural effusion may be consistent with bacterial infection superposed on Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Linear atelectatic changes in both lungs  Left-facing rotoscoliosis at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_637/train_637_a/train_637_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the previous CT scan, areas of increased density in ground glass density in all segments of both lungs turned into areas of increase in density consistent with consolidation in the current examination. In the case followed up with Covid-19 pneumonia, the findings are in favor of progression.\n<pleura>: Minimal effusion observed in both pleural spaces in the previous CT examination was not detected in the current examination, and a slight increase in the size of the lymph nodes observed in the mediastinum is observed.\n<mediastinum>: In the current examination, there are lymph nodes in fusiform configuration, the largest of which is located in the aorticopulmonary window, with a short diameter of 11 mm.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_637/train_637_b/train_637_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few nodules with a diameter of 2.5 mm, some of which are calcific, are observed in both lungs, the largest of which is in the posterior segment of the right lung upper lobe, and no significant difference was found between their number and size. Areas of consolidation and ground glass are accompanied by areas of subsegmental atelectasis in the lower lobes. Diffuse ground glass areas with mosaic attenuation pattern in both lungs; Consolidation areas, which are more prominent in the left lung upper lobe lingular segment and both lung lower lobes, and the right lung lower lobe posterior segment, are observed.\n<pleura>: No pleural-pericardial thickening or effusion was observed.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and anterior descending coronary artery. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 30 mm and increased.\n<heart>: The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and anterior descending coronary artery. Within the limits of non-contrast BT; There are no discernible masses in both adrenal glands and upper abdominal organs. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 30 mm and increased. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nSeveral millimetric nodules in both lungs; is stable.  Cardiomegaly, dilatation of the ascending aorta and pulmonary trunk.  Mediastinal lymph nodes; is stable.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_637/train_637_d/train_637_d_1.npy"
        ]
    },
    {
        "id": "report_generation_1518",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: These changes are most evident in the anteromediobasal and laterobasal segments of the left lung lower lobe. There are emphysematous changes in both lungs. There is minimal bronchiectasis in the central parts of both lungs. There is no mass or infiltrative lesion in both lungs. There are sometimes linear atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are millimetric lymph nodes in the mediastinum and hilar regions. There are no enlarged lymph nodes in pathological dimensions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Stents are observed in the coronary arteries on the left. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are observed in the aorta and coronary arteries. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. No pathologically enlarged lymph nodes were observed. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs. Occasional atelectasis in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_639/train_639_a/train_639_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Calcified nodules are observed in the left lung lingular segment, right lung lower lobe superior segment, right lung middle lobe adjacent to the fissure. There are subsegmental atelectasis in the middle lobe of the right lung. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Atherosclerotic calcific plaques are observed in the aortic arch, ascending and descending aorta, coronary arteries, and abdominal aorta.\n<heart>: Atherosclerotic calcific plaques are observed in the aortic arch, ascending and descending aorta, coronary arteries, and abdominal aorta. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There is a hypodense nodular lesion in the right kidney with a diameter of approximately 6.5 cm, which can be considered as an exophytic cortical cyst. Atherosclerotic calcific plaques are observed in the aortic arch, ascending and descending aorta, coronary arteries, and abdominal aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly, subsegmental atelectasis in the middle lobe of the right lung, and calcified nodules in the parenchyma of both lungs. Stable right renal exophytic cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_640/train_640_b/train_640_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1526",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There is a decrease in density evaluated in favor of steatosis in the liver parenchyma.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_642/train_642_a/train_642_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1530",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Multiple cavitary lesions are present in both lungs. Mild lobulation is observed in the inner contours of the lesions and some are irregularly circumscribed. The longest diameters of the described lesions were measured 64 and 65 mm at their widest points (series 2 section 134 and series 2 section 146), respectively. The described cavitary lesions are observed in each segment and are randomly distributed. The views described are nonspecific. However, Wegener's granulomatosis, which is stated in the clinical preliminary diagnosis, may cause similar appearances. Most of the described cavitary lesions are thick-walled. If there is an indication, biopsy from the cavitary lesion wall is recommended. The larger of the described cavitary lesions are observed in the central part of the upper lobes of both lungs. No infiltrative lesion was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMultiple thick-walled cavitary lesions in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_644/train_644_a/train_644_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In this examination, the presence of cavitary lesions cannot be evaluated due to consolidation. These findings are consistent with distal airway disease. However, centriacinar nodules are observed around the cavitary lesions in this examination, and these appearances were found to be new. The described appearance is nonspecific. The described cavitary lesions can also be observed in the previous examination of the patient. There is extensive consolidation in the anterior and posterior segments of the right lung upper lobe and the apicoposterior segment of the left lung upper lobe. There are thin-walled cavitary lesions in both lungs. The appearance of these centriacinar nodules is also nonspecific. In the previous examinations of the patient, large cavitary lesions are observed in this localization. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures without contrast material cannot be evaluated optimally. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The width of the mediastinal main vascular structures is normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_644/train_644_b/train_644_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Thick-walled cavitary lesions are observed in both lungs. There is no significant difference in the right lung upper lobe anterior segment and the consolidation area observed on the lower face. Although there was no significant difference in the dimensions of the consolidation area observed in the upper lobe of the left lung, the nodular lesions observed around the consolidation area again enlarged and became cavitated.\n<mediastinum>: Right upper, bilateral lower paratracheal aortopulmonary lymph nodes in millimetric size are observed. Also available in previous reviews. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance. Millimetric sized calcific atheroma plaque is observed on the walls of the coronary artery.\n<bone>: There is no lytic-destructive in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nWegener's granulomatosis on follow-up . Caviter lesions increasing in size in both lungs, increase in the size of lesions that had a solid appearance in the previous examination and newly developing cavitations, stable consolidation area in the right lung upper lobe, consolidation area in the left lung upper lobe apicoposterior segment is stable, but newly developed cavitary adjacent to the consolidation lesions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_644/train_644_c/train_644_c_1.npy"
        ]
    },
    {
        "id": "report_generation_1537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated as secondary to Covid-19 viral pneumonia because the patient was known to be Covid (+). Atelectasis, which do not differ significantly in the form of thick bands, are observed in the middle lobe of the right lung and the superior lingula of the left lung upper lobe.\n<pleura>: When examined in the lung parenchyma window; In both lungs, especially in the lower lobes, new ground glass densities are observed at the posterobasal levels in a slightly patchy subpleural peripheral location.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectasis that do not differ significantly in both lungs, especially in the right middle and left upper lobe superior lingula.  New patchy ground-glass densities in the lower lobes of both lungs, more prominent at the posterobasal levels. It was evaluated in favor of parenchymal changes secondary to known Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended.  Small lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_644/train_644_e/train_644_e_1.npy"
        ]
    },
    {
        "id": "report_generation_1541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Thickening of the bronchial walls in the central, linear atelectasis in the lower lobes of the lung are observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; There are mosaic attenuation differences in both lungs. Thickening of the bronchial walls in the central, linear atelectasis in the lower lobes of the lung are observed. Subsegmental atelectasis is observed in the left lung lingula.\n<pleura>: There are subpleural focal light nodular ground glass nodules in the anterior upper lobe of the left lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Calcific atheroma plaques and coronary stents are observed in the coronary arteries and aorta. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum and bilateral axillae.\n<heart>: The heart contour is natural. Calcific atheroma plaques and coronary stents are observed in the coronary arteries and aorta. Pericardial thickening-effusion was not detected. The heart is slightly larger than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anterior osteophytes are present in the vertebrae in bone structures. A compression fracture was observed in the L1 vertebral corpus, which caused a 25-50% loss of height.\n<abdomen>: Millimetric stone densities are observed in the gallbladder in the upper abdominal sections entering the examination area. Calcific atheroma plaques and coronary stents are observed in the coronary arteries and aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Lymph nodes with a size of 14x12 mm are observed in the prehepatic area towards the epicardial adipose tissue. No dilatation was detected in the thoracic aorta.\n\nImpression:\nMinimal cardiomegaly. Coronary artery atherosclerosis and stents in coronary arteries. Atherosclerosis of the aorta.  Linear atelectasis in both lungs. Mosaic attenuation differences in bilateral lungs (small airway disease?). Nonspecific focal non-shape ground glass densities in the lungs (clinical correlation recommended).  Cholelithiasis. Compression fracture in the L1 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_646/train_646_a/train_646_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: More pronounced mosaic attenuation is observed in the lower lobes of both lungs (Small airway disease? Small vascular disease?). Fissure-based nodules with a diameter of 5 mm are observed in the superior segment of the left lung lower lobe. In the evaluation of both lung parenchyma; More pronounced mosaic attenuation is observed in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. Calcific atherosclerotic plaques are observed in the walls of the aortic arch and coronary artery.\n<heart>: The ascending aorta is 4 cm in diameter and wider than normal. The cardiothoracic index increased in favor of the heart. Calcific atherosclerotic plaques are observed in the walls of the aortic arch and coronary artery.\n<bone>: The vertebrae in the study area have a distinctly osteoporotic appearance. Approximately 40% of the T12 vertebra is height loss, and approximately 60% of the L1 vertebra is height loss. It suggests osteoporotic fractures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atherosclerotic plaques are observed in the walls of the aortic arch and coronary artery. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nEctasia in the ascending aorta.  Cardiomegaly.  More pronounced mosaic attenuation in the lower lobes of both lungs (Small airway disease? Small vessel disease?).  Two fissure-based nodules, the largest of which is 5 mm in diameter, in the superior segment of the left lung lower lobe.  Partial compressions in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_650/train_650_a/train_650_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In the upper lobe apex, mild ectasia in the bronchi, thickening of the bronchial wall and peribronchial reticulonodular-ground glass density increases are observed.\n<lung>: In the upper lobe apex, mild ectasia in the bronchi, thickening of the bronchial wall and peribronchial reticulonodular-ground glass density increases are observed. There are mosaic density differences in the upper lobes. When examined in the lung parenchyma window; Multiple calcific sequela nodules are observed in both lung parenchyma, especially in the upper lobes.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeribronchial nodular ground-glass density increases in bilateral upper lung lobes (not typical for Covid pneumonia. Bronchopnonia?).  Multiple calcific sequela nodules and sequela fibrotic changes in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_657/train_657_a/train_657_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There is minimal peribronchial thickening in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Stents are observed in the coronary arteries on the left. As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are hypodense lesions in both kidneys. These lesions could not be characterized as no contrast agent was given. However, when evaluated together with their density, they were thought to be cysts. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Minimal peribronchial thickening in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Hypodense lesions (cysts?) in both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_659/train_659_a/train_659_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1582",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. There is diffuse mild atelectasis in the bronchial structures of both lungs, evident in the center.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). First of all, it suggests bronchopneumonic infiltration. In the lower lobe of the left lung, there are areas of increased density consistent with sequelae linear atelectasis in the inferior lingular segment of the upper lobe. In the right lung lower lobe superior and upper lobe anterior, an area of increase in density is observed in the peribronchovascular area, consistent with a wide consolidation area with indistinct borders. No mass lesions were detected in both lungs.\n<mediastinum>: The diameter of the pulmonary trunk shows dilatation with 37mm. Multiple lymph nodes are observed in the mediastinum, with paratracheal, aorticopulmonary window, prevascular, subcarinal level, the largest at the right lower paratracheal level, with a short diameter of 15 mm, some of which have lost their fusiform configuration. Calibration of other vascular structures from the mediastinum is natural.\n<heart>: Calcific atheroma plaques are observed on the wall of the coronary vascular structures. The heart has increased in contour and size.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There are suture materials secondary to surgery in the sternum. No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: No lymph node was observed in intraabdominal pathological size and appearance. In the upper abdominal sections within the image, free fluid, loculated collection was not detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nIncreased pulmonary trunk caliber, increased heart size, calcified atheromatous plaques in the wall of coronary vascular structures.  Multiple lymph nodes in the mediastinum, the largest of which is at the right lower paratracheal level, with a short diameter over 1 cm, some of which have lost their fusiform configuration.  Wide area of consolidation with vague borders in the peribronchovascular area of the right lung lower lobe superior and upper lobe anterior; evaluated in favor of bronchopneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_665/train_665_a/train_665_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is an increase in thickness in the interlobular septa in the right lung. Subsegmentary atelectasis and sequela fibrotic changes were observed in the right lung, especially in the lower lobes. Atelectasis is present in the posterior segment of the lower lobe of the right lung. Consolidations with air bronchogram and density increases in ground glass density were observed, more prominently in the middle lobe and lower lobe of the right lung.\n<pleura>: Pleural effusion reaching a depth of approximately 6 cm on the right and a depth of approximately 1. On the right, the pleural effusion tends to be loculated and extends to the major fissure.\n<mediastinum>: Apart from this, the mediastinal main vascular structures, heart contour and size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Apart from this, the mediastinal main vascular structures, heart contour and size are normal. The diameter of the ascending aorta was measured as 40mm and it has a dilated appearance.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is minimal free fluid in the perihepatic space. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nDecrease in the amount of pleural effusion observed in both lungs. Consolidations with air bronchograms in the lower lobe and middle lobe of the right lung, and thickening of the interlobular septa with increases in ground glass density.  Increase in mediastinal LAP sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_667/train_667_a/train_667_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Small hiatal hernia is observed.\n\nImpression:\nThorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_672/train_672_a/train_672_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_678/train_678_a/train_678_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1613",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level. A nonspecific nodule with a diameter of 3 mm is observed in the medial segment of the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo posttraumatic pathology was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_679/train_679_a/train_679_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open. Bilateral peribronchial thickenings were observed.\n<lung>: When both lung parenchyma windows are evaluated; Emphysematous changes are observed in both lungs and bulla formations are present in the apical.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Peripheral supleural lines and contour irregularities in the pleura were observed in the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysematous changes in both lungs and apical bulla formations.  Pleuroparenchymal sequelae increase in density in both lungs, contour irregularities and subpleural lines in the pleura.  Bilateral peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_680/train_680_a/train_680_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be evaluated; Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; No signs of active infiltration or nodule formation were observed in both lungs. There are pleuroparenchymal band-like sequelae changes in the lingular segments of the right lung.\n<pleura>: In the posterobasal segment of the left lung lower lobe and extending to the pleura, linear atelectatic areas are observed in the anteromedial segment.\n<mediastinum>: Thoracic aorta diameter is normal. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Scoliosis with its opening facing left is observed, and an osteopenic appearance is observed in the vertebral corpuscles. In the bone structures within the study area; No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax. An osteopenic appearance characterized by prominence in the trabecular is observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with a diameter of 1 cm was observed in the spleen hilum. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLinear atelectatic areas in the anteromedial segment, extending to the posterobasal segment of the lower lobe of the left lung and the pleura."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_681/train_681_a/train_681_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and density increases were observed, which may be compatible with the mucus plug extending from the trachea to the right main bronchus exit.\n<lung>: The appearance is compatible with primary lung ca. There are diffuse fibroatelectatic sequelae changes in both lungs. Significant thickening of the peribronchovascular sheath, irregular interlobular septal thickening and ground glass densities were observed in both lungs. The findings were evaluated as compatible with lymphangitic carcinomatosis. There are frosted glass densities around the mass.\n<pleura>: When examined in the lung parenchyma window; A mass lesion of 2.7x2.6 cm in the apical segment of the right lung with a spiculated contour, fibrotic extensions to the surrounding parenchyma and pleura, causing volume loss and structural distortion at this level was observed. An effusion reaching 4.5 cm in its thickest part was observed in the left pleural space of the same nature as the right one (malignant effusion?). A thick-walled effusion reaching 4.3 cm was observed in the right pleural space with lobulated contour extending to the major fissure.\n<mediastinum>: Prevascular, right upper-lower, aortopulmonary lymph nodes with pathological dimensions reaching 2x1 cm were observed. Calcific atheroma plaques were observed at the level of the thoracic aorta and LAD outlet. Although mediastinal cannot be evaluated optimally in non-contrast examination; Calibration of mediastinal major vascular structures is natural.\n<heart>: A thick-walled pericardial effusion reaching 4.5 cm in its thickest part was not observed in the pericardial space. Heart sizes are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Irregularly circumscribed hypodense lesion was observed in the inferior end plateau of T10 vertebra (schmorl nodule? Metastasis?).\n<abdomen>: A subcapsular, 3.3x2 cm, hypodense mass lesion was observed in segment 7 of the liver (metastasis?). Both kidneys, spleen and pancreas are normal. If any, it should be evaluated together with previous examinations and further examination with MR is recommended if clinically necessary. Thickening was observed in both adrenal glands. Calcific atheroma plaques were observed at the level of the thoracic aorta and LAD outlet. It is recommended to be evaluated together with old films, if any.\n\nImpression:\nLymph nodes reaching pathological dimensions in the mediastinum, density increases in the right lateral wall of the trachea that may be compatible with mucus plug . Primary lung mass with spiculated contours that causes structural distortion and slight volume loss in the apical segment of the right lung upper lobe, irregular interlobular septal thickening in both lungs, diffuse peribronchovascular thickening and ground glass densities (considered consistent with lymphangitic carcinomatosis).  Slightly dense effusion (malignant effusion?) with thickening of the mesothelial surfaces in both pleural-pericardial spaces. If any, it should be evaluated together with previous examinations and further examination with MRI is recommended if clinically necessary.  Diffuse thickening of bilateral adrenal gland . Irregularly circumscribed hypodense lesion (schmorl nodule? Metastasis?) in T10 vertebra inferior end plateau. If there is, it is recommended to be evaluated together with previous examinations and advanced examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_686/train_686_a/train_686_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1635",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The mass narrows the bronchial structures. The described mass appears to invade the trachea and the left main bronchus.\n<lung>: There are also smooth interlobular septal thickenings in the right lung. The middle lobe and lower lobe of the right lung are almost completely atelectic. This nodule cannot be evaluated clearly due to artefacts of motion. As far as can be observed: An increase in the size of the patient's primary mass was observed. This finding was also not observed in the previous examination of the patient. The mass described in the central part of the right lung extends to the lung parenchyma, especially in the middle lobe and lower lobe. As far as can be observed: A malignant infiltrative mass is observed around the right main bronchus, especially extending around the middle lobe and lower lobe bronchi. However, when evaluated together with the primary disease, it was thought to be due to lymphangitis carcinomatosa, albeit less likely. The mass described in the right lung measured approximately 101 mm at its widest point. A honeycomb appearance is observed in the peripheral areas of the lower lobe of the left lung. There is a nodule measuring approximately 8 mm in diameter in the lateral part of the left lung upper lobe apicoposterior segment posterior subsegment. However, the extent of the mass cannot be evaluated clearly due to the presence of atelectasis. In addition, it is understood that the right lung aeration is worse in this examination. Emphysematous changes and linear atelectesis are observed in the aerated right lung and left lung. In addition, there is another similar nodule about 10 mm in diameter in the left lung upper lobe lingular segment. Two nodules were observed in the left lung, and it is understood that one of these nodules has just appeared and the other one has increased in size. The described finding is not specific.\n<pleura>: It is understood that pleural effusion has also appeared recently. There is pleural effusion on the right. It appears that the pleural effusion on the right has just appeared. No pleural effusion was detected on the left.\n<mediastinum>: Apart from the described mass, there are also multiple lymphadenopathies in the mediastinum and hilar region, some of which are indistinguishable from the described mass. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest lymphadenopathies with distinguishable borders are observed in the right supraclavicular region and paratracheal area, and their short diameters are approximately 30 mm. There is also an increase in the size of lymphadenopathies observed in the mediastinum, hilar regions and abdomen. An irregularly circumscribed mass measuring approximately 31x27 mm was observed in the preaortic region at the level of origin of the turuncus celiac.\n<esophagus>: The mass borders are also indistinguishable from the esophagus.\n<bone>: There are also lymphadenopathies in the medial parts of the bilateral supraclavicular region, more prominent on the right. No lytic-destructive lesions were detected in the bone structures within the sections. Therefore, it was thought that metastasis may occur.\n<abdomen>: Irregularity in liver contours was observed. There is also an increase in the size of lymphadenopathies observed in the mediastinum, hilar regions and abdomen. There are lesions in the liver that were not observed in the patient's previous PET CT scan. If there is an indication, it is recommended to be used further. An irregularly circumscribed mass measuring approximately 31x27 mm was observed in the preaortic region at the level of origin of the turuncus celiac. Apart from the mass evaluated in favor of the described lymphadenopathy, other lymphadenopathies are also observed in and around the truncus celiac. There may be a metastasis in this lesion. The described mass was considered to be metastatic lymphadenopathy. The lesion could not be characterized in this examination as no contrast agent was given. Metastases may be present in these lesions. An increase in the size of these lymphadenopathies was also detected. It is recommended that the patient be evaluated together with contrast-enhanced examinations, if any. No upper abdominal free fluid-collection was detected in the sections. It is recommended that the patient be evaluated for chronic liver parenchymal disease.\n\nImpression:\nIn the follow-up, lung Ca, centrally located mass in the right lung, lymphadenopathies in the supraclavicular regions, mediastinum and hilar region and abdomen, pleural effusion on the right, loss of aeration in the middle and lower lobes of the right lung, nodular appearances that may metastasize in the left lung  Hypodense lesions in the liver (metastases ? )  Uniform interlobular septal thickening in the right lung (lymphangitis carcinomatosis?).  Nodular solid lesion (metastasis?) in the subcutaneous fat tissue anterior to the costae at the level of the lower part of the right hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_689/train_689_a/train_689_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 1 cm diameter hypodense nodule was observed in the right thyroid lobe.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. It is recommended to be evaluated together with US.\n<lung>: When examined in the lung parenchyma window; Patchy ground-glass opacities and accompanying linear atelectasis were observed in both lungs, multilobar, multisegmental, more diffuse central-peripheral located in the upper lobes, forming crazy paving pattern. The findings described are highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHypodense nodule in the right thyroid lobe; it is recommended to be evaluated together with US.  Hiatal hernia . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_690/train_690_a/train_690_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1639",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. When examined in the lung parenchyma window; Multilobar, multisegmental peribronchial and peripheral weighted patchy ground glass consolidations with crazy paving pattern and accompanying linear atelectasis were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of the main vascular structures of the mediastinum is natural. As far as can be observed: Aberrant right subclavian artery variation is present. Atherosclerotic changes were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic changes were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 1.5 cm diameter hypodense nodular lesion was observed in the right kidney upper pole posterolateral (cyst?). Atherosclerotic changes were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nCardiomegaly, aberrant right subclavian artery variation, atherosclerotic changes in thoracic aorta and oronary arteries.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Hypodense nodular lesion (cyst?) on the right kidney upper pole posterolateral.  Diffuse degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_691/train_691_a/train_691_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_702/train_702_a/train_702_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of early Covid-19 viral pneumonia, and clinical laboratory correlation and follow-up are recommended.\n<pleura>: When examined in the lung parenchyma window; In the lower lobes of both lungs, subpleural at the posterobasal level, and in the upper lobe of the left lung, a few ground-glass densities are observed in the superior anterior subpleural patch style.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<bone>: Mild hypertrophic tapering is observed in the vertebral corpus end plates. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThe findings described in the lung parenchyma were evaluated in favor of early Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_711/train_711_a/train_711_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1685",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A nodule of approximately 6x4 mm in size is observed superposed on the minor fissure. Mild sequelae changes are observed in the left lingular segment. There are sequela parenchymal changes in the middle lobe. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?).\n<pleura>: There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. CTO is normal. It is slightly larger than normal. In the mediastinum, its calibration in the aortic arch is 31 mm. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: CTO is normal. In the evaluation of the upper abdominal organs included in the sections, a decrease in density consistent with mild hepatosteatosis is observed in the liver. Diverticulum appearances are observed at the level of hepatic flexure and ascending colon. It is slightly larger than normal. In the mediastinum, its calibration in the aortic arch is 31 mm. Nodular formation compatible with accessory spleen is observed adjacent to the spleen. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nNo findings compatible with pneumonia were detected. Mosaic attenuation pattern is observed (small vessel disease?, small airway disease?).  Mild hepatosteatosis, hepatic flexure and diverticula at the level of the ascending colon"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_714/train_714_a/train_714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1696",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_720/train_720_a/train_720_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of segmental bronchial walls and narrowing of segmental bronchi were observed, and mosaic attenuation was thought to be secondary to small airway pathology. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Passive atelectatic changes were observed in the medial segment of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in the basal segments of the lower lobes of both lungs.\n<pleura>: A few millimetric nonspecific subpleural nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is osteoporosis in the thoracic vertebrae.\n<abdomen>: Spleen, pancreas, both adrenal glands, both kidneys are normal. A hypodense nodular lesion area with a diameter of 3 cm was observed in the anterior middle part of the right kidney (cyst?). As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with fatty deposits. The gallbladder was observed to contract.\n\nImpression:\nHiatal hernia . Mosaic attenuation pattern in both lung lower lobe basal segments, increased thickness of segmental bronchial walls at this level and luminal narrowing; mosaic attenuation was thought to be secondary to this.  Millimetric nonspecific subpleural nodules in both lungs . Hepatosteatosis . Hypodense nodular lesion (cyst?) in the right kidney mid-section anterior. Osteoporosis in the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_726/train_726_a/train_726_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1714",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground-glass opacities are observed in the peripheral-central parts of both lungs and patchy consolidation areas are observed in the lower parts of both lungs. The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver density was diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Directly other upper abdominal organs included in the examination have a natural appearance.\n\nImpression:\nAppearance compatible with viral pneumonia is one of the frequently observed findings in Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_730/train_730_a/train_730_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Interlobular septa are thickened and mosaic attenuation patterns are present. When examined in the lung parenchyma window; Moderate amount of effusions with a thickness of 43 mm on the right and 30 mm on the left are observed in both lungs. There are findings compatible with pneumobilia.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. Thoracic aorta diameter is normal. Lymph nodes with a short axis measuring 13 mm are observed in the mediastinum, the largest of which is at the level of the carina. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Clinical and laboratory correlation is recommended. Thoracic aorta diameter is normal. There are lymph nodes measuring up to 8 mm in size in the subdiaphragmatic area, in the upper abdomen, in the paracardiac area. Liver contours are irregular. There is loculated fluid with a long axis measuring up to 112x43 mm in the vicinity of the right lobe of the liver, which cannot be distinguished from extracapsular or intraparenchymal. It is compatible with chronic parenchymal disease. Millimetric lymph nodes are observed in the neighborhood of the stomach antrum. Calcific atheroma plaques are observed in the aorta. In the right lobe of the liver, fluid loculations measuring up to 25 mm are observed in which air densities are also observed (abscess?).\n\nImpression:\nBilateral moderate amount of effusions with cardiac stasis, more prominent on the right  Consolidation area in the right middle lobe of the liver, clinical laboratory correlation is recommended in terms of infectious process.  Fluid loculations with air density in the right lobe of the liver, millimetric lymph nodes near the stomach.  Lymph nodes with a short axis measuring up to 13 mm at the level of the mediastinum and carina.  Findings consistent with liver parenchymal disease. pneummobilia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_737/train_737_a/train_737_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial mild central thickening is present. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: At the apical level, adjacent to the sequelae, multiple millimetric nonspecific nodules, the largest of which are 4x3 mm in size, are mostly calcified. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Sequelae changes at the apical level of the left lung and mild emphysema in both lungs are observed. More caudally, there is a partially calcified nodule measuring 5x3 mm lateral to the apicoposterior segment. When examined in the lung parenchyma window; both hemithorax are symmetrical. There are centrilobular millimetric faint nodules, more prominent in the upper-middle zones of both lungs (Bronchiolitis?, Tuberculosis?, Hypersensitivity pneumonitis?).\n<pleura>: In the middle lobe of the right lung, there is a focal consolidation area in the subpleural area, adjacent to the mediastinum. Bilateral pleural effusion or pneumothorax is not observed. There is a 6x3 mm nodule in the lateral subpleural area in the lingular segment. There is a subpleural, partially calcified, 6x4 mm nodule at the left posterobasal level. There is a subpleural 4 mm diameter nodule at the lower lobe laterobasal level in the right lung.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Surrounding soft tissue plans are natural. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCentrilobular millimetric faint nodules (Bronchiolitis?, Tuberculosis?, Hypersensitivity pneumonitis?), more prominent in the upper-middle zones of both lungs.  Sequelae changes, prominent at the apical level of the right lung, and multiple millimetric nonspecific nodules, some of which are calcific."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_740/train_740_a/train_740_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Atelectasis changes were observed in right lung middle lobe medial and left lung inferior lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Atelectatic changes in right lung middle lobe medial and left lung upper lobe lingular segment inferior subsegment . Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_750/train_750_a/train_750_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: There is a 3 mm diameter nodule in the middle lobe. A ground-glass-like density increase is observed at the posterobasal level in the right lung. A ground-glass-like density increase is observed medially in the posterior segment of the right lung upper lobe. There is an inverted halo appearance at the posterobasal level of the lower lobe of the right lung. When examined in the lung parenchyma window; Both hemithorax are symmetrical. In the left lung, there is a ground-glass-like density increase at the posterobasal level of the lower lobe, giving the appearance of partial consolidation. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected. Again, in the lower lobe superior segment, ground glass-like density increases are observed in the right subpleural area. A subpleural 4 mm diameter nodule is observed in the upper lobe anterior segment of the left lung.\n<mediastinum>: Several lymph nodes are observed in the mediastinum, the largest of which is in the right upper paratracheal area and approximately 12x7 mm in size. Thoracic aorta diameter is normal. CTO is normal. The aortic arch is within the maximal physiological limits.\n<heart>: Pericardial effusion-thickening was not observed. Calibration of other major vascular structures is natural. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. The aortic arch is within the maximal physiological limits.\n\nImpression:\nScattered peripherally located ground-glass-style density increments in both lungs, ground-glass-style density increments leading to consolidation in places; It is recommended to evaluate the patient with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_751/train_751_a/train_751_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; In the lung parenchyma, areas of ground glass density, which is thought to be parenchymal pathological, are observed around the bronchus, which becomes more prominent in both lobes and all segments, but only in the basals. Viral pneumonic infections are also included in the differential diagnosis. The extraction took place in deep inspiration. The finding is nonspecific and includes a broad spectrum of differential diagnosis. It is more prominent in the lower lobes.\n<mediastinum>: Contrast filling was delayed in pulmonary CT angiography examination. There are several nonspecific mediastinal lymph nodes less than 1 cm in diameter. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Although no embolic filling defect is detected in the proximal parts of both main pulmonary arteries and their lobar branches, a suspicious appearance in favor of filling defect is observed in the right aquifer upper lobe segment branches of the pulmonary artery.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: If the correlation with the laboratory is necessary, it will be appropriate to repeat the examination. In the upper abdomen sections, an increase in thickness is observed in the left adrenal gland. It was evaluated in favor of hyperplasia. It is in oil density.\n\nImpression:\nAreas of parenchymal ground glass density in both lungs that are prominent towards the bases are not specific findings for Covid pneumonia, but viral pneumonias are included in the differential diagnosis. Its correlation with the laboratory will be appropriate.  There is a suspicious embolic filling defect in the right pulmonary artery upper lobe segment branch. It is too late for contrast phase pulmonary CT angiography. Therefore, the examination is suboptimal. In case of clinical necessity, it will be appropriate to repeat. Increased thickness of the left adrenal gland was evaluated in favor of hyperplasia or adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_752/train_752_a/train_752_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass, nodule-infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_753/train_753_a/train_753_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass densities, vascular enlargements, and halo signs are observed in the right lung upper lobe posteriorly, lower lobe superiorly and posterolaterally.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. A change in favor of steatosis is observed in the liver parenchyma. Upper abdominal organs included in the sections are normal. No space occupying lesion was detected.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases, such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective toxicity and tissue disease, may produce a similar appearance. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_761/train_761_a/train_761_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1792",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In addition, atelectasis areas are observed in the lower lobes of both lungs. In addition, interseptal and interlobular thickness increases are observed especially in the lower lobes. In these areas, it creates suspicion in terms of Covid pneumonia. While not typical, Covid has not been completely ruled out. These appearances suggest primarily pulmonary edema. In the parenchyma of both lungs, widespread ground-glass densities are observed in the centracinar style and centrally located.\n<pleura>: There are areas of linear consolidation that are evident in the lower lobes and subpleural areas of both lungs. When examined in the lung parenchyma window; Pleural effusion reaching 3 cm on the right and 1 cm on the left in both lungs and compression atelectasis in the accompanying parenchyma are observed.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. The pulmonary arteries are enlarged. The diameter of the main pulmonary artery was 34 mm, the right pulmonary artery was 28, and the left pulmonary artery diameter was 30 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in the bones in the examination area.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. The skin and subcutaneous structures included in the examination have a natural appearance. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings evaluated primarily in favor of pulmonary edema, Covid-19 pneumonia could not be completely ruled out. Clinic and lab in terms of Covid-19 pneumonia. correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_764/train_764_a/train_764_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs, infiltration was not detected. In the lateral segment of the middle lobe of the right lung, the current examination revealed a parenchymal nodular lesion measuring 15 mm (8.5 mm in diameter in the previous examination.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal major vascular structures, heart contour, size are normal. As far as can be observed: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal and both hilar lymph nodes were not detected in pathological size and appearance. In both axillary regions, lymph nodes that did not show any significant change in size and number were observed in the previous examination, with the largest measuring 7.5 mm on the short axis on the left and 8 mm on the short axis on the right. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Pericardial effusion - no thickening was detected. Other mediastinal major vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<abdomen>: Thoracic aorta diameter is normal. According to the previous examination, stable hypodense lesions were observed in both lobes of the liver (cyst?) Other upper abdominal organs included in the sections were normal.Bilateral adrenal glands were normal, no space-occupying lesions were detected.No lytic-destructive lesions were detected in bone structures. As far as can be observed: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n\nImpression:\nBladder Ca in follow-up.  Stable size and number of lymph nodes based on previous examination in both axillary regions.  Stable hypodense lesions (cyst?) in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_768/train_768_b/train_768_b_1.npy"
        ]
    },
    {
        "id": "report_generation_1831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There is linear atelectasis in the right lung middle lobe medial segment and left lung inferior lingular segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. Centriacinar emphysema is observed, a pleural-based nodule with a size of 3.5 mm is observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Centriacinar emphysema, 3.5 mm sized pleural-based nodule in the lateral segment of the right lung middle lobe, linear atelectasis in the right lung middle lobe medial segment and left lung inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_782/train_782_a/train_782_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are millimetric osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nThoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_783/train_783_a/train_783_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed.\n<lung>: When both lung parenchyma windows are evaluated; Mild emphysematous changes were observed in both lungs. Millimetric nonspecific parenchymal nodules, some of which are calcified, were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. The diameter of the main pulmonary artery was 36 mm, the diameter of the right pulmonary artery was 23 mm, and the diameter of the left pulmonary artery was 23 mm, showing dilatation. No lymph node was detected in mediastinal and hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Pericardial effusion - no thickening was detected. As far as can be observed: The diameter of the ascending aorta is 43 mm and shows fusiform dilatation. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.\n<abdomen>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysematous changes in both lungs. Dilatation of the thoracic aorta and pulmonary artery.  Millimetrically sized nonspecific parenchymal nodules, some of which are calcified, in both lungs. Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_799/train_799_a/train_799_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are ground glass densities in both lung parenchyma, especially in the posterior and lower lobes, and minimal consolidation in the left lower lobe posterior.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-right axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Two calcific lymph nodes are observed in the axilla on the left.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal sections, stone density in the gallbladder is seen.\n\nImpression:\nFindings consistent with Covid pneumonia in both lungs.  Calcific lymph nodes in the left axilla.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_811/train_811_a/train_811_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1916",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. This appearance is also present in the patient's previous examination, and no difference was found. There is a nonspecific increase in density in the left lung lower lobe superior segment. No mass or infiltrative lesion was detected in both lungs. This appearance was thought to be primarily a sequelae change. There are millimetric nodules in the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are stones in the gallbladder.\n\nImpression:\nEmphysematous changes in both lungs.  Atelectasis in both lungs.  Millimetric stable nodules in the right lung.  Stable nonspecific increase in density in the lower lobe of the left lung (sequelae change?).  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_814/train_814_a/train_814_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1924",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Bilateral pleural effusion and atelectasis in both lungs adjacent to pleural effusion were observed.\n<mediastinum>: Abdominal solid structures and mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right.\n<heart>: Pericardial effusion is not detected. Heart contour and size are normal.\n<abdomen>: It was learned that the patient was a liver transplant donor. The contours of the right lobe of the liver are normal. Abdominal solid structures and mediastinal structures cannot be evaluated optimally because contrast material is not given. No intraabdominal free air was observed. This free fluid is observed as minimally hyperdense in places and it was thought to be hemorrhagic. No enlargement was detected in the bile ducts. It is recommended to evaluate the patient together with clinical and physical examination and laboratory findings. Atheroma plaques are observed in the aorta. No intraabdominal collection was detected. As far as can be observed: The left lobe of the liver is not observed. There is free fluid in the perihepatic and perisplenic areas, in the paracolic ducts, and between the intestinal segments. In this examination, no mass with distinguishable borders was detected in the liver. Liver parenchyma density is decreased. No pathological increase in wall thickness was detected in this examination in the intestinal segments.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_818/train_818_a/train_818_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_837/train_837_a/train_837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: A 4.5 mm diameter nodular increase was observed over the fissure in the right lung lower lobe superior segment (intrapulmonary lymph node?). When examined in the lung parenchyma window; In the right lung middle lobe medial segment, pleuroparenchymal sequelae that causes minimal structural distortion and volume loss were observed. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFibroatelectasis sequelae with minimal structural distortion and volume loss in the right lung middle lobe medial segment.  Nodular lesion (intrapulmonary lymph node?) above the fissure in the right lung lower lobe superior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_840/train_840_a/train_840_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are nonspecific nodules in both lungs measuring approximately 6x4 mm, the largest of which is in the lower lobe of the left lung. Atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pacemaker electrodes terminate in the right heart. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodules in both lungs. Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_841/train_841_a/train_841_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchus, lobar and segmental bronchi are open.\n<lung>: A nonspecific millimetric nodular density increase was observed in the major fissure in both lungs. No suspicious nodule or mass lesion was detected in the lung parenchyma. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<pleura>: In lung parenchyma evaluation; Ground-glass nodules and areas of nodular consolidation are observed in both lungs, which are predominantly subpleural and become prominent bilaterally asymmetrically.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings compatible with Covid pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_844/train_844_a/train_844_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There are sequelae changes at the apical level. Focal consolidation is observed in the inferior lingular segment. There are concomitant thickenings of interstitial tissue in these areas. No pathological size and configuration of lymph nodes were detected at both hilar levels. It is recommended to evaluate the case with clinical and laboratory findings in terms of viral pneumonias including covid. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<pleura>: Subpleural-peripheral rough nodules with slightly irregular borders are observed in both lungs. Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: In the mediastinum, there are lymph nodes with a short axis not exceeding 1 cm, some with fatty hilum in almost all areas. Calibration of the main mediastinal vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: In both axillary fat planes, contamination is observed in round-oval configuration, lymph nodes are observed at the left axillary level and are approximately 13x11 mm in size. Their contours are irregular.\n<bone>: Degenerative changes are observed in the bone structures entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in sections; There is nodular appearance that creates lobulation in the contour that cannot be evaluated since the liver enters the image from the last section in the caudal of the right lobe posterior segment.\n\nImpression:\nScattered and generally peripherally located ground-glass-like density increases accompanied by thickening of the interlobular septa with irregular borders in both lungs. It is recommended to evaluate the case together with clinical and laboratory findings in terms of viral pneumonias, including covid.  Nodular appearance that creates lobulation in the contour, which cannot be evaluated since the liver enters the image caudally in the posterior segment of the right lobe from the last section  Lymphadenopathies with round-oval configuration with irregular borders at both axillary levels and the appearance of contamination in the accompanying fatty planes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_a/train_848_a_1.npy"
        ]
    },
    {
        "id": "report_generation_1994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, a decrease in the size of the ground glass density increase areas observed in the localizations defined in the previous CT examination was observed and there are newly developed sequela parenchymal changes in these localizations in the current examination. No newly developed active infiltration or mass lesion was detected in the current examination.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. In both axillary regions, lymph nodes, some of which are in a round configuration, with increased cortical thickness, with a short diameter of 10 mm, are observed.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nGround glass density in both lungs and there are developed sequela parenchymal changes in these localizations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_c/train_848_c_1.npy"
        ]
    },
    {
        "id": "report_generation_1996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. However, their size increases slightly. The described findings may be compatible with fungal infection. There is CT halosign finding around the described consolidation areas.\n<pleura>: Focal consolidation areas and nodular ground glass density increases were observed in both peribronchial and peripheral subpleural areas. In addition, a free pleural effusion with a thickness of 40 mm on the right and 39 mm on the left was present in the current examination.\n<mediastinum>: No dilatation was detected in the thoracic aorta. A catheter image extending to the superior vena cava was observed.\n<heart>: Heart contour size is natural. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Left pelvicalyceal structures are slightly dilated. No significant pathology was detected in the examination borders in the upper abdominal sections that entered the examination area.\n\nImpression:\nClinical-laboratory correlation is recommended.  Bilateral pleural effusion. It just appeared in the current review.  Minimal dilatation of left kidney pelvicalyceal structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_d/train_848_d_1.npy"
        ]
    },
    {
        "id": "report_generation_1998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Peribronchial thickness increases are observed in both lungs. The described appearances were thought to be compatible with fungal infection.\n<pleura>: Free pleural effusion is observed in both pleural spaces, reaching a depth of approximately 35 mm on the right at its deepest point. In the peribronchial area, there are areas of increased ground glass density and density consistent with consolidation in the peripheral subpleural areas.\n<mediastinum>: A central venous catheter is observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Lymphadenomegaly is observed in both axillary regions, with a diameter of 10.7 mm on the left and a short diameter of 9 mm on the right, some of which are in a round configuration. No lymph node is observed in the mediastinum and supraclavicular fossa in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. It is recommended to be evaluated together with clinical and laboratory findings. In the upper abdominal sections within the image; A slightly dilated appearance is observed in the pelvicalyceal system of both kidneys.\n\nImpression:\nLymphadenomegaly with stable number and size in both axillary regions.  Minimal dilatation of the pelvicalyceal system of both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_e/train_848_e_1.npy"
        ]
    },
    {
        "id": "report_generation_2000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Lymph nodes with a size of 16x11 mm, of which hilar fat is selected, are observed. Also available in old review. It is recommended to evaluate GVHD in terms of lung involvement (in the form of organized pneumonia) together with clinical and laboratory findings. There were no pathologically sized and configured lymph nodes at both hilar levels. The findings have increased over the previous review.\n<pleura>: When examined in the lung parenchyma window; There are diffuse and irregular thickenings in the peribronchial sheath in almost all areas of both lungs, peripherally weighted, pleuroparenchymal localized, irregularly circumscribed consolidative areas, accompanying ground glass-like density increases, and irregularity in the pleural faces. There is a mild pleural effusion on the right, in the form of a smear, on the left, reaching 12 mm in thickness. There is significant regression in the pleural effusion observed in the previous examination. The defined pleural effusion is observed in the middle zone.\n<mediastinum>: A subclavian catheter is observed and terminates in the distal superior vena cava. Millimetric sized lymph nodes are observed in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: There is mild thickening of the peritoneal reflections on the left, mild contamination in the parocolic and mesenteric planes. In the upper abdominal organs, including sections; Mild effusion is observed around the gallbladder and its wall has a thick appearance. Ultrasonographic evaluation is recommended. USG examination is recommended. Mild ectasia is observed in the left kidney.\n\nImpression:\nClinical-laboratory correlation is recommended.  Gallbladder wall thickening, mild pericholecystic effusion, grade I pelvicalyceal ectasia in the left kidney; USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_f/train_848_f_1.npy"
        ]
    },
    {
        "id": "report_generation_2002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: In previous examinations, diffuse peribronchial thickness increase, peribronchial consolidations and scattered centriacinar ground glass nodules were observed. When examined in the lung parenchyma window; A smear-like effusion was observed in both hemithorax. The described findings were evaluated in favor of sequela fibrotic changes. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. In the current examination, all parenchymal findings in the previous examination are regressed. No concomitant consolidation was detected in the current review.\n<pleura>: Widespread and irregular thickening of the peribronchial sheath, accompanying bronchiectatic changes, interlobular septal thickening in the peripheral subpleural areas, and widespread fibrotic retraction in the pleura were observed in almost all areas of both lungs.\n<mediastinum>: A catheter extending from the left internal jugular vein to the superior-right atrium junction of the vena cava was observed. In the non-contrast examination, the mediastinal could not be evaluated optimally. Lymphadenomegaly and intense inflammation observed in bilateral axillae in the previous examination are markedly regressed in the current examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: It is recommended to be examined with US. There is mild thickening of the peritoneal reflections on the left, mild contamination in the paracolic and mesenteric planes. As far as can be seen within the sections; Mild ectasia is observed in the left kidney.\n\nImpression:\nIn the current examination, there are sequela-fibrotic changes in the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_g/train_848_g_1.npy"
        ]
    },
    {
        "id": "report_generation_2004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The outlook may be compatible with the infectious process. Bilateral peribronchial thickenings were observed. It is also observed in the previous examination, and no significant change was detected in these findings.\n<pleura>: When examined in the lung parenchyma window; bilateral pleural thickening-effusion was not detected. Peribronchial irregular thickenings, accompanying bronchiectatic changes, interlobular septal thickening in the peripheral subpleural area, and sequelae changes- contour irregularities in the pleura were observed in both lungs. In the current examination, newly emerged consolidative areas were observed in the posterobasal segment of the lower lobes of both lungs, and prominently on the right in the subpleural area.\n<mediastinum>: An image of a catheter extending superiorly to the vena cava was observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No dilatation was detected in the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. No significant pathology was detected in the upper abdominal sections that entered the examination area.\n\nImpression:\nNewly emerging areas of parenchymal consolidation in the lower lobes of both lung parenchyma may be consistent with the infectious process. Clinical and laboratory correlation - post-treatment control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_h/train_848_h_1.npy"
        ]
    },
    {
        "id": "report_generation_2006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the bronchial walls and pleuroparenchymal sequelae changes are observed in both lungs.\n<lung>: No newly developed infiltration was detected.\n<heart>: A catheter inserted through the anterior left chest wall and ending in the right atrium was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_848/train_848_i/train_848_i_1.npy"
        ]
    },
    {
        "id": "report_generation_2018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are atelectesis in both lungs, more prominent on the right. When the patient is in the supine position, the effusion extends to the apex of the lungs. Minimal emphysematous changes were observed in both lungs. There is no mass or infiltrative lesion in both lungs.\n<pleura>: The pleural effusion measured 50 mm on the right at its thickest point. There is bilateral pleural effusion. No pleural thickening was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are stones in the gallbladder. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries  Pleural effusion  Atelectesis in both lungs  Minimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_854/train_854_a/train_854_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right lung lower lobe basal segment calcified nodule is observed. Right upper-lower paratracheal narrow lymph nodes less than 1 cm in diameter are observed. No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma (small airway disease?small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the coronary arteries and aortic arch. Right paraesophageal hilar 1-2 calcified lymph nodes are observed. No pathological LAP was detected in the mediastinum. The AP diameter of the ascending aorta is 4.2 cm, and the AP diameter of the descending aorta is 3.8 cm, and it is wider than normal.\n<heart>: Calcific plaques are observed in the coronary arteries and aortic arch. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No additional significant pathology was detected in the abdominal sections. In sections passing through the upper abdomen, both adrenal glands are in the medial crus and the left adrenal gland body part is thick and nodular (nonfunctional adenoma?). Calcific plaques are observed in the coronary arteries and aortic arch. The AP diameter of the ascending aorta is 4.2 cm, and the AP diameter of the descending aorta is 3.8 cm, and it is wider than normal.\n\nImpression:\nCardiomegaly, ectasia in the ascending and descending aorta . Calcific plaques in the coronary arteries . Mosaic attenuation in both lung parenchyma (small airway disease?small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_855/train_855_a/train_855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal bronchiectasis is observed in the central part of the right lung, and peribronchial thickening, particularly in the lower lobe, and interlobular septal and interstitial thickenings are observed in places. There is also minimal bronchiectasis and peribronchial thickening in the central part of the left lung. There is a nodule with the longest diameter of approximately 14 mm in the lateral segment of the right lung middle lobe. These localizations also have minimal structural distortion and volume loss. When the first examination of the patient is examined, a large mass is observed in the lower lobe of the right lung, which is understood to be the primary mass of the patient. This nodule can be followed from the first examination of the patient. The findings described in the right lung, especially in the central part, were primarily evaluated in favor of sequelae changes. Emphysematous changes are observed in both lungs. The described mass was not observed in this examination. No mass was detected in both lungs.\n<pleura>: Pleural effusion is observed on the right. It is observed that the pleural effusion also enters the fissure on the right. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nPulmonary Ca in the follow-up, findings evaluated primarily in favor of sequelae changes in the right lung. Right pleural effusion.  Emphysematous changes in both lungs. Stable nodule in the middle lobe of the right lung.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_856/train_856_a/train_856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibrations of the trachea and main bronchi are normal. Lumens are clear.\n<lung>: There was no finding compatible with bilateral pneumonia. Mild sequelae changes are observed in the lingular segment on the left. When examined in the lung parenchyma window; Both hemithorax are symmetrical. A 4x2 mm nodule is observed in the right lung lower lobe superior segment, laterally.\n<mediastinum>: CTO is normal. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Calibration of vascular structures at other levels is natural. The aortic arch is calibrated slightly wider than normal with 30 mm.\n<heart>: Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, a hypodense lesion with a diameter of about 10 mm is observed laterally at the junction of the inferior pole-middle section of the right kidney (cortical cyst?). Surrounding soft tissue plans are natural. Calibration of vascular structures at other levels is natural. The aortic arch is calibrated slightly wider than normal with 30 mm.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_862/train_862_a/train_862_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2069",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Bilateral peribronchial thickenings are observed. The consolidation area and bud tree appearance observed in the previous examination in the lower lobe of the left lung show regression in the current examination.\n<pleura>: There are several nonspecific pulmonary nodules with a diameter of 3.8 mm in the anterior segment of the right lung upper lobe, 3 mm in diameter in the left lung upper lobe posterior segment, and 2. Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: There is an appearance of remnant thymus tissue in the anterior mediastinum. No lymph node enlarged in mediastinal pathological dimensions was detected. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Pericardial effusion - no thickening was observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Siliding type hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen, both kidneys, both adrenal glands and pancreas are normal. In the upper abdominal sections in the study area; The liver parenchyma density was diffusely decreased in line with the adiposity.\n\nImpression:\nBilateral peribronchial thickenings, hiatal hernia. Consolidation area and bud branch appearances in the left lung observed in the previous examination showed regression in the current examination. Stable nonspecific pulmonary nodules of millimeter size in both lungs. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_875/train_875_a/train_875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There are sometimes linear atelectasis in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameter of the main pulmonary artery was 29 mm and it was minimally wider than normal.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nAtelectasis in both lungs, millimetric nodules in both lungs. Atheroma plaques in the aorta and coronary arteries, minimal fusiform aneurysmatic dilation in the ascending aorta.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_876/train_876_a/train_876_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. There are emphysematous changes in both lungs. There is no infiltrative lesion in both lungs. The largest of the lymph nodes in the pulmonary hilum is seen on the right and measured approximately 23x22 mm at its widest point (series 2 section 170). Numerous nodular lesions are observed in both lungs and were primarily evaluated in favor of metastases. The largest of the described nodular lesions are observed in the upper lobe of the left lung, and their longest diameters (series 2 section 106 and series 2 section 94) at their widest point were 34 mm and 21 mm, respectively.\n<pleura>: Bilateral minimal pleural effusion, more prominent on the right, was observed.\n<mediastinum>: The port catheter terminates at the superior-right atrium junction of the vena cava. Mediastinal structures and upper abdominal structures within the sections cannot be clearly evaluated since no contrast material is given. The widths of the mediastinal main vascular structures are normal. The largest of the described lymphadenopathies is observed in the paratracheal region and is observed in the widest part (series 2 section 111), measuring approximately 41x31 mm. Numerous lymphadenopathies are observed in the paratracheal, subcarinal and both hilar regions.\n<heart>: Heart contour and size are normal. There is no pericardial effusion.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Although a clear evaluation could not be made because no contrast material was given, it was thought to be compatible with metastasis when evaluated together with other findings. The described mass measured approximately 59 mm in its longest diameter at its widest point (series 2 section 418). The largest of the soft tissue components described is observed in the T1 vertebral body and extends towards the right paravertebral area. Some of the lytic bone lesions are accompanied by a soft tissue component. Lytic bone lesions are observed in almost all bone structures within the sections.\n<abdomen>: There is a mass in the right adrenal gland corpus with the longest diameter of approximately 27 mm. The right kidney was not observed. Mediastinal structures and upper abdominal structures within the sections cannot be clearly evaluated since no contrast material is given. In the right kidney lodge, there is a collection whose borders cannot be distinguished from the posterior wall and occasionally from the intestinal segment.\n\nImpression:\nRight nephrectomized, lung metastases, bone metastases, mediastinal and hilar lymphadenopathies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_886/train_886_a/train_886_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2093",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No new lesion was detected. Some of the other metastatic lung lesions have mild regression in their size, and some are stable. The largest is located in the upper lobe of the left lung, with a long axis of 27 mm and a diameter of 16 mm, located peripherally in the anterior segment of the upper lobe of the left lung. On previous imaging, these lesions measured 31 mm and 16 mm. There are diffuse metastatic lesions in all segments of both lungs.\n<pleura>: There is a pleural effusion reaching 6 cm between the leaves of the right pleura and 2 cm between the leaves of the left pleura.\n<mediastinum>: A central venous catheter is observed.\n<heart>: In the coronary arteries, there are calcified atheroma plaques of berligin in the LAD.\n<bone>: If necessary, MRI examination is recommended. In the metastatic lesion in the L1 vertebral body, it occupies a significant volume in the vertebral body. In the T9 vertebra, the extraosseous component of the tumoral lesion in the vertebral body extends into the spinal canal. It is also available in the old review. A newly developed pathological fracture is observed in the right 2nd posterior rib. There are components showing extraosseous extension in places. Therefore, it poses a risk for fracture. Widespread metastatic lesions are observed in the vertebrae, ribs, both clavicles and sternum in all bone structures that enter the imaging field. Also available in old rendering. The metastatic lesion in the L1 vertebral body is also observed with its extraosseous component extending towards the right pararenal area.\n<abdomen>: The right kidney is operated. It appears to be slightly regressed in current examination. In the sections passing through the upper abdomen, calculus is observed in the gallbladder. Right adrenal gland lateral crus expansil is observed. The mass lesion, whose mediolateral diameter was 16 mm in the lateral crus in the previous examination, was 13 mm in the current examination.\n\nImpression:\nOperated right kidney RCC. Extensive bone metastases, lung metastases, mediastinal metastatic lymph nodes, and right adrenal mass lesion.  When the two largest metastatic lesions in the lung and the lesion in the right adrenal are considered as target lesions, the total of the target lesions in the previous examination was 65 mm and in the current examination, the total of the target lesions was measured as 56 mm. A decrease of approximately 13% is observed in the total of the target lesions. It was accepted as stable disease.  2.posterior newly developed pathological fracture of the rib.  Metastatic bone lesion in the L1 vertebral body occupies a significant volume in the vertebral body, it carries a risk in terms of pathological fracture in this vertebra. The imaging is present in the previous examination and no difference was found.  The bone metastasis with extraosseous extension in the T9 vertebral body has become evident in the current examination, the soft tissue component extending towards the spinal cord. Here, it would be appropriate to follow it in terms of cord compression. Bilateral pleural effusions. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_886/train_886_b/train_886_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2095",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: According to the previous examination, stable metastatic parenchymal nodular lesions were observed in both lungs. Compression atelectasis is observed in the lower lobe.\n<bone>: Diffuse metastases in bone structures are stable.\n<abdomen>: There was no significant change in the dimensions of the lesion in the right adrenal gland in the current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_886/train_886_c/train_886_c_1.npy"
        ]
    },
    {
        "id": "report_generation_2108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease? small vessel disease?). Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Linear pleuroparenchymal fibrotic density increases were observed in right lung middle lobe medial, left lung inferior lingular and left lung lower lobe anteromediobasal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; Mediastinal main vascular structures are natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. Degenerative changes were observed in the thoracic vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly . Mosaic attenuation pattern (small airway disease? small vessel disease?) in both lung lower lobes is recommended to be evaluated together with clinical and laboratory.  Pleuroparenchymal linear fibroatelectasis sequelae changes in right lung middle lobe medial, left lung inferior lingular and left lung lower lobe anteromediobasal segment . Increase in thoracic kyphosis and degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_893/train_893_a/train_893_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. No mass or infiltrative lesion was detected in both lungs. Dependent density increases are present in both lung lower lobe posterior segments. There is a 2.5 mm diameter nodule located in the perifisural region in the superior segment of the left lung lower lobe.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density decreased in favor of fat (33 HU). There are several lymph nodes, the largest of which is 7 mm in diameter, at the level of the cardia in the perigastric area. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nMillimetric nonspecific nodule in the lower lobe of the left lung  Hiatal hernia  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_896/train_896_a/train_896_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A band-like subsegmental atelectasis area was observed in the inferior lingular segment of the left lung. Mild emphysematous changes are present in both lungs apical. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nMild emphysematous changes in both lungs.  Subsegmental atelectatic changes in the left lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_897/train_897_a/train_897_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is no significant difference. In the evaluation of both lung parenchyma; In both lung parenchyma, the dominant interstitial pattern in the peripheral lung parenchyma becomes prominent and honeycomb lung appearance is observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed on the walls of the coronary artery. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_900/train_900_a/train_900_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Two nonspecific parenchymal nodules measuring 3.9 mm in diameter were observed in the upper lobe of the right lung. When examined in the lung parenchyma window; The left hemidiaphragm shows slight elevation. Minimal subsegmentary atelectatic changes were observed in the lower lobes of both lungs. A millimetric nonspecific parenchymal nodule was observed in the anterior segment of the right lung upper lobe.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: The ascending aorta measures 39 mm in diameter and shows slight dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nNo sign of pneumonia. Millimetric-sized nonspecific nodules in the upper lobe of the right lung.  Nonspecific parenchymal nodules in the right lung. Minimal subsegmental atelectatic changes in both lungs.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_906/train_906_a/train_906_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A nonspecific parenchymal nodule with a diameter of 7 mm was observed in the anterobasal segment of the right lung equine lobe. Multiple nonspecific parenchymal nodules in different localizations were observed in the left lung, the largest of which was 5.5 mm in diameter in the lower lobe laterobasal segment. Other viral pneumonias can be considered in the differential diagnosis. Clinical laboratory correlation is recommended. My outlook has been evaluated as consistent with the frequently reported imaging features of Covid-19 pneumonia. Nonspecific parenchymal nodules of 4 mm in diameter were observed at the fissure level in the posterior upper lobe of the right lung.\n<pleura>: When evaluated in the parenchyma window of both lungs: Ground-glass-like density increases were observed in the lower lobes of both lungs, in the middle lobe of the right lung, and in the lingular segment of the left lung, in the peripheral subpleural area.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The diameter of the main pulmonary artery was 31 mm and it shows dilatation.\n<heart>: The ascending aorta measures 39 mm in diameter and shows mild fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: A well-circumscribed hypodense lesion with a diameter of 6 mm was observed in the posterior of the left 4th rib. No destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Gallbladder was not observed (cholecystectomized).\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in bilateral lung parenchyma. In addition, other viral pneumonia can be considered in the diagnosis. Clinical laboratory correlation is recommended.  Nonspecific multiple parenchymal nodules in both lungs; If there is, it is recommended to evaluate and control it together with previous examinations.  Cholecystectomy.  Well-circumscribed bony lesion posterior to the left 4th rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_916/train_916_a/train_916_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Nonspecific ground glass density increases were observed in the lateral segment of the right lung middle lobe and in the lower lobes of both lungs. When examined in the lung parenchyma window; A mzoaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Subsegmentary atelectatic changes are observed in the inferior lingular segment of the left lung. Millimetric sized nonspecific parenchymal nodules are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Calcified atherosclerotic changes are observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcified atherosclerotic changes are observed in the wall of the abdominal aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Clinical and laboratory correlation is recommended. In the upper abdominal sections in the study area; Millimetric sized calcifications are observed in both lobes of the liver. As far as can be seen; Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly. Calcific atherosclerotic changes in the wall of the abdominal aorta and coronary artery. Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Millimeter-sized parenchymal nodules in both lungs.  Nonspecific ground glass density increases in both lungs. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_920/train_920_a/train_920_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2173",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are mild bronchial wall thickness increases in the segments.\n<lung>: There are areas of linear atelectasis in the lower lobes. Dependent atelectasis areas are observed in the basal segments. When examined in the lung parenchyma window; No area of pneumonic consolidation or infiltrative involvement was detected in both lung parenchyma. No mass or nodular space-occupying lesion was detected in the parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart sizes are natural.\n<esophagus>: No pathological increase in diameter was observed in the esophagus.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nLinear and dependent areas of atelectasis and mild bronchial wall thickness increases in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_924/train_924_a/train_924_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Ground-glass densities and consolidations are observed in the peripheral lung parenchyma of both lungs and diffuse in the basal segments of the lower lobes of both lungs. There are interlobular septal thickenings that create crazy paving appearance in frosted glass densities.\n<pleura>: In the evaluation of both lung parenchyma; A smear-like pleural effusion is observed in the right lung.\n<mediastinum>: Mediastinal lymphadenomegaly and lymph nodes with a narrow diameter of 11 mm are observed in the right upper-lower paratracheal larger one. Calcific plaques are observed in the walls of the coronary artery in the aortic arch and descending aorta.\n<heart>: Calcific plaques are observed in the walls of the coronary artery in the aortic arch and descending aorta. The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Calcific plaques are observed in the walls of the coronary artery in the aortic arch and descending aorta. Free air images are observed in the abdomen, especially in the perihepatic localization of the abdominal sections. There are millimetric sized calculi in the gallbladder and hypodense cysts in the kidney.\n\nImpression:\nPredominant diffuse infiltrates in the peripheral lung parenchyma were primarily evaluated as compatible with covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_931/train_931_a/train_931_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to evaluate and follow-up together with previous examinations, if any. Peripherally located crazy paving pattern and nodular patchy ground glass consolidations showing signs of vascular enlargement were observed in the right lung middle and lower lobe basal segment, and the appearance is compatible with Covid-19 pneumonia. A nonspecific pulmonary nodule with a diameter of 5.5 mm was observed on the minor fissure in the middle lobe of the right lung. It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; Segmentary tubular bronchiectasis and peribronchial thickening were observed in both lungs. A 12x11 mm nodule with amorphous calcifications was observed in the upper lobe of the right lung, adjacent to the minor fissure (hamartoma?). No mass lesion with distinguishable borders was observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. The diameters of the pulmonary trunk and both pulmonary arteries have increased. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 47 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Metallic artifacts secondary to valvulaplasty were observed in the mitral valve. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Thoracic kyphosis increased and minimal height losses were observed in the vertebral bodies at mid-thoracic level. Metallic sutures secondary to previous surgery on the sternum were observed. There is osteoporosis in the bone structures in the study area.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 47 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. In the upper abdominal organs included in the sections, millimetric nodular coarse calcifications were observed in the spleen (sequelae of granulomatous infection).\n\nImpression:\nSurgical suture materials secondary to mitral annuloplasty in the sternum, fusiform dilatation in the thoracic aorta, dilatation of the pulmonary arteries, cardiomegaly  Hiatal hernia  Findings consistent with Covid-19 pneumonia in the middle and lower lobes of the right lung  Segmentary tubular bronchiectasis in both lungs, right peribronchial thickening  solid nodule (hamartoma?) with amorphous calcification in the upper lobe, if any, should be evaluated and followed up together with previous examinations.  Millimetric nonspecific pulmonary nodule adjacent to the fissure in the middle lobe of the right lung  Osteoporosis in bone structures, increased thoracic kyphosis and minimal height losses in mid-thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_932/train_932_a/train_932_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: In the axilla, in the supraclavicular fossa, within the cross-section, and in the mediastinum, no lymph node was observed in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_933/train_933_a/train_933_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Bronchial dilatation consistent with cystic-tubular bronchiectasis is observed in the middle lobe. A nodule of approximately 6.5x5.5 mm is observed in the posterior segment of the right lung upper lobe. Sequelae changes are observed in the inferior lingular segment. There are thickenings of the peribronchovascular sheath in all zones of both lungs, especially in the middle lobe. In the evaluation of the parenchymal window of both lungs; Sequelae changes are observed at the apical level in both lungs, and within the sequela changes described on the left, a nodular formation with a central calcified appearance of approximately 11x9 mm is observed. In the left lung lower lobe superior segment, there is a branch mazanra with faint buds consistent with infiltration. There is diffuse centriolebular-paraseptal emphysema, more prominent in the upper zones of both lungs. Again, a ground-glass nodule with a diameter of approximately 4 mm is observed in the posterior segment caudal of the upper lobe. In the right lung, branches with buds compatible with infiltration are observed in the upper lobe anterior segment caudal, in the middle lobe and in the basal segments.\n<pleura>: A subpleural 3 mm diameter nodule is observed in the posterior segment of the right lung upper lobe. A subpleural nodule of approximately 6x4 mm is observed in the posterobasal segment of the lower lobe of the right lung. Irregularity in the pleural contour and interstitial septal thickening are observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: In the mediastinum, in the lower paratracheal area, multiple lend nodes are observed in the aorticopulmonary window, some of which are superposed on each other, and the short axis size of the largest was measured as approximately 9.5 mm in the aorticopulmonary window. In the non-contrast examination, no pathological size and configured lymph nodes were detected at either level. Calcific atromous plaques are observed in the abdominal aorta. Millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the aortic arch, ainen aorta. Calibration of the main mediastinal vascular structures is natural.\n<heart>: CTO is within the normal range.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: In the medial part of the left kidney, a hypodense formation with a diameter of 13 mm with a faint border is observed (cortical cyst?). Calcific atromous plaques are observed in the abdominal aorta. Millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the aortic arch, ainen aorta.\n\nImpression:\nFindings consistent with emphysema in both lungs. Intense sequelae changes, more prominent in the upper zones.  Bronchiectasis in the middle lobe of the right lung. A few nodules in both lungs.  Cortical cyst in the left kidney? . Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_939/train_939_a/train_939_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass, nodule-infiltration was detected in the parenchyma of both lungs. Right intrapulmonary millimetric calcified lymph node was observed.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nRight intrapulmonary calcified lymph node.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_940/train_940_a/train_940_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Residual bronchopneumonic infiltration areas are observed in the basal segment of the lower lobe of the right lung and the basal segment of the lower lobe of the left lung. In the previous examination, extensive budding tree appearance and bronchopneumonic infiltration areas in both lungs were mostly regressed in the current examination. A bronchiolytic uptake pattern is observed in the form of centracinary ground-glass nodules in the upper lobes of both lungs. Endobronchial prominences in both lungs are markedly regressed but persist.\n<mediastinum>: A slight regression was detected in the sizes of reactive mediastinal lymph nodes with short axes less than 1 cm located in the right lower paratracheal, bilateral hilar, and subcarinal regions. Calibrations of mediastinal main vascular structures were followed naturally.\n<heart>: Heart dimensions and compartments appear natural.\n<bone>: Bone structures in the study area are natural. No lymph node in pathological size and appearance was observed in both axillae and in the supraclavicular fossa within the section. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesions were detected in the adrenal glands. In the evaluation of upper abdominal organs including sections; hypodense lesion of cystic density with a diameter of 15 mm in segment 5 and hypodense lesions in segments 2 and 8 localization, which cannot be characterized due to their size, are stable. No solid component or septa is observed. It was primarily evaluated in favor of subserosal gastric lipoma. In the sections entering the image area, there is a lesion compatible with gastric lipoma with a fat density of fibrous capsular structure and approximately 3.5 cm in size, located in the antrum at the lesser curvature of the stomach.\n\nImpression:\nProminent centracinar ground glass nodules in the upper lobes of both lungs and prominent endobronchial structures were evaluated in favor of respiratory bronchiolitis. (history of tobacco use?) . Control imaging is recommended.  Tracheamegaly . Cystic density lesion and segment in the liver segment 5 localization Hypodense lesions in 2 to 8 localizations that cannot be characterized on this examination because of their size . Gastric lipoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_946/train_946_a/train_946_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Fibrotatelectatic sequelae changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. The appearance may be compatible with early alveolitis in a patient with a history of interstitial lung. When examined in the lung parenchyma window; Pleuroparenchymal fibrotic sequelae changes were observed in both lung apical segments. Correlation with clinical and laboratory is recommended. Slight ground glass areas were observed in the lower lobe basal and inferior lingular segments of the left lung, and in the posterobasal and mediobasal segments of the right lung lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Minimal sliding hiatal hernia was observed in the distal esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Liver, spleen, both adrenal glands and pancreas are normal, as far as can be seen on non-contrast sections.\n\nImpression:\nThe appearance of a patient with faint borders, ground glass areas in the lung, and interstitial lung in the clinical preliminary diagnosis may be compatible with early alveolitis. Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_948/train_948_a/train_948_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: It extends into the interlobar fissure on the right. Sequelae changes are observed at the apical level in the left lung. There are sequelae changes in the anterior segment caudal and lingular segment. When examined in the lung parenchyma window; both hemithorax are symmetrical. No lymph node was detected in pathological size and configuration at both hilar levels. There are faint ground-glass-like density increases in the lower lobe of the left lung and focal consolidative changes at the posterobasal level of the lower lobe of the right lung. A mild mosaic attenuation pattern is observed in both lungs.\n<pleura>: There are sequelae pleural parenchymal density increases in the right lung upper lobe anterior segment. There is pleural effusion in both lungs, reaching a thickness of 42 mm on the right and 12 mm on the left, at the base.\n<mediastinum>: The aortic arch caliber was 36 mm, wider than normal. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta in the left coronary artery. The descending aorta calibration is slightly above normal. Millimetric sized lymph nodes are observed in the mediastinum, and the largest ones are at the prevascular level and their short axis is 9 mm. The pulmonary trunk calibration was 31 mm, slightly above normal.\n<heart>: When the calibration of the mediastinal main vascular structures is evaluated; The ascending aorta is calibrated 45 mm and wider than normal. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta in the left coronary artery. CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Changes secondary to sternotomy are observed. The case has findings compatible with DISH.\n<abdomen>: There is effusion in the perihepatic area in the abdomen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aortic arch caliber was 36 mm, wider than normal. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta in the left coronary artery. The descending aorta calibration is slightly above normal. When the upper abdominal organs included in the sections were evaluated; A decrease in density is observed in the liver, which is compatible with mild adiposity.\n\nImpression:\nCalibration increase, atherosclerotic changes in mediastinal main vascular structures  Significant effusion in both pleural distances on the right, sequelae changes  Mild mosaic attenuation pattern in both lungs and concomitant ground-glass-like density increases in the lower lobe on the right and focal consolidative changes at the posterobasal level  Mild hepatosteatosis , perihepatic level effusion  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_955/train_955_a/train_955_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; The patient has a mosaic attenuation pattern (mild small airway disease? , Small vessel disease?). No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: No pleural effusion, pneumonia or pneumothorax was detected.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_958/train_958_a/train_958_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. The findings described are consistent with Covid-19 pneumonia. Linear pleuroparenchymal linear atelectatic changes were observed in both lungs. When examined in the lung parenchyma window; More common, patchy ground-glass consolidation areas were observed in the superior segments of the lower lobes of both lungs, showing multilobar, multisegmental, crazy paving pattern and vascular enlargement in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A few pathologically sized lymph nodes with dimensions of 26x15 mm were observed in the right upper-lower paratracheal and aortopulmonary largest right lower paratracheal area. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches.\n<heart>: Diffuse calcific atherosclerotic plaques are observed in LAD. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. The aortic and mitral valves are calcified. A smear-like effusion was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type minimal hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches.\n\nImpression:\n· Hiatal hernia. Pericardial effusion, calcific atherosclerotic plaques in LAD, calcification in mitral and aortic valve. · Right upper-lower paratracheal and aortopulmonary several pathological lymph nodes · Findings consistent with Covid-19 pneumonia in the lung parenchyma. · Linear atelectasis in both lungs. Slight degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_964/train_964_a/train_964_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It was understood that the atypical pneumonic infiltration areas observed in the previous examination were completely healed without sequelae. It is newly developed. Radiologic findings are observed in the late recovery period in the form of mild parenchymal density increases.\n<pleura>: Subsegmental atelectasis areas are observed in the lower lobes adjacent to the pleural effusion. There is an effusion measuring 1.5 cm on the right and 2 cm on the left between the leaves of both pleura.\n<mediastinum>: Calibrations of mediastinal major vascular structures are normal. In the mediastinum, nonspecific lymph nodes with stable numbers and sizes are observed, located in the right upper and lower paratracheal, paraaortic.\n<heart>: Mitral and aortic valve calcification is present. Heart size increased. Pericardial effusion was not detected. Calcified atherosclerotic plaques are observed in the coronary arteries.\n<bone>: In the supraclavicular fossa, in the axilla, the pathological size and appearance of the lymph node are not observed in the cross-section.\n<abdomen>: Contamination is present in the adjacent mesenteric oily planes. High-density free fluid (hemorrhage?) is observed in the left upper quadrant, adjacent to the newly developed gastric corpus in the upper abdominal sections. It will be appropriate to examine the patient with Contrast-Enhanced Abdominal CT.\n\nImpression:\nHigh-density free fluid (hemorrhage?) adjacent to the stomach corpus in the upper abdominal sections. It is recommended to be examined with contrast-enhanced abdominal CT.  Mitral and aortic valve calcification, calcified atherosclerotic plaques in coronary arteries.  Stable nonspecific mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_964/train_964_b/train_964_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are patchy ground glass densities in the right lung lower lobe superior segment posterior, bullae measuring up to 15 mm in both lungs are present.\n<mediastinum>: Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the coronary arteries, aortic arch and descending aorta.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries, aortic arch and descending aorta. Cardiac dimensions are increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hypertrophic osteophytic taperings are observed in the vertebral corpus end plates. Bridging tendencies are present and a decrease in density is observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The liver parenchyma entering the section area is slightly heterogeneous. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the coronary arteries, aortic arch and descending aorta. The right kidney enters the examination partially and there are sequelae thinnings in the posterior cortical structures. Its contours show light corrugation.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. Appearance in favor of parenchymal disease in the liver parenchyma, clinical laboratory correlation is recommended.  There are millimetric lymph nodes around the celiac artery.  Small bullae in both lungs.  Diffuse density reduction, degenerative changes in bone structures. Sequela thinning in the posterior cortical structures of the right kidney, which partially enters the image. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_968/train_968_a/train_968_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2291",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These views are not specific. There are emphysematous changes in both lungs. In the lower lobe of the right lung, a ground-glass appearance with clear borders is observed, especially in the posterior parts. During the pandemic, there may be Covid-19 pneumonia. Consolidation in a small area in the lateral segment of the middle lobe of the right lung and a ground-glass appearance in its vicinity are observed. This appearance may be pneumonic infiltration. The described appearance is non-specific. In addition, local atelectasis of both lungs were observed. No mass was detected in both lungs.\n<pleura>: No pleural effusion was detected on the left. There is pleural effusion on the right. Pleural thickening was not observed. The pleural effusion measured 60 mm at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest of these lymph nodes is observed in the upper paratracheal region and measures approximately 20x20 mm. The widths of the mediastinal main vascular structures are normal. Lymph nodes are observed in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. Atheroma plaques are observed in the coronary arteries. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. There are degenerative hypertrophic changes in the facet joints.\n<abdomen>: There is free fluid in the upper abdomen within the sections. There are no upper abdominal pathologically enlarged lymph nodes in the sections.\n\nImpression:\nCardiomegaly and atherosclerotic changes in the coronary arteries.  Pleural effusion on the right.  Emphysematous changes in both lungs.  Atelectasis in both lungs.  Appearance that may be compatible with pneumonic infiltration in the middle lobe of the right lung.  Ground glass appearance in the lower lobe of the right lung.  Intraabdominal free fluid.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_978/train_978_a/train_978_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Ground-glass opacities are observed in both lungs, and the appearance is nonspecific. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly. Patchy ground-glass opacities in both lung lower lobes; nonspecific.  Scoliosis with the thoracic opening facing left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_989/train_989_a/train_989_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in both lungs, most prominent in the medial segment of the right lung middle lobe. When evaluated together with the clinical knowledge of the patient, these appearances were evaluated primarily in favor of viral pneumonias. Minimal emphysematous changes are observed in both lungs. Round shaped ground glass areas are observed in the peripheral areas of both lungs. There are millimetric nodules in both lungs. The locations and shapes of the described frosted glass areas are frequently observed in Covid pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Periosteal reaction was not detected.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_990/train_990_a/train_990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_994/train_994_a/train_994_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Millimetric sized hypodense nodules are observed in the thyroid gland parenchyma.\n<lung>: Although the presence of Covid cannot be excluded, it may cause a similar appearance in bacterial pneumonias. Radiological findings are in favor of pneumonic infiltration. In lung parenchyma evaluation, pneumonic consolidation area is observed in a single focus in the basal segment of the left lung lower lobe. However, the imaging finding is not specific for the etiologic agent. It is monitored in a single focus.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nSubsegmental pneumonic consolidation area in the lower lobe of the left lung, there is no specific image pattern. Covid pneumonia cannot be ruled out, and bacterial infections may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_999/train_999_a/train_999_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are significant increases in interlobular septal thickness in the lower lobes of both lungs on the left. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.3.2021. There is an area of atelectasis accompanied by volume loss in the lingular segment of the left lung upper lobe. No mass was detected in both lungs.\n<pleura>: Minimal pericardial and bilateral pleural effusion are observed.\n<mediastinum>: Millimetric calcific plaques follow in the aorta. The examination of the patient was evaluated by comparing it with the previous pulmonary CT angiography examination.\n<heart>: The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. Millimetric calcific plaques follow in the aorta.\n\nImpression:\nCardiomegaly, minimal pericardial-pleural effusion.  Consolidation areas in both lung lower lobes prominent on the left; is regressed.  Atelectasis in the lingular segment of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1001/train_1001_a/train_1001_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; active infiltration or mass lesion is detected and there are millimetric nonspecific nodules.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<breast>: An area of increased density that does not appear as an asymmetrical clear mass in the upper outer aspect of the right breast has been noted, and USG examination is recommended.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, a stone of 2 mm in size is observed in the upper pole of the right kidney. There are multiple numbers of spleen parenchyma, the largest of which is 54 mm, and a homogeneous density of splenic vascular structures, which are evaluated primarily in favor of accessory spleen, and selective spleen scintigraphy is recommended.\n\nImpression:\nDensity increase area that does not give the appearance of an asymmetrical clear mass in the upper outer region of the right breast has been noted, and USG examination is recommended.  In the evaluation of both lung parenchyma; active infiltration or mass lesion is detected and there are millimetric nonspecific nodules.  Multiple spleen parenchyma adjacent to the spleen and homogeneous density of splenic vascular structures are present, which is primarily evaluated in favor of accessory spleen, and selective spleen scintigraphy is recommended.  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1004/train_1004_a/train_1004_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of viral pneumonia. Since it is a single lesion, differential diagnosis could not be made. Vascular structures in the ground glass appearance are minimally enlarged. A ground-glass appearance is observed in the posterobasal segment of the right lung lower lobe and in the peripheral area. However, the appearance is one of the findings observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. The described appearances were evaluated in favor of accessory spleens or splenosis.\n\nImpression:\nGround-glass appearance in a small area in the posterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1004/train_1004_b/train_1004_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchus calibration is normal. Lumens are clear. It can be observed in bronchiolitis, endobronchial spread of infections, bronchioalveolar carcinoma, and hypersensitivity pneumonia.\n<lung>: Sequelae changes are observed in the inferior lingular segment. views are available. No pathological size and configuration of lymph nodes were detected at both hilar levels. Sequelae changes are observed in the middle lobe. Emphysematous findings are present in both lungs and a mosaic attenuation pattern is observed in the mid-lower zones. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<pleura>: Superposed multiple parenchymal, subpleural nodules are observed on both interlobar fissures in the upper-middle zones of both lungs.\n<mediastinum>: No pathological size and configuration lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. There is faint thymic tissue in the anterior mediastinum, which does not show the effect of a fatty involutional mass.\n<heart>: Pericardial effusion-thickening is not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: In the non-contrast sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. Surrounding soft tissue planes are normal. Gallbladder was not observed in the lodge.\n\nImpression:\nEmphysematous changes and mosaic attenuation pattern in both lungs . Multiple nodule formation in both lungs, more prominent in the upper-middle zones . Nonspecific centrilobular nodule formations in the upper zones, more prominent in the right lung . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1007/train_1007_a/train_1007_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; A 3 mm calcific nodule is observed in series 2 image 142, located subpleural in the middle lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific nodule located subpleural in the middle lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1015/train_1015_a/train_1015_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: In addition, diffuse interlobular septal thickenings in both lungs were noted. In the upper lobe apical segments of both lungs, bulla-bleb formations up to 3.3 cm in size and diffuse cystic bronchiectasis were observed. Peribronchial thickenings are observed in the upper lobes and widespread centriacinar nodules are observed. The volume of the upper lobe of the left lung has decreased and it has a mild atelectasis appearance.\n<pleura>: When examined in the lung parenchyma window; Free air images consistent with subcentimetric effusion and pneumothorax were observed in the left pleural space.\n<mediastinum>: Aorta diameter and pulmonary artery diameters from the pattern are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is observed to be wider than normal with an anterior-posterior diameter of 41 mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No stones were observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in non-contrast sections; liver and spleen are normal. Aorta diameter and pulmonary artery diameters from the pattern are normal.\n\nImpression:\nAscending aortic aneurysm. Left hydropnomothorax, marked reduction in left upper lobe volume of the left lung, and atelectasis.  Cylindrical bronchiectasis, bulla-blep formations in the apical segments of both lungs. Diffuse interlobular septal thickenings in both lungs, peribronchial thickenings in the upper lobes, and diffuse centriacinar nodules; It can be compatible with pneumonic infiltration. Clinical and lab. It is recommended to be evaluated together with."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1023/train_1023_a/train_1023_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. The described findings are more prominent in the lower lobe of the lung and peripheral areas. Peripheral and central consolidations, ground glass areas and linear density increases are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1028/train_1028_a/train_1028_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Millimetric sized nonspecific ground glass nodules were also observed in the anterobasal segment of the lower lobe of the left lung. A few millimetric nonspecific pulmonary nodules with a diameter of 4.5 mm in the middle lobe of the right lung and 2.9 mm in diameter in the lingular segment of the left lung were observed. Pleuroparenchymal sequelae density increases were observed in the upper lobe of each lung, the middle lobe of the right lung, the inferior lingular segment of the left lung, and the basals of the lower lobes of both lungs. There are atelectatic changes in the adjacent lung parenchyma due to osteophyte-spur compression in the vertebrae in the right lung lower lobe mediobasal segment.\n<pleura>: Peripheral subpleural nonspecific ground glass densities were observed in the right lung lower lobe laterobasal segment.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Lymph nodes with a short axis smaller than 1 cm in upper-lower paratracheal, prevascular, and subcarinal localization, some with central fatty hilus, were observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the pulmonary artery. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour and size are natural. Pericardial thickening-effusion was not detected. The ascending aorta measures 41 mm in diameter and shows slight dilatation.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the examination limits without contrast.\n<bone>: There are degenerative changes in the bone structures in the study area and spur formations showing bridging in the vertebrae. No lytic-destructive lesion was detected.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nEmphysematous changes in both lungs . Sequelae changes and areas of atelectasis in both lungs . Nonspecific ground-glass areas in the lower lobe of the right lung, millimeter-sized non-specific ground-glass nodules in the anterobasal segment of the lower lobe of the left lung . Several nonspecific pulmonary nodules in millimeters in both lungs . Thoracic Calcified atherosclerotic changes in the wall of the aorta-coronary artery . Hiatal hernia . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1036/train_1036_a/train_1036_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath is observed. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Pleuroparenchymal sequelae changes are observed in the lower lobe superior segment. Pleuroparenchymal sequelae changes are observed at the posterobasal level in the right lung. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Focal consolidation is observed at the mediobasal level. No pathological size and configuration lymph nodes were detected at both hilar levels. Tractional bronchiectasis and sequela changes are observed at the apical level of the right lung. A calcific nodule with a diameter of 3 mm is observed in the anterior segment of the left lung upper lobe. There is a mosaic attenuation pattern (small vessel disease? Small airway disease?). There is focal consolidation in the lingular segment. There are also density increases compatible with pleuroparenchymal sequelae in the posterior at the apical level.\n<mediastinum>: CTO is within the normal range. It is wider than normal. Calibration of other mediastinal major vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. The aortic arch calibration is 33 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There are findings that are considered compatible with DISH.\n<abdomen>: In the anterior of the spleen, a millimetric spleen and an isodense view of the accessory spleen are observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The aortic arch calibration is 33 mm.\n\nImpression:\nAreas of focal consolidation in both lungs, apical changes in the upper lobe of the right lung and cicatricial bronchiectasis in the area adjacent to the sequelae changes in the anterior segment, honeycomb landscapes.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1037/train_1037_a/train_1037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Although the defined imaging pattern is nonspecific, atypical pneumonic infiltration is included in the differential diagnosis. It is recommended to correlate with clinical and laboratory. Attenuation differences in lung parenchyma density were evaluated as secondary to the expiration of the draft and the increase in wall thickness in the small airways. When examined in the lung parenchyma window; Nodular consolidation areas are observed in the right lung upper lobe anterior segment and lower lobe superior segment. It measures 4 mm in diameter at its widest point.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: It is in the form of plastering. Heart size increased. Pericardial effusion is observed. There are calcified atheroma plaques in the coronary arteries.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nIncrease in heart size, calcified atheroma plaques in the coronary arteries, pericardial effusion in the form of smearing . Nodular consolidation areas in the upper and lower lobes of the right lung are included in the differential diagnosis of atypical pneumonic infiltration. Covid pneumonia could not be ruled out. Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1042/train_1042_a/train_1042_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1043/train_1043_a/train_1043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Correlation with USG is recommended for hyperplasia. Both thyroid lobes and isthmus are increased in size.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: The outlook may be compatible with primary lung cancer. Further testing is recommended. The appearance was evaluated as secondary to pneumonic infiltrates. Peribronchial wall thickness increases are observed in both lungs. In the right lung upper lobe posterior segment, right lung middle lobe lateral segment and lower lobe laterobasal segment, centriacinar nodular infiltrates-budding tree view is observed in the area adjacent to the major fissure. Correlation with clinical and laboratory is recommended. There are more prominent ground-glass areas on the left in both lung lower lobe basal segments. Linear atelectatic changes are observed in the medial segment of the middle lobe of the right lung, the inferior-superior lingular segments of the left lung, and the basal segments of the lower lobes of both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not observed. When examined in the lung parenchyma window; In the anterior segment of the upper lobe of the right lung, a consolidated appearance with an irregular border of 13x16 mm with spicule extensions to the pleura and parenchyma, in which air bronchograms are observed, was observed.\n<mediastinum>: Numerous prevascular bilateral upper-lower paratracheal, subcarinal bilateral lymph nodes at the bilateral hilar level, whose short axes were measured below 1 cm, did not reach pathological dimensions. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Metallic sutures, consistent with ACBG, extending to the coronary arteries are observed in the anterior mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Metallic sutures compatible with sternotomy are observed in the sternum. Thoracic vertebral corpus heights are preserved. Degenerative Schmorl nodules are observed in the end plateaus.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed (operated). The lateral volume of the left lobe of the liver has decreased, and the caudate lobe has a hypertrophic appearance. Millimetric calculus was observed in the upper pole of the right kidney. As far as can be seen on non-contrast sections, the volume of the left lobe lateral segment of the liver is below normal. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. In terms of chronic liver disease, correlation with clinical and laboratory is recommended. Pancreas and spleen appear normal.\n\nImpression:\nFurther examination is recommended in terms of consolidation with spiculed contours in the anterior segment of the right lung upper lobe, and mass exclusion. Centriacinar nodular infiltrates in the right lung upper lobe posterior, middle lobe lateral and lower lobe laterobasal segments-budding tree view and ground glass areas in the lower lobe basal segments. view evaluated in favor of pneumonic infiltration. Correlation with clinical and laboratory is recommended.  Decrease in liver left lobe lateral segment volume, increase in caudate lobe dimensions, correlation with clinical and laboratory in terms of chronic liver disease . Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1055/train_1055_a/train_1055_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2506",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are patchy ground glass densities crayz paving pattern appearance, which is observed in the center, more commonly located peripherally in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, the density of liver parenchyma changes in favor of steatosis, and the finding observed in the hypodense oval-shaped fluid attenuation measuring 46 mm in the proximal liver segment 4 was evaluated in favor of the cyst.\n\nImpression:\nHepatosteatosis, cyst in the right lobe of the liver. There are imaging features that commonly report Covid-19 pneumos. It can cause similar appearance to other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1070/train_1070_a/train_1070_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Tracheostomy is observed in the patient. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a nodule measuring approximately 18x16 mm in the peripheral area in the anterior segment of the upper lobe of the right lung. Another nodule, approximately 10x12 mm in size, is observed in the middle lobe of the right lung. The described appearance may be a primary or metastatic lung nodule. If present, it is recommended to be evaluated together with previous examinations and tissue diagnosis. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). No mass or infiltrative lesion in both lungs was detected in this examination.\n<pleura>: Atelectasis is observed in the lower lobe of the right lung adjacent to the pleural effusion. Bilateral minimal pleural effusion, more prominent on the right, was observed.\n<mediastinum>: A central venous catheter inserted from the right is observed. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. The catheter terminates in the superior distal part of the vena cava. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The heart is larger than normal. The cardiac facemaker electrodes terminate at the apex of the right ventricle. Atheroma plaques are observed in the aorta and coronary arteries.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nNodular in the right lung (if present, evaluation together with the patient's previous examinations and tissue diagnosis is recommended) . Bilateral pleural effusion, lung atelectasis adjacent to the pleural effusion on the right . Mosaic attenuation pattern in both lungs . Cardiomegaly and atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1072/train_1072_a/train_1072_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A nonspecific ground-glass appearance was observed in a small area in the peripheral area of the lower lobe of the right lung. There are minimal emphysematous changes in both lungs. There are millimetric nodules in both lungs. Atelectasis was observed in the lower lobe of the left lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No mass or pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nElevation in the left hemidiaphragm.  Minimal ground glass appearance in the posterobasal segment of the lower lobe of the right lung.  Millimetric nonspecific nodules in both lungs.  Atelectasis in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1073/train_1073_a/train_1073_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a metallic density of a millimetric foreign body just under the skin adjacent to the isthmus of the thyroid gland.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the apical left lung. When examined in the lung parenchyma window; Widespread areas of parenchymal fibrosis, paracicatricial bulla formations and bronchiectatic changes were observed in the upper lobe and middle lobe of the right lung, causing structural distortion and volume loss.\n<mediastinum>: No dilatation was detected in the thoracic aorta. As far as can be observed: Mediastinal structures were observed as deviated to the right. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Postoperative suture materials were observed on the right anterior chest wall.\n<bone>: In addition, posttraumatic fragmented fracture lines in the right 1st, 2nd, 3rd, 4th and 5th ribs are noteworthy. There are postoperative changes in the right clavicle, external fixation materials and deformed appearance-fracture lines in the clavicle.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nVolume loss in the right hemithorax, diffuse parenchymal fibrosis, bulla formations and bronchiectasis, right deviation due to volume loss in mediastinal structures. Deformed appearance, fixator materials and postoperative changes in the right clavicle.  Multiple levels of fracture lines in the right ribs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1076/train_1076_a/train_1076_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Linear density increases and a honeycomb appearance are observed in the peripheral regions of both lungs. When evaluated together with the patient's clinical knowledge, it was thought that the appearance was primarily a sequelae change. In addition, there is a diffuse mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nFindings evaluated primarily in favor of sequelae changes in both lungs.  Diffuse mosaic attenuation pattern in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1078/train_1078_c/train_1078_c_1.npy"
        ]
    },
    {
        "id": "report_generation_2532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs were evaluated in the parenchyma window: Widespread parenchymal fibrosis areas, honeycomb appearances and paracicatricial bronchiectatic changes were observed in the upper lobes of both lungs. The described findings primarily suggest interstitial lung diseases.\n<pleura>: Contour irregularities and subpleural lines are noted in the pleura.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta in the upper abdominal sections that entered the examination area.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta in the upper abdominal sections that entered the examination area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1080/train_1080_a/train_1080_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Emphysematous changes are present in both lungs, and pleuroparenchymal sequelae are observed. When examined in the lung parenchyma window; a spiculated space-occupying lesion with contours measuring 31x31 in axial sections and 29 mm in craniocaudal axis is observed in the paraaortic and paramediastinal areas in the apicoposterior of the upper lobe of the left lung.\n<pleura>: In the lower lobe of the right lung, pleural thickening and irregularities are observed at the anterolateral level.\n<mediastinum>: Lymph nodes measuring up to 18x16 and 29x17 mm are observed in the mediastinum, especially in the aorticopulmonary window. In the paratracheal area, there are one or two lymph nodes with a short axis measuring up to 8 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse degenerative changes and decrease in density are observed in the bone structures in the study area.\n<abdomen>: It is partially included in the upper abdominal examination and was evaluated as suboptimal.\n\nImpression:\nSpace-occupying lesion in the paraaortic area in the apicoposterior segment of the left lung upper lobe  Multiple space-occupying lymph nodes measuring up to 29 mm in the aortokipulmonary window  Emphysematous changes in both lungs  Anterolateral pleural thickening in the lower lobe of the right lung, mosaic attenuation patterns  Diffuse in bony structures degenerative changes and decrease in density"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1101/train_1101_a/train_1101_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2572",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Emphysematous changes are observed in both lungs. When examined in the lung parenchyma window; 29x28x24 mm in size, irregularly circumscribed solid pulmonary nodule is observed in the paraaortic area in the apicoposterior segment of the left lung upper lobe. Both lungs have a mosaic lung pattern.\n<pleura>: No pericardial or pleural effusion was observed.\n<mediastinum>: The diameters of the main mediastinal vascular structures are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pathological lymphadenopathies are observed at the aortopulmonary level. The short axis of the largest of these lymphadenopathies was approximately 16 mm, and no significant difference was observed. Since the examination is unenhanced, the evaluation of solid organs, vascular structures and mediastinum is suboptimal.\n<heart>: The previous examinations of the patient were recent, and the earliest examination was about 1 month ago. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Widespread degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nStable sized mass lesion in the apicoposterior segment of the left upper lobe of the lung.  Stable pathological lymphadenopathies in the mediastinal area.  Emphysematous changes and mosaic attenuation pattern in both lungs.  No newly developed lesion was observed.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1101/train_1101_b/train_1101_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearance is consistent with pneumonic infiltration. There is minimal peribronchial thickening in both lungs. There are millimetric nonspecific nodules in both lungs. In the right lung lower lobe superior segment, consolidation with air bronchograms and centriacinar nodules and budding tree appearances are observed around it. No mass or appearance compatible with pneumonic infiltration was detected in the left lung. The described mass measures approximately 32x33 mm. An irregularly circumscribed mass with coarse calcifications is observed in the medial of the right lung lower lobe superior segment. It is recommended that the patient be evaluated together with previous examinations and further examination if indicated. There are emphysematous changes and local atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 12 mm. There are lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. Anteroposterior diameter of the aortic arch and descending aorta are normal.\n<heart>: It is understood that the patient underwent coronary by-pass surgery. The anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries. There is minimal thickening of both adrenal gland corpuscles. Anteroposterior diameter of the aortic arch and descending aorta are normal.\n\nImpression:\nMass with coarse calcifications in the lower lobe of the right lung.  Findings consistent with pneumonic infiltration in the right lung.  Diffuse emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Minimal thickening of both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1109/train_1109_a/train_1109_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In both lobes of the thyroid gland, a slight increase in size, more prominent on the right, and heterogeneity in the parenchyma are observed.\n<trachea_and_bronchie>: Thickening is observed in the peribronchial sheath, especially in the lower zones. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal.\n<lung>: Mosaic attenuation pattern is observed in places (small airway disease?, small vessel disease?). There are pleuroparenchymal sequelae changes in the inferior lingular segment. One or two nodules, the largest of which are 5x4 mm in size, are observed at the posterobasal level in the lower lobe of the right lung. In the lower zones, thickening of the interlobular septa and thickening of the peribronchial sheath towards the periphery are observed. Mild emphysema appearance is observed. An air cyst is observed in the anterior and posterior segment transition of the left lung upper lobe.\n<pleura>: There is a subpleural 3.5 mm diameter nodule at the posterobasal level of the right lung.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. The aortic arch calibration is 32 mm. CTO is normal. It is wider than normal. Millimetric calcific atheroma plaques are observed in the aortic arch and at the level of the left coronary artery. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels.\n<heart>: Millimetric calcific atheroma plaques are observed in the aortic arch and at the level of the left coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Evaluation with clinical and laboratory findings in terms of spondyloarthropathy is recommended. Significant calcification at the anterior ligament level, squaring of the vertebrae and syndesmosis are observed. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: The aortic arch calibration is 32 mm. CTO is normal. It is wider than normal. Millimetric calcific atheroma plaques are observed in the aortic arch and at the level of the left coronary artery. Sonographic examination is recommended. A wide eventration appearance is observed in the right diaphragm, and it is observed that the liver dome and hepatic flexure, mesenteric fatty planes herniate into the right hemithorax.\n\nImpression:\nEventration in the right diaphragm.  Peribronchial sheath thickenings, pleuroparenchymal sequelae changes in the lower zone.  There was no finding in favor of pneumonia.  Changes in bone structure that may be compatible with spondyloarthropathy. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1114/train_1114_a/train_1114_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1122/train_1122_a/train_1122_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; The lower lobe of the right lung is completely atelectasis. Atelectasis was also observed in the middle lobe of the right lung. Pneumonic infiltration is considered primarily in its etiology. No mass lesions were detected in both lungs. In the left upper lobe anterior of the left lung, there is a newly developed area of increase in density consistent with consolidation in which airbronchograms are also observed.\n<pleura>: Stable pleural effusion is observed on the right.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibration of mediastinal vascular structures is natural. A catheter is inserted from the right, extending from the right internal jugular vein to the left brachiocephalic vein. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: As far as can be seen; The heart contour and size are natural. Pericardial effusion was not observed. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: It is recommended to be evaluated together with clinical and laboratory findings. Cystic lesions-collections were observed in the right lobe of the liver. There is lobulation in the liver contours. In the upper abdominal sections within the image; the left lobe of the liver was observed as atrophic.\n\nImpression:\nIn the current examination, there is a newly developed area of density increase compatible with consolidation in millimetric dimensions, in which airbronchograms are also observed in the anterior upper lobe of the left lung. Pneumonic infiltration is considered primarily in its etiology. It is recommended to be evaluated together with clinical and laboratory findings.  Atrophy in the left lobe of the liver, lobulation in the liver contour, cystic lesion-collections in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1126/train_1126_b/train_1126_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is also thickening of the interlobar fissure. There is a ground glass density increase in the posterobasal segment. A nodule with a diameter of 4 mm is observed adjacent to the interlobar fissure. In the non-contrast examination, no pathologically sized and configured lymph nodes were detected at both hilar levels. In places, the view of branches with buds is observed. In the lower lobe superior segment, there is a view of branches with buds. A ground-glass nodule with a diameter of 3 mm is observed in the upper lobe posterior segment lateral. Although the appearance is considered to be compatible with the sequelae changes, mild degree bud branch appearance and ground glass density increases in this background were evaluated in favor of infiltration accompanying the sequelae changes. Consolidative density observed in air bronchograms is observed in the area extending from the upper lobe anterior segment caudal to the lingular segment.\n<pleura>: There is thickening of the pleura in the posteromedial level extending from the basal to the apex in the left lung. In the evaluation of the parenchymal window of both lungs; Pleuraparenchymal density increases are observed at the paramediastinal level in the upper lobe anterior segment in the right lung. There are pleuraparenchymal density increases in the subpleural area posteriorly, and there are also faint ground-glass-like density increases in the posterior. Consolidative densities and densities consistent with pleuraparenchymal sequelae are observed in the lower lobe laterobasal and posterobasal segments, and accompanying bud branch views are observed. At this level, a subpleural 2 mm diameter nodule is observed laterally.\n<mediastinum>: Arch aortic calibration is 32 mm. It is wider than normal. It is slightly above normal. A paramediastinal consolidative area is observed in the medial segment of the middle lobe, and there is a 5 mm diameter nodule adjacent to it. In the mediastinum, lymph nodes at the prevascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area, the largest measuring 18x8.5 mm in the aorticopulmonary window. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Pulmonary trunk calibration is natural.\n<heart>: CTO slightly increased in favor of the heart. Hypertrophy is observed in the left atrium and left ventricle. Calcific atheroma plaque is observed in the coronary arteries.\n<esophagus>: Rolling type hiatal hernia is observed in the case.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Arch aortic calibration is 32 mm. It is wider than normal. It is slightly above normal. The largest was measured as 37x36 mm in the posterior pole of the right kidney superior. In sections passing through the upper abdomen, cortical exophytic cysts are observed in both kidneys. A millimetric-sized calcific atheroma plaque is observed in the aortic arch.\n\nImpression:\nCardiomegaly. Mild prominence of mediastinal vascular structures.  Infiltrative ground glass density increments and bud branch view accompanying the consolidative area in the right lung upper lobe anterior segment in the paramediastinal area, and in the left lung lower lobe posterobasal and laterobasal segments in the consolidative area. consolidation area.  Branch view with infiltrative buds in the posterior segment of the upper lobe of the right lung and acinar subtle increases in density. Rolling type hiatal hernia. Bilateral renal cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1128/train_1128_a/train_1128_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground-glass densities and enlargement of vascular structures are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are small lymph nodes measuring up to 7 mm in more than one short axis in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Changes in favor of steatosis are observed in the liver parenchyma entering the section area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in the lung parenchyma were initially evaluated in favor of Covid-19 viral pneumonia.  Hepatosteatosis.  Small hiatal hernia.  Small lymph nodes with a short axis measuring up to 7 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1134/train_1134_a/train_1134_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; showing multilobar-multisegmenter, crazy paving pattern and vascular enlargement in both lungs; The most common nodular ground glass consolidations were observed in the left lung lower lobe superior segment, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Pleuroparenchymal fibro atelectasis sequelae changes are observed in the right lung lower lobe anterobasal and left lung lower lobe laterobasal segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; A diffuse decrease in liver parenchymal density consistent with hepatosteatosis is observed.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma, most common in the left lung lower lobe superior segment  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1137/train_1137_b/train_1137_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2700",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs, and there are smooth interlobular-interstitial septal thickness increases.\n<pleura>: Bilateral pleural effusion was observed.\n<mediastinum>: In the mediastinum, there are lymph nodes with fusiform configuration, the largest of which is approximately 18x9 mm in size at the prevascular level. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: An increase in heart size is observed. Pericardial effusion was observed. It was primarily evaluated as secondary to cardiac pathology. Calibration of vascular structures as far as can be observed is natural. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. A pacemaker is observed on the anterior left chest wall and there is a catheter extending to the right ventricular wall.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: In the upper abdomen sections within the image, no intraabdominal free fluid or loculated collection was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nIncrease in heart size  Pericardial and bilateral pleural effusion  Smooth interlobular-interstitial septal thickness increases in both lungs; evaluated as secondary to cardiac pathology."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1147/train_1147_a/train_1147_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There is atelectasis adjacent to the effusion in the lower lobe of the left lung. There is also linear atelectasis in the left lung upper lobe lingular segment.\n<pleura>: There is no pleural effusion on the right. Pleural effusion is observed on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. A nonspecific increase in density is observed in the mediastinal adipose tissue in the retrosternal region and it was evaluated in favor of postoperative change. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: There is no obvious pericardial thickening. Surgical materials are observed in the aortic and mitral valve. Atheroma plaques are observed in the aorta and coronary arteries. There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are narrowed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed. Median sternotomy is observed.\n<abdomen>: There are stones in the gallbladder about 1 cm in diameter. No upper abdominal free fluid-collection was detected in the sections. There is no enlargement of the bile ducts. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nSurgical materials in the aorta and mitral valve, minimal pericardial effusion, atherosclerotic changes in the aorta and coronary arteries . Pleural effusion in the left . Atelectasis in the left lung . Minimal emphysematous changes in both lungs . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1148/train_1148_a/train_1148_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are density increases around the lesion evaluated in favor of a sequelae change. Stable parenchymal nodules were observed in the right lung, the largest of which was 11 mm in diameter in the lower lobe superior segment, according to the previous examination.\n<pleura>: There is a stable pleural effusion according to the previous examination measuring 24 mm between the left pleural leaves.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Calibration of mediastinal and vascular structures is natural. According to the previous examination, there are lymph nodes in both axillary regions, whose stable fatty hilus can be observed.\n<heart>: Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta.\n\nImpression:\nLung ca. There was no significant change in the size and appearance of the mass observed in the left lung basal segment. Stable locally calcified pleural thickening and stable pleural effusion in the basal segments on the left.  Stable lymph nodes in the mediastinum and both axillary regions.  Stable increase in thickness in the left adrenal gland.  Stable parenchymal nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1149/train_1149_b/train_1149_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in the right lung. In the left lung lower lobe superior segment, in the paramediastinal area, there is a mass obliterating the bronchus, the borders of which cannot be characterized in this examination without contrast, and it extends to the transdiaphragmatic area and invades the spleen and descending colon. A few millimetric nodules are observed in the right lung and are stable. A few lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest in the left hilar region, and no significant difference was detected. There are areas of atelectasis and areas of frosted glass in the neighborhood of the mass. No significant difference was found between the results.\n<pleura>: In the posterior segment of the left lung upper lobe, subpleural consolidation area, and occasionally nodule-nodular consolidation areas, and atelectasis in the paramediastinal area are observed. A 2 cm thick pleural effusion is observed in the left hemithorax, and there are occasional calcifications on the pleural surface.\n<mediastinum>: A few lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest in the left hilar region, and no significant difference was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. The central venous catheter placed from the right ends at the level of the superior vena cava. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Minimal pericardial effusion is observed. There are several nodular lesions, the largest of which is 1 cm in diameter, in the pericardial fat pad.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: It was measured in 12 mm diameter and no significant difference was detected. The thickness increase of 1 cm in the left adrenal gland is stable. A few lymphadenopathies, the largest of which is 9 mm in diameter, are observed in the peripancreatic-pericolonic area and are stable. As far as can be evaluated within the limits of non-contrast CT; The lesion detected in the previous examination at the level of liver segment 6-7 can be difficult to detect in this examination. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nSmall cell lung Ca in follow-up; mass obliterating the bronchus in the lower lobe of the left lung, invading the spleen and descending colon with transdiaphragmatic extension, and an adjacent area of atelectasis, effusion accompanied by calcification on the pleural face in the left hemithorax; no significant difference was found between the findings.  Nodule-nodular consolidation and atelectasis areas in the left lung and; is stable.  Mediastinal, bilateral hilar and intra-abdominal lymph nodes; is stable.  Stable hypodense lesion in the right lobe of the liver  Stable nodular thickness increase in the left adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1149/train_1149_c/train_1149_c_1.npy"
        ]
    },
    {
        "id": "report_generation_2721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There are sequel changes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: Thoracic aorta diameter is normal. Hepatosteatosis is observed in the upper abdominal sections included in the sections.\n\nImpression:\nAeration of both lung parenchyma is normal, no nodular or infiltrative lesion is detected in the lung parenchyma, sequelae changes and hepatosteatosis are observed in the upper abdominal sections including the sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1155/train_1155_a/train_1155_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is an endotracheal tube in the trachea. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These appearances may be compatible with distal airway disease. There are centriacinar nodules in the peripheral area in the lateral part of the left lung upper lobe apicoposterior segment. There is consolidation in the peripheral area in the posterior segment of the right lung upper lobe. This appearance may belong to an atelectasis or pneumonic infiltration. In this examination, this distinction could not be made. The views described are nonspecific. In addition, minimal pleuroparenchymal sequelae changes are observed in both lung apex. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: There is no pericardial effusion. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMinimal emphysematous changes in both lungs . Consolidation-atelectasis cannot be differentiated in the posterior segment of the right lung upper lobe . Linear atelectasis in both lungs . Pleuroparenchymal sequelae changes in both lung apexes . Minimal pleural effusion on the right . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1166/train_1166_a/train_1166_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There is a decrease in liver parenchyma density consistent with moderate adiposity.\n\nImpression:\nAtelectasis in both lungs  Atherosclerotic changes in the aorta and coronary arteries  Hiatal hernia  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1176/train_1176_a/train_1176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2784",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is understood that the patient disappeared in the frosted glass areas observed around the consolidation in the previous examination. Apart from this, no infiltrative lesion was detected in both lungs. Consolidation is observed in the left lung upper lobe lingular segment. No mass was observed in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1177/train_1177_b/train_1177_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1178/train_1178_a/train_1178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2798",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion is observed in the bone structures entering the section area.\n<abdomen>: Both kidney size contour parenchyma densities are normal. Spleen contour size parenchyma density is normal. Hepatic and portal venous systems are normal. The gallbladder was not observed (operated). Anastomosis lines are observed in the rectum localization and the small intestine loops on the right. Contour, size, parenchymal density of the liver are normal. Pathological wall thickening is not observed in the intestinal loops. The anus wall of the small intestine is slightly prominent. Right paramedian postoperative defective appearance is observed in the lower abdominal quadrant. Intra and extrahepatic bile ducts are normal. Pancreas contour size parenchyma density is normal. No renal solid or cystic mass was detected. The bilateral adrenal gland appears natural. RF ablation areas are observed in the liver. In addition, there are metastases in all segments of both lobes in which no significant difference was observed in the previous MRI examination. The subcapsular lesion in the spleen, which was observed in the previous MRI examination, cannot be detected in the CT examination.\n\nImpression:\nSince the previous examination is MR, there is no significant difference in liver metastases when comparing MR and CT examinations.  Stable RFablation areas in the liver . Subcapsular cyst/lesion in the spleen described in the previous examination is not selected in the CT examination.  Anastomosis line in rectum localization and small intestine localization in the right lower quadrant . Anastomosis line, the walls of the small intestine are slightly thick and the surrounding area appears edematous.This appearance is also present in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1184/train_1184_a/train_1184_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Emphysematous changes were observed in both lungs. In addition, linear atelectasis were observed in the middle lobe and lower lobes of the right lung. Atelectasis was observed in the middle lobe and lower lobe of the right lung. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the upper lobe lingular segment and lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected. These atelectasis were thought to be due to pleural effusion and cardiomegaly. There is minimal pleural effusion on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries. The main pulmonary artery diameter was 44 mm and wider than normal. It is understood that the patient underwent aortic and mitral valve replacement. The main pulmonary artery was 40 mm in diameter and wider than normal.\n<heart>: Especially the right atrium is observed to be extremely large. As far as can be observed: The heart is larger than normal.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There is minimal intra-abdominal free fluid. No enlarged lymph nodes in pathological dimensions were observed. The diameters of the aortic arch and descending aorta are normal. There is minimal lobulation in the liver contours. There are atheromatous plaques in the aorta and coronary arteries. No intra-abdominal collection was detected in the sections. It is understood that the patient underwent aortic and mitral valve replacement. It is recommended that the patient be evaluated for liver parenchymal disease.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries.  Minimal fusiform aneurysmatic dilation of the ascending aorta.  Enlargement of pulmonary artery diameters.  Atelectasis in both lungs, more prominent on the right.  Pleural effusion on the right.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Intraabdominal minimal free fluid.  Lobulation in liver contours."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1190/train_1190_a/train_1190_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2828",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described manifestations may be due to a sequelae change or may be due to a specific infection (tuberculosis?). Occasionally, linear atelectasis was observed in both lungs. There are emphysematous changes in both lungs. Mild irregularly circumscribed nodules are observed in the apical subsegment of the upper lobe of the left lung, the largest of which measures approximately 12 mm in the longest diameter. There are also centriacinar nodules, some of which have the appearance of budding trees, around the nodules described. There are also millimetric nonspecific nodules in both lungs. Minimal structural distortion and minimal volume loss are also observed in these localizations. No mass was detected in both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameter of the descending aorta was 41 mm at its widest point and was wider than normal. There are atheromatous plaques in the aorta and coronary arteries. The aortic arch is elongated. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The diameters of the pulmonary arteries are normal.\n<heart>: There is minimal pericardial effusion. The anterior-posterior diameter of the ascending aorta was also measured 40 mm and was minimally wider than normal. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are millimetric stones in the gallbladder. The diameter of the descending aorta was 41 mm at its widest point and was wider than normal. There are atheromatous plaques in the aorta and coronary arteries. The aortic arch is elongated. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSequelae changes in the apical subsegment in the apicoposterior segment of the left lung upper lobe or findings that may be due to a specific infection  Emphysematous changes in both lungs  Millimetric nodules in both lungs  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1195/train_1195_a/train_1195_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2843",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are soft tissue appearances projected to the lumen in the trachea (Mucus impactions?).\n<lung>: There are sequelae changes accompanying appearance in both lungs. In the pandemic process, it is recommended to evaluate the case in the first place in terms of Covid pneumonia together with clinical and laboratory findings. Widespread and confluent consolidated areas are observed in both lungs. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<mediastinum>: The pulmonary trunk caliber was 29 mm, wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of other major vascular structures is natural.\n<heart>: Pericardial effusion is observed. CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nWidespread and confluent consolidated areas in both lungs and sequelae changes in both lungs.  Pericardial mild effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1200/train_1200_a/train_1200_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: It has been evaluated as compatible with covid pneumonia during the pandemic process. In both lungs, there are scattered but partly confluenced frosted glass-like density increments. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: No pleural effusion or pneumothorax was detected. Densities consistent with pleural parenchymal sequelae are occasionally observed on this floor.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. Millimetric sized lymph nodes are observed in the mediastinum.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in sections; A decrease in density consistent with steatosis is observed in the liver. Nodular density compatible with accessory spleen is observed in the spleen hilum.\n\nImpression:\nScattered but occasional confluence has formed in both lungs, and frosted glass-style density increases have been evaluated as compatible with covid pneumonia during the pandemic process.  Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1202/train_1202_a/train_1202_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland parenchyma is heterogeneous and several hypodense nodules, some of which are calcific, are observed in both lobes.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It is compatible with early stage infectious pathologies. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are areas of linear atelectasis in both lungs. There are centriacinar nodular density increases characterized by a budding tree view in the posterior segment of the left lung upper lobe. There are several millimetric nonspecific nodules in the right lung. No mass was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the anterior descending coronary artery.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are osteophytes bridging at the corners of the thoracolumbar vertebral corpus within the sections, and vacuum phenomenon secondary to degeneration in the intervertebral disc spaces in places. No lytic-destructive lesions were observed in bone structures within the sections. There are hypodense lesions in the T10, T11 and L1 vertebral bodies with a corduroy appearance compatible with hemangioma.\n<abdomen>: Within the limits of non-contrast BT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nIncreases in centriacinar nodular density in the upper lobe of the right lung are significant for early-stage infectious processes.  Linear areas of atelectasis in both lungs.  Several millimetric nonspecific nodules in the right lung.  Several hypodense nodules, some of them calcific, in both thyroid lobes.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1205/train_1205_a/train_1205_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2857",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is mild thickening of the peribronchial sheath in the lower zones at the central level. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal.\n<lung>: There is mild thickening of the peribronchial sheath in the lower zones at the central level. At the basal level in the right lung and in the middle lobe, pleuroparenchymal density increases, which are evaluated primarily in favor of sequelae, are observed. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). In the non-contrast examination, no pathologically sized and configured lymph nodes were detected at both hilar levels.\n<pleura>: In the right lung lower lobe superior segment, there is a millimetric sized calcific nodule adjacent to the fissure, and a 3 m diameter nonspecific nodule in the dorsal subpleural area of the lower lobe superior segment. A smear-like pleural effusion is observed in the right lung.\n<mediastinum>: Although lymph nodes are observed in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area in the mediastinum, their short axes do not exceed 1 cm. It is wider than normal. Nodular soft tissue appearances, which may be compatible with mucus impaction, are observed in the trachea at the level of the aortic arch. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Calibration of other mediastinal major vascular structures is normal. The aortic arch calibration is 31 mm.\n<heart>: CTO increased in favor of the heart.\n<bone>: There are degenerative changes in the bone structures in the study area.\n<abdomen>: The wall thickness is at the level of the funus and is prominent. It is wider than normal. Nodular soft tissue appearances, which may be compatible with mucus impaction, are observed in the trachea at the level of the aortic arch. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. In the sections passing through the upper abdomen, the gallbladder is observed slightly prominently. A nodular formation with a diameter of approximately 8 mm, compatible with the accessory spleen, is observed in the anterior neighborhood of the spleen. Pericholecystic mild edema is present. Sonographic evaluation is recommended. The aortic arch calibration is 31 mm.\n\nImpression:\nCardiomegaly. Mosaic attenuation pattern (small vessel disease?, small airway disease?).  Mild pleural effusion in the right lung and sequelae changes in the right middle and inferior lobe. The thickness of the gallbladder wall is at the level of the funus and is evident. Pericholecystic mild edema. Sonographic evaluation is recommended.  Degenerative changes in bone structure, slight loss of height in the anterior L12 vertebral corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1206/train_1206_a/train_1206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2859",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: In both lungs; Multifocal nodular ground glass densities and consolidation were observed in the lower lobe basal of the left lung, showing confluence with each other. Nonspecific millimetric parenchymal nodules were observed in both lungs. Although the described findings suggest Covid-19 pneumonia, other viral pneumonias are also included in the differential diagnosis. Linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: When examined in the lung parenchyma window; A pleural effusion measuring 2.6 cm in the thickest part on the right and 1 cm in the widest part on the left was observed in both hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcified atheroma plaques were observed in the splenic artery and abdominal aorta. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CVP catheter is observed on the right. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Intra-abdominal free-loculated fluid was not detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Upper abdominal organs included in the sections are normal. Diffuse calcified atheroma plaques were observed in the splenic artery and abdominal aorta.\n\nImpression:\nMultifocal nodular ground-glass densities and consolidations confluent with each other in both lungs in the left lung lower lobe basal; suggesting Covid-19 pneumonia, other viral pneumonias are also included in the differential diagnosis. It is recommended to be evaluated together with clinic and laboratory.  In the left lung inferior lingular segment and linear fibroatelectasis sequelae changes in the middle lobe of the right lung . A few nonspecific pulmonary nodules in both lungs . Bilateral pleural effusion . Diffuse calcified atheromatous plaques in the thoracic aorta and splenic artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1207/train_1207_a/train_1207_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No mass was detected in the left lung. The primary mass of the patient could not be followed up due to consolidation. In the described appearances, they may be due to metastases or to an infective pathology. Apart from the described consolidation, soft tissue lesions that may be compatible with nodule-nodular consolidations are observed in the upper lobe of the right lung. The described manifestations were primarily evaluated in favor of infective pathology (distal airway disease?). As far as can be observed: When the first examination of the patient is examined, the primary mass of the patient is observed in the lower lobe of the right lung. In this examination, consolidation with air bronchogram is observed in the central and peripheral parts of the right lung, especially in the middle lobe. This distinction was not made in this study. There are peribronchial thickenings in the left lung and aerated right lung, and centriacinar nodules in the left lung, especially in the lower lobe, in places.\n<pleura>: There is minimal pleural effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1213/train_1213_a/train_1213_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to follow the clinical and laboratory correlation of the findings in terms of the onset of an infectious process. When examined in the lung parenchyma window; Atelectasis consolidation areas with air bronchogram sign are observed in the left lung upper lobe inferior lingula and right lung upper lobe anterior.\n<mediastinum>: Millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings on the end plates. Diffuse density reduction is observed in bone structures.\n<abdomen>: The parenchyma is slightly heterogeneous. It has been evaluated for chronic parenchyma disease within the limits of the examination, and a suspicious lesion of 25 mm in size is observed in the subdiaphragmatic area in the superior right lobe, which is difficult to choose within the examination limits. Millimetric calcific atheroma plaques are observed in the aortic arch and coronary arteries. Clinical correlation and contrast-enhanced upper abdomen CT is recommended for better differential diagnosis. In the upper abdominal organs included in the sections, the contours of the liver parenchyma are irregular. There is caudate lobe hypertrophy.\n\nImpression:\nAtelectasis consolidation areas with air bronchogram sign are observed in the inferior lingula on the left side of both lungs in the upper lobe anterior. Due to the current pandemic, clinical and laboratory correlation and close follow-up are recommended for a suspected infectious process.  Chronic parenchymal disease in the liver.  In the subdiaphragmatic area of the liver right lobe superior, a suspicious lesion of 25 mm in size, which is difficult to choose within the limits of the examination, is observed. For better differential diagnosis, clinical correlation and contrast-enhanced upper abdomen CT or MRI are recommended.  Atherosclerosis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1217/train_1217_a/train_1217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. Volume loss, structural distortion and calcific nodule were observed in the anterior part of the left upper lobe of the lung. The described appearance was first evaluated in favor of sequelae change. Atelectasis is observed in the middle lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. There are several millimetric non-specific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in both axilla and retropectoral regions. There are calcific lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph node was detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<breast>: No mass with discernible borders was detected in the mastectomy site and in the right breast. The left breast was not observed.\n<bone>: No fracture lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nOperated breast ca.  Emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes in the left lung.  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1219/train_1219_a/train_1219_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1224/train_1224_a/train_1224_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2900",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is prominent in the right lobe and the parenchyma is heterogeneous in both lobes.\n<lung>: Consolidative parenchyma areas are present in both lungs basal. Again, a 2 mm sized nodule is observed and was also detected in PET-CT. There are 1-2 nodules with a diameter of 2 mm at the apical level in the left lung. When examined in the lung parenchyma window; A nodule with a diameter of approximately 2 mm is observed in the anterior segment of the right lung upper lobe. No pathological size and configuration of lymph nodes were detected at both hilar levels. There are several nodules, the largest of which is 2 mm in size, superposed to the minor fissure. Sequelae changes are observed in the middle lobe. 1-2 nodules, the largest of which is 3 mm in diameter, are observed in the superior segment of the lower lobe.\n<pleura>: A subpleural nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung.\n<mediastinum>: Pulmonary trunk calibration is at the maximal physiological limit. In the mediastinum, lymphadenomegaly is observed in almost all areas, the largest at the right lower paratracheal level and approximately 17x17 mm in size. Calibration of the aortic arch and other mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Pathological lymph nodes, the largest of which is 25x20 mm in size, are observed in the left axillary lodge.\n<bone>: In addition, there is a fracture in the sternum at the level of the image. In the case with RCC anamnesis, it was initially evaluated as compatible with metastasis. At the level of the D6 vertebra, metastasis is observed, involving the facet joints and spinous process on the left, and spreading in the surrounding soft tissue planes. There are lesions compatible with diffuse metastasis at the vertebral corpus levels, more prominent at the cervicodorsal level. Pathological fracture is observed in the D4 vertebra, which causes a height loss of approximately 75%. Soft tissue appearance compatible with invasion is also observed in soft tissue planes in the paravertebral area at the level of D4 vertebra. At the level of the left humerus, which is in the examination area, a mass lesion that partially enters the image, irregularity in the cortex, and destructive changes are observed.\n<abdomen>: Calibration of the aortic arch and other mediastinal major vascular structures is natural. The right kidney is observed as atrophic and there is hypodensity in the middle part that may be compatible with a pararenal cyst. It was not detected in the previous review. It was not observed in the left kidney lodge. The right adrenal is full. In the upper abdominal sections included in the image, the gallbladder was not observed in the lodge. Operative densities were detected.\n\nImpression:\nThe appearance is atypical for Covid pneumonia.  Millimetric multiple nodules are observed in both lungs, the largest of which is in the left lung laterobasal segment and 4 mm in diameter. When evaluated under these conditions, it is thought that some of the nodules are newly developed.  Diffuse metastasis in the bone structure . Pathological fracture appearances in the D4 vertebra, in the area partially entering the image at the level of the left humerus, spread to the surrounding soft tissue planes . Pathological lymph nodes in the mediastinum and left axillary level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1226/train_1226_a/train_1226_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2916",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are minimal emphysematous changes in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. A few millimetric nodules measuring 3 mm in diameter were observed in both lungs, the largest of which was in the middle lobe of the right lung. Thin-walled air cysts measuring 14x10 mm in size were observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.\n<pleura>: Bilateral minimal pleural effusion was observed.\n<mediastinum>: Calibration of other mediastinal vascular structures is natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. It measures approximately 20 mm in size at its deepest point. The pulmonary trunk caliber was measured at approximately 30 mm and was wider than normal. There are calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures, and pericardial effusion is observed.\n<heart>: An increase in heart size was observed.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image, and there are degenerative changes.\n<abdomen>: It measures approximately 20 mm in size at its deepest point. There are calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures, and pericardial effusion is observed. First of all, it was evaluated in favor of adenoma. In the upper abdominal sections within the image, low-density, increased thickness of approximately 24x11 mm on the left and approximately 20x10 mm on the right is observed in both adrenal gland corpuscles. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance.\n\nImpression:\nIncreased heart size, increased pulmonary trunk calibration, thoracic aorta, calcified atheroma plaques on the wall of coronary vascular structures.  Pericardial, bilateral minimal pleural effusion.  Emphysematous changes in both lungs, sequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment, thin-walled air cysts with smooth borders in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment.  Minimal emphysematous changes in both lungs.  Low-density nodular thickness increases in both adrenal gland corpuscles in the upper abdominal sections within the image; firstly, it was evaluated in favor of adenoma.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1230/train_1230_a/train_1230_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A millimetrically sized hypodense nodule was observed in the left thyroid lobe.\n<lung>: Pneumonic infiltration or consolidation area is not observed in the lung parenchyma. A millimetric nodular lesion in the superior segment of the left lung lower lobe is stable. An increase in parenchymal density and uniform septal thickenings consistent with parenchymal fibrosis are observed in both lung lower lobe basal segments. Traction bronchiectasis is observed with increases in pleuroparenchymal fibrotic density in the right lung lower lobe superior segment.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart sizes and compartments are natural. Calcified atheroma plaques are observed in the coronary arteries.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesion that can be distinguished by CT was detected in the bone structures. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. A fracture line is observed in the right ribs.\n<abdomen>: In the case with a history of chemotherapy due to hepatocellular carcinoma, the findings may be related to drug toxicity. It would be appropriate to correlate it with his clinic. In the upper abdominal sections, there are numerous mass lesions in the liver parenchyma.\n\nImpression:\nFibrotic pleuroparenchymal changes, traction bronchiectasis in the superior segment of the lower lobe of the right lung. Parenchymal fibrosis findings, traction bronchiectasis and smooth septal thickenings in the lower lobe of both lungs, lingula inferior segment of the left lung upper lobe. In the patient who had a history of treatment for hepatocellular carcinoma, the findings were thought to be related to drug toxicity. Early viral-interstitial pneumonias may be included in the differential diagnosis. However, the expected progression in the presence of infection in the 20-day interval was not detected. For this reason, it was considered primarily in favor of drug toxicity.  Millimetric nodular lesion in the superior segment of the left lung lower lobe is stable. Masses in the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1241/train_1241_a/train_1241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was found in the trachea and both main bronchi.\n<lung>: When evaluated with previous examinations, it was evaluated in terms of a new infectious process accompanied by sequelae changes, and clinical laboratory correlation and close follow-up are recommended for the differential diagnosis of viral pneumonia due to the current pandemic.\n<pleura>: Pleural or pericardial effusion is not observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures are normal. Multiple atheroma plaques are observed in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar region.\n<heart>: The heart is slightly larger than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is left-facing scoliosis in the dorsal vertebrae. There was no lytic-destructive lesion with diffuse density reduction in the bone structures within the sections. Right 8. Sclerotic changes are observed in the costal cortices.\n<abdomen>: Multiple massive lesions are observed in the liver. Millimetric lymph nodes are observed in the upper abdomen. Multiple atheroma plaques are observed in the aorta and coronary arteries. There is calcification and cortical cyst in the left kidney. Upper abdominal organs are partially included in the study, and there is a small to moderate amount of free fluid in the perihepatic and perisplenic areas. does not differ significantly. Spleen size increased. Mesenteric fatty tissues have a dirty appearance.\n\nImpression:\nFree fluid in the perihepatic and perisplenic area that does not show significant difference in small-moderate amount . Evaluated with previous examinations, sequela changes accompanied by a new infectious process and it is recommended for clinical laboratory correlation and close follow-up, differential diagnosis of viral pneumonia due to the current pandemic.  Splenomegaly . There is left-facing scoliosis in the dorsal vertebrae . There is left nephrolithiasis and left cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1241/train_1241_b/train_1241_b_1.npy"
        ]
    },
    {
        "id": "report_generation_2966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. At the hilar level, the bronchial walls are slightly thicker than normal. At the level of the mediastinal inlet, there is a thickening of the esophagus wall with the largest diameter reaching 14 mm, and there is effacement in the fat tissues between the esophagus wall and the trachea and between the right thyroid lobe.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; There are subpleural sequela fibrotic changes in the lower lobe of the right lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. At the level of the mediastinal inlet, there is a thickening of the esophagus wall with the largest diameter reaching 14 mm, and there is effacement in the fat tissues between the esophagus wall and the trachea and between the right thyroid lobe. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Degenerative changes are observed in the vertebrae. Bone structures in the study area are natural.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A gastrostomy cannula is available. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMalignant mucosal thickening at the mediastinal entry level in the upper-middle part of the esophagus, possible trachea-prevertebral fascia invasion. Erasing between the mass and the right lobe of the thyroid gland.  Hiatal hernia  Gastrostomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1248/train_1248_a/train_1248_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Examination is suboptimal because of motion artifacts.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Mucus materials are observed in the lumen of the trachea and right main bronchus.\n<lung>: There are subsegmental atelectasis in the anterior upper lobe of the right lung, middle lobe, lingula of the left lung upper lobe and bilateral lower lobes of the lung. There is focal consolidation in the middle lobe of the right lung. There is one calcified nodule in the lower lobe of the right lung. Right hilar calcified lymph nodes are present. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in the right lung upper lobe apicoposterior segment. Clinical evaluation and radiological follow-up are recommended). The right hemidiaphragm is slightly elevated.\n<pleura>: There are bronchial wall thickenings in the bilateral lower lobes of the lung, bronchi filled with secretions in places, and focal consolidations located in the subpleural (infection?. Pleural effusion-thickening was not detected.\n<mediastinum>: There are multiple lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, the largest 10x6 mm in size. The diameter of the ascending aorta is 45.5 mm, the diameter of the descending aorta is 31 mm, and it has an aneurysmatic appearance. There are wall calcifications in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly). There are wall calcifications in the aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Left-facing scoliosis is present. The bone structure in the examination area has a porotic appearance and there are widespread degenerative changes.\n<abdomen>: The diameter of the ascending aorta is 45.5 mm, the diameter of the descending aorta is 31 mm, and it has an aneurysmatic appearance. There are several nodular hypodense lesions (cyst?) in both kidneys, the largest of which is 33 mm in diameter, with a cortical exophytic location. Right adrenal gland corpus and left adrenal gland are seen in diffusely thick appearance. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nThyroid gland in the right lobe, 15 mm in diameter, calcified heterogeneous hypodense nodule, in the right lower lobe, 12 mm in diameter, hyperdense nodule. Right hemidiaphragm slightly elevated.  Mucus materials in the lumen of the trachea and right main bronchus. Wall calcifications in the aorta and coronary arteries, ascending aorta diameter of 45.5 mm, descending aorta diameter of 31 mm, aneurysmatic appearance, cardiothoracic index increased in favor of the heart (cardiomegaly).  Multiple lymph nodes, upper, lower paratracheal, aortopulmonary, subcarinal, the largest 10x6 mm in size. Right hilar calcified lymph nodes.  Right lung upper lobe in the apicoposterior segment, pleuroparenchymal sequelae densities. Subsegmental atelectasis in the right lung upper lobe anterior, middle lobe, left lung upper lobe lingula and bilateral lung lower lobes. Bilateral bronchial wall thickening in the lower lobes of the lung, bronchi filled with secretions, and focal consolidations located in the subpleural (infection?. Clinical evaluation and radiological follow-up is recommended).  Focal consolidation in the middle lobe of the right lung.  One calcified nodule in the lower lobe of the right lung. Nodular hypodense lesion (cyst?), 12 mm in diameter, in the posterior inferior of the liver right lobe.  Right adrenal gland corpus and left adrenal gland, diffusely thick, several nodular hypodense lesions (cysts?), the largest 33 mm in diameter in both kidneys, with cortical exophytic location.  The bone structure in the examination area is porotic and diffuse degenerative changes present, left-facing scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1250/train_1250_a/train_1250_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a millimetric calcific nodule in the right lung middle lobe and a 4 mm noncalcific nodule in the left lower lobe laterobasal. Fibrotic densities are observed in the lung parenchyma adjacent to the osteophyte. No pneumonic infiltration was detected. When examined in the lung parenchyma window; There are fibrotic bands with minimal sequelae in the lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific plaques were observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There is a pacemaker placed on the anterior chest wall on the right.\n<bone>: There are osteophytes in the vertebrae. No lytic-destructive lesions were detected in bone structures. Sternotomy is observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Calcific plaques were observed in the aorta and coronary arteries. It is seen that the small intestine loops entering the section area are displaced towards the prehepatic area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Minimal adipose tissue herniation is observed in the midline in the subxiphoid area.\n\nImpression:\nAortic and coronary artery atherosclerosis, sternotomy and pacemaker.  Sequelae changes in the lung, nonspecific nodules.  Subxiphoid hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1257/train_1257_a/train_1257_a_1.npy"
        ]
    },
    {
        "id": "report_generation_2996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheal secretions are observed at the tip of the tracheostomy tube. Tracheostomy tube is available.\n<lung>: There is an area of subsegmental atelectasis in the superior segment of the left lung lower lobe. Significant increase in emphysematous aeration and parenchymal fibrosis findings are observed in the parenchyma of both lungs. Parenchymal fibrosis findings are more prominent in the right lung. Mild fissure edema is observed in the left major fissure.\n<pleura>: There is a pleural effusion reaching 2 cm in diameter between the leaves of the left pleura. There is a pleural effusion extending from the apex to the costophrenic sinus between the right pleural leaves and reaching a diameter of 11 cm in the costophrenic sinus at its widest part. Right lung lower lobe superior segment aeration decreased due to pleural effusion.\n<mediastinum>: There is mural thrombus reaching 10 mm in this localization. Aneurysmatic diameter increase in the thoracic aorta causes anterior protrusion in middle and lower lobe bronchi and marked narrowing in lumen calibrations. Starting from the distal part of the aortic arch, stent material was placed in the thoracic aorta. Its dimensions are stable. Aneurysmatic diameter increase in the middle part of the thoracic aorta decreases the volume of the right lung basal segment and causes atelectasis. The diameter of the thoracic aorta at its widest point in the middle part was measured as 15 cm. Fusiform aneurysmatic dilatation is observed in the thoracic aorta.\n<heart>: Heart sizes are natural.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There is mural thrombus reaching 10 mm in this localization. Aneurysmatic diameter increase in the thoracic aorta causes anterior protrusion in middle and lower lobe bronchi and marked narrowing in lumen calibrations. In the upper abdomen sections entering the image area; There is a 4.5 cm diameter cortical cyst in the right kidney. Starting from the distal part of the aortic arch, stent material was placed in the thoracic aorta. Its dimensions are stable. Aneurysmatic diameter increase in the middle part of the thoracic aorta decreases the volume of the right lung basal segment and causes atelectasis. The diameter of the thoracic aorta at its widest point in the middle part was measured as 15 cm. Fusiform aneurysmatic dilatation is observed in the thoracic aorta.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta and mural thrombus in the middle section that causes significant increase in diameter are observed. Stent material was placed in the thoracic aorta.  Significant parenchymal fibrosis and emphysematous changes on the right in both lungs . Right lung aeration is decreased due to mural thrombus in the thoracic aorta and pleural effusion. Mural thrombus in the thoracic aorta constricts the right lung middle and lower lobe bronchus calibrations and pushes them anteriorly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1261/train_1261_c/train_1261_c_1.npy"
        ]
    },
    {
        "id": "report_generation_3004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are appearances of minimal subsegmental atelectasis in the upper lobe. Linear subsegmental atelectasis is observed in the lower lobe of the lung that is not atelectasis. The lower lobe of the right lung is mostly atelectasis. Motion artifacts are observed in the lower lobe of the left lung, and no obvious lesion is detected in the parenchyma.\n<pleura>: Massive pleural effusion measuring approximately 13 cm in the thickest part of the right hemithorax is observed.\n<mediastinum>: Calcific plaques are present in the aortic arch. No pathological LAP was detected in the mediastinum. Right upper, bilateral lower paratracheal aortopulmonary lymph nodes with millimetric size are observed.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Millimetric calculi are observed in the gallbladder. Calcific plaques are present in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\n-Right massive pleural effusion is newly developed according to the previous examination. The area within the effusion that may contain dense content or less likely bleeding has just emerged. Major atelectasis in the lower lobe of the right lung -cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1263/train_1263_a/train_1263_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Mild mosaic pattern attenuations are observed in the lower lobes of both lungs. When examined in the lung parenchyma window; There are space-occupying nodular lesions in both lungs, the largest of which is observed in the anterior part of the left lung upper lobe, and its size was measured up to 12x13 mm in the current study.\n<mediastinum>: There is a venous catheter in the superior vena cava. Mediastinal main vascular structures are normal. There are a few small lymph nodes in the mediastinum with a short axis measuring up to 6 mm, which was also observed in previous studies.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is diffuse density reduction in bone structures. Hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles.\n<abdomen>: There is an appearance compatible with herniation containing intestinal loops in the anterior abdominal wall. The upper abdominal organs are partially included in the study, and significant ectasia is observed in the pelvicalyceal structures of both kidneys. The gallbladder is operated.\n\nImpression:\nMultiple metastatic lesions in the lung parenchyma. In the left lung lower lobe superior segment adjacent to the fissure, in series 2 image 167, they are partially observed in the previous upper abdomen CT and show dimensional progression. No significant dimensional or numerical difference was detected in the mass lesions in the other described lung.  Small lymph nodes in the mediastinum; does not differ significantly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1266/train_1266_a/train_1266_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are several nonspecific nodules in both lungs, the largest of which is 4 mm in diameter. When examined in the lung parenchyma window; In both lung parenchyma, more prominent in the lower lobes, peribronchovascular structures become prominent, peribronchial reticular density increases and reticulonodular density increases towards the right lower lobe laterobasal are observed.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Focal height losses are observed in the thoracic vertebral corpuscles. Bone structures, especially vertebral densities, are heterogeneous and decreased.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Prominence of peribronchovascular structures in both lungs and increases in reticulonodular density, most prominently in the right lower lobe laterobasal (bronchopneumonia? Bronchitis?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1275/train_1275_a/train_1275_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. Accessory spleen with 22 mm diameter was observed at the splenic hilus level.\n\nImpression:\n· Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1282/train_1282_a/train_1282_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Minimal passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung lingular segment. As far as can be seen; The right hemidiaphragm is slightly elevated. When examined in the lung parenchyma window; One nodule with a diameter of 3 mm on the major fissure in the superior segment of the lower lobe of the right lung and less than 5 mm in diameter in the anterior segment of the upper lobe of the right lung and the apicoposterior segment of the left lung upper lobe was observed.\n<pleura>: Pleural effusion-thickening was not observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse thickening is observed in the medial crus of the left adrenal gland. As far as can be observed in the non-contrast examination; liver, gall bladder, spleen, pancreas, right adrenal gland are normal.\n\nImpression:\nElevated appearance in the right hemidiaphragm . Stable nonspecific pulmonary nodules in both lungs . Mild passive atelectatic changes in the right lung middle lobe and left lung inferior medial segment . Stable diffuse thickening of the left adrenal gland medial crus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1285/train_1285_b/train_1285_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. Since the patient is not breathing properly during the examination, the lung parenchyma cannot be optimally evaluated in terms of focal lesion. However, no mass or infiltrative lesion was detected in both lungs as far as can be observed.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheroma plaques in the left coronary artery. As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Periosteal reaction was not observed. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nMillimetric nodules in both lungs . Atheroma plaques in the left coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1288/train_1288_a/train_1288_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the lung parenchyma, bilateral asymmetric diffuse pneumonic infiltration areas in the form of ground glass density in the upper lobes and nodular consolidation areas towards the lower lobes are observed. Radiological findings are consistent with lung parenchymal involvement of Covid infection.\n<mediastinum>: Mediastinal lymph nodes located in the right upper paratracheal and bilateral lower paratracheal lymph nodes are observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nDiffuse pneumonic infiltration areas in both lungs, mediastinal reactive lymph nodes. Radiological findings are consistent with lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1296/train_1296_a/train_1296_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3089",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline, both main bronchi are open.\n<lung>: The largest of these nodules is observed in the posterior segment of the left lung lower lobe and its diameter was measured as 11 mm. The size of the described pulmonary nodule increased when the patient (dimensions 17x12 mm in the previous examination) was evaluated together with the previous examination. Apart from this, there are several pulmonary nodules in both lungs that were not observed in the previous examination of the patient.\n<pleura>: When examined in the lung parenchyma window; A pleural-based 27x22 mm pulmonary nodule with irregular borders is observed in the posterior segment of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Evaluation of mediastinal vascular structures and solid organs is suboptimal due to the lack of contrast of the examination. Calcific atheroma plaques are observed in the aorta and coronary arteries. Lymph nodes are observed in the mediastinal area, in the upper-lower paratracheal region, in the subcarinal area, at the aortopulmonary level and in both axillae. The largest of these lymph nodes is observed in the pretracheal area, in front of the right lung bronchus, and its short axis is measured as 11 mm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A sclerotic appearance is observed in the inferior end plates of T10-T11 vertebrae in lower thoracic vertebrae. This appearance was also present in the previous examination of the patient, and no difference was detected.\n<abdomen>: The upper abdominal organs included in the examination have a natural appearance. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. The gallbladder was not observed.\n\nImpression:\nThe size of the pulmonary nodule located in the posterior segment of the lower lobe of the right lung has increased significantly.  New pulmonary nodules that were not detected in the previous examination of the patient are observed in both lungs.  Further examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1297/train_1297_a/train_1297_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation and ground-glass appearances are observed in the lower lobes of both lungs. The described appearances were evaluated in favor of pneumonic infiltration. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1298/train_1298_a/train_1298_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Some calcific millimetric nodules are observed in both lungs. Passive atelectatic changes were observed in the right lung middle lobe paramediastinal area. Both lungs are emphysematous. An increase in thickness is observed superiorly in the major fissure on the right, and the increase in thickness continues up to the hilar region.\n<mediastinum>: The diameter of the pulmonary trunk was 38 mm and was wider than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and its visceral branches. Calcific plaque formations are observed in the thoracic aorta, supraaortic branches and coronary artery walls. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, larger than normal.\n<heart>: Pericardial effusion-thickening is not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. Thoracic kyphosis has increased and right-weighted syndesmophytes are observed in the thoracic vertebral column.\n<abdomen>: As far as can be observed in the sections, multiple cysts with a diameter of 5.5 cm, some of which are hemorrhagic in nature, are observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed in the abdominal aorta and its visceral branches. Calcific plaque formations are observed in the thoracic aorta, supraaortic branches and coronary artery walls. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, larger than normal.\n\nImpression:\nBilateral gynecomastia . Thoracic fusiform aneurysmatic dilatation, increase in the diameter of the pulmonary conch, calcific plaque formations in the thoracic aorta, its supraaortic branches and coronary artery walls . Sliding type hiatal hernia . Some calcific millimetric nodules in both lungs . More prominent in both lungs, especially in the right lung middle lobe Sequelae changes, including .Emphysematous appearance in both lungs. Cortical cysts in both kidneys, some of which are hemorrhagic in nature"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1303/train_1303_b/train_1303_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3112",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass, nodule-infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Dependent density increases are observed in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not observed in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart. The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No obvious pathology was detected in non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDependent increases in density in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1305/train_1305_a/train_1305_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are paraseptal emphysema appearances and millimetric air cysts in both lungs. Nodular consolidations in the peribronchovascular distribution in the superior segment of the left lung lower lobe and diffuse ground-glass appearance were observed around it. Several millimetric satellite lesions were observed in the same lobe. There are millimetric non-specific nodules in the bilateral lung. pneumonia? Laboratory evaluation for the specific agent is recommended.\n<pleura>: In the evaluation of both lung parenchyma; In the apical segment of the upper lobe of the right lung, a peripherally located mass of 45 x 31 x 33 mm, with spiculated edges, and causing pleural retraction was observed. Minimal pleural effusion was detected on the left.\n<mediastinum>: Paratracheal, prevascular, aorticopulmonary multiple lymph nodes with a short diameter of 1 cm were observed in the mediastinum. There are metallic clips in the mediastinum (operated bypass).\n<heart>: Calcific atheroma plaques were observed in the main vascular structures. There is global enlargement of the cardiac cavities.\n<esophagus>: Esophagus is within normal limits.\n<breast>: Bilateral nodular gynecomastia was observed.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMass in the right lung? Satellite lesions Mediastinal lymph nodes Pneumonia on the left? Parapneumonic effusion? Cardiomegaly, Atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1329/train_1329_a/train_1329_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Some of these pulmonary nodules are new, and some of them have a significant increase in size. Subsegmental atelectasis was observed in the lower lobes of both lungs. The lesion described in the previous examination of the patient was the largest in size (40x34 mm) and increased. Apart from this, multiple pulmonary nodules are observed especially in the right lung. Apart from this, centrally located ground glass density is observed in the right lung lower lobe superior segment. A tree-in-bud type pneumonic infiltration area is observed in the right lung lower lobe mediobasal segment.\n<pleura>: When examined in the lung parenchyma window; In the apical segment of the upper lobe of the right lung, a mass consolidation area with spiculated contours, irregular borders and pleural recessions, with the largest dimensions of 48x38 mm in the axial plane, is observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. A large number of prevascular, pre-paratracheal, subcarinal bilateral hilar lymph nodes are observed, the largest of which is in the pretrechela area at the carina level, with a 14 mm diameter fatty hilus partially selected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Evaluation of renal vascular structures on the left is suboptimal because the examination is unenhanced.\n\nImpression:\nNewly developed pulmonary nodules in the right lung.  Focal ground-glass density in the superior segment of the lower lobe of the right lung and appearances compatible with tree-in-bud type pneumonic infiltration in the right lung mediobasal segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1329/train_1329_b/train_1329_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are several calcified nodules in the lower lobe of the left lung. There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. Areas of ground-glass density with subleural localization were observed in the lower lobes of both lungs, and air trapping areas were observed in the lower lobe of the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. There are left hilar, subcarinal, paraesophageal calcified lymph nodes. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHypodense nodule in the right lobe of the thyroid gland. Left hilar, subcarinal, paraesophageal calcified lymph nodes.  A few calcified nodules in the lower lobe of the left lung. Subsegmental atelectasis in the middle lobe of the right lung, the lingula of the left lung upper lobe and bilateral lower lobes of the lung.  Areas of ground glass density with subleural localization in the lower lobes of both lungs, air trapping areas in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1332/train_1332_a/train_1332_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3190",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Old fractures are observed in the upper ribs of both lungs. In the evaluation of both lung parenchyma; Centriacinar emphysematous areas are observed in the right lung. Mosaic attenuation is present in both lungs (small airway disease? small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Abdominal aorta AP diameter is 3.5 cm and wider than normal. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the descending aorta, coronary arteries, walls of the ascending and abdominal aorta. The diameter of the descending aorta is 7x6 cm and it is wider than normal and has tortuous appearance. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the descending aorta, coronary arteries, walls of the ascending and abdominal aorta.\n<bone>: Bone structures are osteopenic. Sutures secondary to bypass surgery are observed in the sternum.\n<abdomen>: In the sections passing through the upper part of the abdomen, there is dense sludge in the gallbladder. Abdominal aorta AP diameter is 3.5 cm and wider than normal. Ectasia or hypodensity, which may belong to a parapelvic cyst, is observed in the renal pelvis. Bilateral adrenal glands appear natural. Calcific plaques are observed in the descending aorta, coronary arteries, walls of the ascending and abdominal aorta. Several calculi, the largest of which are 2 cm in diameter, are observed in the left renal pelvis. The diameter of the descending aorta is 7x6 cm and it is wider than normal and has tortuous appearance. The left kidney parenchyma, which partially entered the study area, was thinned in places. Apart from this, there is a cortical cyst, the largest of which is 17 mm in diameter.\n\nImpression:\nMosaic attenuation in both lungs (small airway disease? small vessel disease?).  Ectasia in descending and abdomial aorta. Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1337/train_1337_a/train_1337_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass infiltration was detected in both lung parenchyma. When examined in the lung parenchyma window; There are linear pleuroparenchymal sequelae density increases in the paramediastinal area in the left lung upper lobe anterior.\n<mediastinum>: No dilatation was detected in the thoracic aorta. There is a slight deviation to the left in the anterior mediastinum and an increase in density, which is evaluated primarily in favor of post-operative change, in fatty planes at this level. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the case with a history of gunshot injury, changes with old fracture sequelae were observed in the left clavicle shaft. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPost-traumatic changes at the costovertebral junction level in the left parasternal area in the case with a history of gunshot injury, heterogeneity in fatty planes due to post-traumatic – post-operative changes in the anterior mediastinum, sequelae changes in the left lung upper lobe.  Changes with old fracture sequelae in the left clavicle."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1361/train_1361_a/train_1361_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are a few millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1367/train_1367_a/train_1367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are increased inerseptal thickness and sequela fibrotic densities in the lungs. It was evaluated in favor of interstitial lung disease. In addition, nodular septal thickness increases are observed in the right lung adjacent to the mass, which may be compatible with lymphangitic carcinomatosis. In addition, a large number of lymph nodes with round borders are observed in both lung hilum, the largest of which is in the right lung hilum. There are pulmonary nodules evaluated in favor of multiple metastases in both lung parenchyma. There are bronchiectatic changes in the bilateral lungs. Compatible with pulmonary fibrosis. Emphysematous changes are observed in both lungs. In the patient who was followed up due to pulmonary Ca; In the right lung, a mass lesion of soft tissue density measuring 53x35 mm is observed in the widest dimensions, the borders of which can not be clearly distinguished in the surrounding structures, with an irregular border that encircles and obliterates the right main bronchus.\n<pleura>: Local thickness increases are observed in both lung pleura.\n<mediastinum>: Lymphadenopathy with a short axis of approximately 1 cm is present in the upper paratracheal region. In addition, a mass lesion is observed in the lower mediastinum, the continuation of the primary mass in the posterior esophagus, or a soft tissue density that cannot be differentiated from lymphadenoapti. Evaluation of mediastinal vascular structures is suboptimal because the study is non-contracted.\n<esophagus>: In addition, a mass lesion is observed in the lower mediastinum, the continuation of the primary mass in the posterior esophagus, or a soft tissue density that cannot be differentiated from lymphadenoapti.\n<bone>: No fracture or sclerotic lesion was detected in the bone structures in the study area.\n<abdomen>: A mass is observed in the right adrenal gland included in the examination. It was evaluated in favor of metastasis. There are several lymph nodes in the paraaortic area.\n\nImpression:\nPulmonary Ca patient in follow-up  Pulmonary fibrosis findings evaluated in favor of interstitial lung disease  Mass lesion showing irregularly circumscribed spicule extensions in the right lung hilum that almost completely obliterates the right main bronchus  Pathological lymphadenopathies evaluated in favor of mediastinal metastases  Pulmonary nodules consistent with metastasis in both lungs, lymphangitic carcinomatosis  Mass in the right adrenal gland that may be compatible with metastasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1369/train_1369_a/train_1369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3291",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There is accompanying bronchiectasis at this level.\n<lung>: Minimal thickening is observed in the upper part of the major fissure on the right. When examined in the lung parenchyma window; Linear atelectasis and 4 mm-sized millimetric nodules were observed in the middle lobe of the right lung. Apart from this, there are a few millimetric nonspecific nodules in the right lung.\n<mediastinum>: On the right, there is a catheter inserted into the superior vein cava. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCoronary atherosclerosis  Minimal band atelectasis accompanied by bronchiectasis, sequela fibrotic changes in the right lung middle lobe medial  Millimetric nonspecific nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1378/train_1378_a/train_1378_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3311",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass nodule infiltration was detected in both lungs.\n<pleura>: Bilateral minimal pleural effusion and passive atelectasis in adjacent lung areas were observed.\n<mediastinum>: There are calcific atheromatous plaques in the anavascular structures. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Paraaortic, paracaval soft tissue densities, free air densities and metallic sutures were considered as secondary changes in a limited number of sections.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: There are calcific atheromatous plaques in the anavascular structures. Median incision line and metallic sutures were observed on the anterior abdominal wall. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Paraaortic, paracaval soft tissue densities, free air densities and metallic sutures were considered as secondary changes in a limited number of sections. Grade 1-2 ureteropelvic dilatation was observed in the right collecting system entering the section area. Pneumoperitoneum was observed in the anterior neighborhood of the liver.\n\nImpression:\nBilateral minimal pleural effusion and passive atelectasis in adjacent lung areas Pneumoperitoneum in the anterior neighborhood of the liver Grade 1-2 ureteropelvic dilatation in the right collecting system Atherosclerosis Median incision line and metallic sutures in the anterior abdominal wall, paraaortic, paracaval operation secondary changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1383/train_1383_a/train_1383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was observed in the lumen.\n<lung>: Diffuse patchy ground glass densities were observed in both lungs. Density increases were observed in the right lung upper lobe posterior, lower lobe superior and basal segments, and in the left lung upper lobe apicoposterior segment, consistent with consolidation in which air bronchograms were observed. Areas of nodular consolidation in the left upper lobe upper lobe apicoposterior segment and lingular segment, and patchy ground-glass densities in both lungs have only recently emerged in the current review. When examined in the lung parenchyma window; right lung volume was markedly decreased. Focal nodular consolidation areas were also observed in the left lung lingular segment. In the etiology of the described findings, primarily infectious pathologies were considered. Findings may be consistent with viral pneumonias superimposed on previous infection.\n<pleura>: Right 8-9. A drainage tube extending from the intercostal space to the pleural space was observed. Free air images were observed between the fascia and muscle planes in the right pleural space and right lateral chest wall. A bilateral smear-like pleural effusion was observed.\n<mediastinum>: In mediastinal lymph node stations, no lymph node is observed in pathological size and appearance. Thoracic aorta diameter is normal. On the right, the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior vena cava-right atrium junction are observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Effusion reaching 14 mm was observed in the pericardial space (5.1 mm in the previous examination).\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion is observed in the bone structures within the image, and the vertebral corpus heights are normal.\n<abdomen>: No free fluid, loculated collection, or solid mass were observed in the sections passing through the upper abdomen within the image. Thoracic aorta diameter is normal.\n\nImpression:\nNewly developed pneumothorax on the right, significant decrease in right lung volume, stable consolidation areas in the right lung and newly appeared progressive nodular condolidations in the left lung . In the current examination in both lungs newly emerged focal patchy ground-glass densities (may be consistent with viral infections superimposed on previous infection. Correlation with clinical and laboratory is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1396/train_1396_b/train_1396_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the main bronchi is natural. When examined in the lung parenchyma window; tracheal calibration is natural.\n<lung>: The described findings may be compatible with pneumonic infiltration or may be compatible with cop (boop). There are also mild, ground-glass-like dacite increments around the defined lesions. There is also mild regression in these areas. In both hilar levels, no lymph node was detected in the pathological appearance as far as distinguishable in non-contrast examination.\n<pleura>: In the right lung, at the level of the minor fissure, cosolidative areas with air bronchograms are observed in the posterior dorsal subpleural area, starting from the lower lobe superior segment and extending to the basal.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. The largest dimension was measured in the subcarinal area and approximately 13x8 mm. Millimetric lymph nodes are observed in almost all stations in the mediastinum. On the right, at the level of the pectoralis major, a subcutaneous venous port is observed, and its catheter terminates at the level of the right atrium appendix through the superior vena cava.\n<heart>: Pericardial mild thickening is present. CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: It did not cause significant destruction of bone structure. There are degenerative changes in the bone structure in the examination area.\n<abdomen>: Evaluation with clinical and laboratory data is recommended. In the sections passing through the upper abdomen, calcification is observed in the right adrenal.\n\nImpression:\nAcinar type nodules with scattered confluence in both lungs, occasional ground-glass-like density increases, and consolidative appearances at the level of the minor fissure on the right and in the lower lobe with air bronchograms in it. The described findings are associated with pneumonic infiltration. may be compatible with COP (BOOP) Evaluation together with clinical and laboratory data is recommended . Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1396/train_1396_d/train_1396_d_1.npy"
        ]
    },
    {
        "id": "report_generation_3364",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was elongated and tortuous, and no obstructive pathology was observed in the trachea and both main bronchus lumens.\n<lung>: No mass lesion with distinguishable borders-active infiltration was detected in both lungs. Subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. The volume of the left lung upper lobe decreased secondary to sequelae atelectasis. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). The described findings may be compatible with asbestosis.\n<pleura>: Interlobular-intralobar septal thickenings, accompanying ground glass densities and subpleural striations were observed in both lungs. Calcified pleural plaques were observed in the costal, mediastinal and diaphragmatic pleura, most commonly in the right diaphragmatic pleura in both hemithoraxes.\n<mediastinum>: Diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta, celiac trunk, SMA and both renal artery outlets. There is extensive atherosclerosis in the thoracic aorta, its supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 46.5 mm, and the anterior-posterior diameter of the descending aorta was 26.5 mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are at the upper limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Moderate acidity was observed in the abdomen. Diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta, celiac trunk, SMA and both renal artery outlets. As far as can be seen in non-contrast sections; liver, spleen, both kidneys, both adrenal glands are normal. There is extensive atherosclerosis in the thoracic aorta, its supraaortic branches and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 46.5 mm, and the anterior-posterior diameter of the descending aorta was 26.5 mm.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, diffuse atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries.  Heart dimensions at the upper limit.  Diffuse calcified pleural plaques in the mediastinal, costal and diaphragmatic pleura, scabbing pleural effusion on the right, subsegmental-linear atelectatic changes in both lungs, subpleural striations; It is recommended to be evaluated together with clinical and laboratory in terms of asbestosis.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Moderate acidity in the abdomen.  Diffuse atherosclerosis in the abdominal aorta and at the level of its visceral branches."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1399/train_1399_a/train_1399_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3384",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anterior osteophytes and degenerations are present in the vertebrae. No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. When the upper abdominal organs included in the sections are examined; Stone densities are observed in the gallbladder, the larger of which reaches 15 mm in diameter. There is minimal diffuse density loss in the liver.\n\nImpression:\nCholelithiasis.  Hepatosteatosis.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1408/train_1408_a/train_1408_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a slight increase in size. A nodule with a diameter of 4 mm in the posterior part of the left lung upper lobe lingula superior segment is 3 mm in the previous examination. A decrease of 29% is observed in its dimensions. A very millimetric nodule (1 mm observed) in the previous examination in the superior segment of the right lung lower lobe shows a slight increase in size and density (2 mm) in the current examination. Along with the reduction in size of the mass lesion in the lower lobe of the left lung, pleuroparenchymal fibrotic density increases and subsegmental atelectasis areas developed around the lesion. In the posterior segment of the left lung upper lobe, there is a nodule measuring 1 mm in diameter in the previous examination and 3 mm in diameter in the current examination, which again shows a slight increase in size.\n<pleura>: Among the left pleural leaves, pleural free fluid reaching 21 mm in diameter at its widest point was not present in the previous imaging and has just developed.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not observed. Heart dimensions and compartments appear natural.\n<esophagus>: It was 64 mm in the previous examination. Normal calibration of the esophagus is observed. The long axis of the lesion was 45 mm in the current examination.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: In the upper abdomen sections, there was no finding in favor of progression within the section. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections.\n\nImpression:\nMetastatic lung Ca . 29% reduction in the size of the primary mass lesion in the lower lobe of the left lung . Newly developed left pleural effusion . There are several millimetric nodules in both lungs. An increase of mm in size was observed in the process of these nodules. It will be convenient to follow."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1409/train_1409_a/train_1409_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<mediastinum>: The width of the mediastinal vascular structures is normal. Since the examination is unenhanced, the evaluation of mediastinal structures is suboptimal, but the heart contour and size are normal. No space-occupying lesion was observed in the mediastinum and hilar regions.\n<heart>: Pericardial effusion-thickening was not observed. Since the examination is unenhanced, the evaluation of mediastinal structures is suboptimal, but the heart contour and size are normal. It was evaluated comparatively with the patient's previous examination.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: When the bone is examined in the window; Shallow Schmorl nodules are observed in the lower thoracic vertebrae. No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nDimensionally stable hypodense lesion in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1414/train_1414_a/train_1414_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There is an air cyst in the lingular segment of the left lung. When examined in the lung parenchyma window; Density reduction compatible with emphysema is observed in both lungs.\n<pleura>: There was no finding compatible with pleural effusion, pneumothorax or pneumonia.\n<mediastinum>: There is an increase in calibration in the ascending aorta in the aortic arch. Arch aortic calibration is 32 mm. It is wider than normal. No pathological size and configuration lymph nodes were detected in the mediastinum and hilar level. Millimetric-sized calcific atheroma plaques are observed in the ascending aorta and descending aorta in the aortic arch.\n<heart>: The ascending aorta calibration is 42 mm. CTO is within the normal range. Millimetric-sized calcific atheroma plaques are observed in the ascending aorta and descending aorta in the aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: There is an increase in calibration in the ascending aorta in the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Arch aortic calibration is 32 mm. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. There is nodular formation in the spleen hilum, which is considered compatible with the accessory spleen. There are splenic flexure and diverticula appearances at the level of the descending colon. A cortical cyst is observed in the superior pole of the right kidney. Millimetric-sized calcific atheroma plaques are observed in the ascending aorta and descending aorta in the aortic arch.\n\nImpression:\nNo finding compatible with pneumonia was detected. Findings compatible with emphysema.  Cortical cyst in the left kidney superior pole."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1417/train_1417_a/train_1417_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The described findings primarily suggest early viral pneumonia. When examined in the lung parenchyma window; Density increases in the middle lobe and lower lobes in the basal segments in both lungs prominent on the left, in the form of ground glass, were observed.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; There is soft tissue density of the anterior mediastinal remnant thymus tissue that does not cause a significant mass effect. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nIn both lung parenchyma, findings compatible with early viral pneumonia and clinical and laboratory correlation are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1421/train_1421_a/train_1421_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed. In bilateral bronchial structures, diffuse mild ectasia and peribronchial thickness increases are evident in the center.\n<lung>: Changes consistent with subsegmental atelectasis are observed in the inferior lingular segment of the left lung upper lobe. In addition, there are sequela parenchymal changes in the lower lobes of both lungs and in the medial segment of the right lung middle lobe. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. A few nonspecific nodules, some of them purcalcified, were observed in both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Calcified atheroma plaques are observed on the wall of the coronary vascular structures. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid-loculated collection was detected. No lymph node was observed in pathological size and appearance. No mass lesion was detected in the peritoneum or omentum. In both kidneys, simple cortical cysts of millimeter size follow. In the upper abdominal sections within the image; there are chronic atrophic changes in the left kidney.\n\nImpression:\nNo pneumonic infiltration or mass lesion was detected in both lungs. A few millimeter-sized nonspecific nodules and local sequela parenchymal changes, diffuse mild ectasia and peribronchial thickness increases in bilateral bronchial structures, calcified atheroma plaques on the walls of coronary vascular structures are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1422/train_1422_a/train_1422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Segmentary-subsegmental peribronchial thickening was observed in both lungs. When examined in the lung parenchyma window; Patchy areas of consolidation with air bronchograms and ground glass densities were observed in both lungs, more common in multilobar, multisegmental upper lobes. It is recommended to be evaluated together with the clinic and laboratory. A few nonspecific nodules, some of them purely calcified, were observed in both lungs. Areas of consolidation are accompanied by linear subsegmental atelectatic changes in the right lung middle lobe, left lung upper lobe, inferior lingular and lower lobe basal segments.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcified atheroma plaques are observed on the wall of the coronary artery. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the examination area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. The kidneys did not enter the cross-sectional area.\n\nImpression:\nCalcific atheromatous plaques in coronary arteries.  Findings consistent with Covid-19 pneumonia accompanied by diffuse linear atelectatic changes in the lung parenchyma.  Several millimetric nonspecific parenchymal nodules in both lungs.  Segmentary-subsegmental peribronchial thickening in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1422/train_1422_b/train_1422_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: According to the previous CT examination, it was noted that most of the consolidation areas turned into an increase in density in the ground glass density. No newly developed pathology was detected. In both lungs, there are areas of multilobar, multisegmental, ground glass with air bronchograms and density increase compatible with consolidation, more commonly in the upper lobes. Findings suggest Covid-19 pneumonia in the recovery period showing regression from previous CT examination.\n<pleura>: It was observed that the findings were accompanied by areas of increase in density consistent with subpleural linear atelectasis.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1422/train_1422_c/train_1422_c_1.npy"
        ]
    },
    {
        "id": "report_generation_3420",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Loculated effusion with a thickness of 2.5 cm is observed at the level of the right minor fissure. Multiple lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right paratracheal area. A more pronounced increase in peribronchial thickness is observed in the lower lobes. There are areas of linear atelectasis in the posterior segment of the lower lobes of both lungs. In the upper lobe of the left lung, there are centriacinar nodular density increases characterized by a budding tree view accompanied by ground glass areas in the lingular segment (infectious?).\n<pleura>: There is pleural effusion with a thickness of 25 mm in the right hemithorax and 20 mm in the left hemithorax, and there is compression atelectasis in the posterior segment of both lungs in the lower lobe, in the right side, and a consolidation area in the left lung lower lobe posterior segment, in which air bronchograms are observed. There is pleural thickening reaching 4 mm in thickness, in which coarse calcification is observed, at the level of the apicoposterior segment of the left lung upper lobe.\n<mediastinum>: Multiple lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right paratracheal area. The diameter of the ascending aorta was 39 mm, and the diameter of the pulmonary trunk was 30 mm and increased. There are calcific atheroma plaques in the aorta.\n<heart>: No pericardial effusion or thickening was detected. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques-stent formations are observed in the coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. Bridging osteophytes in the corners of the thoracic vertebrae corpus and focal Schmorl nodules in the vertebral end plates are observed.\n<abdomen>: An accessory spleen with a diameter of 1.5 cm is observed adjacent to the spleen. There are calcific atheroma plaques in the aorta. The diameter of the ascending aorta was 39 mm, and the diameter of the pulmonary trunk was 30 mm and increased. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is a 3 cm diameter low-density nodular lesion partially included in the sections adjacent to the left pararenal fascia (exophytic renal cyst?).\n\nImpression:\nConsolidation area with bilateral pleural effusion, compression atelectasis adjacent to the effusion, and air bronchograms in the posterior segment of the left lung lower lobe.  Centriacinar nodular density increases characterized by a budding tree view in the upper lobe of the left lung and areas of ground glass in places. It is recommended to be evaluated for infectious pathologies.  Loculated effusion in the minor fissure in the right hemithorax, focal pleural thickening and coarse calcification in the left upper lobe of the lung.  Mediastinal multiple lymph nodes.  Cardiomegaly, stent formations in coronary arteries, calcific atheroma plaques.  Dilatation of the ascending aorta and pulmonary trunk.  Hiatal hernia.  Low-density hypodense lesion at the level of the left pararenal fascia (partially included in sections, exophytic renal cyst?).  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1423/train_1423_a/train_1423_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The described ground glass areas are more prominent in the left lung. Peripherally located ground glass areas are observed in the upper and lower lobes of the left lung and the upper and middle lobes of the right lung. The described findings are the findings frequently observed in Covid-19 pneumonia. There are enlarged vascular structures within the ground glass areas. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1431/train_1431_a/train_1431_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground glass densities are observed in the right lung upper lobe in the mid-level and in the right lung upper lobe posterobasal part. In the lower lobe of the right lung, extending from the superior to the inferior, bronchiectatic changes in the lower lobe of the left lung, especially in the basal parts, and filling defects compatible with the infected material are observed in the bronchial structures of the lower lobe of the right lung. Clinical laboratory findings in terms of infectious process.\n<pleura>: There is a small amount of pleural effusion and irregularities in the pleura on the right side.\n<mediastinum>: There are atherosclerotic plaques in the abdominal aorta and its branches that can be observed. Small lymph nodes are present in the mediastinum and in the aorticopulmonary window. Mediastinal main vascular structures are normal. Millimetric lymph nodes are also observed in the mediastinum. Millimetric calcific atheroma plaques are observed in the ascending arch and descending aorta.\n<heart>: Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction is observed in bone structures entering the study area. Hypertrophic osteophytic taperings were detected in the end plates of the vertebral corpuscles.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are atherosclerotic plaques in the abdominal aorta and its branches that can be observed. correlation and close follow-up is recommended. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Millimetric calcific atheroma plaques are observed in the ascending arch and descending aorta.\n\nImpression:\nAtherosclerosis . Bilateral paraseptal and centrilobular emphysema, more prominent in the upper lobes of both lungs . Findings compatible with the infectious process in the upper lobe and lower lobe of the right lung . Filling defects compatible with infected material in the basal bronchial structures of the right lung . Slight blunting and minimal blunting in the right costophrenic sinus effusion . Spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1432/train_1432_a/train_1432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes are observed in both lungs. There are pleuroparenchymal sequela changes in both lung apexes. There is a millimetric nonspecific nodule in the right lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Millimetric nonspecific nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1435/train_1435_a/train_1435_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is minimal posterobasal consolidation in the left lower lobe. When examined in the lung parenchyma window; Density increases in the form of ground glass and mosaic density differences are observed in the paramediastinal areas in the upper lobe posteriors of both lungs.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 43 mm and ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse lytic appearance due to primary disease is present in all bone structures. An intramedullary screw is observed in the humerus on the left. More than 75%, 50% and 50% height losses are observed in the T2, T4, and T7 vertebral bodies, respectively.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings of disease-related involvement in bone structures in a patient with multiple myeloma  Height loss in thoracic vertebrae  Ground-glass densities and mosaic density differences in the posterior upper lobes of both lungs (viral pneumonia?)  Minimal consolidation in the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1437/train_1437_b/train_1437_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Enlarged vascular structures are observed in the ground glass areas. The described findings are the findings frequently observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1446/train_1446_a/train_1446_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchial ground-glass densities were observed in the left lung upper lobe anterior and left lower lobe. When examined in the lung parenchyma window; Traction-type bronchiectasis, bronchial wall thickening and subsegmental minimal atelectasis are observed in the medial side of the right lung middle lobe. Bronchiectasis at the central level, thickening of the bronchial wall, and fibrotic densities in the lung parenchyma were observed in the lower lobes of both lungs. A suspicious nodular opacity of approximately 15x15 mm is observed in the upper lobe anterior of the left lung, accompanied by atelectasis in the paracardiac lung parenchyma. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. In the anterior mediastinum, there is an increase in density in the form of soft tissue density, which cannot be clearly distinguished from band-shaped vascular structures. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBand-shaped soft tissue density in the anterior mediastinum and nodular soft tissue density accompanied by atelectasis in the left lung upper lobe anterior paramediastinal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1450/train_1450_a/train_1450_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: When evaluated in the parenchyma window of both lungs: Nodular ground-glass density increases were observed in the peripheral subpleural area and peribronchovascular localization, especially in the lower lobes of both lungs. Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No other mediastinal and bilateral hilar lymph nodes in the study area were found in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Several calcified lymph nodes were observed in the subcarinal area, in the right hilar and right peribronchial localization, the short axis of the largest one measuring 9 mm.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Other upper abdominal sections in the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections in the examination area, the liver parchyma density has decreased diffusely in accordance with the adiposity (Hepatesteatosis).\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis.  Mediastinal calcified lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1456/train_1456_a/train_1456_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; in both lungs; In the lower lobe basal segments, nodular ground glass consolidations with more diffuse peripheral-subpleural localization, crazy paving pattern and vascular enlargement were observed.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Minimal degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma.  Minimal degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1469/train_1469_a/train_1469_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal bronchiectasis is observed in the central parts of both lungs. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: There is minimal pleural effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The main pulmonary artery diameter is larger than normal. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 24 mm. There are lymphadenopathies in prevascular, paratracheal, subcarinal and both hilar regions. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameters of the right and left pulmonary arteries are larger than normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMinimal pleural effusion on the right . Minimal pericardial effusion, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameter . Mediastinal and hilar lymphadenopathies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1474/train_1474_a/train_1474_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequelae densities and atelactastic changes are observed. When the lung parenchyma is examined; There are no findings in favor of nodules or infiltration in both lung parenchyma.\n<pleura>: A pleural effusion of 30 mm in size is observed on the left in the bilateral deepest sweat.\n<mediastinum>: No LAP was detected in mediastinal pathological dimension.\n<esophagus>: In addition, paraesophageal collateral vascular structures are observed.\n<bone>: There are extensive multiple metastases in the bones.\n<abdomen>: In the abdominal sections, there is an appearance consistent with chronic liver parenchyma disease and ascites in the liver.\n\nImpression:\nParaesophageal collateral vascular structures . Diffuse sclerotic metastases"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1476/train_1476_a/train_1476_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Several pulmonary nodules are observed in both lungs, the largest of which is approximately 6 mm in diameter in the posterior segment of the right lung upper lobe. Minimal mosaic lung pattern is observed in both lungs (small airway-small vessel disease?). Evaluation with previous examinations, if any, is recommended.\n<pleura>: When examined in the lung parenchyma window; In the apical posterior segment of the left lung, appearances that are primarily evaluated in favor of pleural thickness increases are observed, sitting on the pleural floor in a nodular manner with subpleural localization in the posterior. A similar appearance is also present in the subpleural areas in the left lung lower lobe superior segment.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fractures or lytic-sclerotic lesions were observed in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. The liver contours included in the examination are minimally irregular.\n\nImpression:\nNodular thickening of the pleura in both lungs, more prominently in the left lung.  Pulmonary nodules in both lungs.  Mosaic lung pattern in both lungs, (small airway - small vessel disease?  Irregularity in liver contours, chronic liver disease?  with clinical and examination findings"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1482/train_1482_a/train_1482_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. Similar findings are observed in typical Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread patchy ground glass-consolidation areas are observed in both lungs.\n<pleura>: Minimal effusion is observed between the leaves of both pleura.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Apart from this, there are calcific atheroma plaques in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1483/train_1483_a/train_1483_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3606",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are mild prominences in interstitial signs in both lungs. There are breath artifacts in both lungs, more prominent in the lower lobes. Slight increases in density in both lower lobe and base segments of both lungs were evaluated primarily in favor of dependent atelectasis with slight increases in density in the more posterobasal segments.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is diffuse density reduction in bone structures. A few millimetric Schmorl nodules are observed in the end plates.\n<abdomen>: The gallbladder is operated. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMild dependent atelectasis in both lungs, secondary appearances to breath artifacts, prominent interstitial signs . Cholecystectomized.  Osteopenic appearance in bone structures, Schmorl nodules in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1488/train_1488_a/train_1488_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory studies in terms of small airway-small vessel disease. When examined in the lung parenchyma window; Emphysematous changes and mosaic attenuation pattern are observed in both lungs. It is recommended to be evaluated together with the findings.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary arteries and aortic walls. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The chamber of the port catheter is observed on the right anterior wall of the chest, and the catheter extends to the right atrium. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries and aortic walls. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the coronary arteries and aortic walls. Gallstones are present in the gallbladder in the upper abdominal organs included in the sections. No active infiltration, consolidation or space-occupying lesion was detected.\n\nImpression:\nCalcific plaques in the aorta and coronary arteries  Gallstones  Emphysematous changes and mosaic attenuation pattern in both lungs (small airway-small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1490/train_1490_a/train_1490_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: This floor has accompanying frosted glass-style density increments. There is linear density in the posterior segment caudal of the upper lobe of the right lung, which is evaluated as compatible with pleuroparenchymal sequelae. No pathological size and configuration lymph nodes were detected at both hilar levels. Appearance is nonspecific. Mild sequela changes are observed in the inferior lingular segment. When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in both lungs (Small vessel disease? Small airway disease?).\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: On the right, the view of the catheter extending from the superior vena cava to the right atrium is observed. Millimetric calcific atheroma plaques are observed in the coronary arteries in the aortic arch. CTO is within the normal range. No pathological size and configuration lymph nodes were detected in the mediastinum. The arcus aorta calibration was measured as 29 mm and it was in the maximal physiological limit. Calibration of other mediastinal major vascular structures is natural.\n<heart>: On the right, the view of the catheter extending from the superior vena cava to the right atrium is observed. Millimetric calcific atheroma plaques are observed in the coronary arteries in the aortic arch.\n<esophagus>: Mild hiatal hernia is observed in the case. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed in the coronary arteries in the aortic arch. CTO is within the normal range. The arcus aorta calibration was measured as 29 mm and it was in the maximal physiological limit. In the gallbladder lumen, a density compatible with multiple calculus is observed, some of which are superposed on each other. Nodular density compatible with accessory spleen is observed in the spleen hilum.\n\nImpression:\nMosaic attenuation pattern in both lungs (Small vessel disease? Small airway disease?). The frosted glass style density increments accompany this floor. Appearance is nonspecific. It is recommended to be evaluated together with clinical and laboratory findings.  Mild hiatal hernia.  Nonspecific hypodense lesion of approximately 9 mm in diameter in the lateral segment of the left lobe of the liver.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1490/train_1490_b/train_1490_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures included in the examination area, and hypertrophic osteophytic tapering in the anteriors of the vertebral corpuscles and endplates are present.\n<abdomen>: In the upper abdominal organs, including sections; A decrease in density is observed in the liver parenchyma. Thoracic aorta diameter is normal. Accessory spleens are observed. Hyperdense findings with multiple dimensions up to 13 mm in the gallbladder were evaluated in favor of stones.\n\nImpression:\nHepatosteatosis  Cholelithiasis.  Mild atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1490/train_1490_e/train_1490_e_1.npy"
        ]
    },
    {
        "id": "report_generation_3640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, no significant difference was found in densities in reticulonodular and budding tree appearances. In addition, there are increases in peribronchial reticulonodular density in bilateral lungs. When examined in the lung parenchyma window; Mosaic density differences and some calcific nodules are observed in both lung parenchyma. However, a slight decrease in the size of the existing nodules is observed in the upper lobe posterior on the right and the posterior lower lobe on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nUnification and increase in size of irregularly circumscribed reticulondular densities present in the superior lingular segment of the left lung in a patient treated for TB, minimal decrease in existing densities in places, other than stable findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1496/train_1496_a/train_1496_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Dependent ground glass densities are observed in both lung lower lobes posterbasal, more prominently on the left, and also subpleural ground glass densities on the left. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDependent ground glass densities and subpleural ground glass densities, more prominent on the left posterbasal lower lobe of both lungs (may be consistent with areas of regressed atelectasis after recent surgery if pneumonia specificity is present)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1497/train_1497_a/train_1497_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. Minimal ground glass areas are observed in the central and peripheral parts of the upper lobes of both lungs. A mass is observed in the medial of the anterior segment of the left lung upper lobe. It was learned that the described mass was the primary mass of the patient. The distributions and appearances of the described appearances are not specific. These appearances are also present in the previous examination of the patient and no significant difference was detected. A honeycomb appearance, which represents fibrosis, is observed in the upper lobes of both lungs, especially in the peripheral areas. The described appearances are also present in the previous examination of the patient.\n<pleura>: No pleural or pericardial effusion was observed.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1504/train_1504_b/train_1504_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3701",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Clinical laboratory correlation is recommended for infectious process. Mild emphysematous changes were observed in both lungs. Acinar infiltration areas and bud branch appearances were observed in the left lung infeiror lingular segment and right lung lower lobes. Millimetric sized non-specific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; There is a large area of atelectasis in the middle lobe of the right lung. In the anterior segment of the upper lobe of the right lung, a relatively smooth parenchymal nodule with a diameter of 6.2 mm with central cavitation was observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The diameter of the main pulmonary artery was 33 mm, the diameter of the right pulmonary artery was 28 mm, and the diameter of the left pulmonary artery was 30 mm, showing fusiform dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Multiple lymph nodes measuring 11 mm in the short axis of the mediastinal upper-lower paratracheal, prevascular, subcarinal larger were observed.\n<heart>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. As far as can be seen; The diameter of the ascending aorta is 39 mm and shows dilatation.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. In the upper abdominal sections in the study area; Millimetric sized calcules were observed in the gallbladder. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nDilatation of the thoracic aorta and pulmonary arteries, calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery, mediastinal lymph nodes.  Acinar infiltration areas and bud branch appearances in both lungs; infectious process? Clinical laboratory correlation is recommended.  Mild emphysematous changes in both lungs.  Millimetric non-specific parenchymal nodules in both lungs, relatively well-circumscribed parenchymal nodule with central cavitation in the upper lobe of the right lung; If there is, it is recommended to evaluate and follow up with the previous examination.  Degenerative changes in bone structure.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1525/train_1525_a/train_1525_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are sequelae fibrotic changes and millimetric calcified nodules in the apical segment of the right lung and the apicoposterior segment of the left lung. When examined in the lung parenchyma window; There are emphysematous bronchiectatic changes in both lungs. Peribronchial thickness increases are present in both lungs. An area of atelectasis was observed in the middle lobe of the right lung. A 7 mm diameter nodule persists in the vicinity of this area. A 15 mm diameter nodule persists in the anterior segment of the upper lobe of the right lung. In the upper lobes of both lungs, there are areas of increased density in the ground glass density, prominent on the left.\n<pleura>: In the posterior segment of the right lung, the soft tissue density, measuring 25 mm in its widest part, containing calcifications in the subpleural area, persists (sequelae?). There is minimal pleural effusion in the right lung and passive atelectasis adjacent to it. Bilateral pleural effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. In the right pectoral region, a chemotherapy port in the subcutaneous tissue and a catheter extending from this port to the superior vena cava were observed. Stable lymph nodes were observed in paracardiac fatty tissue. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are natural. Bone structures entering the cross-sectional area are natural.\n<abdomen>: Thoracic aorta diameter is normal. The organs passing through the upper abdomen are indicated in the MRI examination.\n\nImpression:\nNo significant difference was found in other findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1540/train_1540_a/train_1540_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3735",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: A well-circumscribed 1.5 cm diameter nodule is observed in the anterior segment of the upper lobe of the right lung, and millimetric nodules are observed in both lung parenchyma. Fibroatelectatic changes are observed in the apex of both lungs. The described nodules are stable in size and appearance. In the bilateral lung parenchyma, sequela pleuroparenchymal bands are observed in places. Apart from this, there are interlobular septal thickness increases in the peripheral area of both lungs, more prominent in the upper lobes, and peripheral interlobular septal thickness increases and interface findings. There are emphysematous changes in both lung parenchyma.\n<pleura>: Bialteral pleural effusion was not detected. When examined in the lung parenchyma window; In the right lung upper lobe posterior segment, there is an irregular limited size and stable nodule in the subpleural area, in which calcified foci are also observed.\n<mediastinum>: In mediastinal lymph node stations, no lymph node is observed in pathological size and appearance. The AP diameter of the ascending aorta was 42 mm, and the AP diameter of the descending aorta was 33 mm, and it was wider than normal.\n<heart>: Heart contour and size are normal. Minimal effusion is observed in the pericardial area.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lesion suggestive of lytic-destructive metastasis was detected in the bone structures included in the study area.\n<abdomen>: Millimetric nodular lesions are observed in the paracardiac, right subdiaphragmatic area. The AP diameter of the ascending aorta was 42 mm, and the AP diameter of the descending aorta was 33 mm, and it was wider than normal. In the abdominal sections within the image, a stratified increase in thickness is observed in the omentum, consistent with peritoneal carcinomatosis. In addition, there are multiple hypodense nodular lesions in the liver parenchyma.\n\nImpression:\nFibrotic recessions, more prominent at the apex of both lungs, mild emphysematous changes in both lungs. Irregularly circumscribed nodule in the subpleural area in the right lung upper lobe posterior segment, a well-circumscribed nodule in the right lung upper lobe anterior segment, and a well-circumscribed nodule in the right lung upper lobe anterior segment.  Layered thickness increase consistent with peritoneal carcinomatosis in the abdominal sections within the image . Multiple mildly hypodense nodular lesions in the liver parenchyma, millimetric nodular lesions in the parkcardiac and subdiaphragmatic fatty tissue on the right; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1540/train_1540_b/train_1540_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology was detected.\n<lung>: In the presence of primary disease, the appearances were primarily evaluated in favor of metastatic nodular lesions. It is thought to be primarily due to sequelae changes. In addition, a nodule measuring 9 mm in diameter is observed in the widest part of the left lung lower lobe postrobasal segment. In the right lung upper lobe posterior segment, there is a nodule with calcification measuring 23 mm in its thickest part, accompanied by structural distortion and volume loss in the adjacent lung parenchyma. In the axial sections of the anterior segment of the upper lobe of the right lung, there is a nodule measuring 17 mm in its widest part. The described appearance is also available in the previous examination. Active infiltration was not detected in both lung parenchyma. The described appearance was first evaluated in favor of sequela fibrotic nodular formation.\n<pleura>: When examined in the lung parenchyma window; Centracinar nodules are observed in peripheral subpleural areas in both lungs. An effusion measuring 27 mm is observed in the deepest part of the right pleural area.\n<mediastinum>: The port catheter terminates in the superior central part of the vena cava. The short diameter of the lymph node, which was 8 mm in the previous CT examination, was measured as 13 mm in the current examination. Optimum evaluation could not be made because mediastinal vascular structures and heart examination were uncontrasted.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. Optimum evaluation could not be made because mediastinal vascular structures and heart examination were uncontrasted. Minimal effusion is observed in the pericardial area and measured approximately 12 mm at its deepest point.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area, and the vertebral corpus heights were preserved.\n<abdomen>: Its size and appearance are stable. Irregularity is observed in the liver contour. Lymphadenopathies with a short diameter of approximately 21 mm are observed in the perigastric area at the level of the portal hilus, in the celiac trunk, and in the peripancreatic area, the largest in the vicinity of the posterior part of the pancreatic head. In the upper abdominal sections included in the sections, a millimeter-sized nonspecific nodule is observed in the lateral leg of the right adrenal gland. There is widespread free fluid in the perihepatic and perisplenic area. In some of the lymph nodes, especially in the perigastric area, an increase in the size of the lymph nodes was noted.\n\nImpression:\nColon Ca in the follow-up . Nodular lesions in the right upper lobe of the right lung and lower lobe of the left lung in favor of stable metastasis . In both lungs diffuse emphysematous changes, atelectasis, pleuroparenchymal sequelae changes, millimetric stable centracinar nodules in both lungs, stable nodules in both upper lobes evaluated in favor of sequelae change and mostly calcific nodules in both lungs . Stable nodular thickness increase in the lateral dryness of the right adrenal gland . Perihepatic, perisplenic free fluid . Peripancreatic level, lymphadenopathies adjacent to the stomach near the lesser and greater curvature, adjacent to the celiac trunk and at the portal hilus level; according to previous CT scan There is an increase in size in some of the enf nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1540/train_1540_c/train_1540_c_1.npy"
        ]
    },
    {
        "id": "report_generation_3741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Widespread interlobular septal thickness increases and alveolar diffuse ground glass densities are observed in both ventilated lung parenchyma except the right lung upper lobe apical segment in both lung parenchyma. When examined in the lung parenchyma window; In the right lung lower lobe superior mediobasal, anterobasal and laterobasal segments, there are density increases in the left lung lower lobe laterobasal and mediobasal segments, which are consistent with the consolidation observed in air bronchograms. (interstitial acute pneumonia?).\n<pleura>: There is an effusion measuring 14 mm in the deepest part in the right pleural area and 27 mm in the deepest part in the left pleural area, extending to the apex in the left lying position. A catheter applied to the left pleural area is observed.\n<mediastinum>: There is a port chamber extending to the superior distal vena cava on the right anterior chest wall. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural.\n<heart>: There is a pacemaker on the left chest wall extending to the right ventricle. There is an increase in the cardiothoracic ratio in favor of the heart. No pericardial effusion or thickening was detected. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Lytic-destructive metastases are observed in the peduncle and right transverse process of the T11 vertebral body, and in the right 12th rib in the T12 vertebra, and in the 8th, 9th and 10th ribs on the right. A thick-walled fluid collection compatible with an abscess infiltrating the right paravertebral muscles is observed at the level of T11-T12 L1 and L2 vertebrae.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1541/train_1541_b/train_1541_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Minimal pleuroparenchymal sequelae are observed at the apex of both lungs. There is minimal bronchiectasis and minimal peribronchial thickening in both lungs, especially in the central parts.\n<pleura>: However, calcified pleural plaques are observed in the pleura in both hemithorax. Bilateral pleural effusion was not observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Pulmonary artery diameters are normal. The diameters of the aortic arch and descending aorta are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: Pericardial effusion and thickening were not detected. The ascending aorta measures 46 mm in anterior-posterior diameter and is wider than normal. It is understood that the patient underwent coronary by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. No discernible mass was detected in the upper abdominal organs within the sections. The diameters of the aortic arch and descending aorta are normal. Thickening is observed in the left adrenal gland corpus and the right adrenal gland corpus. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs. Pleuroparenchymal sequelae changes in both lung apex.  Minimal bronchiectasis in both lungs. Calcified pleural plaques in both hemithorax.  Atherosclerotic changes in the aorta and coronary arteries, fusiform aneurysmatic dilation of the ascending aorta. Thickening of both adrenal gland corpuscles.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1547/train_1547_a/train_1547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung, and a mild mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: Calcified atherosclerotic changes are observed in the wall of the thoracic aorta. Mediastinal main vascular structures, heart contour, size are normal. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Other bone structures are natural. Thoracic kyphosis is flattened. Vertebral corpus heights are preserved.\n<abdomen>: Calcified atherosclerotic changes are observed in the wall of the thoracic aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo sign of pneumonia was detected.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Sequelae changes in both lungs.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1552/train_1552_a/train_1552_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical-laboratory correlation and follow-up are recommended. When examined in the lung parenchyma window; Mild cylindrical bronchiectasis, peribronchial thickenings, and budding tree images are observed in the upper lobe of the left lung. Findings can be seen in COVID 19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild cylindrical bronchiectasis, peribronchial thickenings, budding tree images are observed in the upper lobe of the left lung. Findings can be seen in COVID 19 viral pneumonia. Clinical-laboratory correlation and follow-up are recommended.  Multiple small lymph nodes are observed in the parahilar region of the mediastinum.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1559/train_1559_a/train_1559_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the left lung upper lobe apicoposterior segment posterior subsegment, a lesion is observed in the peripheral area, with a central solid appearance measuring 15 mm in the longest diameter, and in the ground glass area around the periphery. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. In addition, although unilateral upper lobe involvement is rare, this appearance may also occur in Covid-19 pneumonia. It is recommended that the patient be evaluated together with previous examinations and clinical and laboratory findings, if any, and control after appropriate treatment. Infectious or neoplastic events may cause a similar appearance. The appearance and localization of the described lesion is not typical.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There is a decrease in liver parenchyma density compatible with adiposity. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLeft lung upper lobe apicoposterior segment posterior subsegment peripherally located nodule in the ground glass area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1560/train_1560_a/train_1560_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. In addition, there are atelectasis in the posterobasal segment of both lung lower lobes. Linear atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules, some of which are calcific, were observed in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: There is also a central venous catheter inserted from the right. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Lymph nodes with a short diameter of 13 mm and the largest in the subcarinal region are observed in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: A stent is observed in the left anterior descending coronary artery. Millimetric atheroma plaques are observed in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. There are bridging osteophytes at the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nStable lymph nodes in the mediastinum and hilar regions . Atherosclerotic changes in the coronary arteries . Emphysematous changes in both lungs, occasional atelectasis in both lungs, millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1565/train_1565_a/train_1565_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are ground glass densities in both lungs that tend to merge, predominantly in the lower lobes and peripheral.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings compatible with bilateral covid pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1571/train_1571_a/train_1571_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: In the upper abdominal sections, there is a slight increase in the density of the fatty planes at the root of the mesentery and it appears to be compatible with the foggy mesentery. The finding is nonspecific.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1581/train_1581_a/train_1581_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Hypodense nodules and gross calcification areas were observed in both thyroid lobes.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, in the current examination, there are widespread patchy ground glass density increases and accompanying consolidations in both lung parenchyma. Nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Diffuse interlobular septal thickening was observed in both lungs. A parenchymal nodule with a diameter of 16 mm was observed in the inferior lingular segment of the left lung. Clinical and laboratory correlation is recommended for Covid-19 pneumonia. The described manifestations may be compatible with viral pneumonias in the background of CHF.\n<pleura>: Between the bilateral pleural leaves, free pleural effusion measuring 22 mm on the right and 12 mm on the left was observed. Calcified thickness increases were observed in the bilateral pleura.\n<mediastinum>: Lymph nodes with a short axis smaller than 5 mm were observed in the upper-lower paratracheal, prevascular, subcarinal, and aorticopulmonary window. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The diameter of the main pulmonary artery was 36 mm and it shows dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: The heart size is increased, especially in the left atrium. Pericardial thickening-effusion was not detected. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: There are degenerative changes in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. In the upper abdominal sections that entered the examination area, millimetric calcification was observed in the left lobe of the liver.\n\nImpression:\nCardiomegaly, dilatation of pulmonary arteries . Diffuse interlobular septal thickenings in both lungs (considered compatible with CHF) . Peripheral patchy ground-glass density increases and accompanying consolidations in bilateral lung parenchyma; the described appearance may initially be compatible with viral pneumonias in the background of CHF. Clinical and laboratory correlation is recommended for Covid-19 and other viral pneumonias Bilateral pleural effusion . Bilateral pleural plaque-like calcifications . Diffuse calcified atherosclerotic changes in the thoracoabdominal aorta and coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1585/train_1585_b/train_1585_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Both main bronchi are open in the trachea and obstructive pathology is not detected.\n<lung>: Active infiltration, mass lesion is not detected in both lungs. There are linear atelectasis in the inferior lingular segment of the left lung and a few millimetric nodules in the posterior segment of the upper lobe. Ventilation is normal.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: Lymph nodes in pathological size and appearance are observed in the mediastinum. Mediastinal vascular structures and heart are not optimally evaluated due to the lack of contrast in the examination, and the heart has a natural appearance. There are calcified atheromatous plaques on the wall of the venous structures.\n<heart>: Mediastinal vascular structures and heart are not optimally evaluated due to the lack of contrast in the examination, and the heart has a natural appearance.\n<esophagus>: Pathological wall thickness in the thoracic esophagos increase is not observed.\n<bone>: Right-weighted osteophytes are observed in the thoracic vertebral corpuscles in the bone structures within the image.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nLinear atelectasis in the left inferior lingular segment and millimetric nonspecific nodules in the upper lobe posterior segment, calcified atheroma plaques on the wall of vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1587/train_1587_a/train_1587_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3847",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is compatible with viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, nodular ground glass and consolidation areas are observed that are predominantly located in the upper lobes and generally predominant in the subpleural areas.\n<mediastinum>: No lymph nodes in pathological size and appearance were detected in the prevascular, paratracheal, subcarinal, hilar and axillary regions. The diameters of the main mediastinal vascular structures appear natural. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<heart>: Heart size increased. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<bone>: No fracture, lytic or sclerotic lesion area was detected in the bone structures included in the imaging.\n<abdomen>: The upper abdominal organs included in the examination have a natural appearance. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nFindings consistent with typical-probable Covid-19 pneumonia. Increased heart size, calcific atheromatous plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1589/train_1589_a/train_1589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Consolidation areas were observed in the posterobasal segments of the lower lobe of the bilateral lung. When the sections are evaluated together with the lung parenchyma window; The bronchial distribution of both lungs is normal. Nodular densities are observed in both lungs, accompanied by a peripheral halo sign, which is significant in terms of fungal infection. In addition, densities in the form of ground glass with widespread patches in both lungs were noted.\n<pleura>: Pleural effusion reaching a thickness of 5 mm on the right and 7 mm on the left was observed at the level of both posterior costophrenic sinuses.\n<mediastinum>: Millimetric lymph nodes with short axis dimensions of 6 mm were observed in the mediastinum, the largest in the anterior carina and in the right lower paratracheal area. Calibrations of mediastinal major vascular structures are normal.\n<heart>: The heart is of normal size. Pericardial effusion reaching 12 mm thickness was observed.\n<esophagus>: Esophageal calibration was normal and no significant increase in wall thickness was detected.\n<bone>: Bone structures and soft tissue planes forming the thoracic wall appear normal.\n<abdomen>: Solid organon density is normal in sections passing through the upper abdomen. LAP was not observed. In sections passing through the upper west; hepatosplenomegaly was noted. No obvious focal lesion was detected. Subcutaneous fatty tissue edema was observed. No free fluid or air was detected.\n\nImpression:\nConsolidation areas in the posterobasal segments of the lower lobe of the lung bilaterally, nodules accompanied by diffuse peripheral halo sign in both lungs (findings were evaluated as significant for fungal infection) . Pericardial effusion, bilateral minimal pleural effusion . Hepatosplenomegaly . Edema in the subcutaneous fatty tissue in the thoracic wall"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1591/train_1591_a/train_1591_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Linear subsegmental atelectasis was observed in the posterobasal segment of the lower lobe of the left lung. No area of infiltrative involvement or consolidation was observed in the lung parenchyma. In the previous examination, areas of pneumonic nodular consolidation in both lungs were completely resorbed in the current examination. It is not monitored.\n<pleura>: A few nonspecific pleural-based nodular lesions were observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. No pathological increase in diameter was observed. Nonspecific lymph nodes were observed in the mediastinum. A central venous catheter is available.\n<heart>: There is a plaster-like effusion between the pericardial leaves.\n<esophagus>: Esophageal calibration is natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No remarkable pathology was observed in the upper abdominal sections. No pathological increase in diameter was observed. It was understood that the infection was completely resorbed.\n\nImpression:\nNo signs of infection were detected in the lung parenchyma in the current examination.  A few nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1591/train_1591_b/train_1591_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Interlobar smooth septal thickness increases are observed in both lung parenchyma, and there are also ground glass densities observed more clearly in the center of both lungs. Underlying pneumonic infiltration cannot be excluded.\n<pleura>: There is minimal pleural effusion up to 15 mm on the left at its deepest point in the bilateral pleural space.\n<mediastinum>: There are calcified atheroma plaques in the wall of the aortic arch and ascending aorta. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and there was an increase in both pulmonary artery and pulmonary trunk calibrations. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: An increase in heart size is observed. The appearances are nonspecific, but primarily evaluated secondary to heart failure. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and there was an increase in both pulmonary artery and pulmonary trunk calibrations.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesion was observed in the bone structures in the study area. Bilateral neural foramina are normal. Vertebral corpus heights are preserved. There are suture materials belonging to surgery in the sternum and metallic densities of aortic valve replacement are observed.\n<abdomen>: There is a diffuse adentic appearance secondary to hepatosteatosis in the liver parenchyma density entering the section area. No free fluid-loculated collection is observed. A lesion of 20x15 mm fat density was observed in the corpus of the right adrenal gland. In the upper abdominal sections included in the sections, no solid mass was detected as far as can be observed within the borders of non-contrast CT. There are calcified atheroma plaques in the wall of the aortic arch and ascending aorta. It has been evaluated as compatible with myelolipoma.\n\nImpression:\nIncrease in pulmonary trunk and both pulmonary arteries calibration, increase in heart size. Bilateral minimal pleural effusion, smooth interlobular septal thickness increases in both lungs and ground glass densities in both lungs in the central; firstly, cardiac edema was evaluated as secondary.  Hepatosteatosis. Myelolipoma in the right adrenal gland corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1593/train_1593_a/train_1593_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. In the upper and lower lobes of both lungs and in the middle lobe of the right lung, there are peripheral and centrally located ground glass areas and band-like density increases parallel to the pleura accompanying the ground glass areas.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs  Hepatic steatosis  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1598/train_1598_a/train_1598_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In the left lung lower lobe superior and mediobasal segment, stable nodules of 2-3 mm in diameter with nonspecific appearance, which were also observed in previous examinations, are observed. Subsegmental atelectasis are observed in the right lung middle lobe, left lung lingular segment and lower lobe laterobasal segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: One or two lymph nodes are observed in the right upper-lower paratracheal aortopulmonary millimetric size. No pathological LAP was detected in the mediastinum. The catheter tip extends to the superior-right atrium junction of the vena cava.\n<bone>: No lytic destructive lesion was detected in the bones.\n<abdomen>: Bilateral adrenal glands appear natural. It is also observed in previous contrast-enhanced CT scans (exophytic cortical cyst?). Although there is a non-contrast examination in the sections passing through the upper part of the abdomen, hypodense, nodular lesions are observed in the liver parenchyma. In the right kidney localization, a large hypodense nodular lesion of approximately 8 cm in size, which may belong to a possible renal cyst, is observed.\n\nImpression:\nSeveral stable nodules smaller than 5 mm in nonspecific appearance in the left lung.  Hypodense nodular lesions that may be compatible with metastasis in the liver that can be selected in non-contrast examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1600/train_1600_a/train_1600_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance. Calibration of mediastinal main vascular structures, heart contour, its size is natural.\n<heart>: Calibration of mediastinal main vascular structures, heart contour, its size is natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: In places, there are sequela parenchymal changes. In the current examination, the long axis was measured as 35 mm in the axial sections and 43 mm in the previous CT examination, and its dimensions have decreased. In the upper abdominal sections within the image, there are hypodense areas in the liver parenchyma, which are not clearly demarcated, as far as can be seen within the borders of unenhanced CT.\n\nImpression:\nThere was no finding in favor of pneumonic infiltration in both lungs. There are nonspecific nodules in millimeter sizes.  In the upper abdominal sections within the image, there are hypodense lesions in the liver as far as can be seen within the borders of non-contrast CT."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1600/train_1600_b/train_1600_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea and both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Calcified atherosclerotic plaques are observed in the coronary arteries. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections. Gallbladder not observed (operated).\n\nImpression:\nCalcified atherosclerotic plaques in the coronary arteries.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1603/train_1603_a/train_1603_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3903",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are also pleuroparenchymal density increases at basal levels. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; In both lungs, ground-glass-like density increases are observed in almost all zones and in the middle-lower zones, which tend to coalesce. Thickening of the peribronchial sheath and increases in fibroatelectatic density are observed in the middle lobe on the right and in the lingular segment on the left.\n<mediastinum>: There are lymph nodes in almost all lymph node levels in the mediastinum, the largest at the right upper paratracheal level and approximately 15x8 mm in size. Calibration of mediastinal major vascular structures is natural.\n<heart>: The examination is suboptimal due to intense motion artifact. Mild pericardial effusion is observed in the case. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIt is recommended to evaluate the case with ground-glass-like density increases in the common mid-lower zones in both lungs, together with clinical and laboratory findings in terms of infective processes, including Covid.  Cardiomegaly, mild pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1609/train_1609_a/train_1609_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3923",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Paracardiac subsegmental atelectatic changes were observed in the medial segment of the middle lobe of the right lung and the lingula of the upper lobe of the left lung. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral lung apical segments. Nodules containing linear, pleuroparenchymal sequelae densities, accompanying subsegmentary atelectasis and multiple coarse calcifications, the largest of which is 12 mm in diameter, were observed in the left lung upper lobe anterior lingula and posterior, lower lobe superiorly, adjacent to the segment fissure.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are milimetric nonspecific stable sclerotic foci in T2 vertebra spinous process and left 4th rib anterior.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae pleuroparenchymal densities in bilateral lung upper lobe apical segments. Sequelae densities- subsegmentary atelectasis and stable calcific nodules in left lung upper lobe anterior, lingula and posterior, lower lobe superiorly adjacent to fissure.  Stable millimetric nonspecific sclerotic foci in the spinous process of the T2 vertebra and the left 4th rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1619/train_1619_a/train_1619_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3931",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLinear atelectasis in both lungs. Several millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1624/train_1624_a/train_1624_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are surgical drains placed in the subxiphoid region, one of which ends in the retrosternal region and one in the lateral of the left lung upper lobe. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion. There are atelectasis in the lower lobes adjacent to the pleural effusion in both lungs.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. It is understood that the patient underwent coronary bypass surgery.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. As far as can be observed: There are surgical materials in the sternum. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are present in the aorta and coronary arteries.\n\nImpression:\nMinimal pericardial effusion and pleural effusion.  Atherosclerotic changes in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1630/train_1630_a/train_1630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen. Three millimetric tracheal diverticulum were observed in the right posterolateral aspect of the superior part of the trachea.\n<lung>: When examined in the lung parenchyma window; Linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). A few nonspecific parenchymal nodules were observed in the posterobasal and laterobasal segments of the left lung lower lobe.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Several millimetric nonspecific nodules in the posterobasal and laterobasal segments of the left lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1634/train_1634_a/train_1634_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3957",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Several nonspecific parenchymal nodules with a diameter of 4.8 mm are observed in both lungs, the largest of which is in the superior segment of the left lung lower lobe. Peripherally located focal nodular icy consolidations are observed in the posterobasal and upper lobe apicoposterior segments of the left lung lower lobe, and the appearance is suspicious for ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nSuspicious findings for ultra-early Covid-19 pneumonia in the left lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Mosaic attenuation pattern in both lung parenchyma (small airway disease ?, small vessel disease?)  Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1638/train_1638_a/train_1638_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Bilateral tubular bronchiectasis is observed. Linear atelectasis areas are observed in the left lung upper lobe lingular segment, lower lobe medial segment, right lung middle lobe medial segment. No enlarged lymph nodes were detected in the mediastinum, bilateral hilar regions, and in both axillary areas in pathological size and appearance. A few millimetric nonspecific nodules with a diameter of 2.5 mm are observed in the right lung, the largest of which is in the anterior segment of the upper lobe. No mass or infiltrative lesion was detected in both lungs. Dependent density increases in both lung lower lobe posterior segment, right lung lower lobe superior segment, left lung lower lobe medial segment are nonspecific ground glass areas.\n<pleura>: No pleural-pericardial thickening or effusion was detected.\n<mediastinum>: No enlarged lymph nodes were detected in the mediastinum, bilateral hilar regions, and in both axillary areas in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Corduroy appearance compatible with hemangioma is present in T2 and T10 vertebral bodies. No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Within the limits of non-contrast BT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nBilateral tubular bronchiectasis, areas of linear atelectasis in both lungs.  Several millimetric nonspecific nodules in the right lung.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1642/train_1642_a/train_1642_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3968",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are areas of indistinct ground-glass density increase in both lung lower lobe basal segments observed on previous CT scan, and were primarily evaluated as secondary to dependent density increases. Density increase areas consistent with linear atelectasis were observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. There is mild diffuse mild ectasia that becomes prominent in the center of both lungs. There are several millimeter-sized nonspecific nodules in the upper lobe of the right lung. No active infiltration or mass lesion was detected in both lungs.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1642/train_1642_b/train_1642_b_1.npy"
        ]
    },
    {
        "id": "report_generation_3970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No mass or nodular space-occupying lesion was detected in the parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures.\n<abdomen>: No features were detected in the upper abdominal sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1643/train_1643_a/train_1643_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lungs, and nonspecific nodules in millimetric dimensions are observed in the bilateral lung parenchyma, the largest of which is 3 mm in the superior segment of the right lung lower lobe. Mild emphysematous changes are observed in both lung parenchyma, and there are thin-walled air cysts measuring 9mm in diameter, the largest of which is located in the posterior peripheral segment of the right lung lower lobe superior segment.\n<mediastinum>: At the mediastinal lymph node stations and at the bilateral hilus level, lymph nodes with a fusiform configuration, with a fusiform configuration of 6 mm, with a short diameter of 6 mm in the right lower paratracheal region, which are not pathological in size and appearance, are observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. There are calcified atheroma plaques in the wall of the aortic arch, descending aorta and abdominal aorta.\n<heart>: Pericardial effusion is not observed. There is a slight increase in the cardiothoracic ratio in favor of the heart. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural.\n<esophagus>: There is no pathological increase in wall thickness in the esophagus, and there is a sliding type hernia at the lower end.\n<bone>: Diffuse osteodegenerative changes are present. Surgical materials secondary to the operation are observed on the right humeral head. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: There are suture materials secondary to the operation in the gallbladder lodge. In the abdominal sections within the image, no pathology was detected in the bilateral adrenal region. There are calcified atheroma plaques in the wall of the aortic arch, descending aorta and abdominal aorta.\n\nImpression:\nSlight increase in cardiothoracic ratio in favor of the heart. Lymph nodes that are not pathological in size and appearance in mediastinal lymph node stations.  Sliding hiatal hernia at the level of the esophagogastric junction.  Millimeter-sized nonspecific nodules, mild emphysematous changes, and millimeter-sized thin-walled air cysts in both lung parenchyma.  Diffuse osteodegenerative changes in bone structures. Cholecystectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1645/train_1645_a/train_1645_a_1.npy"
        ]
    },
    {
        "id": "report_generation_3990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground glass densities in which the expansion of the vascular structures is observed in a peripheral localized patch style. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, there are several small lymph nodes with a short axis measuring up to 4 mm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1653/train_1653_a/train_1653_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver density was diffusely decreased, consistent with hepatosteatosis. Thoracic aorta diameter is normal. Other upper abdominal organs included in the sections are normal.\n\nImpression:\nHepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1660/train_1660_a/train_1660_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In the current examination, there is regression in the size of the consolidation areas observed in the previous examination in the right lung apical segment. Multiple parenchymal nodules were observed in both lung parenchyma, the largest of which was measured in the lower lobe of the right lung with a long axis of 17. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: In the deep axillary region on the right, there are contour irregularities and heterogeneous increases in density, which were also observed in the previous examination, and no significant change was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nRight lung apical consolidation area regressing from previous examination; It was initially thought to be secondary to post-treatment.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1663/train_1663_a/train_1663_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Bilateral asymmetrical nodular ground glass density areas are observed in both lungs. No mass lesion was detected in the lung parenchyma. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: 3 mm diameter calculi is observed in the middle zone of the right kidney. In the upper abdomen sections, a 27 mm diameter cortical cyst was observed in the posterior of the right kidney upper pole.\n\nImpression:\nRadiological findings consistent with parenchymal involvement of Covid infection in both lungs. Cyst in the right kidney.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1668/train_1668_a/train_1668_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: as far as can be observed: Trachea, both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Bilateral peribronchial thickenings are observed. Several nonspecific pulmonary nodules, the largest of which are 4 mm in diameter, are observed in different localizations in both lungs. Seubsegmentary atelectasis areas are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; Areas of patchy ground glass density increase are observed in the lower lobes of both lungs and in the middle lobe of the right lung.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Since the examination was performed without contrast, mediastinal main vascular structures were evaluated as suboptimal. In the mediastinal upper-lower paratracheal subcarinal localization, there are lymph nodes measuring 14 mm in the short axis of the larger one.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion-thickening was not observed. Heart size increased ( cardiomegaly).\n<esophagus>: Thoracic esophageal calibration was normal, and no significant pathological wall thickening was detected at the thin margins. Sliding type hiatal hernia is observed.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections within the examination area, a 37x24 mm cystic lesion is observed in the posterior neighborhood of the pancreatic body section. Hypodense lesions measuring 58 mm in diameter are observed in both kidneys, the largest in the left kidney ( cyst ?). The examination could not be characterized because it lacked contrast.\n\nImpression:\nMillimeter-sized nonspecific pulmonary nodules in both lungs. Cardiomegaly. Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary arteries. Patchy ground-glass density increases in both lungs.  Sliding type hiatal hernia. Exophytic cystic lesion in the pancreatic body part.  Bilateral renal multiple hypodense lesions ( cyst ?).  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1671/train_1671_a/train_1671_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Linear atelectatic changes were detected in the left lung upper lobe lingula inferior. When examined in the lung parenchyma window; Mild dependent atelectasis is present in both lower lobe posterobasal segments of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Milmetric calcific atheroma plaque is observed in the aortic arch. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic degenerative taperings on the anterior end plates of the thoracic vertebral corpuscles.\n<abdomen>: Upper abdominal organs included in the sections, there are a few millimetric calcific foci in the right lobe of the liver. Milmetric calcific atheroma plaque is observed in the aortic arch. Thoracic aorta diameter is normal.\n\nImpression:\nLinear atelectatic changes described in the left lung upper lobe lingula inferior. It has been primarily evaluated for sequelae and is atypical for Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1674/train_1674_a/train_1674_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4041",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In both lungs, areas of patchy density increase with indistinct borders, consistent with ground glass-consolidation, extending from the central to the periphery were observed. There is a mosaic attenuation pattern in both lungs. Viral pneumonias are considered in the etiology of the findings. In the examination made in the lung parenchyma window; Peribronchial thickness increases were observed in both lungs.\n<pleura>: Pericardial, pleural effusion was not observed.\n<mediastinum>: Calcific atheroma plaques were observed in the aorta and coronary arteries. The larger one is observed in the subcarinal area and its short diameter is measured as approximately 24 mm. There are lymphadenopathies in prevascular, paratracheal, subcarinal and both hilar regions. The main pulmonary artery is larger than normal with a diameter of 33 mm. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given.\n<heart>: As far as can be observed, there is an increase in heart size. The ascending aorta is 40 mm in diameter and wider than normal. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given.\n<esophagus>: Pathological wall thickness increase was observed in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: Calcific atheroma plaques were observed in the aorta and coronary arteries. No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Ascending aorta, increased pulmonary artery calibration.  Mediastinal and hilar lymphadenopathies.  Mosaic attenuation pattern in both lungs.  Indefinitely circumscribed patchy ground glass extending from the central to the periphery, accompanied by peribronchial thickness increases in both lungs, and areas of increased density consistent with consolidation; Viral pneumonias are considered in its etiology.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1677/train_1677_a/train_1677_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4064",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequelae changes were also observed in both lungs. A large mass was observed in the upper and middle lobe central part of the right lung and in the lower lobe superior segment. Apart from these, there are nodules in both lungs. There is another mass with irregular borders in the superior segment of the lower lobe of the right lung. In this appearance, it was primarily thought to be a metastatic mass. The longest diameter of this mass was approximately 70 mm at its widest point. The described lesion was absent in the previous examination of the patient. It is understood that some of these nodules have just appeared. The longest diameter of this mass was 40 mm. The nodules described were also primarily thought to be metastases. There is an increase in the size of some nodules. The described mass was considered to be the patient's primary mass. There are emphysematous changes and occasional atelectasis in both lungs.\n<pleura>: Minimal pleural effusion is observed on the right.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. Mediastinal structures could not be evaluated optimally because no contrast agent was given. Pathologically enlarged lymph nodes in the mediastinum and hilar regions were not detected in this examination. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. This appearance was primarily thought to be metastasis. There is a mass measuring 60 mm in the longest diameter in segment 5 and segment 6 of the right lobe of the liver. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nLung ca, malignant masses in the right lung, appearances evaluated in favor of metastases in both lungs, mass evaluated primarily in favor of metastasis in the right lobe of the liver  Minimal pericardial effusion and minimal pleural effusion in the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1686/train_1686_b/train_1686_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation is recommended for the differential diagnosis of consolidation. When examined in the lung parenchyma window; Atelectasis changes and air bronchogram signs are observed in the basal segment of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Transplanted liver is observed in the upper abdominal organs included in the sections. Extrahepatic drainage catheters extending into the common bile duct compatible with PTC are observed.\n\nImpression:\nEffusion with a thickness of 19 mm in the right hemithorax . It is recommended in terms of atelectasis consolidation area in the basal segment of the lower lobe of the right lung, clinical laboratory correlation, and differential diagnosis of the infectious process. Two drainage catheters extending into the extrahepatic common bile duct in the right lobe of the liver. shows regression of 48 mm in size of fluid loculation in the posterior right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1691/train_1691_a/train_1691_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4093",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are diffuse peribronchial thickness increases in both lungs. In the anterior segment of the left lung upper lobe, an area of increase in density in ground glass density with indistinct borders was observed adjacent to the bronchovascular structure. There are paraseptal emphysematous changes in the upper lobes of both lungs, more prominent in the apical segments. When examined in the lung parenchyma window; Smooth interlobular-interstitial septal thickness increases were observed in both lungs and were primarily evaluated as secondary to cardiac stasis. The appearance may belong to bronchopneumonic infiltration. No mass lesion was observed in both lungs.\n<pleura>: Right pleural effusion measured 55 mm at its deepest point. There is pericardial, right pleural effusion.\n<mediastinum>: Multiple lymph nodes with fusiform configuration are observed in all lymph node stations in the mediastinum, the largest of which is less than 1 cm in diameter. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: An increase in heart size is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures as far as can be observed is natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nIncrease in heart size.  Pericardial, right pleural effusion.  Pathological size and multiple invisible lymph nodes in the mediastinum.  Uniform interlobular-interstitial septal thickness increases in both lungs; evaluated as secondary to cardiac stasis.  Paraseptal emphysematous changes in the upper lobes of both lungs.  Bilateral peribronchial diffuse mild thickness increases and an increase in density in the peribronchovascular area of the left upper lobe anterior segment of the left lung with indistinctly circumscribed ground glass density; evaluated in favor of bronchopneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1700/train_1700_a/train_1700_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The left hemidiaphragm shows significant elevation. Mild bronchiectatic changes were observed in the center of both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lung parenchyma. There are also atelectatic changes in the linguistic segment. There are fibroatelectatic changes in the lower lobe of the right lung. When examined in the lung parenchyma window; effusion measuring 20 mm at its thickest point on the left, partially extending to the fissure, and extensive atelectatic changes in the lower lobe were observed.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There are densities of stent material in coronary arteries. As far as can be seen; A pacemaker appearance and electrodes extending to the floor of the ventricle were observed on the anterior left chest wall.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Density increases consistent with postoperative edema-inflammation were observed in the left interncostal region and subcutaneous fat planes. No lytic-destructive lesion was detected in bone structures. Ossified calcific bone fragments were observed at the right glenohumeral joint space in the examination area (Loose body?).\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Accessory spleen with a diameter of 12 mm was observed adjacent to the lower pole of the spleen. A hypodense lesion with a diameter of 15 mm was observed in the middle zone of the left kidney in the upper abdominal sections in the examination area (cyst?).\n\nImpression:\nCardiomegaly. Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Pleural effusion and atelectatic changes on the left. Elevation in the left hemidiaphragm.  Millimetrically sized nonspecific parenchymal nodules in both lungs. Left renal hypodense lesion (cyst?).  Bone fragments (loose body?) at the right glenohumeral joint. Mild bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1712/train_1712_a/train_1712_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4144",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the previous examination of the patient, it was understood that the secretions in the bronchiectatic ducts disappeared. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Bronchiectasis and peribronchial thickening are observed in the upper lobe of the left lung. However, when evaluated together with the clinical information (AML) of the patient, this appearance was also thought to be the involvement of the primary disease. There is minimal peribronchial thickening in both lungs. The middle lobe of the right lung and the upper lobe of the left lung are consolidated in the apicoposterior segment. Because of the consolidation, the views in the middle lobe of the right lung and the upper lobe of the left lung cannot be clearly evaluated. However, interlobular septal thickening may also be due to neoplastic infiltration. This view is not specific. It is not specific in the views described. There are also consolidated areas in the anterior segment of the upper lobe of the left lung and in the apical subsegment of the apicoposterior segment. In addition, smooth interlobular septal thickenings, more prominent in the lower lobes of both lungs, and ground-glass appearances are observed in both lungs from time to time. Right lung middle lobe and left lung upper lobe apicoposterior segment bronchi cannot be observed from the proximal part.\n<pleura>: Bilateral minimal pleural effusion, more prominent on the right, is observed.\n<mediastinum>: There are lymphadenopathies in the mediastinum and hilar regions, some of which are indistinguishable from each other. The widths of the mediastinal main vascular structures are normal. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter was measured as 21 mm as far as can be observed in this examination. Mediastinal structures and vascular structures cannot be clearly evaluated since no contrast material is given.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as the non-contrast CT margins can be observed in the upper abdominal organs within the sections, no mass with distinguishable borders was detected.\n\nImpression:\nOn follow-up, AML, mediastinal and hilar lymphadenopathies, consolidation in the right lung middle lobe and left lung upper lobe, interlobular septal thickenings in both lungs (described findings are not specific. However, these manifestations may be due to primary disease involvement)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1713/train_1713_d/train_1713_d_1.npy"
        ]
    },
    {
        "id": "report_generation_4146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Dependent atelectasis changes are observed in both lung lower lobe posterobasal segments, more prominent on the left.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nDependent atelectasis in the posterobasal portion of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1714/train_1714_a/train_1714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Density increases were observed in the posterobasal segment of the lower lobe of the right lung, consistent with the consolidation in which air bronchograms were observed. Diffuse linear subsegmental atelectatic changes were observed in the basal-superior segments of the lower lobe of the right lung and the middle lobe of the right lung in the vicinity of the consolidation. Atelectatic changes were also observed in the left lung lower lobe antero-mediobasal segments. The area of pneumatic infiltration in the lower lobe of the right lung persists. Other findings are stable. There is minimal reduction in the size of lymph nodes in the mediastinum and bilateral hilar region on current examination.\n<pleura>: Bilateral pleural effusion observed in the previous examination was not observed in the current examination. Sequelae thickening was observed in the posterior costal pleura.\n<mediastinum>: In the mediastinum, in the bilateral axillary region, lymph nodes with a narrow diameter of 14.5 mm in the current examination and 19 mm in size in the previous CT examination were observed. There is minimal reduction in the size of lymph nodes in the mediastinum and bilateral hilar region on current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1715/train_1715_c/train_1715_c_1.npy"
        ]
    },
    {
        "id": "report_generation_4153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Other findings are stable when evaluated in conjunction with the patient's previous examinations. The patient's examination was evaluated together with recent CT examinations.\n<pleura>: Apart from this, the rate of pleural effusion increased in both lungs, more prominently in the right lung. In the right lung, the pleural effusion reaches 4 cm in its thickest part, and reaches approximately 1.5 cm in the thickest part of the left lung.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1715/train_1715_d/train_1715_d_1.npy"
        ]
    },
    {
        "id": "report_generation_4170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. In both lungs, patches of consolidation following peribronchovascular structures, more prominent in the upper lobes, and accompanying interlobular septal thickness increases and subsegmental atelectasis are present. There is compression atelectasis in the posterior segments of the lower lobes of both lungs adjacent to the effusion. It is recommended that the patient be evaluated for infectious pathologies.\n<pleura>: Pleural effusion with a thickness of 5 cm in the right hemithorax and 3.5 cm in the left hemithorax is observed.\n<mediastinum>: Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. Calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart size is normal. Significant bilateral atrial dilatation is observed on the left.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Thoracic kyphosis is increased. Cerclage suture materials are observed in the sternum. No lytic-destructive lesion was observed in bone structures. Vacuum phenomenon secondary to degeneration is observed in the T7-T8 disc, and there are sclerotic changes on the bone surfaces adjacent to the disc.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nBiatrial dilatation, calcific atheroma plaques in the aorta and coronary arteries.  Bilateral pleural effusion, compression atelectasis in both lungs adjacent to the effusion.  Patchy areas of consolidation, concomitant interlobular septal thickness increase and subsegmental atelectasis areas, more prominent in the upper lobes of both lungs; It is recommended that the patient be evaluated for infectious pathologies.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1723/train_1723_a/train_1723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?).\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen: Central venous catheter is seen on the right. The widths of the mediastinal main vascular structures are normal.\n<heart>: The heart is larger than normal. The catheter terminates in the right atrium.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. There is no lytic-destructive lesion in bone structures. Vertebral corpus heights, alignments and densities are normal within the sections. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1733/train_1733_a/train_1733_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4204",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a mosaic attenuation pattern in the lower lobes of both lungs (small airway disease?small vessel disease?). There are linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: Since a part of the upper abdomen was included in the sections, no comment could be made about the obstructive pathology. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Further investigation is recommended. No upper abdominal free fluid-collection was detected in the sections. Dilatation is observed in the right kidney collecting system.\n\nImpression:\nMosaic attenuation pattern in the lower lobes of both lungs. Linear atelectasis in both lungs.  Dilatation of the right renal collecting system"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1737/train_1737_a/train_1737_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4220",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Ground glass areas observed in the lower lobe of the left lung are consistent with infective pathology. In this examination, linear density increases evaluated in favor of atelectasis in the left lung upper lobe lingular segment inferior subsegment and diffuse ground glass areas in the lower lobe are observed. In the previous examination of the patient, consolidation is observed in the left lung lower lobe and upper lobe lingular segment. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). It is recommended to evaluate the patient together with clinical and laboratory findings. It appears that the consolidations have completely disappeared. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the left. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed. The catheter terminates at the superior vena cava-right atrium junction. Central venous catheter is seen on the right. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions.\n<heart>: The catheter terminates at the superior vena cava-right atrium junction. Pericardial thickening was not detected. As far as can be observed: Heart contour and size are normal. There is a pericardial effusion measuring 13mm in its thickest part.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nCML in follow-up. Ground-glass areas in the lower lobe of the left lung (it is understood that the consolidation observed in this localization was completely lost in the previous examination of the patient).  Atelectasis in the lingular segment of the upper lobe of the left lung. Pleural effusion on the left, minimal pericardial effusion.  Mosaic attenuation pattern in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1742/train_1742_a/train_1742_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4234",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are diffuse interlobular septal thickenings in both lungs, and the bronchi are mildly ectaic in the lower lobe basal segments. Trachea and main bronchi are open.\n<lung>: Nodules of 12x9 mm in the middle lobe of the right lung, 6 mm in the lower lobe, upper lobe posterior segment, and 7 mm in diameter in the middle lobe are observed. In the evaluation of both lung parenchyma; More prominent honeycomb lung is observed in the peripheral lung parenchyma and lower lobes in both lungs. There are diffuse interlobular septal thickenings in both lungs, and the bronchi are mildly ectaic in the lower lobe basal segments.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the walls of the ascending, arch, and descending aorta and abdominal aorta, and in the walls of the coronary artery. Right upper-bilateral lower paratracheal, aortopulmonary lymph nodes with a narrow diameter of 9 mm are observed. The AP diameter of the descending aorta is 3 cm and wider than normal. LAP was not detected in pathological size and appearance.\n<heart>: Calcific plaques are observed in the walls of the ascending, arch, and descending aorta and abdominal aorta, and in the walls of the coronary artery. The cardiothoracic index increased in favor of the heart.\n<bone>: Bone structures are diffusely osteopenic. No lytic-destructive lesion was detected in bone structures. There are suture materials secondary to bypass surgery in the sternum.\n<abdomen>: Calcific plaques are observed in the walls of the ascending, arch, and descending aorta and abdominal aorta, and in the walls of the coronary artery. The AP diameter of the descending aorta is 3 cm and wider than normal. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. LAP was not detected in pathological size and appearance.\n\nImpression:\nEnlargement of the descending aorta  Calcific plaques in the walls of the ascending, arch and descending aorta and abdominal aorta, coronary artery walls  Suture materials secondary to previous bypass surgery in the sternum  Increased cardiothoracic index in favor of the heart  More prominent honeycomb lung in the peripheral lung parenchyma and lower lobes in both lungs  Diffuse interlobular septal thickening in both lungs and mild ectasia in the bronchi in the lower lobe basal segments.  Diffuse osteopenia in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1744/train_1744_a/train_1744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4238",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is recommended to be evaluated together with clinical and laboratory in terms of possible bronchiolitis. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Minimal ground glass density and centriacinar nodules were observed in a focal area in the anteromediobasal segment of the lower lobe of the left lung. Linear fibroatelectasis sequelae changes were observed in both lung lower lobe basal segments. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: It was observed that traction bronchiectasis was observed in the central part of the left lung, causing volume loss and structural distortion along the apicoposterior segment, and soft tissue density with irregular borders in the recession of the pleura was observed in favor of sequelae in the first plan. Nonspecific subpleural nodules with a diameter of 4.5 mm were observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the left lung.\n<mediastinum>: Descending aorta diameter of 22 mm is within normal limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: As far as can be seen; The diameter of the ascending aorta was 37 mm, wider than normal. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The right adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Descending aorta diameter of 22 mm is within normal limits. A well-circumscribed nodular with a size of 18x14 mm in the lateral crus of the left adrenal gland with macroscopic fat was observed and it was evaluated in favor of adenoma. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nEctasia in the ascending aorta . Hiatal hernia . Soft density with irregular margins causing structural distortion, volume loss and pleural retraction in the left upper lobe apicoposterior segment; the sequelae were initially evaluated in favor of atelectatic changes. Follow-up is recommended.  Mosaic attenuation pattern (small air) in both lungs tract disease?small vessel disease?).  Centriacinar ground-glass densities in a focal area in the left lung lower lobe anteromediobasal segment; it is recommended to be evaluated together with clinical and laboratory in terms of bronchiolitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1746/train_1746_a/train_1746_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lungs, segmental-subsegmental bronchial sheath thickening and luminal narrowing are observed. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Mosaic attenuation has been found to be secondary to small airway disease. Passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Mosaic attenuation is present in both lungs.\n<pleura>: A millimetric nonspecific nodule located subpleural was observed in the inferior lingular segment of the left lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Other mediastinal main vascular structures, heart contour, size are normal. As far as can be observed: atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. As far as can be observed: atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thickening of the left adrenal gland corpus was observed. The right adrenal gland locus is normal, and no space-occupying lesion was detected. As far as can be observed: atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries.\n\nImpression:\nAtherosclerotic wall calcifications in the aortic arch and coronary arteries.  Mosaic attenuation pattern secondary to small airway obstruction in both lungs, subsegmental atelectatic changes.  Millimetric nonspecific nodule in the left lung inferior lingular segment.  Thickening of the left adrenal gland corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1747/train_1747_a/train_1747_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4242",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are minimal bronchiectasis at the central level.\n<lung>: There are hilar calcific millimetric lymph nodes on the right. When examined in the lung parenchyma window; There are minimal sequelae fibrotic changes in both lungs. Millimetric air cysts are observed in the right lung. Millimetric nonspecific nodules were observed in both lungs.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral left hilar and bilateral axillary pathological dimensions. Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. A catheter inserted from the right extending into the superior vena cava is observed.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 41 mm and is ectatic. Calcific plaques were observed in the left main coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the thoracic vertebrae, there are osteoephytes that tend to merge anteriorly.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAscending aortic ectasia, coronary atherosclerosis.  Sequela fibrotic changes in both lungs.  Nonspecific nodules in both lungs.  Calcific lymph nodes at hilar level on the right.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1748/train_1748_a/train_1748_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are atheromatous plaques in the aorta and coronary artery. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: Liver parenchyma is heterogeneous. There are atheromatous plaques in the aorta and coronary artery. The spleen is larger than normal. Liver contours are irregular. No upper abdominal free fluid-collection was detected in the sections. The left lobe of the liver is minimally hypertrophic.\n\nImpression:\nFindings consistent with chronic liver parenchymal disease (cirrhosis) . Mosaic attenuation pattern in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1754/train_1754_a/train_1754_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These nodule-nodular consolidations were thought to be primarily sequelae changes. In addition, there are nodular density increases-nodules with slightly irregular borders in the described localizations. The described appearances were also present in the patient's previous examination, and no difference was found in their size and appearance. The largest of the described nodule-nodular consolidations is observed in the anterior segment of the anterior segment of the right lung upper lobe and measures approximately 8x5 mm. Minimal bronchiectasis, minimal peribronchial thickening and structural distortion and volume loss were observed in the right lung upper lobe medial segment, right lung lower lobe superior segment, and left lung upper lobe lingular segment. No mass or pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. These lymph nodes are also present in the previous examination of the patient and no difference was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1755/train_1755_b/train_1755_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; In both lungs, the bronchial walls are thickened at the central level.\n<lung>: There are minimal bronchiectasis and fibrotic changes in the lower lobes. No pneumonic infiltration or space-occupying mass lesion was observed in both lungs. When examined in the lung parenchyma window; In both lungs, the bronchial walls are thickened at the central level.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In upper abdominal sections; liver contours are corrugated. The spleen size is 180 mm and has increased. Widespread vascular structures are seen starting from the periportal, perisplenic, periceliac area and extending from the perigastric area to the paraesophageal area (may belong to cavernous transformation).\n\nImpression:\nThickening of the bronchial walls, minimal bronchiectasis and minimal sequela fibrotic changes in both lungs.  Slight corrugation in liver contours.  Paraesophageal and intra-abdominal varicose veins.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1762/train_1762_a/train_1762_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1770/train_1770_a/train_1770_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4310",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are also frequently observed in Covid-19 pneumonia. Consolidation areas in the peripheral and central areas of both lungs and ground-glass-like pneumonic infiltration areas are observed in the peripheries.\n<mediastinum>: Other mediastinal main vascular structures are normal. At its widest point, it reaches a diameter of about 5 cm at the level of the aortic arch. Fusiform dilatation is observed in the aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hypodense nodular appearance that may be compatible with a cyst in the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. At its widest point, it reaches a diameter of about 5 cm at the level of the aortic arch. Fusiform dilatation is observed in the aorta. Stones are observed in the gallbladder. There are calcific atheroma plaques in the aorta and coronary arteries. The patient's 12.03. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFusiform dilatation of the aorta.  Calcific atheromatous plaques in the aorta and coronary arteries  Pneumonic infiltration findings interpreted primarily in favor of Covid-19 pneumonia.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1772/train_1772_b/train_1772_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A millimetric calcific nodule is observed in the medial of the upper lobe anterior segment. When examined in the lung parenchyma window; In both lungs, there are frosted glass-like density increments with a round-oval appearance in all zones.\n<pleura>: No pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected at the mediastinal and both hilar levels. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Mild hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings that are considered compatible with Covid-19 pneumonia in the first place. Other viral pneumonias are included in the differential diagnosis. It is recommended to be evaluated together with clinical laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1774/train_1774_a/train_1774_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Structural distortion at the apex of both lungs is followed by areas of increased density, which is evaluated as atelectasis accompanied by volume loss.\n<pleura>: In both lungs, there are nonspecific nodules measuring 6.5 mm with a pleural base, the largest of which is in the right lung lower lobe posterior.\n<mediastinum>: Calcified atheroma plaques are observed on the wall of mediastinal vascular structures.\n<bone>: There are osteophytic degenerative changes in the vertebral corpus corners with a right weighted convergence tendency. No lytic or destructive lesions are detected in the bone structures within the image, there is an increase in left-facing scoliosis and thoracic kyphosis in the thoracic vertebral column.\n<abdomen>: In the upper abdomen sections within the image, there is a 2 mm stone in the lower pole of the left kidney.\n\nImpression:\nAtelectasis changes in the bilateral apex, nonspecific nodular millimeters in both lungs, calcified atheroma plaques on the wall of mediastinal vascular structures, left nephrolithiasis, thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1778/train_1778_a/train_1778_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild scoliosis with left opening was observed at the thoracic level. Mild degenerative changes were observed in bone structures.\n<abdomen>: A 2 mm diameter calculus was observed in the upper pole of the left kidney. When the upper abdominal organs included in the sections were evaluated; The parenchymal density in the liver is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space occupying lesion was detected.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs. Hepatosteatosis.  Left nephrolithiasis. Mild scoliosis with left-facing opening at the thoracic level, mild degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1781/train_1781_a/train_1781_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4333",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1783/train_1783_a/train_1783_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Slight patchy density increases are observed in the left lung upper lobe inferior lingula and in the left lung lower lobe posterobasal, in which air bronchogram signs are also observed. Clinical and laboratory correlation of findings in terms of the onset of an infectious process is recommended due to the current pandemic.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta (embolizing material?).\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Multiple calcifications up to 4 mm in size are observed in both breast parenchyma.\n<bone>: Bone structures in the study area are natural. Most of them have height losses. There are changes in the vertebral bodies secondary to vertebroplasty.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A small cortical cyst is observed in the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta (embolizing material?).\n\nImpression:\nClose follow-up of clinical-laboratory correlation of the findings described in the lung parenchyma is recommended due to the patient's known primary in terms of suspected early infectious process.  There is a 10 mm effusion in the left hemithorax.  Calcifications measuring up to 4 mm in both breasts.  Height losses in vertebral corpuscles secondary to vertebroplasty.  Linear external material (embolizing material?) in the left main pulmonary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1786/train_1786_f/train_1786_f_1.npy"
        ]
    },
    {
        "id": "report_generation_4351",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The right thyroid lobe is not observed (operated?). Millimetric sized hypodense nodules were observed in it.\n<lung>: Clinical and laboratory correlation is recommended. Minimal bronchiectatic changes were observed in both lungs. It was primarily evaluated as secondary to the dependent effect. A nonspecific subplebral parenchymal nodule of 5 mm in diameter was observed in the posterobasal segment of the lower lobe of the left lung. Pleuroparachymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: When examined in the lung parenchyma window; Contour irregularities were observed in the costal pleura at the level of the posterior segment of the right lung upper lobe.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The left thyroid lobe has increased in size and extends to the upper mediastinum.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: it is natural. No lytic-destructive lesion was detected. Degenerative changes were observed in the bone structures entering the section area.\n<abdomen>: A solid odular lesion with a diameter of 2 mm was observed in the lateral crus of the left adrenal gland. Aerial images of prominent bilateral intrahepatic bile ducts are observed on the left. The gallbladder was not observed (cholestectomized).\n\nImpression:\nRight thyroid lobe not observed (operated?). Left lobe increased in size and millimetric nodules. US control is recommended.  Cardiomegaly.  Minimal bronchiectatic changes in both lungs. Minimal contour irregularities in the pleura in the right lung, millimeter-sized nonspecific parenchymal nodules in the left lung. It was primarily evaluated as secondary to the dependent effect..  Air images in the intrahepatic biliary tract, cholecystectomized, Incisional hernia, Degenerative changes in bone structures ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1787/train_1787_a/train_1787_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected. In the examination made in the lung parenchyma window; In both lungs, areas of multilobar mostly peripheral subpleural localized nodular consolidation and ground glass density increase are observed, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal vascular structures and heart examination IV.\n<heart>: It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1790/train_1790_a/train_1790_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4369",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be seen; Trachea, lumen of both main bronchi are open.\n<lung>: Mozoic attenuation areas were observed in both lungs. When examined in the lung parenchyma window; Prominent inter-lobular septa in both lungs were observed (secondary to cardiac pathology?). (small airway disease? small vessel disease?). In the lower lobes of both lungs, atelectasis-consolidation areas with air bronchograms are noteworthy.\n<pleura>: On the left, a loculated pleural effusion area with thick-walled wall calcification, measuring 24 mm at its thickest part, is observed between the pleural leaves. Between the right pleural leaves, there is a thick-walled loculated pleural effusion measuring 26 mm at its thickest point.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The diameter of the main pulmonary artery was 34 mm, the diameter of the right pulmonary artery was 26 mm, and the diameter of the left pulmonary artery was 25 mm, and the diffuse increased. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. In the upper-lower paratracheal prevascular subcarinal localization, lymph nodes measuring 5 mm in the short axis of the largest were observed.\n<heart>: There is an effusion measuring 13 mm at its widest point in the pericardial area. Heart size increased. The diameter of the ascending aorta was 38 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Sliding type 1 hiatal hernia was observed.\n<bone>: Tapering and osteopathic changes were observed in the vertebral corpus corners. Thoracic kyphosis has increased. No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. At the central mesenteric level, there are increases in density compatible with edema-inflammation in fatty planes. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nDilatation of pulmonary arteries, cardiomegaly, pericardial effusion. Thick-walled loculated pleural effusion areas with calcification on the left wall of both lungs.  Prominence of interlobular septa in both lungs (secondary to cardiac pathology?).  Mosaic attenuation areas in both lungs. Atelectasis-consolidation areas with air bronchogram in the basal segments of the lower lobes of both lungs. Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1795/train_1795_a/train_1795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: There was no finding compatible with pneumonia. No pathological size and configuration of lymph nodes were detected at both hilar levels. Focal consolidative density is observed in the middle lobe. Sequelae changes are observed in the linguistic segment. There is a calcific nodule of approximately 5 mm in diameter in the posterior segment of the right lung upper lobe.\n<pleura>: Bilateral pleural effusion or pneumothorax is not observed.\n<mediastinum>: CTO is normal. It is at the upper limit of normal. The aortic arch calibration is 29 mm. Calibration of other mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. CTO is normal. It is at the upper limit of normal. The aortic arch calibration is 29 mm.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1812/train_1812_a/train_1812_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Linear atelectasis areas are observed in both lungs. No mass or infiltrative lesion was observed in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance.\n<heart>: The diameter of the ascending aorta was 51 mm and showed aneurysmatic dilatation. Annular calcification is observed at the level of the aortic valve.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no mass with discernible borders in other upper abdominal organs. Within the limits of non-contrast BT; Low-density hypodense lesions with a diameter of 8 mm on the left and 7.5 mm on the right, in both adrenal gland corpus sections, with a fat density are consistent with adenoma.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs, areas of linear atelectasis.  Aneurysmatic dilatation of the ascending aorta.  Hypodense lesions consistent with adenoma in both adrenal gland corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1838/train_1838_a/train_1838_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: It is accompanied by focal areas of bronchiectasis and minimal peribronchial wall thickening in the upper lobe of the right lung. In addition, there is an increase in density of possible focal atelectasis in the right lung lower lobe mediobasal segment, adjacent to osteophytes. In the evaluation of both lung parenchyma; Dependent density increases are observed in the lower lobes of both lungs. A nonspecific nodule with a diameter of 2.3 mm is observed in the middle lobe of the right lung. Ground glass densities observed in the lower lobe are mostly secondary to dependency increases.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The AP diameter of the ascending aorta is 4.3 cm. Right upper, bilateral lower paratracheal, aortpulmonary millimetric lymph nodes are observed. The AP diameter of the descending aorta is 3 cm and wider than normal. No pathological LAP was detected in the mediastinum. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n<heart>: The cardiothoracic index increased in favor of the heart. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The AP diameter of the ascending aorta is 4.3 cm. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The AP diameter of the descending aorta is 3 cm and wider than normal. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries. No significant pathology was detected in the abdominal sections.\n\nImpression:\nEctasia in the ascending and descending aorta  Calcific plaques in the walls of the coronary artery and in the aortic arch  Dependent density increases in both lung parenchyma, ground glass density observed in the right lung lower lobe mediobasal segment belong to focal atelectasis due to osteophyte."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1841/train_1841_b/train_1841_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lungs, interlobular septal thickening and accompanying ground-glass density increase are observed, which are prominent in the basal sections in a widespread patchy manner. Atelectatic changes are observed in the middle lobe of the right lung. The appearance is suggestive of viral pneumonia in the first place. In addition, a peripheral focal consolidation area is observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Lymph nodes measuring 16x11 mm in size are observed in the right upper-lower paratracheal prevascular and subcarinal localization. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. It is recommended to be evaluated together with clinical and laboratory data. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nGround-glass density increases accompanied by interlobular septal thickenings in both lung parenchyma, focal areas of consolidation in the posterobasal segment in the lower lobe of the right lung. The findings described initially suggest viral pneumonia. It is recommended to be evaluated together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1842/train_1842_a/train_1842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal.\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). A stable nodule with a diameter of 3 mm is observed laterally in the anterior and apicoposterior segment transition of the left lung upper lobe. The calcific nodule appears stable. On the right, there are 2 stable nodules, the largest of which is 3 mm in diameter, superposed on the interlobar fistula. Widespread thickening is observed in the interlobar septa, and it is more prominent in the mid-lower zones in the peripheral areas. Nodules with a diameter of 3 mm in the superior segment of the lower lobe of the left lung and calcific nodules with a diameter of 4 mm at the level of the apicoposterior segment are observed. A stable 3 mm diameter nodule is observed in the inferior lingular segment of the left lung.\n<pleura>: Slightly inferiorly, stable subpleural nodules of 3 mm and 5 mm in size are observed. In the current examination, it is seen as a pleural thickening-pushing effusion. The pleural effusion observed in the previous examination in both lungs regressed significantly in the current examination. At the level of the anterior segment of the upper lobe of the right lung, a subpleural stable nodule with a diameter of 4 mm is observed.\n<mediastinum>: It is wider than normal. In the paraesophageal area, there are lymph nodes of approximately 20x12 mm in size, of which hilar fat is selected. No pathologically sized and configured lymph nodes were detected in both hilar levels and mediastinum. The aortic arch calibration was measured as 31 mm. Calibration of the main mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. Left adrenal is slightly filled. Upper abdominal organs included in the sections are normal. The aortic arch calibration was measured as 31 mm. Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n\nImpression:\nCardiomegaly.  Prominence and atherosclerosis in mediastinal vascular structures.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Stable-looking multiple millimetric nodule formation in both lungs.  More prominent in the mid-lower zones in peripheral areas, thickening in interlobular septa, bilateral pleural effusion in the previous examination has regressed significantly in the current examination. It is recommended to evaluate the case in terms of cardiac stasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1843/train_1843_b/train_1843_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In the lower lobes, the bronchial walls are thicker than normal.\n<lung>: When examined in the lung parenchyma window; There are mosaic density differences in the lungs and sequelae fibrotic changes especially in the lower lobes. There are bilateral millimetrically predominantly calcific nodules. In the lower lobes, the bronchial walls are thicker than normal.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques are observed in the coronary arteries and aorta. Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries and aorta. The ascending aorta is ectatic (37 mm).\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific plaques are observed in the coronary arteries and aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1843/train_1843_c/train_1843_c_1.npy"
        ]
    },
    {
        "id": "report_generation_4483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Millimetric calcific plaques are observed in the walls of the trachea and main bronchus. Trachea and main bronchi are open.\n<lung>: Passive atelectasis is observed in the lung parenchyma adjacent to the effusion in the anterobasal segment of the lower lobe of the right lung. A nonspecific nodule with a diameter of 2 mm is observed in the anterior segment of the left lung upper lobe. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lungs.\n<pleura>: In addition, subpleural nodules with a diameter of 2-3 mm in the middle lobe of the right lung and 3 and 3.5 mm in diameter in the middle lobe of the right lung are observed.\n<mediastinum>: Millimetric calcific plaques are observed in the arch and descending aorta. No LAP was detected in the mediastinum in pathological size and appearance.\n<heart>: The lead catheter extends into the right lateral ventricle. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic destructive lesion was observed in the bones.\n<abdomen>: In the sections passing through the upper part of the abdomen, the medial and lateral crus of the left adrenal gland body are thick. No additional significant pathology was distinguished in the non-contrast examination of the abdominal sections. Millimetric calcific plaques are observed in the arch and descending aorta.\n\nImpression:\nCardiomegaly.  Pleural effusion in both hemithorax that is evident on the right according to the previous examination.  Nonspecific appearance in both lungs, those on the right subpleural 2-3 mm in diameter nonspecific nodules.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1843/train_1843_d/train_1843_d_1.npy"
        ]
    },
    {
        "id": "report_generation_4514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen.\n<lung>: A few nonspecific nodules, some of which are calcified, are observed in both lungs, the largest of which is 4 mmm in the posterobasal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Bilateral lung ventilation is natural.\n<pleura>: Pericardial-pleural effusion was not detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour, size are natural. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesion is observed in the bone structures within the image.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. There is a diffuse hypodense appearance secondary to hepatosteatosis in liver parnchymal density. Free liquid-loculated collection is not observed.\n\nImpression:\nThere is no finding in favor of pneumonic infiltration in both lungs, and there are a few nonspecific nodules in millimetric sizes, some of them calcified.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1852/train_1852_a/train_1852_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical laboratory correlation monitoring is recommended. The findings were initially evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs. A few small lymph nodes in mediastinal and bilateral hilar sizes are observed.\n<mediastinum>: A few small lymph nodes in mediastinal and bilateral hilar sizes are observed.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??? Appearances compatible with Covid-19 viral pneumonia. Clinical laboratory correlation follow-up is recommended for better differential diagnosis of findings. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1856/train_1856_a/train_1856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral tubular bronchiectasis is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. No discernible mass was detected in both lungs. In the lower lobe posterior segment of both lungs, right lung middle lobe medial segment, left lung upper lobe lingular segment, there are consolidation areas in which air bronchograms are observed, accompanying subsegmental atelectasis and occasional focal ground glass areas.\n<pleura>: Bilateral minimal pleural effusion is observed.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Both adrenal glands are not included in the cross-sectional area. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density decreased in favor of fat (24 HU).\n\nImpression:\nConsolidation areas in both lungs with air bronchograms, accompanying subsegmental atelectasis and occasional focal ground glass areas.  Bilateral tubular bronchiectasis.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1859/train_1859_a/train_1859_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy cannula was observed in the trachea. Trachea and lumen of both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Although the optimal evaluation secondary to motion artifacts could not be made, passive atelectatic changes were observed in the areas adjacent to the effusion in the lower lobe basal segments of both lungs. It is significant in terms of infective processes during the resolution period. Fibrotic and band-shaped linear atelectasis were observed in both lung lower lobe basal segments.\n<pleura>: More extensive ground glass areas were observed in the subpleural areas of the left lung upper lobe posterior and lower lobe basal segments. Mild pleural effusion was observed in both pleural spaces.\n<mediastinum>: Lymph node with pathological dimensions measuring 1 cm on the short axis of the largest was observed at the upper paratracheal, prevascular, aortopulmonary, bilateral lower paratracheal and subcarinal levels. Atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. Calibration of mediastinal major vascular structures is natural. Atherosclerotic wall calcifications were observed in the coronary arteries and thoracic aorta.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the coronary arteries and thoracic aorta.\n<esophagus>: A drainage catheter extending from the esophagus to the stomach antrum was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: Degenerative changes were observed in the thoracic vertebrae. Vertebral corpus heights are normal.\n<abdomen>: A drainage catheter extending from the esophagus to the stomach antrum was observed. Atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. No stones were detected in the kidneys within the sections. The pancreas is atrophic. Atherosclerotic wall calcifications were observed in the coronary arteries and thoracic aorta. Nodular thickening of 11x10 mm was observed in the left adrenal gland corpus. Liver, gallbladder and spleen are normal as far as can be seen on non-contrast sections. The right adrenal gland is normal.\n\nImpression:\nCardiomegaly, mediastinal pathological lymphadenopathies . Mild effusion in both hemithorax, passive atelectatic changes in adjacent lower lobe basal segments . Ground-glass areas appearing in subpleural areas in left lung upper lobe posterior and lower lobe basal segments were evaluated in favor of infection in resolution.  Degenerative changes in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1861/train_1861_a/train_1861_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?).\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1863/train_1863_a/train_1863_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the upper lobe posterior segment of the right lung, a well-defined calcified nodule of 4 mm in diameter is observed, and a well-circumscribed nodule of 3 mm in diameter is observed in the lower lobe superior segment.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few well-circumscribed intraparanimal nodules, some of them calcified, in the right lung . Mild hiaral hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1864/train_1864_a/train_1864_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The right kidney is partially observed and hypodense findings measuring up to 28 mm are observed in it. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. The liver parenchyma entering the section area changes in favor of steatosis.\n\nImpression:\nCorticopelvic cyst in the right kidney.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1865/train_1865_a/train_1865_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4563",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lungs, faint ground glass densities were observed in the posterior segments of the lower lobe, especially on the right.\n<pleura>: Calcific thickening was observed in the diaphragmatic pleura on the right. No pleural effusion was detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: There is a hiatus hernia at the lower end of the esophagus.\n<bone>: There are osteoporosis and degenerative changes in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. Millimetric hyperdense stone was observed in the gallbladder. Viral pneumonia? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Views include possible findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1875/train_1875_a/train_1875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal emphysematous changes are observed in both lungs. There are several millimetric nonspecific nodules in the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Central venous catheter is seen on the right. No enlarged lymph nodes in pathological dimensions were detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal. The venous catheter terminates in the right atrium.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were observed in the bone structures within the sections. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities are normal within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nLymphoma on follow-up . A few millimetric nonspecific nodules in the left lung . Minimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1876/train_1876_a/train_1876_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the lower lobes of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are minimal emphysematous changes in both lungs, more prominent in the lower lobes. A 5 mm diameter nodule was observed in the lateralobasal segment of the lower lobe of the left lung.\n<pleura>: There is no pleural effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: The left atrium is observed to be significantly larger than normal. As far as can be observed: Heart contours are smooth. Minimal pericardial effusion was observed.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nEmphysematous changes in both lungs.  Millimetric nodule in the lower lobe of the left lung.  Larger than normal left atrium.  Pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1877/train_1877_a/train_1877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild atelectatic changes are observed in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and dorsal descending aorta. Small lymph nodes with a short axis measuring 7 mm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes are present in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aortic arch and dorsal descending aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall lymph nodes with a short axis measuring 7 mm are observed in the mediastinum.  Atherosclerosis . Mild atelectatic changes in both lungs . Diffuse density reduction in bone structures, degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1881/train_1881_a/train_1881_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is slightly deviated to the right.\n<lung>: There is minimal atelectasis in the posterobasal lower lobe on the right. Peribronchial consolidations appear to be reduced in the left lung.\n<pleura>: When examined in the lung parenchyma window; The existing pleural effusion in the right hemithorax has decreased and its diameter is 10 mm.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Mediastinal main vascular structures, heart contour, size are normal. There are calcific plaques in the aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder is operated. In the upper abdominal organs, including sections; There are chronic liver parenchymal disease, free fluid findings in the abdomen. There are calcific plaques in the aortic arch.\n\nImpression:\nCalcific plaques in the aortic arch  Decreased pleural effusion on the right, decreased peribronchial consolidation in the left lung and atelectesis adjacent to the effusion  Chronic liver parenchymal disease  Cholecystectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1897/train_1897_b/train_1897_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: Pneumonic consolidation area is not observed in the lung parenchyma. There are subsegmental atelectasis areas in the lingula inferior segment of the left lung. Segmentary atelectasis areas are observed in both lung lower lobes. Parenchyma areas of patchy ground glass density are observed in the upper lobe of the right lung. It is non-specific.\n<pleura>: Bilateral pleural effusion is observed. The diameter of the effusion was measured 4 cm at its widest point between both pleural leaves.\n<heart>: There is a smear-like pericardial effusion. Heart size increased. Aortic valve calcification is observed. Left ventricular diameter increased.\n<bone>: Osteoporosis is evident in bone structures. Insufficiency fracture is observed in the upper end plate of T7 vertebra and it caused mild angulation and gibbus deformity. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Mild free fluid is observed in the abdomen. Clinical follow-up would be appropriate. A 44x24 mm high-density lesion in the right adrenal gland was not present in the pre-op imaging and was evaluated in favor of hematoma. Liver right lobe transplantation was performed in upper abdominal sections.\n\nImpression:\nLiver right lobe transplantation.  Bilateral pleural effusion, intra-abdominal free fluid.  Right adrenal hematoma.  Segmentary atelectasis in both lungs.  Ground-glass parenchyma areas in the upper lobe of the right lung; it is non-specific. Clinical follow-up is recommended.  Osteoporosis.  Insufficiency fracture in T7 vertera."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1897/train_1897_c/train_1897_c_1.npy"
        ]
    },
    {
        "id": "report_generation_4621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are mild atelectatic changes in the basal segments of the lung parenchyma, especially in the lower lobes. It was initially evaluated in favor of atelectasis, and clinical laboratory correlation is recommended for the differential diagnosis of an infectious process. Mild atelectatic changes are observed in both lungs, more prominently in the lower lobes. When examined in the lung parenchyma window; There are effusions in the form of smears measuring 10 mm in thickness on the right in both lungs, and effusion between the fissures in the right hemithorax. Consolidated area is observed in the medial of the lower lobe of the right lung. The effusion in the fissure is observed on the right side.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in bone structures. The height loss described is also present in the previous examination. There is height loss in the T7 vertebral body.\n<abdomen>: Thoracic aorta diameter is normal. Vascular structures were evaluated as suboptimal in the non-contrast examination. Transplanted liver was detected. Minimal smear-like effusion is observed around the Tx liver.\n\nImpression:\nMild smear-like effusion in both hemithorax, more prominent on the right.  Consolidated findings in the lower lobe basal segments of both lungs, primarily on the right, which are evaluated in favor of atelectasis. Clinical laboratory correlation is recommended for the differential diagnosis of the infectious process.  Minimal smear-like effusion around Tx liver.  Height loss with no significant difference in the T7 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1897/train_1897_d/train_1897_d_1.npy"
        ]
    },
    {
        "id": "report_generation_4625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It is understood that the appearance observed in the lower lobe of the left lung and evaluated in favor of pneumonic infiltration in the previous examination of the patient disappeared. In addition, there are linear atelectasis in the lower lobes of both lungs. Consolidation and minimal ground glass appearance were observed in the left lung upper lobe lingular segment inferior subsegment. Consolidation can be observed in the patient's previous examination, but it is understood that its dimensions have regressed. No mass was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nOperated HCC, liver right lobe transplantation in follow-up.  Bilateral minimal pleural effusion.  Appearance compatible with pneumonic infiltration in the left lung upper lobe lingular segment.  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1897/train_1897_f/train_1897_f_1.npy"
        ]
    },
    {
        "id": "report_generation_4627",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in both lungs, most prominent in the left lung upper lobe lingular segment and lower lobe basal segment. There are minimal emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: The diameters of the aortic arch and descending aorta are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The anterior-posterior diameter of the ascending aorta is 41 mm and is minimally wider than normal. Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The height loss is in the anterior section and is between 50-75%. Height loss and minimal sclerosis are observed in the T7 vertebral body. This appearance was also present in the previous examination of the patient and no difference was found.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtesclerotic changes in the aorta and coronary arteries.  Atelectasis in both lungs.  Minimal emphysematous changes in both lungs.  Minimal height loss in the T7 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1897/train_1897_g/train_1897_g_1.npy"
        ]
    },
    {
        "id": "report_generation_4634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. There are linear atelectasis in the right lung middle lobe, left lung upper lobe lingular segment, and left lung lower lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Linear atelectasis in both lungs.  Several millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1900/train_1900_a/train_1900_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are occasional passive atelectasis in the lung areas adjacent to the effusion. Volume loss, structural distortion, traction bronchiectasis, reticular opacities and honeycomb appearances are observed in the right lung and left lung base (Fibrosis?). In the follow-up, it is observed that the effusion on the right has decreased slightly and has just developed on the left.\n<pleura>: On the right, the pleural effusion is loculated anterolaterally. A pleural effusion was observed, reaching a thickness of 4.8 cm on the right and 3.7 cm on the left.\n<mediastinum>: Calcific atheroma plaques were observed in the anavascular structures. Minimal size reduction was considered in paratracheal, aortopulmonary and prevascular lymph nodes in the mediastinum, the shortest axis of the largest being evaluated as 14 mm in the right inferior paratracheal area.\n<heart>: There is thickening (4.6 mm) and calcification in the pericardium, and effusion reaching 14 mm near the left ventricle at its widest point.\n<esophagus>: The esophageal hiatus is wider than normal at 2.5 cm.\n<bone>: Diffuse osteoporosis in the vertebrae, decrease in vertebral corpus heights in the lower thoracic and upper lumbar regions, schmorl nodules in the vertebral plateaus, degenerative osteophytes, and occasionally vacuum phenomenon and disc calcifications in the intervertebral disc spaces are observed. There are appearances of cement applied in places in the vertebral corpuscles.\n<abdomen>: Calcific atheroma plaques were observed in the anavascular structures. In the evaluation of the upper abdominal organs within the sections; No mass was detected in either adrenal gland. Cortical cysts were observed in bilateral kidneys. Free peritoneal fluid was observed adjacent to the liver.\n\nImpression:\nMass in the right pulmonary hilus in close proximity to the right main pulmonary artery and superior vena cava. Mediastinal lymph nodes Fibrosis in the lungs? Calcific atheroma plaques in anavascular structures Pericardial construction? Bilateral pleural effusion Free peritoneal fluid adjacent to the liver Cortical cysts in the bilateral kidneys Diffuse osteoporosis, degenerative changes in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1913/train_1913_a/train_1913_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibrations of the trachea and main bronchi are normal. Lumens are clear.\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. The identified findings were not detected in the case's old CT examination. Pleuroparenchymal density increases are observed around it. In the right lung, there is a consolidated area with air bronchograms in the center at the posterobasal level of the lower lobe. Sequelae changes are observed in the middle lobe. When examined in the lung parenchyma window; both hemithorax are symmetrical. There are densities compatible with basal pleuroparenchymal sequelae in the left lung.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. There are lymph nodes in the mediastinum, the largest of which is the hilar fat in the aorticopulmonary window, and 11x7 mm in size.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n\nImpression:\nConsolidated area with air bronchograms at the posterobasal level in the lower lobe of the right lung; Not detected on old CT. The outlook is atypical for Covid pneumonia. A follow-up examination after treatment is recommended by evaluating together with clinical laboratory findings.  Non-specific hypodense appearance that partially contours adjacent to the falciform ligament in the medial segment of the left lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1916/train_1916_a/train_1916_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: The findings are consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; Crazy paving pattern was observed in peripheral subpleural areas in both lower lobes and left lung upper lobe anterior segment, patchy-nodular consolidation areas with ground glass areas were observed around it.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). Atherosclerotic wall calcifications were observed in the splenic artery.\n\nImpression:\nCalcific atheroma plaques in LAD.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Cholecystectomy  Atherosclerotic wall calcifications in the splenic artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1918/train_1918_a/train_1918_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; bronchovascular structures were prominent in the central part. Mosaic densities and sequela fibrotic changes are observed in both lungs. There are bilateral millimetric nonspecific nodules.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. A few lymph nodes with a short axis reaching 15 mm in diameter are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. There are changes related to mitral valvuloplasty. Heart size is markedly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are changes related to sternotomy. A chronic fracture is observed in the posterior of the left 6th rib.\n<abdomen>: Hepatic veins are dilated in upper abdominal sections. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other upper abdominal sections are normal.\n\nImpression:\nCardiomegaly.  Pulmonary artery dilatation.  Sequelae of fibrotic changes in the lungs, mosaic densities and millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1923/train_1923_a/train_1923_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: In addition, millimetric-sized nonspecific parenchymal nodules were also observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Calcified lymph nodes, 11x9 mm in size, were observed in the right lower paratracheal and right hilar region. Pleuroparenchymal fibroatelectasis sequelae were observed in right lung middle lobe medial, left lung upper lobe inferior lingular and both lung lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. A 1 cm diameter calcific nodule was observed in the superior segment of the right lung lower lobe.\n<pleura>: When examined in the lung parenchyma window; Sequelae thickening was observed in posterior costal pleura in both hemithorax.\n<mediastinum>: Diffuse calcific atheroma plaques were observed in the thoracic aorta-supraaortic branches and coronary arteries. In the non-contrast examination, the mediastinal could not be evaluated optimally. Calcified atheroma plaques were observed in the abdominal aorta. When evaluated together with calcified lymph nodes in the mediastinum, it was evaluated in favor of sequelae of granulomatous infection. The diameter of the pulmonary trunk is 37 mm, wider than normal.\n<heart>: Pericardial effusion-thickening was not observed. The mitral valve is calcified. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 42 mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Degenerative osteophytic taperings were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse calcific atheroma plaques were observed in the thoracic aorta-supraaortic branches and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcified atheroma plaques were observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nFusiform aneurysmatic dilation in the ascending aorta, increase in the diameter of the pulmonary trunk, calcific atheroma plaques in the thoracic aorta and coronary arteries, calcification in the mitral valve  Sequelae thickening in the posterior costal pleura of both hemitorcas  Right lung middle lobe medial, left lung upper lobe inferior lingular, and both lungs pleuroparenchymal fibroatelectasis sequelae changes in lower lobe basal segments  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Calcific nodule in the superior segment of the lower lobe of the right lung; When evaluated together with calcific lymph nodes in the mediastinum, it was thought to be a sequelae of granulomatous infection.  Degenerative changes in the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1924/train_1924_a/train_1924_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse nodular ground glass densities are observed in both lung parenchyma. There is minimal bronchiectasis in ground glass in the right middle lobe and left lower lobe. Millimetric calcific nodules are observed in the posterior lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum.\n<heart>: There is minimal pericardial suspicious effusion adjacent to the right lateral ventricle. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteodegenerative changes are observed in the vertebrae in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with bilateral Covid pneumonia.  Millimetric nonspecific calcific nodules in the posterior lower lobe of the left lung.  Minimally suspicious pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1929/train_1929_a/train_1929_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No lymph node with hilar pathological size and configuration was detected. When examined in the lung parenchyma window; There are scattered ground-glass-like density increases in both lungs, more prominent in the middle-upper zones, thickenings in the interlobular septa on this background, accompanying sequelae changes in places, parenchymal bands are present. Sequelae changes-parenchymal band appearances in the middle lobe of the right lung, in the lingular segment of the left lung, and a consolidative parenchyma area containing air bronchograms in the area extending superiorly in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: There are millimetric lymph nodes in the mediastinum. It is wider than normal. Pulmonary trunk calibration is 34 mm. The descending aorta is calibrated to 45 mm and is wider than normal. The aortic arch calibration is 40 mm. Both pulmonary artery calibrations are natural. It is recommended to evaluate the case together with contrast-enhanced CT.\n<heart>: Calicific atheroma plaques are observed in the ascending aorta. CTO is at the maximal physiological limit. Pericardial effusion is present.\n<bone>: Changes secondary to sternotomy are observed. Vertebral corpus heights are preserved.\n<abdomen>: Density reduction consistent with hepatosteatosis is observed. There is a suspicious appearance in terms of dissection-intramural hematoma. The descending aorta is calibrated to 45 mm and is wider than normal. The aortic arch calibration is 40 mm. In the evaluation of the upper abdominal organs included in the sections, there is a hypodense appearance in the right kidney, which may be compatible with a cortical cyst. In the left kidney, hypodense areas that may be compatible with cortical cyst and densities compatible with 2 mm calculus are observed.\n\nImpression:\nFindings compatible with Covid-19 pneumonia. Clinical laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Local sequelae changes in both lungs . Cardiomegaly, pericardial effusion . Increased calibration in mediastinal vascular structures and dissection-intramural hematoma at the ascending aorta appearance, contrast examination is recommended.  Hepatosteatosis . Bilateral renal cortical cysts . Left millimetric nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1932/train_1932_a/train_1932_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, scattered sequelae fibrotic band formations are observed in both lungs. The outlooks favor pneumonic infiltration.\n<pleura>: When examined in the lung parenchyma window; Widespread bronchiectasis areas in the left lung lower lobe, an appearance evaluated in favor of pneumonic consolidation in the left lung lower lobe mediobasal segment, widespread centriacinar nodules in the left lung lower lobe parenchyma, ground glass-consolidation areas that are more prominent in both lungs, especially in the subpleural areas, are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. It is recommended to evaluate the patient together with clinical and LAB correlation.\n\nImpression:\nDiffuse centriacinar pulmonary nodules, subpleural ground-glass densities and areas of consolidation in both lungs, which were primarily evaluated in favor of pneumonic consolidation; In the differential diagnosis, there is a high probability of Covid-19 pneumonia. Clinical and LAB correlation is appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1942/train_1942_a/train_1942_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. There is bilateral bronchiectasis that becomes cystic in places and accompanying peribronchial thickening.\n<lung>: In addition, a focal ground glass area has just emerged in the central area of the middle lobe. Findings are consistent with viral pneumonia. There are peripherally weighted consolidation areas and accompanying ground glass and occasionally subsegmental atelectasis areas in the lower lobe of the left lung. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: Pleural thickening in the right hemithorax and coarse calcifications in the posterior part are observed. Subsegmental atelectasis areas accompanied by pleural recessions are observed in the right lung, and it is understood that ground glass areas have newly developed in the vicinity of air cysts in the lower lobe posterior segment.\n<mediastinum>: The diameter of the pulmonary trunk was 33 mm and increased. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: No pericardial effusion or thickening was detected. Diffuse calcific atheroma plaques are observed in the coronary arteries. Both atriums are dilated.\n<esophagus>: Mixed type hiatal hernia is observed at the esophagogastric junction.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: Bridging osteophytes are observed at the corners of the thoracic vertebra corpus. More prominent millimetric lytic foci are observed in the ribs, especially in the left 4th rib.\n<abdomen>: The gallbladder was not observed (operated). Mixed type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Ventral hernia is observed.\n\nImpression:\nPleural-weighted consolidations, accompanying areas of ground glass, and areas of subsegmental atelectasis in the lower lobe of the left lung; amount has increased.  Increased pleural thickness in the right hemithorax, coarse calcifications, volume loss in the lung. Newly emerging ground-glass areas in the lower lobe posterior segment and middle lobe.  Bronchiectasis, peribronchial thickness increase, subsegmental atelectasis areas in both lungs that become cystic in places.  Dilatation of the pulmonary trunk, dilatation of both atria, diffuse calcific atheromatous plaques in the coronary arteries.  Mixed hiatal hernia.  Ventral hernia.  Millimetric lithic foci on the ribs. It is recommended to be evaluated together with clinical findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1952/train_1952_a/train_1952_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Post-treatment control is recommended. When examined in the lung parenchyma window; There are areas of increased density in ground glass density in the peribronchial area, accompanied by an increase in peribronchial thickness in the upper lobe of the left lung, and an area of increased density in the upper lobe inferior lingular segment, which is consistent with the consolidation, in which air bronchograms are also observed. Pneumonic infiltration is considered in the etiology of the findings. In addition, centracinar nodular density increases in the upper lobe of the left lung lower lobe and in the mediobasal segment, and nodular lesions measuring 7x4 mm in size with a ground glass halo observed in the periphery were observed.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: In the mediastinum, fusiform lymph nodes with a diameter of up to 11 mm were observed in the prevascular, aorticopulmonary window localization and the largest in the aorticopulmonary window localization. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the calibration of the vascular structures and the heart contour size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nDensity increase areas in the peribronchial areas with indistinct borders, ground glass density accompanying peribronchial thickness increases in the upper lobe of the left lung, and an area of increase in density in the left lung upper lobe inferior lingular segment, consistent with the consolidation, in which air bronchograms are also observed, in places in the left lung lower lobe superior and mediobasal segment millimeter sized nodules with bud-like appearance of centracinar ground glass density increases and a ground glass halo at the periphery; Pneumonic infiltration is considered in the etiology of the findings. Post-treatment control is recommended.  Fusiform lymph nodes with a short diameter of more than 1 cm in the prevascular and aorticopulmonary window localization"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1958/train_1958_a/train_1958_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; air bronchogram signs in the left lung upper lobe inferior lingula, atelectasis changes with sequela cylindrical bronchiectasis, small consolidation area and slightly budding tree images are observed. There are thickenings of the interlobular septa in the superior lingula of the right lung upper lobe, and slightly patchy ground glass densities. Follow-up is recommended in terms of differential diagnosis of infectious processes. The findings described above were evaluated for infectious processes.\n<mediastinum>: A few small lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Clinical and laboratory correlation and close follow-up are recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in the left upper lobe of the lung were evaluated in favor of infectious processes accompanied by sequelae changes. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1958/train_1958_b/train_1958_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Typical findings for Covid 19 pneumonia were followed. In the evaluation of both lung parenchyma; Focal ground-glass densities-consolidations observed in the peribronchial area are observed widely in both lungs, mostly peripherally located.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch and coronary artery walls. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the aortic arch and coronary artery walls. The left ventricle is enlarged.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A hypodense solid lesion, approximately 4.5x4.5 cm in size, partially entering the examination area in the middle part of the left kidney, suggesting renal tumor, is recommended to be evaluated with contrast-enhanced MRI examination. Calcific plaques are observed in the aortic arch and coronary artery walls. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPeribronchial ground-glass densities/consolidations in the peripheral lung parenchyma, which may be significant for Covid 19 pneumonia in both lung parenchyma. Solid-looking mass lesion in the left kidney, which is partially in the examination area, which may suggest renal tumor. Evaluation with contrast-enhanced abdominal MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1961/train_1961_a/train_1961_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Density increases and minimal structural distortion, which are evaluated in favor of pleuroparenchymal sequelae changes, are observed in both lung apexes. There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. Mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?) There are millimetric nodules in both lungs. The largest of the described nodules is observed in the laterobasal segment (series 2 section 264) in the lower lobe of the left lung and measures approximately 5x8 mm. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. There is a 3 mm diameter stone in the upper pole of the right kidney. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs . Nodules in both lungs . Pleuroparenchymal sequelae changes in both lung apex . Atelectasis in both lungs . Hiatal hernia . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1962/train_1962_a/train_1962_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Density increases and minimal structural distortion, which are evaluated in favor of pleuroparenchymal sequelae changes, are observed in both lung apexes. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). The largest of the described nodules is observed in the left lung lower lobe laterobasal segment. There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. There are millimetric nodules in both lungs. It measures approximately 6.8x4.4mm. No mass or active infiltration was detected in both lungs.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinum cannot be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: At the level of the middle pole of the right kidney, a millimetric calculi with a diameter of 3 mm was observed. In the abdominal organs within the sections, no mass was detected as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMosaic perfusion defect in both lungs (small airway disease? small vessel disease?).  Pleuroparenchymal sequelae in both lung apexes and atelectasis in both lungs . Stable millimetric parenchymal nodules in both lungs . Hiatal hernia . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1962/train_1962_b/train_1962_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lungs apical. Millimetric parenchymal nodules were observed in both lungs. Minimal structural distortion is observed at this level. The largest of the described nodules is observed in the laterobasal segment of the lower lobe of the left lung, and its dimensions were measured as 6.8 mm in the current examination. A mild mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not observed.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No lymph node was detected in mediastinal and hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: 3 mm diameter calculi is observed in the middle zone of the right kidney. No significant pathology was detected in the non-enhanced CT limits in the upper abdominal organs within the sections.\n\nImpression:\nStable parenchymal nodules in both lungs. Sliding hiatal hernia. Right nephrolithiasis. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae- fibroatelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1962/train_1962_c/train_1962_c_1.npy"
        ]
    },
    {
        "id": "report_generation_4782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: There is minimal structural distortion at this level. Millimetric parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lung apexes. A mild mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. The largest of the described nodules is observed in the left lung lower lobe laterobasal segment, and its dimensions were measured as 6.8 mm in the current examination.\n<pleura>: Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric calculi were observed in the upper-middle and lower poles of the right kidney and in the lower pole of the left kidney.\n\nImpression:\nStable parenchymal nodules in both lungs. Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Sequelae of fibroatelectatic changes in both lungs. Sliding type hiatal hernia. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1962/train_1962_d/train_1962_d_1.npy"
        ]
    },
    {
        "id": "report_generation_4790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a focal consolidation-nodule appearance in the anterior segment of the left lung upper lobe. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; Consolidative parenchyma areas are observed in the upper lobe posterior segment caudal and apical level in the right lung. Sequelae changes are observed in the inferior lingular segment. Pleuroparenchymal sequelae changes are observed in the upper lobe anterior segment caudal.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: CTO is normal. Calibration of the aortic arch is 30 mm wider than normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch. There are millimetric lymph nodes in the mediastinum, the largest of which does not exceed 1 cm in the short axis. Calibration of other mediastinal major vascular structures is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Nodular density, which may be compatible with the accessory spleen, is observed in the spleen hilum. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. Calibration of the aortic arch is 30 mm wider than normal. In the middle part of the right kidney, a density that may be compatible with 1-2 mm calculus is observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch. Surrounding soft tissue plans are natural.\n\nImpression:\nFocal consolidation areas in both lungs, the largest on the right; During the pandemic process, it is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia in the first place.  Suspected density in terms of millimetric calculus in the right kidney  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1965/train_1965_a/train_1965_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Emphysematous appearance is present in the bilateral upper lobes.\n<pleura>: Nodules of 6 mm in size were observed in the bilateral lungs, the largest of which was located subpleural in the right lung lower lobe anterobasal. When examined in the lung parenchyma window; There are thickenings of the bronchial walls at the central level in the right hemithorax, peribronchial consolidation starting from the peribronchial area and extending to the pleura, subsegmental atelectasis, linear density increases, bronchiectasis towards the upper lobe are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Coronary artery atherosclerosis and RCA have an appearance compatible with a stent.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degeneratid changes in the C6-7 vertebrae in the sections passing through the lower cervical. Vertebral corpus heights are preserved. Apart from this, the bone structures in the study area are natural.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections, there are hypodense lesions reaching 60x60 mm in size in the right lobe of the liver. Thoracic aorta diameter is normal. A well-circumscribed mass lesion of 65x18 mm is observed posteriorly, which is thought to be located in the parietal peritoneum, pushing the liver capsule outward. There is a 26 mm hypodense lesion located cortical in the upper pole of the left kidney.\n\nImpression:\nCoronary atherosclerosis and stent. Peribronchial thickening at the central level in the right lung, bronchiectasis especially towards the upper lobe, and density increases in the form of peribronchial bands, and at this level, the underlying centrally located mass cannot be clearly differentiated. Evaluation with clinical history and, if necessary, contrast-enhanced examination is recommended.  Bilateral nonspecific millimetric nodules.  Hypodense lesions (metastasis?) in the liver.  A mass (implant?) that causes compression on the liver capsule, which is thought to be located in the parietal pleura in the posterior part of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1969/train_1969_a/train_1969_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A superposed 3 mm diameter nodule is observed on the interlobar fissure. There is a 6 mm diameter nodule in the laterobasal segment of the left lung. Band atelectasis is observed in the middle lobe of the right lung. No significant finding suggestive of pneumonia was detected. Sequelae changes are observed in the left lung lingular segment. There is slight prominence in the interlobular septa. Sequelae changes and a faint mosaic attenuation pattern are observed in the middle lobe and lower lobe segments.\n<pleura>: When examined in the lung parenchyma window; In the right lung, milimetric-plaque-like pleural calcifications and mild thickening of the pleura are observed at the lower and middle zone level in the posterior.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. The aortic arch calibration is 38 mm. It is wider than normal.\n<heart>: CTO increased in favor of the heart.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: It is wider than normal. In the evaluation of the upper abdominal organs included in the sections, millimeter-sized calcules are observed at the neck level of the gallbladder. The aortic arch calibration is 38 mm. It is not observed in the left kidney lodge. Millimetric nodular appearances are observed in the left adrenal. Parapelvic cysts are observed in the right kidney.\n\nImpression:\nNo obvious finding consistent with pneumonia was detected.  Pleural thickening and plaque-like calcifications in the right lung . Sequelae changes in both lungs, 1-2 nonspecific millimetric nodules formation . Cholelithiasis . Parapelvic cysts in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1972/train_1972_a/train_1972_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: Pulmonary nodules with a diameter of 2 mm in the anterior segment of the upper lobe of the left lung and 5.8 mm in diameter in the medial segment of the middle lobe of the right lung were observed. There are band-like sequela fibrotic density increases in the left lung inferior lingular segment and right lung middle lobe. When both lung parenchyma windows were evaluated, sequelae density increases were observed in the apical minimal pleuroparenchyma of both lungs. No mass-infiltration was detected in both lung parenchyma.\n<mediastinum>: Lymph nodes measuring 10x6mm in size were observed in the upper-lower paratracheal, aorticopulmonary, and subcarinal localizations. A millimetric calcified atherosclerotic plaque was observed in the wall of the abdominal aorta.\n<heart>: Heart contour, size is natural. Pericardial thickening-effusion was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Trabeculation increase consistent with osteopenia was observed in the bone structures included in the study area. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A millimetric calcified atherosclerotic plaque was observed in the wall of the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Diverticulum was observed in the second part of the duodenum in the upper abdominal sections that entered the examination area.\n\nImpression:\nMild sequelae changes in both lungs. Two pulmonary nodules in both lung parenchyma described in the report. Duodenal diverticulum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1975/train_1975_a/train_1975_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimeter-sized nonspecific nodules are observed in both lungs. When examined in the lung parenchyma window; Ventilation of both lungs is normal.\n<pleura>: No pleural effusion or increase in pleural thickness was detected. Thickness increases, which are evaluated in favor of sequelae change in the posterior pleura, are observed, especially in the apical parts of the bilateral lungs.\n<mediastinum>: Reactive lymph nodes with short axes not exceeding 20 mm are observed in the subcarinal and both hilar levels in the paratracheal area of the aorta pulmonary window. Mediastinal main vascular structures appear natural. Millimetric calcific plaques are observed in the coronary arteries and aortic walls.\n<heart>: Millimetric calcific plaques are observed in the coronary arteries and aortic walls. Heart size and contour are normal.\n<esophagus>: Minimal hiatal hernia is observed. Thoracic esophageal wall thickness is normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No pathological appearance was detected in the skin-subcutaneous fatty tissues included in the examination within the limits of the examination. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Millimetric calcific plaques are observed in the coronary arteries and aortic walls.\n\nImpression:\nA few reactive lymph nodes in the mediastinal area that are not pathological in size and appearance.  Sequelae changes and nonspecific millimetric pulmonary nodules in both lungs.  Millimetric calcific plaques in coronary arteries and aortic walls.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1975/train_1975_b/train_1975_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. When examined in the lung parenchyma window; In both lungs, areas of increase in density consistent with multilobar consolidation, mostly located peripherally, are observed, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; There are calcified atheroma plaques in the wall of the aortic arch. Calibration of mediastinal vascular structures, heart contour and size are natural. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; There are calcified atheroma plaques in the wall of the aortic arch. Heart contour and size are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a sliding type hiatal hernia at the lower end.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No solid mass was detected in the upper abdominal organs included in the sections, as far as can be observed within the limits of non-contrast CT. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; There are calcified atheroma plaques in the wall of the aortic arch. No free fluid-loculated collection was observed.\n\nImpression:\nAreas of increase in density in both lung parenchyma, most of which are peripherally located, compatible with multilobar consolidation. Viral pneumonias are considered in the etiology. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. Sliding type hiatal hernia at the lower end of the esophagus.  Calcified plaque of atheroma in the wall of the aortic arch."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_1990/train_1990_a/train_1990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are normal.\n<lung>: A 2 mm diameter calcific nodule is observed in the superior segment of the right lung lower lobe. There was no finding compatible with pneumonia in the case. Sequelae changes are observed at the apical level.\n<pleura>: No significant pleural effusion or pneumothorax is observed.\n<mediastinum>: The aortic arch calibration is 32 mm. Calibration of other vascular structures is natural. Pulmonary trunk calibration is 30 mm. There are several lymph nodes in the submental area, the largest of which is 13 mm in the short axis. In the anterior mediastinum, there is thymic tissue that has not shown mass effect and partially involved with fat. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. It is observed wider than normal. Mediastinal and hilar pathological size and configuration of lymph nodes were not detected.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Surrounding soft tissue plans are natural. It is observed wider than normal. The aortic arch calibration is 32 mm. In the evaluation of the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2000/train_2000_a/train_2000_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, a few more millimetric nodules are observed in both lungs. Linear atelectasis area is observed in the lateral part of the left lung lower lobe. Similarly, linear atelectasis areas are observed in the left lung upper lobe inferior lingular segment and middle lobe medial segment.\n<pleura>: When examined in the lung parenchyma window; a subpleural nodule with a diameter of approximately 5 mm is observed in the lateral segment of the left lung lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific nodules in both lungs.  No areas of linear atelectasis, active infiltration, consolidation or space-occupying lesions were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2009/train_2009_a/train_2009_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: There was no finding in favor of mass-active infiltration in both aerated lung parenchyma. Sequelae cystic bronchiectatic changes and accompanying atelectasis areas are observed in the left lung upper lobe anterior -lingular segment.\n<mediastinum>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be observed, the thoracic aorta calibration is normal. The mediastinum could not be evaluated optimally in the non-contrast examination. A catheter extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The transverse diameter of the pulmonary conus was 34 mm, which was above normal. Diffuse atherosclerotic wall calcifications were observed in the visceral branches of the abdominal aorta.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space. It is also present in the patient's previous examination. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the image, and widespread degenerative changes were observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be observed, the thoracic aorta calibration is normal. As far as can be observed in the sections, free fluid is observed in the abdomen. Diffuse atherosclerotic wall calcifications were observed in the visceral branches of the abdominal aorta. Upper abdominal organs are normal. Diffuse edema was observed in the subcutaneous adipose tissue at all cross-sectional levels.\n\nImpression:\nCardiomegaly, stable pericardial effusion.  There was no finding in favor of infection-mass in the lung parenchyma.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2013/train_2013_b/train_2013_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4905",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It caused pneumonic consolidation in the posterobasal segment. When examined in the lung parenchyma window; The dimensions of the tumoral mass lesion located centrally in the right lung, infiltrating the right main bronchus and lobar branches, are stable. Compatible with post-obstructive pneumonia. In the current examination, mucus plugs obstructing the lumen passage are observed in the left lung lower lobe posterobasal segment bronchial lumen in the patient who was examined with a preliminary diagnosis of pneumonia. There was no difference in the dimensions of the spicular lesion causing pleuroparenchymal extensions in the posterior segment of the right lung upper lobe. There was no difference in metastatic mass lesions in the left lung upper lobe apicoposterior segment.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there are images of hemorrhagic cysts in the right kidney, simple cysts in the left kidney, and calculi in the gallbladder lumen.\n\nImpression:\nPrimary mass lesion with hilar location in the right lung and metastatic involvement in both lungs is stable. Obstructive pneumonic consolidation due to mucus plug obstructing the posterobasal segment bronchus of the left lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2017/train_2017_a/train_2017_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the right pulmonary hilus, a soft tissue mass whose borders cannot be distinguished from the heart and mediastinal structures is observed, which causes narrowing in the bronchial structures.\n<lung>: The longest diameter of the lesion described in the left lung was 76 mm, and the longest diameter of the lesion described in the right lung was approximately 30 mm. The consolidation observed in the lower lobe of the left lung in the previous examination of the patient is not observed in this examination. Although not very specific, the described appearance was primarily thought to be compatible with an infective pathology. There are diffuse emphysematous changes in both lungs. The described appearance is also observed in the previous examination of the patient. It appears that the described appearance has just appeared. When evaluated together with the patient's previous examinations, there are appearances that are understood to be metastases in the posterior segment of the right lung upper lobe and the apicoposterior segment of the left lung upper lobe. Subsegmental atelectasis is observed in the right lung middle lobe and upper lobe posterior segment. There is consolidation with cavitation in the central part of the right lung lower lobe superior segment. The described appearance may also be less likely a mass with a cavity in its center.\n<pleura>: Pleural effusion is observed on the right. The pleural effusion measured 45 mm at its thickest point. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Many pathogens can cause a similar appearance. There are diffuse atheroma plaques in the aorta and coronary arteries. The shortest diameter of the largest of the described lymph nodes was 10 mm. Lymph nodes are observed in the mediastinum and hilar regions.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. Since the contrast agent is not given, the boundaries of the described appearance cannot be clearly evaluated.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There are diffuse atheroma plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. Many pathogens can cause a similar appearance.\n\nImpression:\nLung ca in the follow-up, soft tissue appearance, which was found to be a primary mass when evaluated together with the patient's previous examinations in the right pulmonary hilus, metastatic lesions in both lungs. Atelectasis in the upper and middle lobes of the right lung.  Diffuse emphysematous changes in both lungs. Pleural effusion on the right.  The right lung lower lobe superior segment with central cavitation, primarily thought to be consolidation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2017/train_2017_b/train_2017_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4922",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There are dependent densities in the posterior parts of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nOperated HCC at follow-up.  Stable nodules in both lungs.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2024/train_2024_b/train_2024_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4930",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to be evaluated together with clinical and laboratory. In the lower lobes of both lungs and in the middle lobe of the right lung, adjacent to the major fissure, ground-glass densities extending along the scattered peribronchial area were observed, suggesting viral pneumonias. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?small vessel disease?). Millimetric nonspecific pulmonary nodules are observed in the right lung, the largest in the middle lobe, adjacent to the major fissure.\n<pleura>: There is sequelae thickening in the posterior costal pleura in the bilateral lower lobes. Bilateral pleural effusion was not observed.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. Surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. Diffuse calcified atheroma plaques were observed in the coronary arteries and aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: Focal parenchymal thinning is observed in both kidneys and the appearance is compatible with chronic infection sequelae. Two hypodense nodular lesion areas with a diameter of 3.5 cm were observed in the upper pole of the right kidney (cyst?). Diffuse calcified atheroma plaques were observed in the coronary arteries and aortic arch. As far as can be observed in the non-contrast examination, a 2.5 cm diameter calculi image was detected in the gallbladder lumen.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, diffuse calcified atheroma plaques in the aortic arch and coronary arteries . Mosaic attenuation pattern in both lungs (small airway disease?small vessel disease?).  Peripheral scattered patchy ground-glass densities in the lower lobes of both lungs and in the right lung middle lobe adjacent to major fissures initially suggested viral pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Chronic pyelonephritis sequelae changes in both kidneys . Areas of hypodense nodular lesions (cyst?) in the upper pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2027/train_2027_a/train_2027_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland parenchyma has a heterogeneous appearance.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are subsegmentary atelectasis areas and interlobular septal thickness increases in places in the posterior segments of the lower lobes of both lungs. There are patches of patchy-nodular consolidation areas and accompanying ground glass areas in both lungs upper lobe posterior parts and right lung lower lobe superior segment. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. There are several millimetric nodules in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: The left atrium is dilated. Minimal pericardial effusion is observed. There is calcification at the level of the mitral valve. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: Thoracic kyphosis is increased. There is a compression fracture in the T9 vertebra that causes approximately 90% loss of height and shows minimal retropulsion. No lytic-destructive lesion was observed in bone structures. In the anterior sections of the right 4-5th rib, old fracture lines healed with callus formation are observed.\n<abdomen>: Perihepatic, perisplenic free fluid is observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Minimal thickness increase is observed in the left adrenal gland corpus.\n\nImpression:\nMore prominent patchy-nodular consolidation areas and accompanying ground glass areas in the upper lobes of both lungs; the appearance is consistent with the viral pneumonia reported in the clinical preliminary diagnosis of the patient.  Subsegmental atelectasis areas in the lower lobes of both lungs and interlobular septal thickness increases in places  A few millimetric nonspecific nodules in the right lung  Cardiomegaly, minimal pericardial effusion  Perihepatic, perisplenic free fluid  Heterogeneity in the thyroid gland parenchyma  Minimal retropulsion in the T9 vertebra corpus Compression fracture causing 90% loss of height"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2037/train_2037_a/train_2037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal sequela changes and linear atelectasis are observed in the right lung middle lobe medial and left lung lingular segments in the lower lobes of both lungs. No infiltrative lesion was detected in its parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. In the thoracic esophagus, an air pocket is observed in the aortapulmonary window in the anterior of the thoracic esophagus (diverticulum?). No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Thorocal scoliosis with left opening is observed. Mild osteophytic tapering is observed in the anterior contours of the thoracic vertebrae in the bone structures within the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. In the thoracic esophagus, an air pocket is observed in the aortapulmonary window in the anterior of the thoracic esophagus (diverticulum?).\n\nImpression:\nPleuroparenchymal sequelae changes in both lung lower lobes, right lung middle lobe medial and left lung lingular segments, linear atelectasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2038/train_2038_a/train_2038_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs were partially included in the study and were evaluated as suboptimal. Liver parenchyma density changes in favor of steatosis.\n\nImpression:\nHepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2040/train_2040_a/train_2040_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Interlobular septal thickening was observed in both lungs. The described findings were newly revealed in the current review and were evaluated in favor of pneumonic infiltration. When examined in the lung parenchyma window; Sequelae changes were observed in the apical segments of both lungs. Consolidation area is observed in the right lung lower lobe posterobasal segment in the area adjacent to the effusion. In addition, there is a widespread area of consolidation in the lower lobe basal segments of the left lung.\n<pleura>: Pleural effusion was observed in the right pleural space, reaching 52 mm in its widest part and 76 mm in the left pleural space, extending into major fissures.\n<mediastinum>: Prevascular, bilateral upper-lower paratracheal, subcarinal, bilateral hilar and aortopulmonary lymph nodes, the largest of which are 26x13 mm in size, some of them reaching calcified pathological dimensions were observed. The anterior-posterior diameter of the descending aorta is within normal limits with 29 mm. In the previous examination of the patient, no pathological lymph nodes were observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination.\n<heart>: As far as can be seen; The anterior-posterior diameter of the ascending aorta is 42 mm, and it is slightly ectatic. Heart size increased. Minimal effusion was observed in the pericardial space.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In addition, degenerative changes were observed in bone structures.\n<abdomen>: The upper abdominal organs are normal as far as can be observed in the non-contrast examination. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The anterior-posterior diameter of the descending aorta is within normal limits with 29 mm.\n\nImpression:\nAneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the aorta and coronary arteries, cardiomegaly. Pathological lymph nodes in the mediastinum, some of which are calcified, . It was initially evaluated in favor of pneumonic infiltration.  Biconcave appearance in the thoracolumbar vertebrae at multiple levels, height losses characterized by approximately 45% loss of height in the central L2 vertebra, degenerative changes in the thoracolumbar vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_a/train_2041_a_1.npy"
        ]
    },
    {
        "id": "report_generation_4967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe medial segment and left lung inferior lingular segment. There is regression in the interlobular septal thickenings observed in the previous examination in both lungs. There are atelectatic changes in the adjacent lung parenchyma. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lungs apical.\n<mediastinum>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. As far as can be seen; In the current examination of the pericardial area, there is an effusion reaching 24 mm in its widest part. The ascending aorta measures 43 mm in diameter and shows fusiform dilatation. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No significant pathology was detected in the upper abdominal sections that entered the examination area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_b/train_2041_b_1.npy"
        ]
    },
    {
        "id": "report_generation_4969",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation and ground glass appearance are observed in the lower lobe of the left lung and a ground glass appearance is observed in the superior segment of the lower lobe of the left lung. The described findings were evaluated in favor of pneumonic infiltration. There are also atelectasis and emphysematous changes in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 13 mm.\n<heart>: As far as can be observed: The heart is larger than normal. Pacemaker electrodes terminate in the right atrium and ventricle.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of pneumonic infiltration in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_c/train_2041_c_1.npy"
        ]
    },
    {
        "id": "report_generation_4971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal.\n<lung>: There are lymph nodes at both hilar levels, some with calcific subcentimetric dimensions. Focal consolidation-reticulonodular density increases are observed in the lower lobe superior segment of the left lung. There are sequelae changes in the middle lobe on the right. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Again, a similar but milder focal consolidation area is observed in the apicoposterior segment of the upper lobe of the right lung. The case has findings consistent with emphysema. Mild sequelae changes are observed at the apical level. There is a focal consolidation area in the upper lobe apicoposterior segment of the left lung.\n<mediastinum>: Calibration of the aortic arch is at the maximal physiological limit. However, there is another lymph node adjacent to it partially superposed. As far as it can be measured at this level, the largest dimension is 23x14 mm. Multiple lymph nodes are observed in the subcarinal area in the aorticopulmonary window at the prevascular level in the upper and lower paratracheal areas in the mediastinum, and the largest ones are observed superposed on each other in the aorticopulmonary window. Both pulmonary artery calibrations are normal. Fibrocalcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch. Pulmonary trunk calibration is at the maximal physiological limit.\n<heart>: The ascending aorta is calibrated 41 mm, wider than normal. There is a slight increase in size consistent with cardiomegaly. In the case, cardiac pacemaker is observed in the left pectoral region, and the catheters terminate at the level of the right atrium and right ventricle. Fibrocalcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<breast>: In the case, cardiac pacemaker is observed in the left pectoral region, and the catheters terminate at the level of the right atrium and right ventricle.\n<bone>: Findings compatible with DISH are observed. Degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Calibration of the aortic arch is at the maximal physiological limit. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Mild ectasia is observed in both kidneys entering the cross-sectional area. Surrounding soft tissue plans are natural. Fibrocalcific atheroma plaques are observed in the coronary arteries in the descending and ascending aorta in the aortic arch.\n\nImpression:\n· Consolidation areas that have progressed according to the previous examination are observed in both lungs, and it is recommended to evaluate them together with clinical and laboratory findings in terms of infective processes. · There is a decrease in emphysematous density in both lungs. · Cardiomegaly, increased calibration and atherosclerotic changes in mediastinal main vascular structures. Mild ectasia in the collecting system in bilateral kidneys. · Degenerative changes in bone structure, findings consistent with DISH."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_d/train_2041_d_1.npy"
        ]
    },
    {
        "id": "report_generation_4973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are consolidated atelectasis findings observed in air bronchogram signs, more prominent on the left in both lung lower lobe basal segments. Interlobular septa are thickened.\n<pleura>: When examined in the lung parenchyma window; There is pleural effusion in both hemithorax with a thickness of 12 mm on the right and 20 mm on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. Lymph nodes measuring 15 mm in size of the largest conglomerate in the mediastinum were observed. Other mediastinal major vascular structures are normal.\n<heart>: Heart size has increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteopenic appearance and degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. Upper abdominal organs are partially included in the study and were evaluated as subopotimal.\n\nImpression:\nThere are findings consistent with infectious processes pneumonia accompanied by cardiac stasis in both lungs. Clinical and laboratory correlation and follow-up are recommended.  Lymph nodes measuring 15 mm in size, with the largest conglomerated in the mediastinum.  Pleural effusion in both hemithorax.  Cardiomegaly.  Atherosclerotic changes.  Osteopenic appearance, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_e/train_2041_e_1.npy"
        ]
    },
    {
        "id": "report_generation_4975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Extraction did not occur in sufficient expiration. Trachea and lobar and segmental bronchi appear collapsed.\n<lung>: There are mild interlobular septal thickenings in the basal segment of the lower lobe of the right lung. The lower lobe of the left lung is observed as almost complete atelectasis. Consolidation and ground-glass areas and presenting pneumonic infiltration were observed in the upper lobe of the right lung.\n<pleura>: Pleural effusion reaching 5 cm in diameter between the right pleural leaves and 3 cm in the left is observed.\n<mediastinum>: There are wall calcifications in the aortic arch and thoracic aorta.\n<heart>: Stents and calcific atherosclerotic plaques are observed in the LAD and circumflex. Pericardial effusion was not detected. Its distal end terminates distal to the right ventricle. Cardiac pacemaker catheter is monitored. Heart sizes were significantly increased.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: There are wall calcifications in the aortic arch and thoracic aorta. No loculated or free fluid was observed in the upper abdominal sections.\n\nImpression:\nBronchopneumonic infiltration in the upper lobe of the right lung  Increased heart size, cardiac pacemaker catheter  Bilateral pleural effusion  Near total atelectasis in the left lung  Mild interstitial edema in the lower lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_f/train_2041_f_1.npy"
        ]
    },
    {
        "id": "report_generation_4977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation areas in the posterior segments of the lower lobes of both lungs, accompanied by air bronchograms and interlobular septal thickening in places, show regression. There are emphysematous changes and areas of linear atelectasis in the upper lobes of both lungs. In the mediastinum and bilateral hilar regions, 17 mm in diameter, the largest in the right lower paratracheal area, some calcific multiple lymphadenopathies are observed. There is also a decrease in the prevalence of patchy consolidation areas and accompanying ground glass areas in the upper and middle lobes of the right lung and the lingular segment of the left lung upper lobe.\n<pleura>: Pleural effusion with a thickness of 2 cm in the right hemithorax and 1 cm in the left hemithorax is observed. Subpleural ground-glass areas in the middle lobe of the right lung have just appeared.\n<mediastinum>: The diameter of the ascending aorta was 41 mm, the diameter of the descending aorta was 32 mm, and the diameter of the pulmonary trunk was 35 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the mediastinum and bilateral hilar regions, 17 mm in diameter, the largest in the right lower paratracheal area, some calcific multiple lymphadenopathies are observed.\n<heart>: Intracardiac defibrillator is observed on the anterior wall of the left thorax, and the catheter tips end in the right ventricle. Pericardial effusion was not detected. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. Bridging osteophytes are observed at the corners of the thoracic vertebra corpus.\n<abdomen>: The diameter of the ascending aorta was 41 mm, the diameter of the descending aorta was 32 mm, and the diameter of the pulmonary trunk was 35 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nCardiomegaly, intracardiac defibrillator, calcific atheroma plaques in the aorta and coronary arteries, dilatation of the aorta and pulmonary trunk.  Bilateral minimal pleural effusion; amount has decreased.  Consolidation areas in the lower lobes of both lungs with air bronchograms and accompanying increases in interlobular septal thickness, patchy consolidation areas accompanied by ground glass areas in the right lung middle-upper lobe and left lung upper lobe. The appearance of the patient followed for COVID is compatible with bacterial superinfection. There is regression in the defined findings. Subpleural ground-glass areas in the middle lobe of the right lung; has just emerged.  Minimal emphysematous changes in both lungs.  Mediastinal and bilateral hilar lymphadenopathies; No significant difference was found between the tests."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_g/train_2041_g_1.npy"
        ]
    },
    {
        "id": "report_generation_4979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; The bronchial walls are diffusely thickened at the central level in both lungs.\n<lung>: Emphysematous appearance and mosaic density differences are observed in both lungs, more prominently in the upper lobes. In the peribronchial areas, more prominent in the lower lobes, ground glass densities, minimal consolidations in the lower lobe posterobasals, and budding tree views are seen in places.\n<mediastinum>: In the mediastinum, lymph nodes with a diameter of 15 mm are observed on the short axis of the larger ones.\n<heart>: The heart is larger than normal. Widespread calcific plaques are present in the coronary arteries. Especially the left heart chambers are dilated.\n<bone>: There is left-facing scoliosis in the thoracic vertebrae. Bone structures are widely degenerative and osteoporotic.\n\nImpression:\nCardiomegaly, aortic and coronary artery atherosclerosis, cardiac pace maker.  Diffuse thickenings of the bronchial walls, mosaic density differences, emphysema in the bilateral lungs, interlobar septal thickenings, peribronchial budding tree images and posterobasal consolidations predominantly in the lower lobes, findings were evaluated in favor of pneumonic infiltration in the background of COPD disease.  Thoracic scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2041/train_2041_h/train_2041_h_1.npy"
        ]
    },
    {
        "id": "report_generation_4982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Patchy irregularly circumscribed ground glass consolidations accompanied by multilobar, multisegmentary central-peripheral linear atelectatic changes in both lungs are observed, and the appearance is highly suspicious for Covid-19 pneumonia. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHighly suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2043/train_2043_a/train_2043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or lesion was detected in the lung parenchyma. Mild dependent atelectasis was observed in the basal segments of both lung lower lobes.\n<pleura>: When examined in the lung parenchyma window; Atelectasis bronchiectatic changes in the left lung upper lobe inferior and superior lingula, irregular density increases with subpleural contours measured up to 22 mm are observed. Pleural effusion-thickening was not detected.\n<mediastinum>: There are calcific atheroma plaques in the coronary arteries and aortic arch. Mediastinal main vascular structures, heart contour, size are normal. There are a few small lymph nodes in the mediastinum, especially in the anterior of the trachea, with a short axis measuring up to 10 mm.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries and aortic arch. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the study area. There are degenerative changes in the vertebral corpus end plates.\n<abdomen>: Upper abdominal organs are partially included in the study and native kidneys are atrophic. There are calcific atheroma plaques in the coronary arteries and aortic arch.\n\nImpression:\nConsolidation area accompanied by sequela bronchiectatic and atelectatic changes in the inferior and superior lingula of the left lung upper lobe. Close follow-up of clinical laboratory correlation is recommended for pneumonic infiltration. small lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2052/train_2052_a/train_2052_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: In addition, nodular and ground glass density areas are observed in the posterobasal segments of the lower lobes in both lungs. A consolidation area containing air bronchograms is observed in the superior segment of the left lung lower lobe.\n<pleura>: When the lung parenchyma window is examined; Subpleural ground-glass opacities are observed in the anterior segments of the upper lobes of both lungs. Pericardial-pleural thickening and effusion were not observed.\n<mediastinum>: Lymph node enlargement in pathological size and appearance was not observed in the pretracheal, prevascular and subcarinal regions, bilateral hilar and axillary regions.\n<heart>: Heart dimensions and major vascular structures appear normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-sclerotic lesions were observed in the bone structures in the study area.\n<abdomen>: Upper abdominal organs in the study area have a natural appearance.\n\nImpression:\nThe appearance compatible with Covid 19 pneumonia is recommended to be evaluated together with the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2056/train_2056_a/train_2056_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid gland parenchyma are heterogeneous. US control is recommended.\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; No mass nodule and infiltration were detected in both lungs.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Postoperative changes were observed in the mitral valve. Heart size has increased (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: As far as can be observed: There are suture materials belonging to sternotomy in the sternum. No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta. A 51x45 mm cortical cyst was observed in the right kidney. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area has decreased diffusely, consistent with fatty deposits.\n\nImpression:\nCardiomegaly, minimal pericardial effusion. Hepatosteatosis. Right renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2068/train_2068_a/train_2068_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: The outlook is not typical for Covid -19 pneumonia. However, it cannot be ruled out due to the pandemic. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, patchy ground glass consolidations that formed the most prominent peripherally located crazy paving pattern and accompanying linear atelectatic changes were observed in the right lung upper lobe anterior and lower lobe posterobasal segments. Other viral infections such as parainfluenza and influenza were considered in the differential diagnosis.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Pulmonary artery calibration is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 37 mm, and the anterior-posterior diameter of the descending aorta was 30 mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 37 mm, and the anterior-posterior diameter of the descending aorta was 30 mm.\n\nImpression:\nFusiform dilatation in the descending aorta . Hiatal hernia . Consolidations that are not typical for Covid pneumonia in both lungs could not be excluded due to the pandemic. Other viral infections such as influenza and parainfluenza were considered in the differential diagnosis. However, it is recommended to evaluate together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2077/train_2077_a/train_2077_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; In both kidneys, calcules with a diameter of 3 mm were observed in the middle zone. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nBilateral nephrolithiasis.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2085/train_2085_a/train_2085_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<pleura>: When examined in the lung parenchyma window; In both lungs, bilateral subpleural localized ground-glass density, localized nodular consolidation area and infiltration in the form of septal thickenings were observed.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. No lymph nodes in pathological size and appearance were observed in the axilla, subraclavicular fossa, and mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No loculated or free fluid was detected in the upper abdominal sections. Density measurement could not be made due to the small size of the other lesions and therefore could not be characterized. In upper abdominal sections; In the liver parenchyma, hypodense lesions of cystic density with a diameter of 14 mm were observed in the caudate lobe, the largest of which could not be characterized due to the small size of some of them.\n\nImpression:\nThere are bilaterally scattered areas of nodular consolidation in both lungs, infiltration areas in the form of ground glass dasnishes and septal thickenings, and it has been evaluated as compatible with the involvement of the lung parenchyma of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2088/train_2088_a/train_2088_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A 4 mm nonspecific nodule is observed in the posterobasal segment of the lower lobe of the left lung (series 2-image 277). Superior (series 2-images 163 and 170) in the upper lobe of the right lung, there is a faint nodular ground-glass density measuring up to 4 mm, which can hardly be distinguished from the vascular structures. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdominal organs are partially included in the study and there is an appearance compatible with hepatosteatosis in the liver parenchyma. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nIndistinct nodular densities measuring up to 5 mm, the largest (series2-image 173) in the posterobasal segment of the lower lobe of the left lung and the superior lobe of the upper lobe of the right lung, the largest of which can hardly be distinguished from the vascular structures. Follow-up is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2089/train_2089_a/train_2089_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5086",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It was evaluated primarily in favor of passive atelectasis. When examined in the lung parenchyma window; Slightly patchy ground glass densities and linear band-like atelectasis are observed in the left lung upper lobe inferior lingula and left lung lower lobe posterobasal segments.\n<pleura>: There are several subpleural nonspecific nodules measuring up to 5 mm in size at the anterior and inferior lingula level of both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a slight decrease in density compatible with age in bone structures and degenerative changes in the end plates.\n<abdomen>: Upper abdominal organs are included in the study partially, and a few millimeter-sized hyperdense nodular stones in the gallbladder were evaluated in favor of them. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n\nImpression:\nAtherosclerosis.  Several subpleural nonspecific nodules in upper lobe of both lungs.  Patchy light ground glass densities in the left lung upper lobe lingula and posterobasal levels were primarily evaluated in favor of depanding atelectasis.  cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2093/train_2093_a/train_2093_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures. No lytic-destructive lesion was observed in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, liver density decreased diffusely, consistent with hepatosteatosis. Bilateral adrenal glands appear natural.\n\nImpression:\nNo mass, nodule or infiltration was detected in both lungs.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2097/train_2097_a/train_2097_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is linear atelectasis in the middle lobe of the right lung. No mass or pneumonic infiltrative was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta and left coronary artery.\n<heart>: As far as can be observed: Heart contour and size are normal. There are millimetric atheroma plaques in the aorta and left coronary artery.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the liver parenchyma density, there is a decrease in density compatible with moderate or severe adiposity. There are millimetric atheroma plaques in the aorta and left coronary artery.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2112/train_2112_a/train_2112_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Ground-glass parenchyma areas are observed in the upper lobe of both lungs and in the superior segment of the lower lobe of the right lung. In lung parenchyma evaluation; Subsegmental atelectasis areas are observed in both lung lower lobes. Radiological findings are nonspecific. Suspicious mass or mass in the aerated lung parenchyma No space-occupying lesion is detected in the nodular structure.In the upper abdominal sections, there is an increase in diameter compatible with ileus in the jejunal ans. However, due to its asymmetric localization, it was primarily evaluated in favor of atypical pneumonia. Primarily, pneumonic infiltration (evaluated suspiciously in favor of Covid pneumonia. It is located bilaterally asymmetrically. Alveolar edema is included in the differential diagnosis.\n<pleura>: Pleural effusion was not detected.\n<mediastinum>: A few millimetric-sized, nonspecific lymph nodes that may be reactive were observed in the paratracheal and paraaortic locations. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Focal calcific atherosclerotic plaque is observed in LAD. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive lesion is detected in the bone structures.\n<abdomen>: In the upper abdomen sections, intra-abdominal loculated or free fluid or free air in the abdomen is not observed.\n\nImpression:\nParenchymal areas of asymmetric ground glass density in both lungs, although the finding is nonspecific, it is recommended to exclude Covid pneumonia.  Subsegmental atelectasis parenchyma areas in the lower lobes of both lungs.  Diameter increase in ileal loops compatible with ileus. It is recommended to examine the abdomen with CT."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2115/train_2115_a/train_2115_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are hypodense lesions in segment 2 and segment 6 of the liver. These lesions could not be characterized in this examination as no contrast agent was given. It is recommended that it be evaluated together with previous examinations, if any, and further examination if there is an indication. No enlarged lymph nodes in pathological dimensions were detected. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nHypodense lesions in the liver that cannot be characterized on this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2120/train_2120_a/train_2120_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5156",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2125/train_2125_a/train_2125_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nInspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2126/train_2126_b/train_2126_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Minimal bronchiectasis is observed in both lungs. There are pleuroparenchymal sequelae changes in the apex of both lungs. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are several millimeter-sized nonspecific nodules in both lungs.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal main vascular structures and heart examination IV. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No intraabdominal free fluid or loculated collection was detected.\n\nImpression:\nA finding in favor of pneumonic infiltration in both lungs not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2139/train_2139_b/train_2139_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are pleuroparenchymal sequelae changes in both lung apex. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nPleuroparenchymal sequelae changes in both lung apex."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2139/train_2139_d/train_2139_d_1.npy"
        ]
    },
    {
        "id": "report_generation_5207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Hiatal hernia.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2145/train_2145_a/train_2145_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the differential diagnosis, autoimmune pathologies with cavitary nodules such as connective tissue diseases and vasculitis can be considered. In lung parenchyma evaluation; There are millimetric nodular lesions with central cavitation, which are more numerous in the upper lobes of both lungs. Alveolar contusion, pneumothorax or hemothorax were not observed in the lung parenchyma. Some have a noncavitary appearance. In the case with a history of lower respiratory tract infection, tuberculosis and fungal infections are also included in the differential diagnosis, and its clinical correlation would be appropriate.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No vertebra and rib fractures were observed. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nIn the upper lobes of both lungs, there are numerous nodules in millimetric sizes, most of which cavitation is observed. The differential diagnosis spectrum is quite wide. In the case with a previous history of lower respiratory tract infection, infectious etiologies such as tbc, fungal infections and bacterial infections presenting with pneumothorax are included in the differential diagnosis. However, autoimmune causes such as vasculitis and connective tissue diseases with lung parenchyma involvement are also included in the differential diagnosis, since cavitary lesions show radiological features at the same time."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2149/train_2149_a/train_2149_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Alveolar ground glass densities were observed in the posterior segment of the right lung upper lobe, and the appearances were primarily evaluated as secondary to pneumonic infiltrative changes. When examined in the lung parenchyma window; Uniform interlobular septal thickness increases, which are more prominent in bilateral lower lobes, density changes of sequela atelectasis in the right lung upper lobe posterior, left lung inferior lingular segment and both lung lower lobes are observed.\n<pleura>: There is an effusion up to 15 mm on the right in the deepest part of the bilateral pleural space.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and there are calcified atheroma plaques on the walls of the vascular structures. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and there are calcified atheroma plaques on the walls of the vascular structures. Pericardial effusion or thickening is not observed. There is an increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image, and there are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nIncrease in the cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the walls of the mediastinal vascular structures, bilateral pleural effusion, lymph nodes that are not pathological in size and appearance in the mediastinum ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2155/train_2155_a/train_2155_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Focal consolidation areas and ground glass densities were observed in the lower lobe superior and upper lobes of both lungs. Diffuse linear atelectasis was observed in both lungs. In the localizations described in the previous examination, mostly ground glass nodules were observed. Other findings are stable. It was observed that the parenchymal findings of the case, which was followed up with Covid-19 pneumonia, were minimally progressed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2157/train_2157_b/train_2157_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Serious bacterial pneumonia cannot be distinguished. In addition, focal consolidation areas, the larger ones of which are 13 mm in diameter, are accompanied by posterobasal segments of both lung lower lobes. In the evaluation of both lung parenchyma; Consolidation is observed in the diffuse alveolar pattern in which the lung parenchyma remains intact only in the left lung lingular segment in the middle lobe, and in the anterobasal segments of both lung lower lobes, affecting all lobes where the peripheral lung parenchyma is relatively preserved. The appearance was primarily evaluated as ARDS.\n<pleura>: No pleural effusion was detected in both lung parenchyma. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Heart and mediastinal vascular structures have a natural appearance. Multiple hilar mediastinal LAPs are observed in the right upper-lower paratracheal, prevascular, aortopulmonary, subcarinal narrow diameters of the larger ones and reaching 3.2 cm in diameter.\n<heart>: Heart and mediastinal vascular structures have a natural appearance.\n<bone>: In addition, bilateral axillary and supraclavicular LAPs are observed. Apart from this, no significant pathology was detected in the bone structures. Hyperdensity with a diameter of 9 mm is observed in the locus T11. In the vertebral body, there is a hypodense area compatible with hemangioma, where trabeculation becomes evident.\n<abdomen>: Liver and spleen size increased in sections passing through the upper abdomen. Clinical evaluation is recommended. In addition, many peripancreatic, paraaortic, interaortacaval, mesenteric, and retrocrural LAPs are observed in the sections passing through the upper part of the abdomen. The gallbladder cannot be selected.\n\nImpression:\nConsolidations in a diffuse alveolar pattern in which relatively peripheral lung parenchyma is preserved in both lungs primarily suggest ARDS. Severe bacterial pneumonia cannot be distinguished. Clinical evaluation is recommended. Diffuse mediastinal, supraclavicular, axillary, abdominal LAPs in a known CLL case"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2158/train_2158_a/train_2158_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: More extensive interlobular-intralobar septal thickenings were observed in the upper lobes of both lungs. When examined in the lung parenchyma window; The effusion reaching 3.7 cm in thickness in the thickest part in the left hemithorax and 2.7 cm in diameter in the thickest part in the right hemithorax was observed. No mass lesion with distinguishable borders was detected in both lungs. There is a phantom tumor in the major fissure on the left. Acute interstitial edema and other viral pneumonias are considered in the differential diagnosis.\n<pleura>: Ground-glass consolidations were observed in both lungs, in which subpleural areas extending from the central to the periphery were preserved, and the appearance is not typical for Covid-19 pneumonia.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. A 5 cm fascia defect was observed on the anterior abdominal wall at the epigastric level, and herniated intraperitoneal adipose tissue was observed inside the hernia sac. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. A nodular lesion with a diameter of 2 cm and a fluid density was observed in the lower pole of the left kidney (cyst?).\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Bilateral effusion . Consolidations in the form of ground glass, in which the subpleural areas extending from the central to the periphery in both lungs are preserved in places; The outlook is not typical for Covid-19 pneumonia. Acute interstitial edema and other viral pneumonias are considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory.  Nodular lesion (cyst?) in fluid density in the lower pole of the left kidney . Epigastric hernia . Surgical suture materials secondary to previous bypass surgery in the anterior mediastinum of the sternum, . Calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Bilateral pleural effusion, acute pulmonary edema in the lung parenchyma or parenchymal findings that may be compatible with non-Covid viral pneumonias . Subsegmental atelectatic changes in both lungs . Epigastric hernia . Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2162/train_2162_a/train_2162_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. As far as can be observed secondary to motion artifacts, both lungs appear emphysematous. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other vascular structures of the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<heart>: As far as can be observed, the ascending aorta is wider than normal with an anterior-posterior diameter of 42 mm. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse osteodegenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the thoracic aorta and LAD. Emphysematous appearance in both lungs. · Passive atelectatic changes in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Diffuse osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2164/train_2164_a/train_2164_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the right hilar region, there is a 14 mm nodular hypodense finding that cannot be distinguished from the vascular structures within the limits of the examination. At the described level, the space-occupying lesion in the area of consolidation cannot be distinguished within the limits of the examination. When examined in the lung parenchyma window; Consolidation area with air bronchogram sign is observed in the left lung upper lobe inferior lingula. It was initially evaluated in favor of lobar pneumonia. Follow-up of infectious processes after resolution is recommended.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Vascular structure?, lymph node? Follow-up is recommended.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings evaluated in favor of lobar pneumonia in the left lung upper lobe inferior lingula in the first place, space-occupying findings in the described consolidation area cannot be made within the limits of the examination. Follow-up is recommended.  There is nodular hypodense finding in the right hilar region, 14 mm in size, which cannot be distinguished from vascular structures within the limits of the examination. Vascular structure?, lymph node? Follow-up is recommended.  Millimetric lymph nodes are observed in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2167/train_2167_a/train_2167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected. Diffuse mild ectasia is observed in bilateral bronchial structures, and peribronchial thickness increases are present (evaluated in favor of sequelae change).\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed in both lung parenchyma and there are increases in density consistent with subsegmental atelectasis in the left lingular segment and right middle lobe, and pleuroparenchymal sequelae bands are present in the bilateral lower lobe of the lung. No active infiltration or mass lesion was detected in both lung parenchyma. In both lung parenchyma, nonspecific nodules, some of which are calcified, measuring 3 mm in size, are observed in the posterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In mediastinal lymph node stations, lymph nodes that do not have pathological size and appearance, including calcifications in places, are observed. Mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and calcified atheroma plaques are observed in the mediastinal vascular structures and the walls of the coronary arteries.\n<heart>: A minimal effusion measuring 11 mm is observed in the deepest part of the pericardial area, adjacent to the right ventricle. Mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and calcified atheroma plaques are observed in the mediastinal vascular structures and the walls of the coronary arteries. An increase in the cardiothoracic ratio in favor of the heart is observed.\n<esophagus>: There is no pathological wall thickening in the thoracic esophagus, and there is a hiatal type hernia with a slight slip at the lower end of the esophagus.\n<bone>: There is a compression fracture in the anterior and central parts of the T12 vertebra, which causes about 50% loss of height. No lytic-destructive lesion is observed in the bone structures within the image. Density increases are present in the vertebral bodies, which are primarily considered secondary to osteopenia.\n<abdomen>: In the abdominal sections within the image, a slightly hyperdense nodular lesion of 7 mm in size with cortical localized exophytic extension is observed in the upper pole of the right kidney (hemorrhagic cyst?). There is a 26x23 mm hypodense nodular lesion located in the subcapsular at the junction level of the liver segment 4A-8, which cannot be characterized in this examination.\n\nImpression:\nIncrease in cardiothoracic ratio in favor of the heart . Minimal pericardial effusion adjacent to the right ventricle . Hiatal hernia . Millimetric size nodules in both lung parenchyma . Emphysematous change in both lung parenchyma . Diffuse mild ectasia in bilateral bronchial structures, increases in peribronchial thickness (evaluated as compatible with sequelae change) .  Areas of increased density in the middle lobe of the right lung and the lingular segment of the left lung compatible with sequelae atelectasis . Slightly hyperdense nodular lesion (hemorrhagic cyst?) in the upper pole of the right kidney.  Hypodense nodular lesion located subcapsular at the junction level of the liver segment 4A-8, which cannot be characterized in this examination . Degenerative changes in bone structures . Compression fracture causing approximately 50% loss of height in the anterior and central parts of the T12 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2169/train_2169_a/train_2169_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A calcific nodule with a diameter of 3 mm is observed at the posterobasal level of the lower lobe of the right lung. When examined in the lung parenchyma window; There is a slight decrease in density consistent with emphysema in both lungs. There was no finding compatible with pneumonia. Millimetric sized calcific lymph nodes are observed in the subcarinal area and hilar level on the right. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of the main mediastinal vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures have a natural appearance. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nodular density compatible with the accessory spleen is observed in the anterior neighborhood of the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The contour, size, parenchyma density of the spleen is normal. Upper abdominal organs included in the sections are normal. The surrounding soft tissue plans within the study area are natural. No space-occupying solid or cystic mass lesion was detected. However, it is partially included in the image. Splenic vein width is normal. A lesion that may be compatible with a cortical cyst with calcifications on its wall is observed in the mid-upper section posteromedial. Cortical cysts are observed in the left kidney.\n\nImpression:\nComplicated cortical cysts with calcifications in one wall of the left kidney.  Density reduction consistent with mild emphysema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2176/train_2176_a/train_2176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5294",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: The appearance was primarily evaluated as a sequelae change. In addition, pleuroparenchymal band formations consistent with fibroatelectasis are observed in bilateral lung basals.\n<pleura>: Several nonspecific subpleural nodules were observed in the medial segment of the right lung middle lobe, the largest of which was 2.5 mm in diameter in the lateral basal segment of the lower lobe of the left lung, located in the peripheral interstitium of both lungs. When examined in the lung parenchyma window; Tractional bronchiectasis and pleural thickening accompanying fibroatelectatic changes are observed in the posterior segment of the left lung upper lobe.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination were unenhanced and evaluated as suboptimal, but no significant pathology was detected. No significant massive wall thickening was detected. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area in the bilateral hilar region, calcified lymph nodes with a short diameter of 8 mm were observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures and cardiac examination were unenhanced and evaluated as suboptimal, but no significant pathology was detected.\n<esophagus>: The thoracic esophagus is in normal calibration.\n<bone>: Degenerative osteoarthritis changes in the bone structures entering the imaging area, osteophyte formations in the vertebral corpus corners and hyperostosis in the anterior especially in the lower thoracic region were observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMediastinal lymph nodes, some of which are calcified. Sequelae changes in the posterobasal segment of the lower lobe of the left lung.  Several millimetric nonspecific subpleural nodules in both lungs.  Osteodegenerative bone disease and hyperostosis in the lower thoracic region."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2179/train_2179_a/train_2179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nInspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2182/train_2182_a/train_2182_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Ground glass areas are observed in the middle lobe and lower lobe of the right lung. When the described appearances were evaluated together with clinical information, they were primarily evaluated in favor of infective pathology. Diffuse emphysema is observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. The largest of the lymph nodes is observed in the subcarinal area and its short diameter is 12 mm. No pathologically enlarged lymph nodes were observed. There are lymph nodes in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of infective pathology in the right lung . Diffuse emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Mediastinal and hilar lymph nodes . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2189/train_2189_a/train_2189_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Sequelae atelectatic changes were observed in the left lung inferior lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: An increase in thoracic kyphosis and left-facing scoliosis were observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae atelectatic change in the inferior lingular segment of the left lung. Increase in thoracic kyphosis, left-facing scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2192/train_2192_a/train_2192_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: It is compatible with Covid pneumonia in the case with Covid positive anamnesis. There are ground-glass-like density increases in both lungs with a peripheral weighted appearance, which tends to merge from place to place, and densities compatible with accompanying pleuroparenchymal sequelae. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Pathological size and configuration of lymph nodes were not detected in both hilar levels. A nodule of approximately 8x5 mm is observed in the superior segment of the lower lobe of the right lung.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the abdominal aorta. Calibration of major vascular structures in the mediastinum is natural. Calcified atheroma plaques are observed in the aortic arch and left coronary artery. In the aorticopulmonary window, a lymph node compatible with millimetric calcification, but whose short axis does not reach pathological dimensions, is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: CTO is within normal limits. Calcified atheroma plaques are observed in the aortic arch and left coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a mild hiatal hernia.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the abdominal aorta. Calcified atheroma plaques are observed in the aortic arch and left coronary artery. Surrounding soft tissue plans are natural. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area.\n\nImpression:\nFindings consistent with Covid pneumonia.  Nodule in the superior segment of the lower lobe of the right lung.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2194/train_2194_a/train_2194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Patchy large areas of consolidation with ground glass areas were observed, accompanied by diffuse linear subsegmental atelectasis changes located centrally and peripherally in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. When examined in the lung parenchyma window; azygos fissure variation was observed in the upper lobe of the right lung. No mass lesion with delineated borders was detected in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The examination was considered suboptimal since no contrast agent was given.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. The examination was considered suboptimal since no contrast agent was given.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hemangioma focus was observed in L1 vertebral body. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHigh suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory. Hemangioma focus in L1 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2205/train_2205_a/train_2205_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: These findings may belong to parenchymal findings in the late recovery period. In the previous examination, there were areas of consolidation in the lower lobe basal segments of both lungs and areas of scattered ground-glass infiltration in both lungs (history of Covid pneumonia). The presence of an ongoing infective process could not be excluded. In the ground glass density, infiltration areas healed with parenchymal sequelae. It is newly developed. In both lungs, there are subsegmental atelectasis areas adjacent to the more prominent effusion on the left. No mass was detected in the aerated lung parenchyma. Sequela parenchyma findings are milder in the lower lobes, and irregularly circumscribed nodular consolidation areas are observed in the lower lobe of the right lung. Linear density increases causing pleuroparenchymal distortion improved with signs of fibrosis and emphysema.\n<pleura>: There is a pleural effusion reaching a diameter of 24 mm between the right pleural leaves and 12 mm in the left.\n<mediastinum>: Its diameter was measured 42 mm at its widest point at the level of the aortic hiatus. There is also an increase in fusiform diameter in the thoracic aorta. In the mediastinum, a large number of mediastinal lymph nodes with a short diameter of less than 1 cm, located in the upper and lower paratracheal, paraortic, subcarinal and peribronchial, were observed. Its short diameter was measured 20 mm, the largest of which was subcarinal localization. There is a slight increase in fusiform diameter in the aortic arch, and the diameter of the aorta is 39 mm at its widest point.\n<heart>: Findings of previous coronary bypass surgery are observed. Findings of previous coronary by-pass surgery are observed. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: There is also an increase in fusiform diameter in the thoracic aorta. Its diameter was measured 42 mm at its widest point at the level of the aortic hiatus. There are nodular lesions in the upper and middle zone of the left kidney, partially cross-sectioned in the middle zone and causing contour lobulation, which cannot be differentiated from solid cystic in this examination. There is a slight increase in fusiform diameter in the aortic arch, and the diameter of the aorta is 39 mm at its widest point.\n\nImpression:\nHistory of CML and Covid.  In the previous examination, diffuse pneumonic consolidation areas in the lower lobes of both lungs regressed. Residual nodular enhancements may belong to radiological findings in the late recovery period. The presence of an active infectious process could not be ruled out by imaging. Clinical correlation is recommended.  Involvement areas in the upper lobes healed with parenchyma sequelae.  Newly developed bilateral pleural effusion.  Mediastinal stable lymph nodes.  Previous coronary by-pass surgery  Fusiform aneurysmatic increase in diameter in the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2206/train_2206_a/train_2206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lungs apical. There are pleuroparenchymal sequelae density increases in the middle lobe of the right lung. There are mildly central bronchiectatic changes in both lungs. No mass infiltration was detected in both lung parenchyma.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures could not be evaluated suboptimally when the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs, bronchiectasis evident in the central."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2208/train_2208_a/train_2208_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5364",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The frosted glass appearances are accompanied by linear density increases in places. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. Peripheral and centrally located ground glass appearances are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners.\n<abdomen>: The described lesion could not be characterized because contrast agent was not given. No enlarged lymph nodes in pathological dimensions were detected. There is a hypodense lesion measuring approximately 26 mm in diameter in the lateral segment of the liver left lobe. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2210/train_2210_a/train_2210_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Due to the current pandemic, clinical laboratory correlation is recommended because of the consolidated appearance, which is initially evaluated in favor of atelectasis in the vicinity of the calcifications described in the left lung upper lobe inferior lingula. Emphysematous changes are observed on the apical surfaces of both lungs. When examined in the lung parenchyma window; Mild centrilobular emphysematous changes are observed in both lungs, more prominently in the upper lobes. Consolidated density increase, which is evaluated in favor of atelectasis in the first plan, is observed in the left lung upper lobe inferior lingul. There are mild atelectasis in the basal segments of the lower lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Lymph nodes with a short axis measuring up to 10 mm in the mediastinum, especially the larger one, were observed in the aorticopulmonary window.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A few millimetric calcific foci are observed in both kidneys. In the hypodense and fluid attenuation measuring 29x24 mm in the right adrenal gland, the finding was initially evaluated in favor of adenoma with calcification in its wall. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nA small amount of 30 mm thick effusion in the left hemithorax.  Atelectasis with calcifications on the wall of both lungs, being more prominent on the left in the lower lobe basal segments.  Calcifications measuring up to 9 mm in thickness in the pleura in the left hemithorax, anteriorly in the area extending from the superior to the inferior.  Lymph nodes with a short axis measuring up to 10 mm in the mediastinum, especially the larger one, were observed in the aorticopulmonary window.  Due to the current pandemic, clinical laboratory correlation is recommended due to the consolidated appearance, which is initially evaluated in favor of atelectasis in the vicinity of the calcifications described in the left lung upper lobe inferior lingula.  In hypodense and fluid attenuation measuring 29x24 mm in the right adrenal gland, the finding was initially evaluated in favor of adenoma with calcification in its wall.  Bilateral millimetric nephrolithiasis.  Atherosclerosis. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2217/train_2217_a/train_2217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass infiltration was detected in both lung parenchyma. A calcified nonspecific parenchymal nodule with a diameter of 2 mm was observed in the upper lobe of the left lung. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and in the inferiolingular segment of the left lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Compression was observed in the posterosuperolateral aspect of the hood humeri. (Hill-sacs deformity). No lytic-destructive lesion was detected in bone structures. The right humerus is displaced anterior to the glenoid.\n<abdomen>: The other upper abdominal is natural. No dilatation was detected in the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nSequelae changes in both lungs, millimetric nonspecific parenchymal nodule in the left lung. No sign of pneumonia was detected.  The right humerus is displaced anterior to the glenoid. Compression is observed in the posterosuperolateral aspect of the hood humerus. (Hill-sacs deformity)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2229/train_2229_a/train_2229_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; Multilobar, multisegmental, central-peripheral localized, crazy paving and patchy ground glass opacities showing signs of vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia.\n<pleura>: There are linear atelectasis and subpleural bands accompanying patchy opacities in both lung lower lobe basal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 38 mm, and the anterior-posterior diameter of the descending aorta was 29, larger than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 38 mm, and the anterior-posterior diameter of the descending aorta was 29, larger than normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFusiform ectasia in the thoracic aorta.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Left-facing scoliosis at the thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2232/train_2232_a/train_2232_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Subsegmental atelectatic changes were observed in right lung middle lobe medial and left lung upper lobe inferior lingular segment, and lower lobe basal segments of both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Spur formations bridging with each other were observed in the right anterolateral corner of the thoracic vertebra.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A calculus with a diameter of 5.5 mm was observed in the gallbladder lumen. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Subsegmentary atelectatic changes in both lungs . Cholelithiasis . Findings consistent with diffuse idiopathic bone hyperostosis in the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2240/train_2240_a/train_2240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. Fissural thickening was observed on the right. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2246/train_2246_a/train_2246_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Linear atelectasis area is observed in the left lung upper lobe lingula inferior segment. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs, faintly bordered parenchymal areas of light ground glass density are observed that do not give peribronchial contours. It was thought that Covid infection may belong to the findings of the delayed radiological recovery period. It is recommended to question the clinical and laboratory and history, and clinical follow-up will be appropriate. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. It is in the basal segments.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Heart dimensions and compartments appear natural.\n<esophagus>: Normal calibration of the esophagus is observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nPeribronchial parenchymal light ground glass density areas in both lung lower lobe basal segments. There is no volume effect. Although the findings are specific, they may belong to late radiological findings during the recovery period of previous Covid infection. Clinical follow-up will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2250/train_2250_a/train_2250_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Active infiltration or mass lesion is not observed in both lung parenchyma. Apart from that, there are a few millimetric nodules in both lungs. Emphysematous changes are observed in both lungs. There is an area of increased density in favor of subsegmental atelectasis in the middle lobe of the right lung.\n<mediastinum>: The widths of the main mediastinal vascular structures are normal. There are no lymph nodes in the mediastinum, bilateral hilus level and pathological size and appearance in both axillary regions. There are calcific atheroma plaques on the walls of the aorta and coronary vascular structures. Mediastinal vascular structures and the heart cannot be evaluated optimally due to the lack of contrast, and minimal pericardial effusion is observed.\n<heart>: Mediastinal vascular structures and the heart cannot be evaluated optimally due to the lack of contrast, and minimal pericardial effusion is observed.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: There are calcific atheroma plaques on the walls of the aorta and coronary vascular structures. No free fluid, loculated collection solid mass was detected in the upper abdominal sections within the image. In the upper abdominal sections within the image, millimetric stones are observed at the base of the gallbladder.\n\nImpression:\nApart from this, a few nodules in millimeters in both lungs emphysematous changes . Stones of millimeter size at the base of the gallbladder"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2258/train_2258_a/train_2258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Left thyroid lobe dimensions increased. A hypodense nodule reaching 2.5 cm in diameter was observed within the dimensions of the left thyroid lobe. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Mosaic attenuation pattern was observed in both lungs (small airway disease?). As far as can be observed secondary to motion artifacts; Minimal central bronchiectatic changes and peribronchial thickening were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. Osteopenia was observed in bone structures. Minimal height losses were observed in the thoracic and lumbar vertebra superior end plates.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be observed in the sections, the liver parenchyma density decreased minimally, consistent with hepatosteatosis. An accessory spleen with a diameter of 1.5 cm was observed inferior to the splenic hilus. The pancreas is natural.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and coronary arteries . Central bronchiectatic changes in both lungs, peribronchial thickening . Mosaic attenuation pattern in both lungs (small airway disease?) . Minimal hepatosteatosis . Minimal height loss in the thoracolumbar vertebra superior end plates"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2260/train_2260_a/train_2260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5513",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: US control is recommended.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mosaic perfusion is observed in both lungs.\n<pleura>: Pleuroparenchymal sequelae changes are observed on the pleural surfaces of the lower lobe of the left lung. The size of the 6 mm diameter nodule observed in the subpleural area in the superior segment of the left lung lower lobe is stable.\n<mediastinum>: Thoracic aorta diameter is normal. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. After the previous examination, a central venous catheter was placed in the patient from the right jugular and the catheter tip terminates in the right atrium. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: When the bone was examined in the window, no lytic destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are also liver, spleen, and pancreas.\n\nImpression:\nIn the left lung upper lobe anterior segment, the size and appearance of the sequelae area accompanied by bronchiectasis and linear atelectasis on the mediastinal face are stable. The subpleural nodule size in the left lung lower lobe superior segment is stable. Mosaic perfusion is observed in both lungs (small airway disease? Small vascular access disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2274/train_2274_a/train_2274_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchial thickenings and mild bronchiectasis are present in both hilar regions, more prominent on the right. At the level of the anterior medial segment junction of the lower lobe of the right lung, there is an increase in density consistent with the consolidation, which is observed in air bronchogram signs, extending to the vicinity of the fissure. There are thickenings and mosaic attenuation patterns in the interlobular septa. Atelectasis changes are observed in the upper lobe and middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Small lymph nodes are observed in the mediastinum. Other mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. There are diffuse calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are diffuse degenerative changes and decrease in density in bone structures.\n<abdomen>: Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nConsolidation area compatible with infectious processes at the level of anterior and medial segments of the lower lobe of the right lung, accompanied by changes secondary to cardiac stasis; clinical laboratory correlation and follow-up is recommended.  Atherosclerotic changes.  Small lymph nodes in the mediastinum.  Diffuse degenerative changes and decrease in density in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2275/train_2275_a/train_2275_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Mild sequelae changes are observed at the apical level.\n<pleura>: Nodules with a diameter of 2 mm subpleural at the posterobasal level of the lower lobe of the right lung are observed, and subpleural nodules with a diameter of 4 mm at the laterobasal level. A subpleural 3 mm diameter nodule is observed in the apicoposterior segment of the upper lobe of the left lung. A 2 mm diameter nodule is observed in the lateral subpleural area in the superior segment of the lower lobe.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of major vascular structures in the mediastinum is normal. Pathological size and configuration of lymph nodes are not observed at either level.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At other levels, there are small osteophytic taperings compatible with degenerative changes in the vertebral corpus corners. Degenerative changes are observed in the bone structure entering the examination area. In the C7 vertebra superior end plateau, there is contour irregularity that may be compatible with Schmorl node impression and there is sclerotic density around it.\n<abdomen>: In the liver, there is a decrease in deep density consistent with steatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild rectus diastasis is observed in the case. Nodular density compatible with the millimetric accessory spleen is observed in the spleen hilum. Environmental soft touch plans are natural. Upper abdominal organs included in the sections are normal. Sonographic verification is recommended.\n\nImpression:\nA few millimetric nonspecific nodule formations in both lungs.  Hepatosteatosis.  There is a decrease in deep density consistent with steatosis in the liver. There is a slightly heterogeneous hyperdense appearance with a partially contoured inner structure in the left lobe medial segment adjacent to the gallbladder (area protected from fat?). Sonographic verification is recommended.  In the C7 vertebra superior end plateau, there is contour irregularity that may be compatible with Schmorl node impression and there is sclerotic density around it."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2281/train_2281_a/train_2281_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are minimal emphysematous changes in both lungs. Bilateral minimal peribronchial thickness increase is observed. There are areas of subsegmental atelectasis in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Calcific atheroma plaques in the coronary arteries and stent in the anterior descending coronary artery are observed. Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There is a millimetric nonspecific sclerotic focus in the medial cortex in the anterolateral part of the left 5th rib. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nOperated soft tissue sarcoma at follow-up  Millimetric nodules in both lungs; stable  Linear atelectasis areas in both lungs  Minimal peribronchial thickness increase in both lungs  Atheroma plaques and stent appearances in the coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2288/train_2288_b/train_2288_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several nodules with a diameter of 3 mm are observed in both lungs, the largest of which is in the lateral segment of the left lung lower lobe. Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area, and no significant difference was found between their number and size.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area, and no significant difference was found between their number and size. An appearance compatible with thymic remnant is observed in the anterior mediastinum. The width of the mediastinal main vascular structures is normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nA few millimetric nonspecific nodules in both lungs; is stable.  Mediastinal millimetric lymph nodes; is stable.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2296/train_2296_a/train_2296_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the trachea and the walls of both main and segmental bronchi. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal linear atelectasis changes were observed in the right lung upper lobe anterior-posterior, lower lobe laterobasal, and left lung upper lobe lingular and anterobasal subsegment of lower lobe anteromediobasal segment. Nonspecific parenchymal nodules with a diameter of 6.9 mm were observed in both lungs, the largest of which was in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The diameter of the pulmonary conus was 33 mm and was observed wider than normal. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta was 51 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Metallic sutures secondary to previous surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. There is a prosthesis in the aortic valve. As far as can be seen; Cardiac pace maker was observed on the anterior chest wall on the left, and lead catheters extending to the right ventricular apex were observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Metallic sutures secondary to previous surgery were observed in the sternum and anterior mediastinum. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Right adrenal is normal. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The anterior-posterior diameter of the ascending aorta was 51 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. Nodular lesion areas with a fluid density of 2 cm in diameter were observed in both kidneys, the largest on the left (cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Minimal hyperplasia was observed in the medial crus of the left adrenal gland. Subcentimetric calculi were observed in the gallbladder lumen.\n\nImpression:\nAppearance compatible with tracheobronchopathia osteochondroplastica in the wall of the trachea and both main and segmental bronchi. Surgical suture materials in the sternum and anterior mediastinum, aortic valve prosthesis, pacemaker in the anterior chest wall on the left . Fusiform aneurysmatic dilatation in the ascending aorta, increase in the diameter of the pulmonary conus, cardiomegaly . Thoracic Atherosclerotic wall calcifications in the aorta and coronary arteries . Pleuroparenchymal linear atelectatic changes in both lungs . Non-psychic parenchymal nodules in both lungs . Cholelithiasis . Uroepithelial thickening in the bilateral pelvicalyceal system . Nodular mediaplasia hyperplasia of fluid density in both kidneys . Left cirrus medial renal glands?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2301/train_2301_a/train_2301_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Peripheral and peribronchial localized, some patch-like ground glass densities and focal consolidations are observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal aortopulmonary lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum.\n<heart>: Calcific atherosclerotic plaques are observed in the coronary arteries in the middle of the arch. The cardiothoracic index increased in favor of the heart. There is pericardial effusion in the form of thin smears.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the medial crus of the right adrenal gland is thick.\n\nImpression:\nPeripheral and peribronchial localized, some patchy ground glass densities and focal consolidations in both lung parenchyma. Widely reported imaging findings for Covid-19 pneumonia due to pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2306/train_2306_a/train_2306_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Mild dependent atelectasis was observed at posterobasal levels of both lower lobes of the lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild dependent atelectasis at posterobasal levels of both lower lobes of the lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2312/train_2312_a/train_2312_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Sequelae fibrotic bands are observed in the left upper lobe inferior lingular segment and right lung middle lobe medial segment. Several nonspecific nodules are observed in the upper lobe of the left lung, the largest of which is 3.5 mm in the anterior segment. Ventilation of both lungs is natural. There are centriacinar emphysematous changes in both lungs.\n<pleura>: No periacrdial, pleural effusion or thickening was detected.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph node is observed in pathological size and appearance.\n<heart>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart, contour and size are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the height of the veretbra corpus was preserved.\n<abdomen>: No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nCentriacinar emphysematous changes in both lungs and a few millimeter-sized nonspecific nodules in the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2322/train_2322_a/train_2322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No obstructive pathology was detected in the trachea and both main bronchi.\n<lung>: Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2325/train_2325_a/train_2325_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5657",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass infiltration was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Widespread calcified pleural plaques with a tendency to coalesce in both lungs were observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Upper abdominal sections entering the examination area are natural. No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nDiffuse calcified atherosclerotic changes in the thoracoabdominal aorta and coronary artery wall.  Widespread calcified pleural plaques in both lungs with a tendency to coalesce.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2330/train_2330_a/train_2330_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are nodular ground glass densities in both lungs with diffuse and mostly peripheral Halo sign. Mild emphysemmatous changes are observed in the apical levels of the upper lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Millimetric calcific focus is observed in the left kidney (suspicious calculus? ). Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2334/train_2334_a/train_2334_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5667",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical correlation of findings in terms of lobar pneumonia, laboratory correlation is recommended in terms of differential diagnosis of viral pneumonia due to current epidemic. When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs, small areas of consolidation are observed in the air bronchogram sign within linear atelectatic changes in the anterior basals of both lung upper lobes.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. The catheter reaching the superior vena cava is observed.\n<heart>: There is a smear-like pericardial effusion. The cardiothoracic index increased in favor of the heart. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the study and both kidneys are atrophic.\n\nImpression:\nViral pneumonia? Lobar pneumonia? Clinical laboratory correlation is recommended for the differential diagnosis of the findings described in the lung parenchyma.  There is a small amount of minimal pleural effusion in the right hemithorax and minimal pleural effusion in the left hemithorax, and a smear-like pericardial effusion.  Bilateral atrophic kidneys . Atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2335/train_2335_a/train_2335_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear thick atelectasis are observed at basal levels of both lung lower lobes.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectasis in the form of thick bands are observed in the lower lobes of both lungs.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2337/train_2337_a/train_2337_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are smooth interlobular septal thickness increases and centriacinar emphysematous changes that are more evident in the lower lobes of both lungs. In the evaluation made in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lungs, and there are parenchymal sequelae changes in places. A purcalcified 4 mm nodule is observed in the posterior segment of the left lung upper lobe.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: There is an increased caliber of the ascending aorta, the descending aorta, and an increase in heart size. Widespread calcified atheroma plaques are observed on the walls of mediastinal vascular structures and coronary vascular structures. In the mediastinum, no pathologically enlarged lymph nodes were observed in both axillary regions.\n<heart>: There is an increased caliber of the ascending aorta, the descending aorta, and an increase in heart size. Widespread calcified atheroma plaques are observed on the walls of mediastinal vascular structures and coronary vascular structures. There is minimal smear-like effusion in the pericardial area.\n<esophagus>: Pathological wall thickness increase was detected in the thoracic esophagus.\n<bone>: In the bone structures within the image, scoliosis with the opening facing right in the thoracic vertebral column, osteophytic degenerative changes that tend to merge in the right anterolateral vertebral corpus corners, and compression fracture in the T12 vertebral corpus are observed. Extension to the spinal canal is not observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is an increased caliber of the ascending aorta, the descending aorta, and an increase in heart size. Focal parenchymal defects are observed in the upper pole-middle zone of the right kidney. In the upper abdominal sections included in the sections, intra-abdominal parenchymal organs could not be evaluated optimally due to the lack of contrast in the examination. As far as can be observed, no solid mass was detected. There is a hyperdense appearance of sludge showing leveling in the gallbladder lumen.\n\nImpression:\nMediastinal vascular structures, diffuse calcified atheromatous plaques on the wall of coronary vascular structures . Ascending aorta, increased caliber of the descending aorta and increased heart size, increased heart size, minimal pericardial effusion.  Purcalcified 4 mm nodule in the posterior segment of the left lung upper lobe, smooth interlobular septal thickness increases and centriacinar emphysematous changes in the lower lobes of both lungs, parenchymal changes in places with sequelae. Sequela parenchymal defects in the middle zone . Thoracic spondylosis findings and compression fracture in the T12 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2339/train_2339_a/train_2339_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are sequela parenchymal changes in the lower lobes of both lungs, the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung upper lobe. A mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?). A well-defined solitary pulmonary nodule with a diameter of 6 mm is observed in the middle lobe of the right lung. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Uniform interlobular septal thickness increases, more prominent in the lower lobes, are observed in both lungs and were evaluated as secondary to cardiac stasis.\n<pleura>: No pleural effusion or thickening was detected.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. Diffuse calcified atheroma plaques are observed in the thoracic aorta and coronary arteries. The diameter of the pulmonary trunk is 39 mm, the diameter of the right pulmonary artery is 30 mm, and the diameter of the left pulmonary artery is 26 mm, which is wider than normal. In the mediastinum, lymph nodes with a fusiform configuration are observed, the largest of which is a fatty hilus with a short diameter of 11 mm at the precarinal level.\n<heart>: An increase in heart size is observed. It could not be evaluated optimally due to lack of contrast. Pericardial effusion is not observed. The ascending aorta is wider than normal with a diameter of 43 mm. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Trabeculation increase compatible with osteoporosis is observed in the bone structures within the image, and vertebral plana appearance due to compression fracture is observed in the T7 vertebral corpus.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Diffuse calcified atheroma plaques are observed in the thoracic aorta and coronary arteries. No free fluid, loculated collection was detected. A hyperdense appearance is observed in the lumen of the gallbladder, which may be sludge or calculi.\n\nImpression:\nDiffuse calcified atheroma plaques in the thoracic aorta and coronary vascular structures, increase in the ascending aorta, pulmonary trunk, and both pulmonary artery calibration, increase in heart dimensions. Lymph nodes with a fusiform configuration, the largest in the mediastinum at the precarinal level, with a short diameter over 1 cm and a fatty hilus. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?), smooth interlobular septal thickness increases more prominently in the lower lobes of both lungs (considered secondary to cardiac stasis), parenchymal changes in both lungs with local sequelae, stable solitary pulmonary nodule in the middle lobe of the right lung.  Hyperintense appearance of calculus-mud in the gallbladder lumen; Evaluation with USG examination is recommended.  Findings of osteoporosis and osteopenia in bone structures, vertebral plan appearance characterized by significant loss of height in the T7 vertebral body, and height losses in the upper end plates of the lower thoracic and lumbar vertebrae. There was no finding in favor of pneumonic infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2351/train_2351_a/train_2351_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Sequelae linear density increases are observed in right lung middle lobe medial segment left lung upper lobe inferior lingular segment.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal vascular structures and heart examination IV.\n<heart>: It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No intraabdominal free fluid or loculated collection was detected.\n\nImpression:\nCalcific atheroma plaques on the wall of coronary vascular structures . Active infiltration or mass lesion is not detected in both lungs, and sequelae are linear density increases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2358/train_2358_a/train_2358_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5724",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Several nonspecific parenchymal nodules with a diameter of 4 mm were observed in both lungs, the largest of which was in the lower lobe of the left lung. There is a mosaic attenuation pattern in the lower lobes of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the medial and lateral segments of the right lung middle lobe. Mosaic attenuation was found to be secondary to small airway stenosis. When examined in the lung parenchyma window; Segmental-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in LAD. Mediastinal main vascular structures are heart, contour size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCalcific atheroma plaques in LAD.  Segmentary-subsegmental peribronchial thickening causing mosaic attenuation in both lungs.  Pleuroparenchymal sequelae changes in the middle lobe of the right lung.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2360/train_2360_a/train_2360_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: It is suboptimal due to motion artifacts.\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There are fibrotic changes at the apex of both lungs. Paraseptal emphysema appearances were observed in both lungs. Some nodules are purely calcified.\n<pleura>: Minimal pleural effusion was observed on the right and 2.5 cm thick on the left. In the right lung lower lobe superior segment and left lung upper lobe posterior segment, there is a consolidation appearance including bronchial dilatations in the hilar neighborhood, pneumonic infiltration? In bilateral lungs, appearances of multiple nodules were observed, the largest of which was a pleural-based nodule with a diameter of 15 mm in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Pulmonary arteries were observed as dilated. No pathological lymph node was detected in the mediastinum.\n<heart>: Calcific atheroma plaques were observed in the main vascular structures. The ascending aorta is wider than normal at 4.2 cm. There is global enlargement of the cardiac cavities.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: A millimetric calyx stone is observed in the upper pole of the right kidney. A 2.7 cm cyst is observed in the 5th segment of the liver. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Views include possible findings for COVID. nodular goiter Organizing pneumonias and connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2367/train_2367_a/train_2367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; More diffuse peripherally located focal nodular ground glass densities were observed in both lungs, bilateral, middle and lower lobes, and the appearance is highly suspicious for Covid-19 pneumonia. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Other viral pneumonias were considered in the differential diagnosis.\n<pleura>: A millimetric nonspecific subpleural nodule was observed in the posterior segment of the right lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). An accessory spleen with a diameter of 13 mm was observed inferior to the splenic hilum. Liver, spleen, pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination.\n\nImpression:\nMore common bilateria in the middle-lower lobes of both lungs, peripherally located focal nodular ground glass densities, the appearance is highly suspicious for Covid-19 pneumonia. Other viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinic and laboratory.  Right lung upper lobe posterior posterior millimetric nonspecific subpleural nodule in the segment . Cholecystectomized . Accessory spleen in the inferior of the spleen hilus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2371/train_2371_a/train_2371_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Sentracinar paraseptal emphysemato areas are observed in the upper lobes of both lungs. Ground-glass density-focal consolidation is observed in the middle lobe of the right lung and in the mediobasal segment of the lower lobe of the right lung, and pleuroparenchymal densities are observed in the basal segments of the lower lobes of both lungs. Laboratory examination is recommended. While not typical for Covid-19 pneumonia, it cannot be ruled out.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the walls of the aortic arch, ascending, descending aorta and coronary artery. No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed.\n<heart>: Calcific plaques are observed in the walls of the aortic arch, ascending, descending aorta and coronary artery. The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: Degenerative changes in the vertebrae and vacuum phenomena in the intervertebral distances are observed. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Calcific plaques are observed in the walls of the aortic arch, ascending, descending aorta and coronary artery. Millimetric calculus-sludge is selected in the gallbladder partially entering the examination area. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is a cortical cyst in the left kidney, which partially enters the examination area.\n\nImpression:\nGround-glass density-focal consolidation in the right lung lower lobe mediobasal segment, ground-glass densities in both lung lower lobes, and pleuroparenchymal linear densities are not typical for Covid-19 pneumonia. But it cannot be excluded. Laboratory evaluation is recommended.  Emphysematous areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2374/train_2374_a/train_2374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2378/train_2378_a/train_2378_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal sequela fibrotic density increases were observed in the right lung middle lobe and left lung upper lobe inferior lingular segment. Dependent nonspecific density increases were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; main vascular structures, heart contour, size is normal. Calcific atheroma plaques are observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Chronic Schmorl nodules in the center of the end plate and osteophytic tapering in the corners of the anterior endplate were observed at the mid-thoracic level in the bone structures included in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nBilateral gynecomastia.  Calcific atheroma plaques in LAD.  Sequela parenchymal changes in each lung, depending on nonspecific density increases.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2379/train_2379_a/train_2379_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The upper abdominal organs that can be seen in sections are natural.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2387/train_2387_b/train_2387_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are linear segmental atelectasis in the upper lobe of the left lung and superior lower lobe. There are extensive interlobular septal thickenings and interstitial involvements in the upper lobe of the right lung. No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Both lungs are emphysematous.\n<pleura>: Pleural effusion measuring 35 mm in its deepest part is observed on the left, and there is an area of passive atelectasis in the lower lobe of the left lung.\n<mediastinum>: There are calcific plaque formations in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are multiple LAPs in the paracardiac aortopulmonary prevascular areas, the largest of which is 8x10 mm in the paratracheal area.\n<heart>: There are calcific plaque formations in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are stent densities in the coronary arteries in the substernal area. An effusion measuring 5 mm is observed in the thickest part of the pericardial area.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Suture materials of thoracotomy are observed in the sternum. Vertebral corpus heights are preserved.\n<abdomen>: There are calcific plaque formations in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. There is a subcapsular hypodense lesion measuring approximately 19 mm in diameter at the level of liver segment 6 in the abdominal cross-sections.\n\nImpression:\nLeft pleural effusion. Passive atelectasis in the lower lobe of the left lung. Interstitial involvement in the upper lobe of the right lung. Linear subsegmental atelectasis in the left upper lobe and superior lower lobe of the lung.  Sternotomy views of the sternum. Multiple LAPs in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2388/train_2388_a/train_2388_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Evaluation with USG examination is recommended.\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is observed.\n<lung>: Sequela parenchymal changes are observed in the posterobasal segment of both lung lower lobes. No active infiltrating mass or nodular lesion was observed in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: No pericardial, pleural effusion or thickness increase was detected.\n<mediastinum>: Since the cardiac examination in mediastinal vascular structures is without IV contrast, it could not be evaluated optimally. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. As far as can be observed; pulmonary trunk calibration increased by 34 mm.\n<heart>: An increase in heart size is observed.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Vertebral corpus heights and alignments are normal. Bilateral neural foramina are normal. No lytic-destructive lesion was detected in the bone structures within the image. There are reticular density increases secondary to osteopenia in the vertebral corpuscles and osteophytic degenerative changes in the vertebral corpus corners.\n<abdomen>: Free fluid, loculated collection is not observed. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as the upper abdominal sections in the examination area can be observed within the borders of non-contrast CT, no solid mass was detected.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Sequela parenchymal changes in the posterobasal segment of the lower lobe of both lungs.  Increase in pulmonary conus caliber and heart size.  Slippery type mild hiatal hernia at the lower end of the esophagus.  Increases in reticular density secondary to osteopenia in bone structures, osteophytic degenerative changes in vertebral corpus corners."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2396/train_2396_a/train_2396_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibrations of the trachea and main bronchi are normal. Peribronchial thickenings are observed.\n<lung>: A mosaic attenuation pattern is observed in the lower lobe of the left lung (small airway disease?, small vessel disease?). A faint and non-specific ground-glass-like density increase is observed in the left lung upper lobe paramediastinal area. There is focal consolidation in the inferior lingular segment. When examined in the lung parenchyma window; both hemithorax are symmetrical. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected. Mild irregularity with pleural contour is observed in the posterior segment caudal of the right lung upper lobe.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. Millimetric sized lymph nodes are observed in the mediastinum. CTO is normal. The aortic arch calibration was 33 mm, wider than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the case.\n<bone>: Hypodense lesions consistent with multiple myeloma involvement are observed in the bone structure. Fracture views are observed at the 5th and 8th levels on the right.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nodular formation compatible with accessory spleen is observed in the spleen hilum. CTO is normal. The aortic arch calibration was 33 mm, wider than normal. Post-operative changes were detected. Surrounding soft tissue plans are natural. In the upper abdominal organs, including sections; gall bladder was not observed in the lodge.\n\nImpression:\nMultiple hypodense lesion consistent with bone involvement in a patient with multiple myeloma anamnesis.  Fracture views are observed at the 5th and 8th levels on the right.  Hiatal hernia.  Ground-glass-like density increase in the left lung upper lobe paramediastinal area.  Mosaic attenuation pattern in the lower lobe of the left lung (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2406/train_2406_a/train_2406_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are calcific small lymph nodes in the hilar regions. There are thickenings in the interlobular septa. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusions measuring 45 mm on the left and 19 mm on the right are observed in both hemithorax. When examined in the lung parenchyma window; There are one or two subpleural nodules measuring up to 5 mm in size in both lungs. No pleural thickening was detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral axillary pathological dimensions. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction of bone structures is observed. There are hypertrophic-ostephoitic taperings and effusion appearances in the anteriors of the vertebral corpus endplates.\n<abdomen>: Thoracic aorta diameter is normal. There is a 5 mm stone at the entrance of the cystic duct in the neck of the gallbladder. Upper abdominal organs are partially included in the examination and were evaluated as subopotimal. Clinical and laboratory correlation is recommended for cholecystitis. The gallbladder has a hydropic appearance.\n\nImpression:\nSmall amount of effusions in both hemithorax, calcific one or two small lymph nodes in hilar regions.  One or two pleural nodules measuring up to 5 mm in each lung.  Increase in heart size.  The gallbladder stone, which is thought to be at the entrance of the cystic duct, was evaluated as suboptimal within the limits of the examination. In case of doubt, further examination MRI is recommended.  Degenerative changes in bone structures, tapering in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2409/train_2409_b/train_2409_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Soft tissue thickness was observed in the center of the right lung, around the main bronchus and segmental bronchi.\n<lung>: When examined in the lung parenchyma window; Surgical suture materials accompanied by linear fibrotic densities that cause structural distortion extending along the paramediastinal area were observed in the right upper lobectomized case in the medial part of the right lung middle lobe. A millimetric parenchymal nodule was observed in the lateral segment of the right lung middle lobe. It is recommended to be evaluated together with clinical and laboratory. Multilobar, multisegmental central-peripheral, nodular ground glass opacities were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. Segmentary tubular bronchiectasis and peribronchial thickening were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; Calibration of mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Calibration of mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. It is recommended to evaluate and follow-up together with previous examinations, if any.\n\nImpression:\nSuture materials causing parenchymal distortion in the paramediastinal area in the right upper lobectomized, right upper middle lobe medial part of the right lung and accompanying fibrotic recessions . Soft tissue densities around the right main and lobar bronchi, accompanied by suture materials, could not be characterized in non-contrast examination . Segmentary tubular bronchiectasis in both lungs , peribronchial thickening . High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  If there is a millimetric parenchymal nodule in the right lung middle lobe lateral segment, it is recommended to be evaluated and followed up together with the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2411/train_2411_a/train_2411_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5865",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are paraseptal and centrilobular emphysematous changes observed in previous studies, more prominently in the upper lobes of both lungs. There is a calcific nodule measuring up to 6 mm at the apicoposterior level of the upper lobe of the left lung. When examined in the lung parenchyma window; Linear atelectasis prominent density increases are observed in the left lung lingular segment and lower lobe, and bronchiectasis are present at these levels described.\n<mediastinum>: There are widespread calcific atheroma plaques in the wall of the ascending aorta, aortic arch, descending aorta and coronary artery. In the mediastinum, there are several small fusiform lymph nodes with a short axis measuring up to 6 mm at the pericarinal level, which are not in pathological appearance. The mediastinal main vascular structures and the heart were evaluated suboptimally, and the calibration of the vascular structures was normal.\n<heart>: No pericardial effusion or thickening was detected. The mediastinal main vascular structures and the heart were evaluated suboptimally, and the calibration of the vascular structures was normal. There are widespread calcific atheroma plaques in the wall of the ascending aorta, aortic arch, descending aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: S-shaped scoliosis is observed in the thoracic vertebral column. There is diffuse density reduction in bone structures. No height loss was found in the vertebral corpuscles.\n<abdomen>: There are widespread calcific atheroma plaques in the wall of the ascending aorta, aortic arch, descending aorta and coronary artery. Upper abdominal organs were partially included in the study and were evaluated as suboptimal.\n\nImpression:\nDiffuse calcific atheromatous plaques are observed on the wall of mediastinal vascular and coronary structures. Small lymph nodes in the mediastinum, the largest at the pericardial level, without pathological size and appearance.  Pleural effusion observed in the previous study was not detected in the current study.  Consolidation in the posterobasal segment of the left lung lower lobe without significant difference in its neighborhood.  There are smooth interlobular septal thickness increases and emphysematous changes in both lung parenchyma.  Atelectasis, more prominent in the posterobasal segment of the left lung lower lobe, and a small amount of loculated effusion in the regression in the current study.  Degenerative changes in bone structures, decreased density, S-type mild scoliosis in the thoracic vertebral column."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2423/train_2423_a/train_2423_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Focal sequelae changes in the posterior segment caudal of the right lung upper lobe and recession in the major fissure are observed. There are sequelae changes in the middle lobe. Sequelae changes are observed at the apical level. There are sequelae changes in the lingular segment and lower lobe laterobasal level. There is a decrease in density consistent with emphysema in both lungs. There is thickening of the lower lobe segments of the left lung and the peribronchial sheath at the central level. However, mass lesions that may be located in this area cannot be ruled out definitively. A stable calcific nodule with a diameter of 4 mm is observed in the upper lobe apicoposterior segment of the left lung.\n<pleura>: There is mild thickening of the pleura in the left lung. Consolidated parenchyma area, which cannot be partially separated from the pleura in the left lung lower lobe superior segment and from the aorta in the medial side, is observed.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. The mediastinum is displaced to the left. Aortic arch calibration is 33 mm wider than normal. Calcific atheroma plaques are present in the abdominal aorta.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. Calibration of other major vascular structures is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. CTO is normal. The gallbladder bed is prominent. In the upper abdominal organs, including sections; There is marked lobulation in the liver contours. There is a hypodense lesion in the middle anterolateral of the right kidney, which may be compatible with a cortical cyst of approximately 13 mm in diameter. Thoracic aorta diameter is normal. Aortic arch calibration is 33 mm wider than normal. Calcific atheroma plaques are present in the abdominal aorta. Surrounding soft tissue plans are natural. Evaluation for cirrhosis is recommended.\n\nImpression:\nVolume loss in the left lung, stable consolidative area in the lower lobe superior segment according to the previous examination (possible mass lesion that may settle in the consolidation area at this level cannot be excluded).  There is a reduction in the size of the right lobe of the liver, and a prominence in the left lobe. Lobulation is observed in its contours. It is recommended to be evaluated together with clinical and laboratory findings in terms of cornic liver parenchymal disease-cirrhosis.  Hypodense lesion in the right kidney considered compatible with cortical cyst.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2423/train_2423_b/train_2423_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are fibrotic densities in the right lung middle lobe lateral and lower lobe posterior mediobasal. Pneumonic infiltration was not observed. Slight mosaic density differences are observed in both lungs. There are bilateral nonspecific nodules with a diameter of 3 mm.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebrae are degenerative.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSlight mosaic density differences in the lung (airway disease?).  Millimetric nonspecific nodules in the lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2424/train_2424_a/train_2424_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Parenchyma density is heterogeneous. Thyroid sizes increased.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. Ground-glass-like density increases were observed in the lower lobes of both lungs. Prominent interlobular septa were observed in the lower lobes of both lungs (secondary to cardiac pathology?). When examined in the lung parenchyma window; Calcified pulmonary nodule with a diameter of 7 mm in the upper lobe of the right lung and sequelae fibrotic density increases in its vicinity were observed. In addition, consolidation areas showing nodular configuration were observed in the middle lobe of the right lung and the posterior segment of the left lung upper lobe. No mass was detected in both lung parenchyma within the limits of non-contrast examination.\n<pleura>: There is a free pleural effusion measuring 30 mm in thickness on the right and 10 mm on the left, and atelectatic changes in the adjacent lung parenchyma. Bilateral pleural thickening was not detected.\n<mediastinum>: The diameter of the main pulmonary artery is 30 mm and it shows mild dilatation. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Lymph nodes with a short axis smaller than 7 mm were observed in mediastinal, upper-lower paratracheal, precarinal, and subcarinal localizations.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: There are suture materials related to sternotomy in the sternum. Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Multiple calcules were observed in the gallbladder lumen in the upper abdominal sections that entered the examination area. Sonographic correlation is recommended. A few cortical cysts were observed in both kidneys.\n\nImpression:\nMediastinal millimetric lymph nodes . Cardiomegaly, mild dilatation of the thoracic aorta and pulmonary artery . Calcific atherosclerotic changes in the thoracic aorta and coronary artery wall . Bilateral interlobular septal thickenings (secondary to cardiac pathology?), bilateral peribronchial thickenings. Areas of nodular consolidation in both lungs. Bilateral pleural effusion and atelectatic changes.  Cholelithiasis. Bilateral renal simple cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2432/train_2432_a/train_2432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening - effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: As far as can be seen; Soft tissue densities consistent with gynecomastia were observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2436/train_2436_a/train_2436_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOperated cholangiocarcinoma at follow-up.  Minimal emphysematous changes in both lungs.  Atelectasis in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2444/train_2444_a/train_2444_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: At the right hilar level, no lymph node was detected in pathological size and configuration. At the posterobasal level of the lower lobe of the right lung, there is a superposed nodule with a diameter of approximately 5 mm and a density that is consistent with pleuroparenchymal sequelae. The left hilus cannot be evaluated. In the right lung, mild bud branches are seen adjacent to the interlobar fissure, and it is recommended to be evaluated together with clinical and laboratory findings in terms of infective process. There is an increase in bronchial calibration and thickening of the peribronchovascular sheath, which cannot be evaluated within the consolidation areas in the left lung, which is more prominent in the right lung. Honeycomb appearances extending caudally along the upper lobe posterior segment and accompanying consolidative areas are observed in the right lung. In the left lung, a honeycomb appearance with small but multiple cystic appearances is observed in the lower lobe superior segment, which almost completely obliterates the aeration in the upper lobe, and extending towards the lingular segment.\n<pleura>: At the posterobasal level, nodule-consolidative parenchyma areas that tend to merge with each other in the subpleural area and extend towards the superior lower lobe are observed. Plaque-like millimetric calcifications are observed in the pleura of the left lung at the laterobasal and posterobasal levels.\n<mediastinum>: Millimetric-sized calcific atheroma plaques are observed at the level of the aortic arch and the aortic root. Lymph nodes at the prevascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, and the largest one is in the right upper paratracheal area and is 17x10 mm in size. Both pulmonary artery calibrations are normal. Calibration of other major vascular structures in the mediastinal is natural. The pulmonary trunk calibration was 32 mm, larger than normal.\n<heart>: CTO is within the normal range.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Millimetric-sized calcific atheroma plaques are observed at the level of the aortic arch and the aortic root.\n\nImpression:\nWidespread consolidative area with cystic openings that almost completely obliterates the aeration of the parenchyma in the right lung upper-middle zone, honeycomb appearances in the left lung lower lobe, right lung upper lobe posterior segment, bronchiectasis at the upper lobe-central level in the right lung. Upper right lung view of the branch with faint buds in the posterior segment of the lobe. It is recommended to be evaluated together with clinical findings in terms of infective processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2457/train_2457_a/train_2457_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2462/train_2462_a/train_2462_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Right upper-lower paratracheal lymph nodes with narrow diameter not reaching 1 cm are observed. Apart from this, no obvious nodule formation was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No signs of metastasis were observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNodule in the right lung lower lobe laterobasal segment that does not change from previous PET-CT examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2463/train_2463_a/train_2463_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are diffuse emphysematous changes in both lungs. There are nonspecific nodules in both lungs, the largest in the middle lobe of the right lung and the longest diameter measuring 9 mm. In addition, pleuroparenchymal sequela changes are observed in both lungs from place to place. There are linear atelectasis in both lungs, especially in the lower lobes. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No significant pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameter of the descending aorta is normal. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries. The main pulmonary artery diameter was 30 mm and it was minimally wider than normal.\n<heart>: The anterior-posterior diameter of the ascending aorta is 40 mm and wider than normal. As far as can be observed: The heart is larger than normal. In particular, both atria are larger than normal.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: The liver is minimally hypertrophied in the left lobe and the liver contours are lobulated. The diameter of the descending aorta is normal. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. It is recommended that the patient be evaluated for liver parenchymal disease.\n\nImpression:\nDiffuse emphysematous changes in both lungs. Atelectasis and pleuroparenchymal sequelae changes in both lungs.  Nodules in both lungs. Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, minimal increase in pulmonary artery diameter.  Mediastinal and hilar lymph nodes. Minimal hypertrophy of the liver left lobe and lobulation in the liver contour."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2467/train_2467_b/train_2467_b_1.npy"
        ]
    },
    {
        "id": "report_generation_5967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There are several nodules in both thyroid lobes, the largest of which is 1 cm in diameter in the isthmus, some with millimetric calcifications. Widespread motion artifacts are observed in the images.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A mosaic attenuation pattern is observed in the lower lobes of both lungs (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. There are linear atelectasis areas accompanied by nonspecific ground glass areas in the right lung middle lobe lateral segment, left lung upper lobe lingular segment inferior subsegment, and both lung lower lobes.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Diffuse calcific atheroma plaques are observed in the coronary arteries and aorta. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: The heart, contour and size are normal. Diffuse calcific atheroma plaques are observed in the coronary arteries and aorta.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Millimetric osteophytes are observed at the corners of the thoracic vertebral corpus within the sections, and a vacuum phenomenon consistent with degeneration is observed at the intervertebral disc levels. No lytic-destructive lesion was observed in bone structures. There are degenerative changes in both sternoclavicular joints prominent on the right and sclerotic changes in the distal end of the right clavicle on the right.\n<abdomen>: Diffuse calcific atheroma plaques are observed in the coronary arteries and aorta. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; there is a low-density cystic lesion with a diameter of 15 mm and a high-density (45 HU) isodense nodular lesion with a diameter of 9 mm (hemorrhagic cyst?) in the middle zone of the left kidney.\n\nImpression:\nMosaic attenuation pattern in the lower lobes of both lungs (small airway disease?, small vessel disease?).  Linear areas of atelectasis in both lungs.  Calcific atheroma plaques in the aorta and coronary artery.  Hiatal hernia.  Hypodense lesion (cyst?) and high-density isodense lesion (hemorrhagic cyst?) in the left kidney.  Several nodules in both thyroid lobes.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2470/train_2470_a/train_2470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_5972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: An increase in bronchial wall thickness is observed in both lung segment bronchi. Uniform interlobular septal thickenings in both lungs were evaluated as compatible with interstitial edema. At the subsegmental level, atelectasis areas were observed in the middle lobe of the right lung, the laterobasal segment of the lower lobe of the left lung, and the linguloinferior segment. It is more prominent in the lower lobe basal segments and there is a mosaic attenuation pattern in the lower lobe basal segments in the form of aeration differences secondary to bronchial wall thickness increases.\n<pleura>: Effusion reaching 1.5 cm in diameter is observed between the leaves of the right pleura. Between the leaves of the left pleura, there is a pleural effusion reaching 2.5 cm in diameter at its widest point.\n<mediastinum>: Millimetric-sized, nonspecific mediastinal lymph nodes were observed in the right paratracheal area. There is one lymph node with a short axis measuring 16 mm in the subcarinal area.\n<heart>: Again, suture lines were observed in the coronary arteries, possibly secondary to the bypass operation. Stent materials are observed in the coronary arteries.\n<bone>: No space-occupying lesions in lytic or sclerotic structure were detected in the bone structures entering the image area. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and both axillae in the bilateral section. The sternotomy line is observed in the sternum.\n<abdomen>: The hypodense lesion with a diameter of 3 cm, partially sectioned in the upper pole of the left kidney, may belong to a cyst with dense content. Two calcules with a diameter of 1.5 cm and similar dimensions were observed in the gallbladder lumen in the upper abdominal sections that entered the image area.\n\nImpression:\nBilateral pleural effusion, occasional interlobular septal thickening in both lungs are compatible with mild pulmonary edema. Aeration differences accompanying bronchial wall thickness increases in segmental bronchi in both lungs and mosaic attenuation pattern in the form of air trapping, subsegmentary atelectasis in both lungs . Increase in heart sizes , suture and stent materials in the coronary arteries, . Subcarinal located lymph node with a short axis measuring 1.5 cm . Cholelithiasis . Cortical lesion that may belong to a slightly high-density, dense-containing cyst with cortical location partially cut into the upper pole of the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2473/train_2473_a/train_2473_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Diverticulum is observed in the right part of the trachea. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Subsegmental atelectasis areas that become nodular in places in the posterior segment of the left lung lower lobe, accompanying minimal interlobular septal thickness increases, and millimetric nodule-nodular consolidations in the superior section are observed. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Considering the clinical knowledge of the patient, it was initially evaluated in favor of infectious pathologies. There are faint centriacinar nodular density increases characterized by a budding tree view in the posterior segment of the lower lobe of the right lung.\n<pleura>: In the anterior segment of the upper lobe of the right lung, there are patchy areas of consolidation accompanied by pleural recessions and accompanying nonspecific ground glass areas.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Pericardial effusion reaching 8. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no discernible mass in the upper abdominal organs within the sections. There are increases in density in the mesenteric fatty tissue. Sliding type hiatal hernia is observed at the esophagogastric junction. Free fluid is observed in perihepatic, perisplenic and left paracolic gutter. There is diffuse free air in the abdomen, more prominent in the left abdominal quadrant (intestinal perforation?).\n\nImpression:\nAML on follow-up.  Newly emerging free air and free fluid in the abdomen; It is recommended to be evaluated for intestinal perforation.  Subsegmental atelectasis areas, accompanying interlobular septal thickness increases and millimetric nodule-nodular consolidation areas in the left lung lower lobe posterior segment; faint centriacinar nodular density increases characterized by a budding tree view in the posterior segment of the lower lobe of the right lung; has just emerged. It is recommended to be evaluated for infectious pathologies.  Minimal pericardial effusion; amount has increased.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2488/train_2488_d/train_2488_d_1.npy"
        ]
    },
    {
        "id": "report_generation_6030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Minimal thickening of the posterior costal pleura sequela was observed in both hemithoraces.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Atherosclerotic wall calcification was observed in the proximal part of the RCA. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in the sections; upper abdominal organs are normal.\n\nImpression:\nAtherosclerotic wall calcification in the RCA ostium.  Pleuroparenchymal fibroatelectasis sequela changes in both lungs, minimal thickening of the posterior costal pleura in the lower lobe basal of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2494/train_2494_a/train_2494_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and central consolidations and ground-glass appearances are observed in both lungs. The described findings involve approximately 50% of both lobes, especially in the upper lobes of the lung. During the pandemic process, the findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2495/train_2495_a/train_2495_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: clinical laboratory correlation is recommended for a parenchymal disease. Both thyroid parenchyma are mildly hypertrophic.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Linear atelectatic changes are observed in the anterobasal lateral parts of the left lung upper lobe. Mild centrilobular and paraseptal emphysematous changes are present at the apical level, more prominent on the right in the upper lobes of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. A few small lymph nodes are observed in the mediastinum. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall hiatal hernia. Slight increase in thyroid parenchyma dimensions.  Atherosclerotic changes. Linear atelectatic changes in the anterobasal part of the left lung upper lobe. Mild paraseptal centrilobular emphysematous changes at the apical levels of both lungs. Small lymph nodes measuring up to 6 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2501/train_2501_a/train_2501_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is an increase in size in both lobes of the thyroid gland. It was evaluated as compatible with goiter.\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibrations of trachea and main bronchi are normal. Lumens are clear.\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. A 2 mm diameter nodule is observed in the anterior segment of the right lung upper lobe. There are several millimetric lymph nodes of which hilar fat is selected.\n<pleura>: Two subpleural 3 mm diameter nonspecific nodules are observed at the posterobasal and laterobasal level of the lower lobe of the left lung. There was no finding compatible with pleural effusion, pneumothorax or pneumonia in both lungs.\n<mediastinum>: In the descending aorta, there is an increase in calibration (33 mm), more prominent in its proximal parts. No lymph node with pathological size and configuration was detected in the mediastinum. There is an increase in calibration in the aortic arch (35 mm at the level of the aortic aorta) starting from the level of the aortic root of the aortic arch and increasing (65 mm at its most prominent place in the ascending aorta) and continuing to the aortic arch. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: In the descending aorta, there is an increase in calibration (33 mm), more prominent in its proximal parts. In the middle part of the left kidney, there is an exophytic lesion with a solid appearance of approximately 15x10 mm and a density of 40-50 HU. CTO is normal. First, sonographic evaluation is recommended. There is an increase in calibration in the aortic arch (35 mm at the level of the aortic aorta) starting from the level of the aortic root of the aortic arch and increasing (65 mm at its most prominent place in the ascending aorta) and continuing to the aortic arch. Upper abdominal organs included in the sections are normal. There is a hypodense lesion in the middle part of the right kidney that may be compatible with a cortical cyst of approximately 4 mm in diameter.\n\nImpression:\n1-2 millimetric nonspecific nodules formation in both lungs  Aneurysmatic dilatation in the aorta  Exophytic solid lesion in the middle part of the left kidney, sonographic examination is recommended first."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2502/train_2502_a/train_2502_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. There is narrowing of the bronchial lumens secondary to peribronchial thickening in both lungs.\n<lung>: A few stable nonspecific nodules in millimetric sizes were observed in the right lung. No findings in favor of mass lesion-pneumonic infiltration and pulmonary fibrosis were detected in the lung parenchyma. It is also present in the patient's previous examination. It is nonspecific and stable. There is a mosaic attenuation pattern in both lungs. Ground glass areas extending from the central to the periphery were observed in the left lung upper lobe inferior lingular and lower lobe basal segments. Mosaic attenuation was thought to be secondary to small airway stenosis. When examined in the lung parenchyma window; Tubular bronchiectatic changes and segmental-subsegmental minimal peribronchial thickening were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPneumonic infiltration-mass lesion and no findings in favor of pulmonary fibrosis were detected in both lungs.  Stable nodules of millimeter size in the right lung.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Tubular bronchiectatic changes and peribronchial thickening in both lungs that are prominent in the center."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2520/train_2520_b/train_2520_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In frosted glass appearances, linear density increases were observed from place to place. The described findings were evaluated in favor of Covid-19 pneumonia. Ground-glass appearances are observed in the peripheral and central parts of both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions, the largest in the subcarinal region and measuring 13 mm in short diameter. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a decrease in liver parenchyma density consistent with adiposity. There are atheromatous plaques in the aorta and coronary arteries. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2527/train_2527_a/train_2527_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Degenerative hypertrophic changes were observed in the facet joints. The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMillimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2528/train_2528_a/train_2528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings described are atypical for an infectious process. No nodular lesions were detected in both lung parenchyma. Linear atelectatic changes extending to the basal parts are observed in the middle level posterior of the left lung lower lobe.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; In the right lung upper lobe superior posterior, at the level of serial 2 image 91, several nonspecific pleural nodules are observed, the largest of which is 5 mm.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder is observed to contract. Bilateral adrenal glands were normal and no space-occupying lesion was detected. It was rated as suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs are partially involved in theft and were evaluated as suboptimal.\n\nImpression:\nA few nonspecific pleural nodules in the superior posterior of the upper lobe of the right lung . Atelectatic change in the posterior of the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2530/train_2530_a/train_2530_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Reticulonodular fibrotic density increases were observed in both lung apexes. Millimetric nonspecific calcific nodules were observed in the right lung upper lobe posterior and middle lobe lateral segment. It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; azygos fissure variation was observed in the upper lobe of the right lung. Millimetric calcific lymph nodes were observed at the right upper paratracheal and right hilar level.\n<pleura>: Patchy ground-glass consolidations in a crazy paving pattern accompanied by multilobar, multisegmental, subsegmentary atelectatic changes and subpleural striations were observed in both lungs, and the appearance is consistent with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or axillary pathological dimensions were detected.\n<heart>: Minimal pericardial effusion was observed. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in the upper and middle lobes of the right lung.  Increases in reticulonodular fibrotic density in the apex of both lungs . Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2531/train_2531_a/train_2531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a calcified nodule in the right thyroid lobe.\n<lung>: In the superior segment of the left lung lower lobe, joint air cysts with thin-walled structure are observed (cystic bronchiectasis?) In the right minor fissure, focal fissure increase in thickness is nonspecific. Emphysema is present in the lung parenchyma. Cystic bronchiectasis foci are observed in the posterobasal segment of the lower lobe of the left lung. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are several millimeter-sized nonspecific nodules in both lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calcified atherosclerotic plaques are present in the thoracic abdominal aorta. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. LAD atherosclerotic plaques are observed. Heart dimensions and compartments appear natural.\n<esophagus>: Slippery type mild hiatal hernia is observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Pancreatic head duodenal diverticulum is observed. Several calculus, the largest of which is 12 mm in diameter, are observed in the gallbladder lumen. Focal air images are observed in the bile ducts. Calcified atherosclerotic plaques are present in the thoracic abdominal aorta. There is a focal hyperdense focus with a diameter of 4 mm in the upper pole calis of the right kidney.\n\nImpression:\nCalcified atherosclerotic plaques in the coronary arteries  Calcified nodule in the right thyroid lobe  Emphysema in both lungs  Foci of bronchiectasis in the lower lobe of the left lung  Several nonspecific millimetric nodules in both lungs  Calcified atherosclerotic plaques in the thoracic abdominal aorta  Cholelithiasis  Duodenal follicular follicular duodenal kidney focus  A few air bubbles within the biliary tract"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2540/train_2540_a/train_2540_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: However, it is understood that there are some new consolidation areas in this examination, and the areas that were observed as frosted glass areas in the previous examination were observed as consolidation from time to time in this examination. In the lower lobe of the left lung, consolidation and ground glass areas are observed that almost completely fill the lower lobe. When the first examination of the patient was examined, it was learned that he had a primary mass in the lower lobe of the left lung. In addition, consolidations with air bronchograms and ground glass areas are observed in the left lung upper lobe, especially in the apicoposterior segment, in the peripheral area, in the right lung lower lobe, especially in the superior segment, and in the right lung upper lobe posterior segment. However, primary mass cannot be observed in this examination due to consolidation and ground glass areas.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density decreased in line with the fatty deposits.\n\nImpression:\nConsolidations and ground-glass areas in both lungs, most prominent in the left lung lower lobe and right lung upper lobe posterior segment,. Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2550/train_2550_b/train_2550_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs, and sequela parenchymal changes and mosaic attenuation pattern are observed in places (small airway disease, small vessel disease?).\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures and heart examination IV. Pulmonary trunk 37 mm, right pulmonary artery 32 mm wider than normal. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance.\n<heart>: Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. There is an increase in heart size.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesion is observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No intra-abdominal free fluid or loculated collection was detected.\n\nImpression:\nPneumonic infiltration is not observed in both lung parenchyma, there are mosaic attenuation pattern (small airway disease, small vessel disease?) and parenchymal changes in places sequela.  Increase in heart size, increase in pulmonary trunk and right pulmonary artery calibration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2551/train_2551_a/train_2551_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There are focal sequelae changes in the right lung lower lobe laterobasal segment. Sequelae changes are observed in the middle lobe of the right lung. Emphysematous changes are present in both lungs. Two adjacent nonspecific nodules, the largest of which is 2 mm in diameter, are observed in the anterior segment caudal of the upper lobe of the right lung. Changes consistent with pleuroparenchymal sequelae are observed in the lingular segment.\n<mediastinum>: CTO is within normal limits. The aortic arch calibration is 32 mm. It is wider than normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. There are no pathologically sized and configured lymph nodes in the mediastinum and at both hilar levels. Calibration of other main vascular structures in the mediastenum is normal.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. In the sections passing through the upper abdomen, there is a decrease in density consistent with steatosis in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aortic arch calibration is 32 mm. It is wider than normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and left coronary artery. The gallbladder is slightly dense. There is a hypodense appearance, which may be compatible with focal adiposity, adjacent to the falciform ligament. Surrounding soft tissue plans are natural. If necessary, US examination is recommended.\n\nImpression:\nFindings consistent with emphysema.  Hepatosteatosis.  Hypodense appearance that may be compatible with focal lubrication in the vicinity of the falciform ligament  Intense appearance in the gallbladder, it is recommended to be evaluated together with sonography."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2559/train_2559_a/train_2559_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Centri acinar opacities are observed in the lower lobes of both lungs. An air cyst with a diameter of 7 mm is observed in the anterior segment of the upper lobe of the right lung. When examined in the lung parenchyma window; Prominence of interlobular septa are observed in the lower lobes of both lungs (secondary to cardiac pathology?). Ground-glass-like density increases in the bilateral lower lobes of the lung are noteworthy. A few millimetric nonspecific pulmonary nodules are observed in both lung parenchyma.\n<pleura>: Minimal pleural effusion is observed between the pleural effusions on the right, with a thickness of 8 mm and a thickness of 6 mm on the left.\n<mediastinum>: The diameter of the main pulmonary artery was 37 mm and it shows dilatation. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The diameter of the aortic arch was 40 mm and the diameter of the descending aorta was 43 mm. Diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Lymph nodes measuring 15x13 mm in size are observed in the upper-lower paratracheal, precarinal subcarinal prevascular and aorticopulmonary window. As far as can be seen; The diameter of the ascending aorta is 67 mm and shows aneurysmatic dilatation.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased ( cardiomegaly). Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: A large schmorl nodule causing height loss is observed in the upper end plate of the L1 vertebra. Mild scoliosis with left opening is observed in the thoracic vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the liver, several hypodense lesions are observed in different localizations, the largest of which is 30 mm in diameter at the level of the left lobe segment 4B. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The diameter of the aortic arch was 40 mm and the diameter of the descending aorta was 43 mm. Diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta. It cannot be characterized in this examination. 12 mm diameter calculi is observed in the middle zone of the left kidney. Contours of the liver show lobulation in the upper abdominal sections in the study area. Bilateral cortical cysts measuring 50 mm in diameter are observed in both kidneys, the largest on the left. As far as can be seen; The diameter of the ascending aorta is 67 mm and shows aneurysmatic dilatation.\n\nImpression:\nAneurysmatic dilatation of the ascending aorta, dilatation of the pulmonary artery. Cardiomegaly.  Right inferior cervical chain and mediastinal lymph nodes. Sequelae changes in both lungs, nonspecific pulmonary nodules of millimeter size.  Ground-glass-like density increases in both lungs, interlobular septal thickening (secondary to cardiac pathology?). Bilateral renal cysts.  Left nephrolithiasis. Hypodense lesions in the liver that cannot be characterized on this examination. Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2563/train_2563_a/train_2563_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There are ground-glass-like density increases accompanied by interlobular septal thickenings, which become prominent in the basal segments of the upper lobes, middle lobes and lower lobes of both lungs, and tend to coalesce from place to place, and consolidation areas are present in the lower lobe of the left lung. The described appearance initially suggests viral pneumonia. Clinical and laboratory correlation is recommended.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The heart and mediastinal vascular structures have a natural appearance. Millimetric lymph nodes are observed in the right upper-lower paratracheal subcarinal localization.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2577/train_2577_a/train_2577_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6253",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: His images could not be accessed and only his report was read. There is widespread bilateral asymmetric ground-glass opacity and septal thickening in all lobes of both lungs, locally consolidation and pneumonic infiltration accompanied by areas of linear atelectasis.\n<mediastinum>: A few nonspecific lymph nodes are observed in the mediastinum.\n<abdomen>: In the upper abdominal sections, there is a decrease in liver parenchyma density consistent with moderate hepatosteatosis.\n\nImpression:\nPneumonic infiltration areas in all lobes of both lungs, radiological findings are compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2581/train_2581_a/train_2581_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: It is recommended to be evaluated together with USG examination.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. Diffuse ectasia was observed in bilateral bronchial structures.\n<lung>: Non-specific millimetric nodules measuring 4 mm in diameter were observed in the anterior segment of the upper lobe of the right lung in both lung parenchyma. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is normal.\n<pleura>: Pleural effusion-thickening was not detected. No pericardial or pleural effusion was observed.\n<mediastinum>: Calcified atheroma plaques were observed in the wall of the aortic arch. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: Calcified atheroma plaques were observed in the wall of the aortic arch. There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis, as far as can be seen within the limits of unenhanced CT in the upper abdominal sections within the image.\n\nImpression:\nDiffuse ectasia in bronchial structures in both lungs, nonspecific nodules in millimeter sizes in both lungs.  Calcified atheroma plaques in the wall of the aortic arch.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Enlarged right thyroid gland size and slightly hyperdense, well-defined nodule; It is recommended to be evaluated together with USG examination.  Hepatosteatosis.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2593/train_2593_a/train_2593_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Active infiltration or mass lesion is detected in both lung parenchyma, there are sequelae changes.\n<pleura>: Pericardial effusion and effusion up to 35 millimeters on the right in the deepest part of the bilateral pleural space are observed.\n<mediastinum>: Calcified atheroma plaques are observed on the wall of mediastinal vascular structures. The ascending aortic diameter increased by 42mm and the descending aortic diameter by 32mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions are observed in bone structures, and there are widespread degenerative changes.\n<abdomen>: The ascending aortic diameter increased by 42mm and the descending aortic diameter by 32mm.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2599/train_2599_a/train_2599_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6290",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequelae changes are observed in the upper lobe anterior segment, lingular segment and lower lobe laterobasal segment in the left lung. There is a 2 mm diameter nodule at the posterobasal level in the right lung. It was not found to be compatible with pneumonia. In the middle lobe, there is a density compatible with parenchymal sequelae band or band atelectasis. It extends towards the middle lobe. There is a 3 mm diameter nodule in the middle lobe. When examined in the lung parenchyma window; Sequelae changes are observed in the anterior segment of the right lung upper lobe. A 2 mm diameter nodule is observed at the laterobasal level. Mild emphysema appearance is observed in the case.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. In the case, there is thymic tissue in which hypodense areas compatible with fatty involution are observed, which does not show a trigonal configuration mass effect. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nMild sequelae changes in both lungs . No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2601/train_2601_a/train_2601_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Passive atelectatic changes were observed in the right lung lower lobe basal. The consolidation area, in which air bronchograms are observed, is observed in the right lung lower lobe basal. No mass lesion with distinguishable borders was detected in the lung parenchyma. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. It was evaluated in favor of pneumonic infiltration.\n<pleura>: When examined in the lung parenchyma window; An effusion measuring 20 mm in the deepest part on the right and 34 mm in the deepest part on the left was observed between the pleural leaves in both hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Effusion reaching 6 mm thickness was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the previous examination, it was measured 11 mm at its thickest point and decreased.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Schmorl nodules were observed in the central end plates of the thoracic vertebrae.\n<abdomen>: Millimetric stones were observed in the gallbladder lumen as far as can be observed within the sections. Other upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral gynecomastia.  Millimetric sized nonspecific parenchymal nodules in both lungs.  Cholelithiasis.  Degenerative Schmorl nodules in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2634/train_2634_a/train_2634_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Density increases in the form of ground glass and subpleural consolidations are observed in both lung parenchyma.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2635/train_2635_a/train_2635_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Diffuse ground glass densities were observed in both lung parenchyma, predominantly in the lower lobe and subpleural. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis reaching 7 mm in diameter, the largest of which were located in the right paratracheal region, were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2645/train_2645_a/train_2645_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6388",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2649/train_2649_a/train_2649_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; At the central level, the bronchial walls are thickened.\n<lung>: There are fibrotic changes in the upper lobes of both lungs. Minimal mosaic density differences are observed in both lungs. Band atelectasis was observed in the middle lobe on the right.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific plaques were observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Several lymph nodes were observed in the mediastinum, the largest of which was right lower paratracheal, and the short axis was 10 mm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Left-facing scoliosis is observed in the vertebrae. Vertebrae have a degenerative appearance. There are osteophyte forms in the vertebrae.\n<abdomen>: Calcific plaques were observed in the aorta and coronary arteries. A 18x17 mm nodular lesion was observed in the right adrenal gland. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; The stomach appears to herniate from the hiatus.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Mediastinal millimetric lymph nodes.  Fibrotic changes in both lungs, bronchial wall thickening, band atelectasis in the right middle lobe.  Mosaic density differences in the lungs (small airway disease?).  Nodular lesion (adenoma?) in the right adrenal gland.  Thoracic scoliosis and spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2652/train_2652_a/train_2652_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Diffuse ground-glass appearances and ground-glass appearances accompanying interlobular septal and interstitial thickenings and microcystic changes are observed in both lungs. In addition, the findings described in both lung lower lobes are accompanied by minimal structural distortion and minimal volume loss. The views described are nonspecific. However, it was evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal. Sclerotic bone lesions are observed in the thoracic vertebral corpuscles. The neural foramina are open. The lesions described are benign in appearance. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2661/train_2661_a/train_2661_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to monitor the findings in terms of Covid-19 viral pneumonia. No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs, mostly at the posterior levels of the lower lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Small lymph nodes are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions are detected. Mediastinal main vascular structures, heart contour, size are normal. There are a few millimetric calcific foci in the aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, there is steatosis in the liver parenchyma. There are a few millimetric calcific foci in the aortic arch. There is calcification measuring 6 mm in the head and body of the pancreas.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. It may favor other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease. Clinical laboratory correlation is recommended.  Hepatosteatosis . Mild calcific atheroma plaques in the aortic arch"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2662/train_2662_a/train_2662_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up are recommended. The findings were initially evaluated in favor of Covid-19 or pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there are consolidation areas and density increases with crazy paving pattern appearances, which are diffusely diffuse in both lungs, mostly pleural, and subpleural located centrally.\n<mediastinum>: Thoracic aorta diameter is normal. There are also small lymph nodes in the aorticopulmonary window with a short axis measuring up to 9 mm in the mediastinum. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Changes in favor of steatosis are observed in the liver parenchyma entering the section area.\n\nImpression:\nThe findings described above were initially evaluated in favor of Covid-19 or pneumonia and are in the differential diagnosis of other infectious processes. Clinical and laboratory correlation and follow-up are recommended.  Cardiomegaly.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2679/train_2679_a/train_2679_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground-glass densities, air bronchogram signs, and enlargement of vascular structures are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Changes in favor of steatosis are observed in the liver parenchyma. No space occupying lesion was detected.\n\nImpression:\nFindings compatible with Covid-19 viral pneumonia clinical lab. Kor.ve follow-up is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2681/train_2681_a/train_2681_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, ground-glass densities that tend to merge as a peripheral predominantly subpleural band in all lobes and minimal consolidations in both lower lobes are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSignificant infiltrates in both lungs for viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2682/train_2682_a/train_2682_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6480",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, there are patchy ground glass densities and enlargements in vascular structures in crazy paving pattern.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the study area and there are degenerative height losses.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. There are two splenules around the spleen, measuring up to 10 mm, with the same density as the spleen. In Gerota's fascia, light soiling is observed in the oily planes.\n\nImpression:\nThe differential diagnosis of a space-occupying lesion cannot be made from findings consistent with an infectious process in the lung parenchyma, and crazy paving patterns at the described levels in a patient with a known primary. Findings can also be seen in Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.  Splenules.  Light soiling of oily planes in gerota's fascia on the left side in the perinephric area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2692/train_2692_a/train_2692_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Multiple parenchymal nodules were observed in both lungs. Segmentary-subsegmental peribronchial thickening was observed in both lungs. When examined in the lung parenchyma window; The prevalence and density of pneumonic infiltration areas increased in the lung parenchyma in the case followed up with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae, which also cause volume loss, were observed in the right lung middle lobe and left lung upper lobe lingular segment.\n<pleura>: A thickening of the posterior costal pleura in both hemithorax and a slightly more prominent smear-like effusion on the left were observed.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. On the right, the port chamber to the anterior chest wall and the catheter extending to the superior-right atrium junction of the vena cava are observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<heart>: Calcific plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is degeneration in the bone structures in the study area. Diffuse density reduction and height loss were observed in bone structures.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2692/train_2692_b/train_2692_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Bilateral atelectatic changes, more prominent in the basal segment of the lower lobe of the right lung, and partial collapse in the lower lobe of the right lung are observed.\n<pleura>: There is a moderate amount of loculated pleural effusion measuring up to 61 mm in thickness in the right hemithorax.\n<mediastinum>: Small lymph nodes are observed in the mediastinum. The main pulmonary artery was measured 26 mm, the right main pulmonary artery 29, and the left main pulmonary artery 23 mm. Crescent calcific atheroma plaques are observed in the aortic arch and its branches.\n<heart>: The heart size was markedly increased.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Crescent calcific atheroma plaques are observed in the aortic arch and its branches. Liver and spleen are partially observed and appear larger than normal. In the upper abdominal sections in the study area; hepatic venous structures are dilated.\n\nImpression:\n· Cardiomegaly. · Hepatosplenomegaly. Moderate effusion of 61 mm in the right hemithorax. · Atelectatic changes in the basal segments of the lower lobes of both lungs. Volume reduction in the lower lobe of the right lung. · Atherosclerosis. · Small lymph nodes in the mediastinum. · No pulmonary embolism was detected. · Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2698/train_2698_a/train_2698_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6498",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the middle lobe of the right lung and the lower lobe of the left lung. There is no mass or infiltrative lesion in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?).\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The diameter of the main pulmonary artery was 29 mm and it was minimally wider than normal.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs.  Minimal increase in main pulmonary artery diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2700/train_2700_a/train_2700_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the left lung upper lobe posterior, more prominent at the lingula and parahilar level, scattered nodular infiltrates in the form of ground glass are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. There is a millimetric stone density in the upper pole of the right kidney.\n\nImpression:\nAorta and coronary artery atherosclerosis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2702/train_2702_b/train_2702_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In the lower lobe of the left lung, a prominence was observed in the peribronchovascular interstitium. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung, the inferior lingular segment of the left lung, and the lower lobe of the left lung. Nonspecific ground glass density increases were observed in the lower lobe of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes in bone structures were observed.\n<abdomen>: Liver parenchyma density is diffusely decreased, consistent with adiposity. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nCalcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery . Sequelae changes in both lungs . Nonspecific ground-glass density increases in the lower lobe of the left lung and prominence in the peribronchovascular interstitium; viral pneumonia? It is recommended to be evaluated together with clinical and laboratory data.  Hepatosteatosis . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2704/train_2704_a/train_2704_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6518",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the other parts of both lungs, linear density increases and minimal volume loss, which are evaluated in favor of linear atelectasis and/or sequelae changes, are observed. Both lungs have a mosaic attenuation pattern (small airway disease?small vessel disease?). No mass or infiltrative lesion was detected in both lungs. There is an appearance evaluated in favor of atelectasis in the basal segments of the lower lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: The heart is larger than normal. Electrodes are observed in the heart and in the pericardial area.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries  Atelectasis in both lungs, more prominent in the lower lobe of the right lung  Mosaic attenuation pattern in both lungs (small airway disease?small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2707/train_2707_b/train_2707_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?small vessel disease?). Minimal bronchiectatic changes and peribronchial thickening were observed in both lungs. It is recommended to be evaluated together with previous examinations, if any. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Nonspecific parenchymal nodules of 6.7x4.2 mm were observed in both lungs, the largest of which was in the middle lobe of the right lung.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other major mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen, the ascending aorta is wider than normal with an anterior-posterior diameter of 37 mm. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Schmorl nodule impression at the T9-T10 end plateau level and irregularity in the end plateau were observed.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and LAD. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs were evaluated within the sections, the liver parenchyma density decreased in line with hepatosteatosis.\n\nImpression:\n· Ascending aorta and fusiform ectasia, calcific atheroma plaques in the aortic arch and LAD. · Bronchiectasis changes that are evident in the center of both lungs, minimal peribronchial thickening. · Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). · Millimetrically sized nonspecific parenchymal nodules in both lungs. · Hepatosteatosis. · Degenerative Schmorl nodules on the end plates facing the T9-T10 disc."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2713/train_2713_a/train_2713_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Peribronchial thickenings were observed in both lungs, and atelectatic changes were observed in the lower lobes. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae.\n<abdomen>: No dilatation was detected in the thoracic aorta. There is a lesion of 5 mm diameter in the upper pole of the left kidney with a fat density evaluated in favor of angiomyolipoma in the first plan. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nDiffuse atrophic changes in all musculature in the examination area.  Peribronchial thickenings, atelectatic changes in both lungs. Hepatosteatosis. Millimetric sized angiomyolipoma in the left kidney.  Degenerative changes in bone structures and left-facing scoliosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2715/train_2715_a/train_2715_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Filling defects thought to belong to secretions persist in the bronchial lumen. Obstruction in the lower lobe bronchial lumen is observed on previous imaging.\n<lung>: Atelectasis is observed at the subsegmental level. Atypical pneumonic infiltration areas consistent with Covid pneumonia observed in the lung parenchyma in previous examinations have completely healed without sequelae. The right hemidiaphragm is elevated. In both previous imagings, the lower lobe of the left lung has a total atelectasis appearance. Obstruction in the lower lobe bronchial lumen is observed on previous imaging. In his current examination, the total atelectasis appearance in the lower lobe of the left lung regressed. Subsegmental atelectasis area is observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: No pleural effusion was detected.\n<esophagus>: It may belong to an esophageal duplication cyst. It could not be characterized in this examination. There is a well-circumscribed cystic lesion 3 cm in diameter adjacent to the esophageal hiatus.\n<bone>: All intercostal, pectoral, and shoulder muscles cannot be distinguished in the section, and there is advanced atrophy.\n\nImpression:\nAtypical viral pneumonic infiltrates observed in previous examinations have radiological complete response. Left lung lower lobe atelectasis regressed. Secretions causing luminal obstruction persist within the lower lobe bronchi.  Severe global muscle atrophy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2715/train_2715_c/train_2715_c_1.npy"
        ]
    },
    {
        "id": "report_generation_6548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: It showed progression on the left. In both lungs, consolidation area including airbronchograms is observed at levels extending from lower lobe superior segments to posterior mediobasal and newly developed on the right. No distinguishable lymph nodes from vascular structures were detected in both hilar-level non-contrast examinations. When examined in the lung parenchyma window; both hemithorax are symmetrical. It is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: According to his previous examination, there is a 20% progression in the short axis. Lymph nodes are observed in the mediastinum, the largest of which is observed in the right upper paratracheal area and is approximately 15x8 mm in size. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: There is left-facing scoliosis in the thoracic region. Degenerative changes are observed in the bone structure.\n<abdomen>: In the upper abdominal organs, including sections; There is a decrease in density consistent with hepatosteatosis in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nConsolidative areas consistent with pneumonia that have progressed according to previous examination are observed in the lower lobes of both lungs.  Hepatosteatosis.  Degenerative changes in bone structure, left-facing scoliosis in the thoracic region."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2715/train_2715_e/train_2715_e_1.npy"
        ]
    },
    {
        "id": "report_generation_6570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A millimetric nonspecific nodular lesion area was observed on the minor fissure on the right (intrapulmonary lymph node?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Pleuroparenchymal fibroatelectasis sequelae change was observed in the left lung upper lobe inferior lingular segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nMillimetric nodular lesion on the minor fissure on the right (intrapulmonary lymph node?)  Pleuroparenchymal fibroatelectasis sequelae in the left lung inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2720/train_2720_a/train_2720_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground-glass densities, which were more prominent in the lower lobes with a patchy pattern in both lungs, and were observed more clearly in the crazy paving pattern in the lower lobes, were evaluated in terms of Covid-19 viral pneumonia.\n<mediastinum>: Small lymph nodes with a short axis measuring up to 7 mm are observed in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: An increase in heart size is observed. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are atherosclerotic changes in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia is observed.\n<bone>: Density reduction and degenerative changes were observed in bone structures.\n<abdomen>: In the upper abdominal organs included in the sections, a millimetric calcific focus is observed in the neck of the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Intra-abdominal calcification of 9 mm is observed adjacent to the falciform ligament in the posterior left lobe of the liver. It was evaluated in favor of gallstones.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, viral pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. Correlation with clinical and laboratory is recommended.  Small hiatal hernia.  Increase in heart size.  Density reduction and degenerative changes in bone structures.  Atherosclerosis. Small lymph nodes in the mediastinum.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2722/train_2722_a/train_2722_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It may be compatible with Covid 19. It is recommended to evaluate the patient with clinical and laboratory findings.\n<pleura>: When examined in the lung parenchyma window; In the left lung upper lobe anteromedial segment, subpleural localized irregularly circumscribed ground glass density is observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAreas of subpleural location in the left lung upper lobe anteromedial segment with irregular limited ground glass density. It may be compatible with Covid 19 pneumonia. The patient should be evaluated together with clinical and laboratory findings, and control examination is recommended if necessary."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2723/train_2723_a/train_2723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. There are dependent densities in the posterior parts of both lungs. There are millimetric nonspecific nodules in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?small vessel disease?). No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions, the largest of which is 12 mm in diameter. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Pacemaker electrodes terminate at the right ventricular apex.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No pathologically enlarged lymph nodes were observed. There are hypodense lesions in both kidneys within the sections. It is recommended that the patient be evaluated together with previous examinations, if any. There are atheromatous plaques in the aorta and coronary arteries. When evaluated together with their densities, these lesions were thought to be cysts. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs . Millimetric nodules in both lungs . Atelectasis in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Mediastinal and hilar lymph nodes . Hypodense lesions (cysts?) in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2733/train_2733_a/train_2733_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). There are millimetric nonspecific nodules in both lungs. The appearance was initially evaluated in favor of lobar pneumonic infiltration. No mass lesion with distinguishable borders was detected in both lungs. Dependent density increases were observed in the posterior sections of both lungs. In the upper lobe of the right lung, nodular-patchy consolidation areas extending from the central to the periphery along the peribronchovascular area and ground glass densities were observed around it.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Diffuse atheroma plaques were observed in the aorta and coronary arteries. Lymph nodes with prominent central hiluses were observed in the mediastinum, the short axis of the larger one measuring 13 mm.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Pace maker electrodes terminate at the apex of the right ventricle.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. There are degenerative changes in bone structures.\n<abdomen>: Diffuse atheroma plaques were observed in the aorta and coronary arteries. As far as can be observed in the sections, cortical cysts are observed in both kidneys.\n\nImpression:\nLobar pneumonic infiltration in the upper lobe of the right lung.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Millimetric nodules, linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2733/train_2733_b/train_2733_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6613",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Sequela parenchymal changes are observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nNo active infiltration or mass lesion is detected in both lungs  There are sequela parenchymal changes in the posterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2738/train_2738_a/train_2738_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2740/train_2740_a/train_2740_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. These findings are frequently observed in Covid-19 pneumonia. In addition, peripheral and centrally located ground glass areas were also observed in both lungs. Ground glass appearance and consolidation are observed in the posterobasal segment of the lower lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph node was detected. There are atheromatous plaques in the aorta and coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2743/train_2743_a/train_2743_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. The hyperdense sign measuring 6 mm in the gallbladder was evaluated in the direction of the stone.\n\nImpression:\nCholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2744/train_2744_a/train_2744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are centreemphysematous changes in both lungs, mostly at the apical levels in the upper lobes.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic and osteophytic taperings in the vertebral corpus end plates. Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The finding, which was observed in the same density as the spleen with a size of 17 mm adjacent to the spleen, was evaluated in favor of a splenula.\n\nImpression:\nDiffus centrelobular centreemphysematous changes in both lungs, thickening of interlobular septa. Accessory spleen.  Degenerative changes in bone structures, hypertrophic osteophytic tapering in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2763/train_2763_a/train_2763_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6677",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Other viral pneumonias can be considered in the differential diagnosis. The manifestations described have been considered typical for covid-19 pneumonia.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; Patchy ground-glass density increases are observed in the peripheral subpleural area, which becomes evident in the middle and lower lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; The diameter of the ascending aorta is 40 mm and shows dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: When the upper abdominal sections in the examination area are evaluated; no gallbladder was observed (cholecystectomized). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nTypical findings for bilateral Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Fusiform dilatation of the thoracic aorta, cholecystectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2766/train_2766_a/train_2766_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described manifestations were primarily evaluated in favor of pneumonic infiltration. Ground-glass appearance is accompanied by interlobular septal thickening. In addition, consolidation and ground-glass appearances are observed in the left lung upper lobe apicoposterior and lingular segments. There are emphysematous changes and local atelectasis in both lungs. Minimal peribronchial thickening was observed in both lungs. No mass was detected in both lungs.\n<pleura>: Bilateral minimal pleural effusion was also observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in the left lung.  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, pleural and pericardial effusion.  Emphysematous changes in both lungs.  Atelectasis in both lungs.  Peribronchial thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2769/train_2769_a/train_2769_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<pleura>: When examined in the lung parenchyma window; In both lungs, bilateral subpleural localized bulzu glass opacity and infiltration areas in the form of intralobular septal thickening are present, and the involvement pattern is characteristic for covid pneumonia.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. There are calcified atheroma plaques in the LAD and circumflex. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: No space-occupying lesion was detected in the liver entering the section area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; Bilateral atrophic kidney is present. A few cortical cysts are observed in the left kidney.\n\nImpression:\nRadiologic findings consistent with covid pneumonia in both lungs. Bilateral atrophic kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2772/train_2772_a/train_2772_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No active infiltration or mass lesion was detected in both lungs. Ventilation of both lung parenchyma is normal. There are sequela parenchymal changes in the middle lon medial segment of the right lung and the inferior lingular segment of the left lung upper lobe. When examined in the lung parenchyma window; Density increases in ground glass density were observed in both lung lower lobe basal segments, primarily considered secondary to the dependent effect.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. Stent material is observed on the wall of the coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: In the upper abdomen sections within the image, there are hypodense lesions that cannot be clearly characterized within the borders of non-contrast CT measured 14x10 mm in liver segment 6 and 11x8 mm in segment 4A. No intraabdominal free fluid, loculated collection was detected. No lymph node is observed in intraabdominal pathological size and appearance. In a case with primary bladder Ca, it is recommended to evaluate the findings with upper abdomen MRI.\n\nImpression:\nNo active infiltration or mass lesion was detected in both lungs.  Sequela parenchymal changes were observed in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment, and density increases in ground glass density were observed in the lower lobe basal segments of both lungs, which was considered primarily secondary to the dependent effect.  Hypodense lesions in segment 4A and segment 6 of the liver that cannot be clearly characterized within the unenhanced CT margins. It is recommended to evaluate with upper abdomen MR examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2788/train_2788_a/train_2788_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6726",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. Nasogastric catheter was observed. Tracheal cannula was observed.\n<lung>: In both lungs, areas of increase in density evaluated in favor of compressive atelectasis were observed adjacent to the effusion. No active infiltration or mass lesion was detected in both ventilated lung parenchyma. In places, there are sequela parenchymal changes. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?).\n<pleura>: When examined in the lung parenchyma window; In both pleural spaces, there is an effusion up to 80 mm deep on the right at its deepest point.\n<mediastinum>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial minimal effusion was observed.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There are increases in reticular density secondary to osteopenia in the vertebral bodies. Degenerative changes were observed in the bone structures within the image. Left-facing scoliosis was observed in the thoracic vertebral column. Thoracic kyphosis has increased.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures.\n\nImpression:\nThoracic aorta, calcified atheroma plaques in the wall of coronary vascular structures, minimal pericardial effusion.  More prominent bilateral pleural effusion on the right and areas of increased density in both lungs adjacent to the effusion evaluated in favor of compressive atelectasis.  Locally sequela parenchymal changes and mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2790/train_2790_a/train_2790_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are minimal sequelae changes in the lower lobes. When examined in the lung parenchyma window; In the lower lobes, the bronchial walls are minimally thick.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are osteophytes extending anteriorly in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the upper abdominal organs included in the sections, there are cortical hypodense lesions in the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis  Bronchitis in lower lobes? and sequelae changes  Left renal cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2795/train_2795_a/train_2795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 16 mm hypodense finding in the inferior of the left thyroid lobe was evaluated in favor of a nodule.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: When examined in the lung parenchyma window; Subpleural linear atelectasis changes are observed in the left lung upper lobe inferior lingula and right lung lower lobe, and a millimetric nonspecific calcific nodule in the lower lobe in the right lung, series 2 image 208. The upper abdominal organs are partially included in the study, and a 20 mm oval-shaped hypodense finding in the left adrenal gland was primarily evaluated in favor of adenoma.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Suspected diverticulum, free air? Clinical correlation and further investigation are recommended in case of doubt. Thoracic esophagus calibration is normal, and millimetric air densities are observed in the upper mediastinum, in series 2 image 56, adjacent to the esophagus. No significant pathological wall thickening was detected in the thoracic esophagus.\n<bone>: The density of the bone structures is decreased, and there are millimetric schmourl nodules in the endplates of the vertebral corpuscles. No lytic-destructive lesion was detected in the bone structures.\n\nImpression:\nThe thoracic esophagus calibration is normal, and millimetric air densities are observed adjacent to the esophagus in serial 2 image 56 in the upper mediastinum. Suspected diverticula?, free air? Clinical correlation and further examination is recommended in case of doubt. Left thyroid lobe inferior was evaluated in favor of a 16 mm hypodense finding nodule. Clinical, laboratory and USG correlation is recommended.  A 20 mm measured adenoma in the left adrenal gland, which was evaluated as suboptimal within the limits of the examination?. Linear atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2796/train_2796_a/train_2796_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy is available. Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed around both main and segmental bronchi of the trachea. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Consolidation area containing air bronchograms in the right lung lower lobe basal and widespread centriacinar nodular infiltration areas in the right lung, left lung upper lobe inferior lingular and lower lobe were observed. Focal irregular consolidation areas and accompanying linear atelectasis were observed in the right lung upper lobe lower lobe superior segment and left lung lower lobe basal segment. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Linear pleuroparenchymal band formations and emphysematous changes were observed in the upper lobes of both lungs. The described findings were evaluated in favor of pneumonic infiltration.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures is natural as far as can be observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Atherosclerotic wall calcifications were observed in the coronary arteries. No pericardial effusion or thickening was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Scoliosis and osteodegenerative changes were observed at the thoracic level.\n<abdomen>: Upper adominal organs are normal as far as can be seen in the sections.\n\nImpression:\nAppearance compatible with tracheobronchopathia osteochondroplastica.  Atherosclerotic wall calcification in left coronary arteries, cardiomegaly.  The most prominent pneumonic infiltration in the lung parenchyma in the left lung lower lobe basal  Emphysematous changes and areas of atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2797/train_2797_a/train_2797_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Interlobar-intralobular septal thickenings, segmental-subsegmental peribronchial thickening and ground-glass densities were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung upper lobe lingular segment and right lung middle lobe.\n<pleura>: Bilateral pleural effusion, reaching 19 mm in the right hemithorax, was observed in the form of smearing in the left hemithorax.\n<mediastinum>: Diffuse calcific atheroma plaques were observed in aortic arch, supraaortic branches and coronary arteries. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. A large number of lymph nodes were observed in the right upper, bilateral lower, subcarinal bilateral hilar, aortopulmonary short axes reaching 1 cm and not reaching pathological dimensions. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. As far as can be seen; thoracic aorta calibration is natural. The diameter of the pulmonary trunk is above normal with 32 mm.\n<heart>: Heart size increased. The appearance is consistent with cardiac stasis. Diffuse calcific atheroma plaques were observed in aortic arch, supraaortic branches and coronary arteries. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Diffuse calcific atheroma plaques were observed in aortic arch, supraaortic branches and coronary arteries. A nodular lesion area of 2.8 cm diameter and fluid density was observed in the lower pole of the left kidney (cyst?). Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Millimetric calculi images were observed, forming a level in the gallbladder lumen. As far as can be seen; thoracic aorta calibration is natural.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, diffuse calcific atheroma plaques in the thoracic aorta, supraaortic branches and coronary arteries, increase in the diameter of the pulmonary trunk . Hiatal hernia . Minimal pleural effusion, slightly more prominent on the right, secondary to cardiac stasis in the lung parenchyma findings . Pleuroparenchymal linear atelectatic changes in the lingular segment of the right lung middle lobe and left lung upper lobe . Cholelithiasis . Nodular lesion (cyst?) in fluid density in the lower pole of the left kidney . Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2800/train_2800_a/train_2800_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are sequelae pleuroparenchymal bands in the posterobasal segment of the lower lobe in the inferior lingular segment of the left lung. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs, and a nonspecific nodule of 4 mm in size, located intrapulmonary in the superior segment of the right lung lower lobe, is observed.\n<mediastinum>: Due to the lack of contrast in the examination, the mediastinal main vascular structures and the heart could not be evaluated optimally, and the calibration of the vascular structures, heart contour and size are natural. There is a calcified atheroma plaque in the wall of the aortic arch. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations.\n<heart>: Pericardial effusion-thickening was not observed. Due to the lack of contrast in the examination, the mediastinal main vascular structures and the heart could not be evaluated optimally, and the calibration of the vascular structures, heart contour and size are natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic destructive lesion is observed in the bone structures within the image.\n<abdomen>: No mass lesion was detected in the upper abdominal organs as far as can be observed within the limits of unenhanced CT. There is a calcified atheroma plaque in the wall of the aortic arch.\n\nImpression:\nCalcified atheroma plaque in the wall of the aortic arch . Nonspecific nodule in millimetric sizes located intrapulmonary in the superior segment of the lower lobe of the right lung . Sequelae pleuroparenchymal bands in the inferior lingular segment of the left lung, posterobasal segment in the lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2801/train_2801_a/train_2801_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is a millimetric nodule in the lower lobe of the right lung. Apart from this, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. There are minimal pleuroparenchymal sequelae changes in both lung apexes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Millimetric atheroma plaque is observed in the aortic arch. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Millimetric atheroma plaque is observed in the aortic arch. There is no upper abdominal free fluid-collection within the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMillimetric nonspecific nodule in the right lung. Millimetric atheroma plaque in the aortic arch"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2801/train_2801_b/train_2801_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. A few millimetric nonspecific nodules were observed in the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs . Millimetric nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2809/train_2809_a/train_2809_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is atelectasis in the lung adjacent to the effusion. The lower lobes of both lungs are almost completely atelectatic. Consolidation and ground glass areas are observed in the right lung lower lobe superior segment and lateral right lung upper lobe posterior segment. The described manifestations were evaluated primarily in favor of pneumonic infiltration. No mass was detected in the ventilated parts of both lungs. The effusion has become loculated in the neighborhood of the upper lobe of the right lung and measures approximately 55mm at its thickest point in this localization. In addition, patchy ground glass areas are observed in the upper lobe of the left lung.\n<pleura>: The pleural effusion continues to the apex of the lung with the patient in the supine position. Bilateral pleural effusion is observed. No significant thickening was detected in the pleura adjacent to the effusion.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions, the largest of which measures 12mm in diameter. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is a pericardial effusion measuring 18mm in its thickest part. Heart contour and size are normal. Thickening is also observed in the pericardium. However, no calcification was detected.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is diffuse upper abdominal free fluid within the sections.\n\nImpression:\nBilateral pleural effusion. Pericardial effusion.  Mediastinal and hilar lymph nodes. Atelectasis in both lungs.  Findings evaluated in favor of pneumonic infiltration in both lungs. Intraabdominal diffuse free fluid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2812/train_2812_a/train_2812_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; In the upper lobe of the left lung, peripherally located ground-glass densities are observed in a patchy manner in the apicoposterior. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<pleura>: There are subpleural nodular patchy ground glass densities in the lateral segment of the lower lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Small lymph nodes with a short axis of 5 mm are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nClinical and laboratory correlation of findings consistent with Covid-19 viral pneumonia and close follow-up are recommended.  Lymph nodes with a short axis of 5 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2814/train_2814_a/train_2814_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6795",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score was evaluated as high.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, crazy paving appearances were observed in both lungs.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Views include classic findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2821/train_2821_a/train_2821_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Pleuroparenchymal linear sequelae changes were observed in the right lung middle lobe, right lung posterobasal and left lung lower lobe anteromediobasal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild rotoscoliosis with left opening was observed at the thoracic level, and degenerative Schmrol node impressions were observed in the end plateaus.\n<abdomen>: The right adrenal gland is normal. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Diffuse hyperplasia of the left adrenal gland medial and lateral crus was observed in the upper abdominal organs included in the sections.\n\nImpression:\nDiffuse atherosclerotic wall calcifications in thoracic aorta and coronary arteries  Pleuroparenchymal linear sequelae changes in both lungs  Diffuse hyperplasia of left adrenal gland medial and lateral crus  Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2823/train_2823_a/train_2823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected. There are paraseptal emphysematous changes in the apex of both lungs and in the anterior segment of the upper lobe of the right lung. A mosaic attenuation pattern is observed in both lungs (small airway disease?).\n<pleura>: In both lungs, a more prominent number of subpleural and intrapulmonary nonspecific nodules are observed on the right, the largest of which is 7 mm in size with a pleural base in the lower lobe superior segment on the right, and 4.5 mm in size with a pleural base in the lower lobe posterobasal segment on the left. No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Lymph nodes with pathological size and visual appearance are observed, with fusiform configuration, the largest of which is 8.5 mm in diameter at the subcarinal level.\n<heart>: Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally. Calibration of vascular structures, heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No free fluid loculated collection-solid mass was detected in the upper abdominal sections within the image.\n\nImpression:\nMediastinal lymph nodes that are not pathological in size and appearance.  Paraseptal emphysematous changes in the right lung upper lobe anterior segment at the apex of both lungs and a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  More prominent subpleural and intrapulmonary nonspecific nodules on the right in millimetric sizes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2826/train_2826_a/train_2826_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Atelectasis is observed adjacent to the effusion in both lung lower lobes. These views are not specific. There are emphysematous changes in both lungs. Linear atelectasis was observed in other parts of both lungs. There are uniform interlobular septal thickenings in the upper lobes of both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Bilateral pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. However, when evaluated together with pleural effusion and other cardiac findings, it was thought that pulmonary edema might be present.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given.\n<heart>: The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are masses evaluated in favor of adenomas measuring approximately 20 mm in diameter in the left adrenal gland corpus and approximately 15 mm in diameter in the lateral leg of the right adrenal gland. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries, pleural effusion, smooth interlobular septal thickening in the upper lobes of both lungs (secondary to pulmonary edema?)  Atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2839/train_2839_a/train_2839_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; In both lungs, ground glass densities located peripherally in the center are observed in a patchy manner. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Hyperdense findings in the right kidney with a size of up to 5 mm were evaluated in favor of calcules. Upper abdominal organs included in the sections are normal. A millimetric calcific focus is observed at the level of segment 4, superior to the gallbladder, in the right lobe of the liver entering the section area. There is significant steatosis in the liver parenchyma.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia in the lung parenchyma; clinical laboratory correlation and close follow-up are recommended.  Right nephrolithiasis.  Millimetric calcification in segment 4 of the liver right lobe, hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2842/train_2842_a/train_2842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: There are mild emphysematous changes in both lungs and minimal bronchiectatic changes that become prominent in the center. A few millimetric nonspecific pulmonary nodules were observed in both lungs. It is recommended to evaluate for interstitial lung disease. Pleuroparenchymal sequelae density increases are observed in both lungs apical.\n<pleura>: When examined in the lung parenchyma window; Widespread interlobular septal thickenings that become evident in the upper lobes of both lungs, subpleural lines in the periphery, and contour irregularities in the pleura are observed. Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Minimal calcific atherosclerotic changes are observed in the coronary artery wall. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild emphysematous changes in both lungs, sequelae changes, minimal bronchiectasis areas in the center. It is recommended to be evaluated in terms of interstitial lung disease. Millimeter-sized nonspecific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2843/train_2843_a/train_2843_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are sequelae changes in the right upper lobe anteriorly at the apical level. There are pleuroparenchymal sequelae changes and paracicatricial mild bronchiectasis in the superior segment of the lower lobe on the right. There are ground glass-like density increments in the lower lobe basal segments. When examined in the lung parenchyma window; There are slight sequelae changes in the middle lobe on the right and also slight ground-glass-like density increases. There are areas of focal consolidation and faint ground-glass-like density increases in the lingular segment of the left lung. Again, in the lower lobe segments, there is a slight ground-glass-like density increase on the right.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nSequelae changes are observed in both lungs, and ground glass-like density increases are observed at the lower lobe levels. There are mild ground-glass-like density increases in the lower lobe of both lungs and in the middle right and left lingular segment. The findings described are partially relevant for Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2846/train_2846_a/train_2846_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2847/train_2847_a/train_2847_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the evaluation of both lungs in the parenchyma window; There are blep formations at the right apical level. In the left lung, bud branch views are present in the upper lobe apicoposterior segment and the lower lobe superior segment. Evaluation with clinical and laboratory findings in terms of infective processes is recommended. There are two nodules with a diameter of 3 mm in the upper lobe of the left lung. At the hilar level, no bilaterally pathologically sized and configured lymph nodes were detected. Branches with buds are seen in the upper lobe and middle lobe of the right lung.\n<pleura>: There is a 3 mm diameter subpleural nodule in the superior segment of the lower lobe. There is a 5x3 mm millimetric nodule in the anterior subpleural area in the anterior subpleural area of the right lung upper lobe anterior segment, a 4 mm diameter subpleural nodule in the middle lobe, and a 5 mm diameter subpleural nodule in the lower lobe superior segment.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. Multiple lymph nodes are observed in the aorticopulmonary window in the upper and lower paratracheal area, the largest of which is approximately 19x10 mm in size and the hilar fat is partially selected. It is wider than normal. The aortic arch calibration is 29 mm. Calibration of the ascending and descending aorta is normal. Other major mediastinal vascular structures are normal.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. CTO is normal.\n<esophagus>: Mild hiatal hernia is observed.\n<bone>: Diffuse degenerative changes are observed in bone structures.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. It is wider than normal. The aortic arch calibration is 29 mm. Calibration of the ascending and descending aorta is normal. There is an accessory spleen view adjacent to the spleen.\n\nImpression:\nThe findings described are not typical for Covid-19 pneumonia. It is recommended to evaluate the case together with clinical and laboratory findings in terms of viral and bacterial pneumonia.  Nonspecific millimetric nodule formations in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2848/train_2848_a/train_2848_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Subsegmebter atelectasis areas in the lower lobe of the left lung are noteworthy.\n<pleura>: Wide pleural effusion measuring 47 mm at its widest point and atelectatic changes in the adjacent lung parenchyma were observed between the pleural leaves on the right.\n<mediastinum>: On the right, the image of the catheter extending to the superior vena cava is observed. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Minimal calcific atherosclerotic changes were observed in the thoracic aorta and its wall. No lymph node was detected in pathological size and appearance in the mediastinal and hilar non-contrast examination limits.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Soft tissue density compatible with gynecomastia was observed in the bilateral retroareolar region.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The size, contour and parenchymal density of the transplanted liver are normal in the patient who underwent liver right lobe transplantation in the upper abdominal sections included in the study area. There is a drainage catheter inserted into the abdomen. Minimal calcific atherosclerotic changes were observed in the thoracic aorta and its wall. Post-op suture materials were observed on the section surface. Loculated fluid was observed in the subhepatic area.\n\nImpression:\nMild emphysematous changes in both lungs . Large areas of pleural effusion and atelectasis on the right . Bilateral peribronchial thickenings . Fluid localization in the subhepatic space"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2852/train_2852_a/train_2852_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are linear atelectatic changes in the anterior upper lobe of the right lung. When examined in the lung parenchyma window; Linear density increases are observed in the left lung upper lobe inferior lingula, and it has an atypical appearance in terms of an infectious process, and it has been evaluated primarily in the direction of atelectatic changes.\n<pleura>: There is a subpleural millimetric nonspecific nodule in the anterior upper lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nModerate amount of effusion in the left hemithorax . Atelectatic changes are observed in the left lung upper lobe inferior lingula and right lung upper lobe anterior. It is atypical in terms of an infectious process. Clinical laboratory correlation is recommended for better differential diagnosis.  Nonspecific subpleural nodule in the anterior upper lobe of the right lung. Clarification of vascular structures under the skin of the thoracic wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2860/train_2860_a/train_2860_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this metastasis, possible large metastatic nodules observed in the right lung lower lobe anterobasal segment and left lung lower lobe superior segment in the examination 3 months ago cannot be distinguished from the consolidation areas observed in the current examination and the previous examination. Pleuroparenchymal densities in the left lung lower lobe laterobasal segment have acquired a nodular form according to the previous examination. Consolidation areas extending to the lower lobe superior and basal segments in both lungs are also observed in the previous examination, and there is no significant difference.\n<breast>: The port chamber is observed on the right anterior chest wall.\n<bone>: In the T2 vertebral body, the size of the bone metastasis, which was also observed in the previous examination, increased. T12. metastasis in the vertebral posterior corpus corner is new. (It is approximately 7 mm in size in 3 months old films and has a progressive appearance. In addition, the expansile bone lesion protruding into the soft tissue observed in the 7th rib on the left is approximately 5x2.8 cm in the current examination and 33x21 mm in the previous examination.\n<abdomen>: In the sections passing through the upper part of the abdomen, the lesion observed in the liver dome is 5 cm in non-contrast examination. There is a progression in their dimensions (long axis is 18 mm in 1 month interval, long axis is approximately 7 mm in films 3 months ago.) Other metastases in the liver parenchyma cannot be clearly distinguished due to the lack of contrast in the examination. No pathology was detected in bilateral adrenal glands.\n\nImpression:\nStable consolidation areas in both lung lower lobe basal segments.  Metastasis increasing in size in the middle lobe of the right lung.  Metastases in the liver, which increased in size, as determined from the non-contrast examination, are within the area of consolidation in the previous examination, and their borders cannot be distinguished in the current examination.  Metastasis with increasing soft tissue component in T2.vertebra and sternum. Newly emerged metastasis in posterior corpus corner of T12.vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2866/train_2866_a/train_2866_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were midway and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders of both lungs was detected. When examined in the lung parenchyma window; As far as it can be observed secondary to motion artifacts, linear atelectatic changes were observed in the middle and left lung inferior lingular segments of the right lung.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. In the patient whose aortic valve and vessel were replaced, a prosthesis was observed at the level of the aortic valve. Poststenotic dilatation was observed in the ascending aorta and its diameter was 46 mm at this level.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: It is recommended to be evaluated together with USG. At the retroareolar level of the left breast, an asymmetrical density increase with a lobulated contour of 15x9 mm was observed.\n<bone>: Syndesmophytes bridging each other were observed at the mid-thoracic level. Surgical sutures secondary to the previous operation in the sternum were observed.\n<abdomen>: Liver, gallbladder, spleen, both adrenal glands, pancreas and both kidneys are normal as far as can be observed within the sections. A 2.5 cm diameter hypodense lesion was observed in the upper pole of the right kidney (cyst?).\n\nImpression:\nIncreased nodular density at the retroareolar level of the left breast; it is recommended to be evaluated together with breast USG.  Prosthesis in the aortic valve, poststenotic dilatation in the aorta, surgical suture materials in the sternum . Cardiomegaly . Linear atelectatic changes in the middle and left lung inferior lingular segments of the right lung . Hypodense nodular lesion (cyst?) in the upper pole of the right kidney. Syndesmophytes bridging each other at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2891/train_2891_a/train_2891_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are atelectatic changes in the lung parenchyma adjacent to it. Branches with buds seen in the previous examination in the right upper lobe and middle lobe of the lung showed regression in the current examination. Mosaic attenuation pattern was observed in both lungs. No newly emerged infiltration area was detected in the current examination. There is a 5x5 cm lesion (10x8 cm in the previous examination) in the lower lobe of the left lung, which is evaluated in favor of a thick-walled abscess with air images in it.\n<abdomen>: Calculus with a diameter of 7.6 mm was observed in the gallbladder in the upper abdominal sections that entered the examination area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2896/train_2896_a/train_2896_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: However, there are new parenchymal consolidation areas in the current review. It was understood that the parenchymal consolidation areas regressed and linear atelectasis occurred at these levels in the case followed up due to Covid-19 pneumonia.\n<pleura>: Bilateral pleural effusion was not observed. The minimal right pleural effusion described in his previous examination is completely resorbed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Spur formations bridging with each other were observed in the right antrolateral corners of the thoracic vertebrae.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2901/train_2901_b/train_2901_b_1.npy"
        ]
    },
    {
        "id": "report_generation_6974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The progression of the ground glass densities in the posterior segment of the upper lobe to consolidation is observed. For this reason, atypical pneumonia and viral pneumonic agents should be primarily excluded and considered in the diagnosis. In his current examination, unlike his previous imaging, progression was observed in parenchymal infiltration findings. Consolidation and atelectasis parenchyma areas are more prominent in the lower lobe basal segments. Parenchymal findings that heal with sequelae of previous infection are also accompanied. In the lower lobe basal segment, it was understood that parenchymal involvements regressed with atelectasis, and new parenchymal involvement areas developed in the right lung lower lobe superior segment and left lung lower lobe. Its radiological pattern has been similar since its first imaging. In his current examination, there are areas of ground glass infiltration consistent with acute parenchymal involvement in the upper lobes of both lungs. It was understood that the lower lobe basal segments were consolidated in places and progressed with parenchymal atelectasis.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Focal calcific atherosclerotic plaque is present in LAD.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThe prevalence of consolidation areas in favor of parenchymal involvement of re-infection with sequela parenchymal changes in the lower lobes is evident."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2901/train_2901_c/train_2901_c_1.npy"
        ]
    },
    {
        "id": "report_generation_6978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Pleuroparenchymal linear density increases and atelectasis parenchymas became evident towards the basells. Radiological findings are consistent with lung parenchymal involvement of Covid infection.\n<pleura>: In lung parenchyma evaluation; Peribronchial and subpleural localized ground-glass pneumonic infiltration areas and septal thickenings are present in both lungs. No pleural effusion was detected.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. Bilateral lower paratracheal and paraaortic mediastinal reactive lymph nodes below 1 cm in diameter were observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No space-occupying mass lesion was observed. In the upper abdomen sections, there is a 6 cm diameter cortical cyst in the right kidney.\n\nImpression:\nAreas of atypical pneumonic infiltration in both lungs, some in the healing phase. Radiological findings are consistent with lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2903/train_2903_a/train_2903_a_1.npy"
        ]
    },
    {
        "id": "report_generation_6984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild bronchiectatic changes in the lower lobe basal segments and thickening of the interlobular septa in both lungs. Mild emphysematous changes are observed in both lungs. Mild atelectatic changes are observed in the middle lobe of the right lung. There are fibrotic sequelae changes at the apical levels.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. A calcific millimetric atheroma plaque is observed in the aortic arch.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. There is diffuse density reduction in bone structures, and there are hypertrophic osterophytic tapering and bridging tendencies in the anterior end plates of the vertebral corpus.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A calcific millimetric atheroma plaque is observed in the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. A few cortical cysts measuring up to 50 mm in the upper pole of the right kidney are observed in both kidneys.\n\nImpression:\nThere are interlobular septal thickenings, mild bronchiectatic changes, dependent atelectasis findings, which are more prominent in the lower lobe basal segments of both lungs. Findings are atypical in terms of infectious process, clinical lab cor. is recommended.  Cortical cysts in the kidney.  Calcific milimetric plaque of atheroma in the aortic arch. Small hiatal hernia.  There is a diffuse density decrease in bone structures and degenerative changes are observed in the vertebral endplates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2907/train_2907_a/train_2907_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There are findings evaluated in favor of sequelae changes in both lungs, especially in the lower lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Anteroposterior diameters of the aortic arch are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary artery.\n<heart>: The anterior-posterior diameter of the ascending aorta is 40 mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Anteroposterior diameters of the aortic arch are normal. There are atheromatous plaques in the aorta and coronary artery.\n\nImpression:\nEmphysematous changes in both lungs.  Findings evaluated in favor of sequelae changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2916/train_2916_a/train_2916_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Density increases in the form of ground glass were observed in both lungs with a common tendency to coalesce. Consistent with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. There are occasionally accompanying minimal septal thickenings.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis smaller than 7 mm were observed in the mediastinal prevascular upper-lower paratracheal and subcarinal areas.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both parenchyma. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2921/train_2921_a/train_2921_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described findings are the findings frequently observed in Covid-19 pneumonia. There are local expansions in the vascular structures within the ground glass areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2931/train_2931_b/train_2931_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are minimal emphysematous changes in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. There is no mass or infiltrative lesion in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2936/train_2936_a/train_2936_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few subdiaphragmatic calcific sequela nodular densities are observed in both lung lower lobe basal segments.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few subdiaphragmatic calcific-non-calcific nodular densities in both lung lower lobe basal segments"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2936/train_2936_b/train_2936_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs. Linear atelectesis is observed in both lungs, more prominently in the middle and lower lobes of the right lung. Nodules and linear density increases are observed in the lower lobe of the left lung, which is evaluated primarily in favor of sequelae changes.\n<pleura>: There is no pleural effusion on the left. Pleural effusion is observed on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nPleural effusion on the right  Emphysematous changes in both lungs  Atelectasis in both lungs  Findings evaluated primarily in favor of sequelae changes in the lower lobe of the left lung  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2942/train_2942_a/train_2942_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nEmphysematous changes in both lungs . Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2957/train_2957_a/train_2957_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7099",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: An endoluminal stent extending from the trachea to the right main bronchus is observed. Trachea and left main bronchus lumei are open.\n<lung>: When examined in the lung parenchyma window; Metastatic mass lesions with multiple lobulated contours, larger than 56x29 mm, were observed in the central part of the entire right lung and the upper and lower lobe superior segments of the left lung. Widespread acinar nodules were observed around the mass lesions.\n<pleura>: It may be significant in terms of pleural metastases. Nodular thickening is observed in the pleura in the right lung.\n<mediastinum>: Although mediastinal examination cannot be performed optimally in non-contrast sections, soft masses invading the right main pulmonary artery and right main bronchus with indistinguishable borders at the right upper and lower paratracheal, bilateral hilar, subcarinal, and aortopulmonary levels are observed (metastatic LAP ?). Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Port chamber and catheters extending from the chamber to the right ventricle are observed on the anterior chest wall on the right. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Accessory spleen with a diameter of 2 cm is observed at the level of the splenic hilum. Diffuse millimetric nodular infiltrates are observed in the right paracardiac fatty planes and on the anterior abdominal wall. Liver, spleen, both adrenal glands and pancreas are normal, as can be seen on non-contrast images. No pathological lymph node was observed in the abdomen. No stones were observed in both kidneys within the sections.\n\nImpression:\nMultiple mass lesions that may be compatible with metastaic lymph node with indistinguishable borders at prevascular, right upper-lower paratracheal, aortopulmonary, bilateral hilar level as can be seen on non-contrast sections.  Multiple metastatic mass lesions in the right lung and left lung upper-lower lobe superior segment.  Appearance that may be compatible with pleural involvement in the right hemithorax. Acinar nodular infiltrates in the right paracardiac area and anterior chest wall fascia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2963/train_2963_a/train_2963_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A mass lesion with mediastinal invasion is observed in the middle part of the trachea and at the level of the carina. There is stent material applied to the trachea and both main bronchi.\n<lung>: It has markedly narrowed the middle lobe and lower lobe segment broaches. The right lung shows conglomeration around the lower lobe and middle lobe bronchus, and the conglomerated metastatic lesion is quite progressive and prominent in the current examination. Metastatic lesions are present in both lungs, small lesions increase in size, and multiple newly developed metastatic foci are observed in both lungs. Lower lobe basal segment aeration was markedly decreased. Carcinomatous lymphangitic involvement is observed in the right lung lower lobe basal segment and middle lobe. Mass lesion dimensions are progressive.\n<pleura>: The pleural effusion, reaching a diameter of 17 mm at its widest point, has just developed between the right pleural leaves. New millimetric metastatic foci were detected in the pericardial pleura.\n<mediastinum>: There are metastatic lymph nodes located in the upper mediastinum in the paraesophageal area.\n<bone>: Bone metastasis is observed in the manubrium stern. It was evaluated primarily in favor of a regurgitation fracture. At this level, a mild lytic appearance in the facet joints is observed, especially in the right facet joint. It could not be characterized in this examination. A height loss-fracture line was observed in the upper end plateau of the T11 vertebra. There is an osteoporotic appearance in the bone structure. It is progressive. A few pathological lymph nodes with short axes exceeding 1 cm in both supraclavicular fossa and level 4 localization were found to be newly developed in the current examination. No discernible space-occupying lesion was detected in the vertebral body within the CT margins.\n\nImpression:\nNewly developed pathological lymph nodes in both supraclavicular fossa and level 4 localization on the left.The masses showed conglomeration in the right lung middle lobe and lower lobe, and the masses narrowed the segmental bronchi.The right lung lower lobe showed cavitation-central necrosis in the basal segment.In the right lung, the middle lobe and lower lobe carcinomatous lymphangitic involvement. Right pleural effusion is newly developed. Pericardial pleural metastases are newly developed. It is compatible with progressive disease.  Metastatic lesions in T4 vertebral body and manubrium sternum are progressive.  There is height loss due to osteoporosis in the upper end plateau of the T11 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2963/train_2963_b/train_2963_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A stent appearance extending to the trachea and both main bronchi is observed.\n<lung>: Sequelae changes are observed at the apical level of both lungs. Sequelae calcific densities extending anteriorly and laterally are observed. At the level of the lower lobe of the right lung, in the area extending from the basal to the superior segment, multiple nodules with a tendency to merge from place to place along the bronchovascular sheath and branch with buds are observed, and they are evaluated as compatible in satellite lesions. However, infective processes cannot be excluded. Ground-glass-like density increases and interlobular septal thickening are observed in the posterior segment of the upper lobe. Sequelae changes are also observed at the apical level in the left lung. It is also available in the old review. Wide necrotic air appearance is observed within the consolidation area defined in the lower lobe superior segment. There are also sequelae changes in the left lung lower lobe laterobasal segment. In the left lung, there are ground-glass-like density increases in the medial of the lower lobe superior segment and prominence in the interstitial scars. In the right lung, there is a dense consolidation area extending towards the upper lobe anterior segment and posterior segment and lower lobe superior segment at the central level. According to his previous examination, it regressed slightly, especially at the upper lobe level. Lymph nodes are observed at the left hilar level and cannot be clearly evaluated in non-contrast examination.\n<pleura>: There is a mild pleural effusion in the right lung that has regressed according to the previous examination.\n<mediastinum>: The aortic arch calibration is 31 mm, larger than normal. Lymph nodes are observed in the upper-lower paratrecal area in the mediastinum. Pulmonary trunk calibration is 33 mm. Soft tissue density, which is predominantly right at the level of the aortic arch, extends slightly towards the subcarinal area with density increases compatible with calcification, and which is evaluated as compatible with the mass lesion surrounding the right main bronchus and right pulmonary artery caudally. It is larger than normal. However, lymph node evaluation cannot be performed optimally because of mass lesions and soft tissue changes that invade the mediastinum at other levels. Calibration of other mediastinal major vascular structures is normal.\n<heart>: KTO is natural.\n<bone>: Compression fracture is observed in the D11 vertebral body. Lesions compatible with metastasis are observed in the D4 vertebral body and sternum. There is a height loss of approximately 25%. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: The aortic arch calibration is 31 mm, larger than normal. Soft tissue density, which is predominantly right at the level of the aortic arch, extends slightly towards the subcarinal area with density increases compatible with calcification, and which is evaluated as compatible with the mass lesion surrounding the right main bronchus and right pulmonary artery caudally. It is larger than normal. Also available in old review. Nodules with a diameter of about 16 mm are observed in the spleen hilum. It was evaluated as compatible with accessory spleen. In non-contrast upper abdominal sections; liver and spleen, pancreas, both surrenal are natural. No significant difference was found in the appearance of branches with buds defined according to the previous examination.\n\nImpression:\nMass lesions and soft tissue appearances that are predominantly observed in the mediastinum and at the right hilar level and continue in the craniocaudal axis throughout the upper-lower lobe. There is slight regression in the defined soft tissue changes. In the right lung lower lobe superior segment, the soft tissue appearance with necrotic cavitation area persists."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2963/train_2963_c/train_2963_c_1.npy"
        ]
    },
    {
        "id": "report_generation_7123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Viral pneumonias are considered primarily in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: In bone structures within the image; There are widespread reticular density increases secondary to osteopenia in the vertebral bodies. There is height loss in the lower thoracic and upper lumbar vertebral bodies. Thoracic kyphosis has increased.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. An increase in liver size was observed. In the upper abdominal sections within the image; Millimetric stones are observed in the right kidney.\n\nImpression:\nIt is recommended to be evaluated together with laboratory findings.  Right nephrolithiasis.  Hepatomegaly.  Increases in diffuse reticular density secondary to osteopenia in the vertebral bodies and compression fractures in the lower thoracic and upper lumbar vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2967/train_2967_c/train_2967_c_1.npy"
        ]
    },
    {
        "id": "report_generation_7140",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi and segmental bronchi lumens are open.\n<lung>: Pleuroparenchymal sequelae density increases are observed in both upper lobe apical segments of both lungs. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Nonspecific focal fissure thickness increases are observed in the left lung minor fissure. There are a few millimetric (<5 mm) nonspecific nodules.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: There is a sliding type of mild hiatal hernia.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs.  Sliding type mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2972/train_2972_a/train_2972_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7142",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Evaluation with its findings is recommended. Trachea and main bronchi are open.\n<lung>: In the left lung lower lobe posterobasal segment, an area of linear density increase, which was evaluated primarily in favor of atelectasis, was noted. Clinic and lab. Uniform interlobular septal thickness increases secondary to heart failure, sequelae changes and a few nonspecific nodules in millimeter sizes are observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening and pericardial effusion were not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The ascending aorta is 47 mm, the descending aorta is 31 mm and has increased. There are calcified atheromatous plaques on the wall of vascular structures.\n<heart>: CTO ratio increased significantly in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures. There are degenerative changes in the spread.\n<abdomen>: The ascending aorta is 47 mm, the descending aorta is 31 mm and has increased. No pathology was detected in the sections passing through the upper part of the abdomen. There are calcified atheromatous plaques on the wall of vascular structures.\n\nImpression:\nAscending aorta, increased descending aorta calibration, CTO ratio increased in favor of the heart. Calcified atheroma plaques on the walls of the vascular structures, smooth interlobular septal thickness increases secondary to heart failure in both lung parenkins, sequelae changes and a few millimeter-sized nonspecific nodules, and an area of linear density increase in the left lung lower lobe posterobasal segment, which was evaluated primarily in favor of atelectasis, were noted. . Evaluation with its findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2973/train_2973_a/train_2973_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7150",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Focal enlargement of the bronchi is observed in consolidation.\n<pleura>: When examined in the lung parenchyma window; There are widespread subpleural weighted ground glass densities and consolidations in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia in the bilateral lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2977/train_2977_a/train_2977_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Several nonspecific parenchymal nodules measuring 4.5 mm in diameter were observed in both lungs, the largest of which was in the lower lobe of the left lung. However, due to the pandemic, Covid-19 pneumonia is not excluded.\n<pleura>: When examined in the lung parenchyma window; In the upper lobe-middle lobe of the right lung, there is a consolidation area containing an airbronchogram in the peripheral subpleural area. There are minimal contour irregularities in the pleura in the posterobasal segment of both lung lower lobes.\n<mediastinum>: As far as can be observed; Calcific atherosclerotic changes were observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal examination was evaluated as suboptimal since it was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: In the case who received RT due to breast Ca, the appearance suggests post-RT pneumonia in the first place. There is a thick-walled collection measuring 72x14 mm in the right breast lodge. The right breast skin is observed as diffusely thick. The left breast is natural. It was not observed secondary to the operation in the right breast.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections that entered the examination area, a hypodense lesion with a diameter of 7 mm was observed in the subdiaphragmatic localization of the dome. Multiple calcules were observed in both kidneys. As far as can be observed; Calcific atherosclerotic changes were observed in the wall of the thoracic aorta. The examination cannot be characterized as it lacks contrast. The gallbladder was not observed (cholecystectomized).\n\nImpression:\nOperated breast Ca on follow-up, right mastectomized, thick-walled organized collection in the operation lodge, breast skin thickening.  Hiatal hernia.  Consolidation area in the upper lobe-middle lobe of the right lung. In the case who received RT due to breast Ca, the appearance initially suggests post-RT pneumonia. However, Covid-19 pneumonia cannot be excluded due to the pandemic. Clinical and laboratory correlation is recommended.  Millimetric sized hypodense lesion in the liver. Millimetric sized nonspecific parenchymal nodules in both lungs. Cholecystectomized. Bilateral nephrolthiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2978/train_2978_a/train_2978_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The appearance was evaluated in favor of the sequelae changes accompanying radiation pneumonia during the resolution period. Several nonspecific parenchymal nodules measuring 4.5 mm in diameter were observed in both lungs, the largest of which was in the lower lobe of the left lung. No mass lesion with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; In the upper-middle lobe of the right lung, a consolidation area with an air bronchogram was observed in the peripheral subpleural areas, and volume loss and parenchymal distortion were observed at this level. Minimal contour irregularities were observed in the pleura in the posterobasal segment of both lung lower lobes.\n<mediastinum>: Calibration of other mediastinal vascular structures is natural. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atheroma plaques were observed in the wall of the thoracic aorta. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinum and heart deviates slightly to the right.\n<heart>: The ascending aorta was observed wider than normal with an anterior-posterior diameter of 40 mm. Heart contour size is natural. Pericardial thickening-effusion was not detected. The aortic valve is calcified. As far as can be seen; mediastinum and heart deviates slightly to the right.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: The right breast skin is observed as diffusely thick. The right breast was not observed secondary to the operation. There is a thick-walled collection measuring 68x9.5 mm in the right breast lodge. The left breast is natural.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant difference was detected. Multiple calcules were observed in both kidneys. As far as can be seen in the sections, the gallbladder was not observed (operated). Calcific atheroma plaques were observed in the wall of the thoracic aorta. It is also present in the patient's previous examination. At the level of the liver dome, nonspecific hypodense lesions of approximately 12 mm in diameter were observed in segment 7, segment 2, segment 4B, and peripheral subcapsular lesions were observed.\n\nImpression:\nA thick-walled organized collection with reduced dimensions in the operative site in a right mastectomized case, postoperative changes in the breast skin. Hiatal hernia.  Millimetric nonspecific parenchymal nodules in both lungs.  Millimetrically sized hypodense lesions in the liver; stable. Cholecystectomized. Bilateral nephrolthiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2978/train_2978_b/train_2978_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7162",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Hilar and mediastinal lymph nodes have a conglomerate appearance and tend to merge with each other and narrow the bronchial structures. In his previous examination, a nodule with irregular borders was described in the upper lobe of the right lung, and in his current examination, the interstitial signs in which emphysematous changes, including air bronchogram signs, are detected, can not be distinguished from the large space-occupying consolidated area with thickening of the intrlobular septa.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: Hilar and mediastinal lymph nodes have a conglomerate appearance and tend to merge with each other and narrow the bronchial structures.\n<heart>: Clinical laboratory correlation is recommended.\n<esophagus>: There is a small hiatal hernia.\n<abdomen>: Liver contours are slightly corrugated. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. A simple renal cyst is observed in the left kidney. It may be compatible with parenchymal disease.\n\nImpression:\nLung ca.  The irregular bordered nodule in the upper lobe of the right lung, which was described in the previous examination, cannot be distinguished from the consolidated area in which air bronchogram signs, thickening of the interlobular septa, and suspicious lymphangitic spread are observed, extending from the apical level of the right lung upper lobe apical level to the middle lobe lateral and lower lobe anterior in the current examination. Close follow-up is recommended for the differential diagnosis of progression and regression after the differential diagnosis of the infectious process.  There is a decrease in the size of the right hilar and mediastinal lymph nodes, and they appear to be conglomerated in the current examination. Bronchial structures show compression especially on the right side.  There are millimetric nodules in both lungs.  Mild atelectasis in both lungs, especially on the right side.  There are calcific atheroma plaques in the coronary arteries in the aorta.  Liver contours are slightly corrugated. It may be compatible with parenchymal disease. Clinical laboratory correlation is recommended.  Simple renal cyst in the left kidney.  Small hiatal hernia. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2983/train_2983_a/train_2983_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule with a diameter of 1 cm was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. It is recommended to be evaluated together with US.\n<lung>: When examined in the lung parenchyma window; Patchy consolidation areas accompanied by widespread subsegmental atelectatic changes forming a central-peripheral crazy paving pattern were observed in the lung parenchyma, and the appearance is highly suspicious for Covid-19 pneumonia. Minimal emphysematous changes were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. There are millimetric nodules in both lungs. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial thickening was not observed. Effusion reaching 11 mm in thickness was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\n1 cm diameter hypodense nodule in the left thyroid lobe; it is recommended to be evaluated together with US.  Cardiomegealy, pericardial effusion.  Atelectasis changes in both lungs . Minimal emphysematous changes in both lungs. Highly suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2984/train_2984_a/train_2984_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings were observed. As far as can be seen; Trachea and lumen of both main bronchi are open. Nasogastric catheter image was observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Significant centriacinar opacities and ground glass nodules were observed in the upper lobes of both lungs and were also observed in the previous examination. According to the previous examination, stable nonspecific parenchymal nodules were observed in both lungs. There was no significant change in the bud branch appearance and acinar infiltration areas observed in the previous examination, especially in the lower lobes of both lungs. However, no significant regression was detected. According to the previous examination, there is mild regression in the ground glass nodules observed in the right lung.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<bone>: There are metallic suture materials belonging to sternotomy on the anterior thorax wall.\n<abdomen>: No significant pathology was detected in the non-contrast examination margins in the upper abdominal organs included in the examination area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2986/train_2986_d/train_2986_d_1.npy"
        ]
    },
    {
        "id": "report_generation_7179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2989/train_2989_a/train_2989_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Linear pleuroparenchymal fibrotic changes were observed in the left lung upper lobe inferior lingular, right lung middle lobe and left lung lower lobe anterobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Minimal bronchiectatic changes were observed in both lungs, which became prominent in the center.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic wall calcifications were observed in the coronary arteries. Pericardial effusion-thickening was not observed.\n<bone>: Degenerative Schmorl nodule impressions were observed in the lower thoracic-lumbar end plateaus.\n<abdomen>: Other upper abdominal organs are normal. As far as can be seen within the sections; liver parenchyma density decreased in line with hepatosteatosis.\n\nImpression:\nAtherosclerotic wall calcifications in coronary arteries.  Mild bronchiectatic changes that become evident in the center of both lungs, sequelae of fibrotic density increases.  Hepatosteatosis.  Degenerative changes in thoracic vertebral end plateaus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2992/train_2992_a/train_2992_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peribronchial nodular consolidations and reticulonodular densities are observed in the lower lobe superiorly in the right lung and more prominently in the lower lobe posterior in the left lung.\n<pleura>: There is also an accompanying 7 mm pleural effusion on the left.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; kidneys are atrophic.\n\nImpression:\nPeribronchial subpleural infiltrations in both lungs, especially in the lower lobes (bacterial pneumonia is considered in the foreground).  Parapnomonic minimal effusion on the left.  Bilateral renal atrophy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2994/train_2994_a/train_2994_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland has a heterogeneous nodular appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Dependent ground glass densities are present in both lung lower lobe posterobasals.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A balloon is observed in the stomach. In the upper abdominal organs included in the sections, the gallbladder is operated.\n\nImpression:\nNodular thyroid gland . Nonspecific dependent ground-glass densities in the lungs . Cholecystectomy, gastric balloon"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_2997/train_2997_a/train_2997_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Ground glass density increases and consolidative areas were observed in the upper lobes of both lungs, the middle lobe of the right lung and the lower lobes of both lungs. Clinical and laboratory correlation is recommended. There are frequently reported imaging features of Covid-19 pneumonia.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Lymph nodes measuring 7 mm in the short axis of the largest were observed in the upper-lower paratracheal, prevascular, and subcarinal areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Mild degenerative changes are observed in bone structures.\n<abdomen>: In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There is a 9.4 mm diameter calculus in the gallbladder lumen.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended. Hepatosteatosis.  Cholelithiasis. Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3001/train_3001_a/train_3001_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, the borders are irregular, some of them have minimal consolidation, and peripheral ground-glass infiltration areas are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are millimetric Schmorl nodules in the vertebrae.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse decrease in liver density in the upper abdominal sections. The right kidney is atrophic.\n\nImpression:\nFindings consistent with Covid pneumonia. Hepatosteatosis. Right renal atrophy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3004/train_3004_a/train_3004_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are sometimes linear atelectasis in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs. Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3006/train_3006_a/train_3006_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; the volume of the left lung was slightly decreased and atelectatic changes were observed in the lower lobe of the left lung. Clinical laboratory correlation is recommended. A mild mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?). Acinar infiltration areas were observed in the posterobasal segment of the lower lobe of the left lung (infectious process?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The diameter of the main pulmonary artery was 33 mm, the diameter of the right pulmonary artery was 25 mm, and the diameter of the left pulmonary artery was 24.4 mm. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the ascending aorta is 40 mm and shows fusiform dilatation. Calcification was observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Liver contours are irregular. It is recommended to be evaluated in terms of chronic liver parenchymal disease. Minimal sequela parenchymal thinning was observed in both kidneys. Gallbladder was not observed (cholecystetomized). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nFusiform dilatation of the ascending aorta, dilatation of the pulmonary artery, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall, increase in heart size,  Slight decrease in left lung volume, atelectatic changes in the left lung lower lobe, bilateral peribronchial thickenings, acinar infiltration in the left lung lower lobe posterobasal segment areas (infectious process?); Clinical - laboratory correlation is recommended.  Mild mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Millimetrically sized hypodense lesion in the left lobe of the liver, which cannot be characterized in this examination, with irregular appearance in the liver contours; It is recommended to evaluate for chronic liver parenchymal disease.  Cholecystetomize.  Minimal sequela parenchymal thinning in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3010/train_3010_a/train_3010_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodules or infiltration were detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: There are calcified lymph nodes. The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3012/train_3012_a/train_3012_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. When examined in the lung parenchyma window; A thickening of 13x8 mm is observed in the oblique fissure in the superior close neighborhood of the lower lobe of the left lung, and there are also irregularities in the fissure in the inferior.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDensity increase observed in the fissure in the superior close neighborhood of the left lung lower lobe; It was evaluated in favor of fluid loculation in the first plan, and it is recommended to compare it with previous examinations, if any, for clinical laboratory correlation and follow-up for better differential diagnosis.  Several nonspecific nodules in both lungs.  Small lymph nodes are observed in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3015/train_3015_a/train_3015_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7237",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The largest of these lymph nodes is observed in the right half of the trachea, and its short axis is 12 mm.\n<lung>: Interlobular and interseptal thickness increases are observed in both lungs. In addition, there is an increase in thickness in the left lung fissure, which is evaluated primarily in favor of fluid.\n<pleura>: When examined in the lung parenchyma window; Pleural effusions reaching a thickness of approximately 3.5 cm in the right hemithorax and approximately 1.5 cm in the left hemithorax are observed. There is also an anky-pleural effusion in the lateral part of the left hemithorax.\n<mediastinum>: Several lymph nodes are observed in the subcarinal area at the level of the right lung hilum in the prevascular area, at the level of the aortapulmonary window, and in the paratracheal area. Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Some of these lymph nodes have a round appearance.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Evaluation of solid organs and vascular structures is suboptimal due to the lack of contrast in the examination. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nIt is recommended to be evaluated together with follow-up and examination findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3015/train_3015_b/train_3015_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7239",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, there are peribronchial minimal ground glass densities, which are fainter in the upper lobes. When examined in the lung parenchyma window; In both lung parenchyma, reticulonodular densities extending along the peribronchial tree and minimal ground glass densities are observed in the right middle lobe and bilateral lower lobes. Millimetric nonspecific nodules are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques and coronary stents were observed in the aorta and coronary arteries. Lymph nodes with a diameter of 11 mm are observed in the mediastinum and in both hilar regions on the short axis of the larger ones.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques and coronary stents were observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMultilobar predominantly peribronchial pneumonic infiltrates in both lungs (aspiration pneumonia or bronchopneumonia).  Stable nodular thickening at the level of the major fissure on the left  Millimetric nonspecific nodules in both lungs.  Aortic and coronary artery atherosclerosis, coronary stents."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3015/train_3015_c/train_3015_c_1.npy"
        ]
    },
    {
        "id": "report_generation_7241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are uniform thickenings of the interlobular septa in the lower lobes of both lungs (secondary to cardiac pathology?). No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There is a stable nodular increase in thickness in the major fissure on the left, which is also observed in the previous examination. It just appeared in the current review. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: There are stent materials in the coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Parabchymal density of 3 mm in diameter was observed in the middle zone of the left kidney (intraparenchymal calculi?, calcification?). A calculi of 3 mm in diameter was observed in the middle zone of the right kidney. No dilatation was detected in the thoracic aorta. Both renal parenchymal thinning is present in the upper abdominal sections entering the examination area. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nInfiltration areas observed in both lungs in the previous examination are not detected in the current examination.  Subpleural stable focal ground-glass density increase in the right lung.  Stable nodular thickening at the level of the left major fissure.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Atherosclerotic changes.  Smooth interlobular septal thickening on the left (secondary to cardiac pathology?)  Focal thinning in both kidney parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3015/train_3015_d/train_3015_d_1.npy"
        ]
    },
    {
        "id": "report_generation_7313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Although secondary examination of motion arterial differences could not be performed optimally, mosaic attenuation pattern was observed in both lungs. Clinical correlation is recommended for small air-vascular disease. In the lower lobe basal segments of both lungs, there are more prominent ground glass densities in the peribronchial area on the left. Correlation with clinical and laboratory is recommended. Linear fibroatelectasis changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. Appearance is nonspecific. It may be compatible with atypical pneumonia.\n<mediastinum>: The segmental and subsegmental branches of the pulmonary artery also have a dilated appearance. The diameters of the pulmonary trunk and right and left pulmonary arteries increased by 31 mm, 29 mm, and 33 mm, respectively. Although the mediastinum cannot be evaluated optimally in non-contrast examination; Thoracic aorta calibration is normal. Findings may be compatible with pulmonary hypertension. Prevascular right upper paratracheal, bilateral lower lower paratracheal short axis below 1 cm calcified lymph nodes, some of which did not reach pathological dimensions, were observed.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are bridging osteophytes compatible with diffuse bone hyperostosis at the mid-thoracic level. Vertebral corpus heights are preserved.\n<abdomen>: Although the mediastinum cannot be evaluated optimally in non-contrast examination; Thoracic aorta calibration is normal. The pancreas is atrophic compatible with age. As far as can be observed in the non-contrast examination; liver, spleen, both adrenal glands, both kidneys are normal. Widespread reticular density increases consistent with edema were observed in the subcutaneous fatty planes within the sections.\n\nImpression:\nDilatation of pulmonary oranges, both main pulmonary arteries and segmental-subsegmentary branches; clinical and laboratory correlation is recommended for pulmonary hypertension.  Cardiomegaly . Sliding type hiatal hernia at the lower end of the esophagus . Mosaic attenuation pattern in both lungs (for small air-vessel diseases) Correlation with clinical and laboratory is recommended) . Peribronchovascular ground-glass densities in both lung lower lobe basal segments are nonspecific. Correlation with clinical is recommended.  Bridging osteophytes compatible with diffuse bone hyperostosis at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3041/train_3041_a/train_3041_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: It was evaluated in favor of Covid-19 viral pneumonia. There is a millimetric nodule in the middle lobe of the right lung in series 2 image 188. Upper abdominal organs included in the sections are normal. Evaluated in favor of an infectious process.\n<pleura>: When examined in the lung parenchyma window; more peripherally located subpleural and patchy ground glass densities are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. There are slight tapering in the end plates. Diffuse degenerative changes in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3054/train_3054_a/train_3054_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The finding was primarily evaluated in favor of lobar pneumonia.\n<pleura>: When examined in the lung parenchyma window; There is a consolidation area in the left lung lower lobe posteriorly located in the subpleural area, with a slight air bronchogram sign, accompanied by patchy ground glass densities around it.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There is a catheter extending into the superior vena cava. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in the left lung were primarily evaluated in favor of lobar pneumonia. A mass lesion cannot be distinguished within the described consolidation area. Follow-up is recommended after excluding infection. Since it is unilateral, imaging features have been reported as atypical or rarely for Covid-19 pneumonia, and in case of doubt clinical lab cor. is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3061/train_3061_a/train_3061_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3064/train_3064_a/train_3064_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass or infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule of 2.5 mm in diameter was observed at the fissure level in the anterobasal segment of the lower lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric nonspecific parenchymal nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3067/train_3067_a/train_3067_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is compatible with the anamnesis in the case with a positive (+) diagnosis of Covid. There were no pathologically sized and configured lymph nodes at both hilar levels. When examined in the lung parenchyma window; There are ground-glass-like density increments in both lungs that show peripheral distribution and form confluence.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum, the largest measuring approximately 15x8 mm in the subcarinal area. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nConfluent ground-glass-like density increments with peripheral distribution in both lungs; It is compatible with the anamnesis in the case with a positive (+) diagnosis of Covid.  Mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3068/train_3068_a/train_3068_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7389",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In addition, budding tree appearances and centriacinar nodules were observed in the apicoposterior segment of the upper lobe of the left lung. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are millimetric nodules in both lungs. No mass was detected in both lungs. Consolidation was observed in the superior segment and posterobasal segment in the lower lobe of the left lung. There are emphysematous changes and occasional atelectasis in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. There are atheromatous plaques in the coronary arteries. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: The heart is minimally larger than normal.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in the left lung.  Millimetric nodules in both lungs.  Emphysematous changes in both lungs.  Bilateral minimal pleural effusion.  Cardiomegaly, coronary artery disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3073/train_3073_a/train_3073_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Liver parenchyma density was minimally decreased in line with fatty deposits.\n\nImpression:\nMinimal emphysematous changes in both lungs . Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3075/train_3075_a/train_3075_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: However, it is recommended to be evaluated together with laboratory findings. However, when evaluated together with clinical information, it was thought that the appearances described during the pandemic process were compatible with Covid-19 pneumonia. Peripheral and central consolidations are observed in both lungs, most prominently in the lower lobe of the right lung. The views described are not specific. Consolidations are sometimes accompanied by frosted glass appearances. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3077/train_3077_a/train_3077_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7401",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Pathological size and configuration of lymph nodes were not detected in both hilar levels. During the pandemic process, it is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Mild sequelae change is observed in the inferior lingular segment. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. There is a mild mosaic attenuation pattern in both lungs (small vessel disease?.small airway disease?). In the lower zones of both lungs, focal peripherally aligned frosted glass-like density increments and occasionally accompanying bud branch appearance are observed.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. In the sections passing through the upper abdomen, a slight decrease in density consistent with steatosis is observed in the liver.\n\nImpression:\nFocal ground glass-like density increments in the lower zones, Covid pneumonia? Clinical and laboratory correlation is recommended.  Mild mosaic attenuation pattern."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3078/train_3078_a/train_3078_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ground glass densities, which show confluence in the lower lobes of both lungs, more prominently in the right lung middle lobe and left lung lingular segment, less frequently in the peripheral and peribronchial upper lobes of both lungs, especially in the right lung middle lobe and left lung lingular segment, Intense infiltrations are observed in the glass densities that cause crazy paving appearance caused by interlobular septal thickenings. In the patient with primary, no obvious metastasis focus that can be distinguished from infiltration was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal aorta pulmonary, mediastinal lymph nodes with narrow diameters less than 1 cm, which were also observed in previous examinations, are observed. No pathological LAP was detected in the mediastinum.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCommon crazy paving densities, common infiltrations, which can be evaluated in favor of Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3079/train_3079_a/train_3079_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open. Tracheostomy is observed.\n<lung>: In the evaluation of both lung parenchyma; Atelectasis and peribronchial wall thickening are observed in the left lower lobes of both lungs prominently. No mass nodule infiltration was detected in both lungs.\n<pleura>: No pleural effusion was detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary lymph nodes smaller than 1 cm are observed. Calcific calcific plaques are observed in the walls of the aortic arch, ascending and descending aorta, coronary artery and abdominal aorta. No pathological LAP was detected in the mediastinum.\n<heart>: Cardiothoracic index slightly increased in favor of the heart.\n<bone>: No significant pathology was detected in the bone structures.\n<abdomen>: PEG is observed in the stomach. Calcific calcific plaques are observed in the walls of the aortic arch, ascending and descending aorta, coronary artery and abdominal aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nTracheostomy . Minimal cardiomegaly . Atelectasis and peribronchial wall thickening in the lower lobes of both lungs prominent on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3082/train_3082_a/train_3082_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is compatible with mild bronchiectasis. It displaces the trachea to the left. However, the calibration of the proximal segmental branches of the main bronchi has increased. When examined in the lung parenchyma window; tracheal calibration is natural.\n<lung>: Mild sequelae changes are observed in the middle lobe. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: No significant pleural effusion or pneumothorax was detected in both lungs. Mild thickening of the interstitial tissue is observed in the laterobasal segment in the lower lobe of both lungs, and in the subpleural area.\n<mediastinum>: The aortic arch calibration is approximately 35 mm. It is wider than normal. Millimetric sized calcific atheroma plaques are observed in the aortic arch. Millimetric sized lymph nodes are observed in the mediastinum, the largest of which was measured at the prevascular level and measuring approximately 23x9 mm. Pulmonary trunk calibration is 31 mm.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Millimetric fragments are observed in the vicinity of the humeral head and the neck of the scapula and the inferior neighborhood of the coracoid process. A subcortical incomplete septal cyst is observed on the right scapula glenoid vertical. Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aortic arch calibration is approximately 35 mm. It is wider than normal. Upper abdominal organs included in the sections are normal. Millimetric sized calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\nMild bronchiectasis calibration increase in the bronchial structure, planjuan goiter and two adjacent hypodense nodules in the right lobe of the thyroid gland, US examination is recommended. Degenerative changes in the bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3083/train_3083_a/train_3083_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. In places, milimetric calcific atheroma plaques were observed in the aortic arch and LAD. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the right anterolateral corners of the thoracic vertebrae, bridging spur formations were observed.\n<abdomen>: In places, milimetric calcific atheroma plaques were observed in the aortic arch and LAD. As far as can be seen in non-contrast sections; The liver parenchyma density was diffusely slightly decreased, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and LAD.  Hepatosteatosis.  Spur formations bridging each other in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3084/train_3084_a/train_3084_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Both lung ventilation is natural. In the examination made in the lung parenchyma window; No active infiltration, mass or nodular lesion was detected in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal vascular structures and heart examination IV.\n<heart>: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: No free fluid or loculated collection is observed. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3085/train_3085_a/train_3085_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3086/train_3086_a/train_3086_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings are in favor of viral pneumonia. A suspicious nodular appearance in terms of calcification is observed in the vicinity of the described ground glass opacity. When examined in the lung parenchyma window; Focal ground glass density is observed in the anterior segment of the left lung upper lobe. These findings are also observed in Covid-19 pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA ground glass opacity is observed in the anterior segment of the left lung upper lobe, which creates suspicion for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3089/train_3089_a/train_3089_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7443",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3099/train_3099_a/train_3099_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It was understood that the patient underwent right lung lower lobectomy because of the peripheral localized primary tumor mass in the lower lobe of the right lung. There are changes in the upper lobe and middle lobe of the right lung due to positive relative changes. In the current examination, focal consolidation areas were observed in the middle lobe and upper lobe of the right lung. Mild emphysematous changes were observed in both lungs. An infectious process can be considered in the differential diagnosis. The appearance may be due to post-RT change. Clinical evaluation and control is recommended.\n<pleura>: No pleural effusion-thickening was detected on the left. A chronic pleural effusion with a thickness of 21 mm (30 mm in the previous examination) was observed between the pleural leaves in the lobectomy lodge, and its dimensions were reduced.\n<mediastinum>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No lymph node was detected in mediastinal pathological size and appearance. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: Mild effusion, which was also observed in the previous pericardial examination, was observed.\n<bone>: Left-facing scoliosis was observed in the thoracic vertebrae. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Contours of both kidneys show loculation in the upper abdominal sections entering the study area. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nOperated lung Ca, right lung lower lobectomy in follow-up.  Postoperative changes in the upper lobe of the right lung.  Newly revealed areas of infiltration in the upper lobe and middle zone of the right lung in the current examination may be compatible with the post-RT change in appearance. Infectious process can be considered in the differential diagnosis. Clinical correlation and control are recommended.  Atherosclerotic changes.  Millimetric stable nonspecific mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3105/train_3105_a/train_3105_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The right lung has several millimetric nonspecific nodules. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nSeveral millimetric nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3106/train_3106_a/train_3106_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: A nodular lesion measuring 6 mm in diameter is observed in the medial leg of the right adrenal gland and was evaluated in favor of adenoma. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs.  Right adrenal adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3107/train_3107_a/train_3107_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax Active infiltration or mass lesion was not detected in both lung parenchyma, sequelae changes, 15x7 mm thin-walled air cyst in the right lower lobe superior segment and mosaic attenuation pattern in bilateral lower lobes (small airway disease ?, small vascular disease?) is observed.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nActive infiltration or mass lesion is not detected in both lung parenchyma. There are sequelae changes, a 15x7 mm thin-walled air cyst in the right lower lobe superior segment, and a mosaic attenuation pattern in the bilateral lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3109/train_3109_a/train_3109_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a 5 mm diameter nodule at the level of the interlobar fissure on the left. There was no significant finding in favor of pneumonia in both lungs. There are sequelae changes in the middle lobe. Sequelae changes are observed in the inferior lingular segment. When examined in the lung parenchyma window; Sequelae changes and paraseptal emphysema appearance are observed at the apical level in both lungs. Sequelae changes are observed in the lower lobe superior segment. There are blebs at the left perihilar level. At the level of the minor fissure, a nodule of approximately 6x4 mm is observed.\n<pleura>: No pneumothorax or pleural effusion was observed.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. It is wider than normal. The aortic arch calibration is 31 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is normal.\n<bone>: Minimal degenerative changes were observed in the bone structure entering the examination area.\n<abdomen>: In the evaluation of the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver. A nonspecific hypodense lesion with a diameter of approximately 5 mm is observed in the left lobe of the liver. It is wider than normal. The aortic arch calibration is 31 mm.\n\nImpression:\nThere was no finding in favor of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3110/train_3110_a/train_3110_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. As far as can be seen; Trachea, lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, ground-glass-like densities are observed in the posterior segment of the left lung upper lobe.\n<pleura>: When examined in the lung parenchyma window; Minimal free pleural effusion in both lungs and atelectasis-consolidation areas including air bronchograms in the lower lobe posterobasal segments are observed.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Mediastinal main vascular structures are normal. Calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Lymph nodes measuring 5 mm in the short axis of the mediastinal larger are observed. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Diffuse wall thickness increase is observed in the lumen along the thoracic esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse thickening is observed in the lateral crus of the left adrenal gland in the upper abdominal sections entering the examination area. Calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nCardiomegaly. Minimal areas of pleural effusion and infiltration in both lungs.  Diffuse thickening in the lateral crus of the left adrenal gland is stable.  Diffuse thickening of the thoracic esophageal wall has only recently emerged in the current examination. Endoscopy examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_a/train_3112_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. Consolidations with air bronchograms and ground glass areas are observed in the lower lobes of both lungs, especially in the posterior parts of the lungs. The described appearances can also be observed in the previous examination of the patient. These appearances were evaluated primarily in favor of sequelae changes. When these appearances were evaluated together with their clinical information, it was primarily thought to be pneumonic infiltration. No mass was detected in both lungs.\n<pleura>: There is also minimal pleural effusion on the right. In the left lung upper lobe apicoposterior segment, interlobular septal and intersial thickenings and cystic areas are observed in the subpleural areas.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The main pulmonary artery diameter was 30 mm and wider than normal.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: When the patient's previous examinations were examined, it was understood that this appearance was a hematoma, and a significant reduction in size was observed. No upper abdominal free fluid was observed in the sections. Aorta diameter is normal. There is a minimal hypodense appearance measuring approximately 30 mm in diameter in the anterior of the stomach just to the right of the midline in the epigastric region.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in the lower lobes of both lungs . Emphysematous changes in both lungs . Increase in the diameters of the pulmonary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_b/train_3112_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no occlusive pathology in the tracheal lumen. There is mucus secretion in both main bronchial lumens. Trachea and both main bronchi are normal.\n<lung>: No significant difference was found in the consolidation area on the right. There are emphysematous changes in both lungs. Sequelae fibrotic recessions are observed in the upper lobes of both lungs. When examined in the lung parenchyma window; In the lower lobes of both lungs, especially in the posterior parts, consolidations with air bronchograms are more common on the right and frosted glass areas are observed around it. The described appearances can also be observed in the previous examination of the patient. The appearances were evaluated in favor of pneumonic infiltration. No mass was detected in both lungs.\n<pleura>: There is also minimal pleural effusion on the right.\n<mediastinum>: Lymph nodes with short diameters less than 1 cm and not reaching pathological dimensions are observed in the mediastinum and hilar regions. As far as can be observed: Calibration of the thoracic aorta is normal. The mediastinum could not be evaluated optimally in the case where contrast material was not given. Main pulmonary artery diameter and right and left pulmonary artery diameters increased by 30 mm and 28 mm, respectively.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed: Calibration of the thoracic aorta is normal. Two millimetric calculi are observed in the upper pole of the right kidney. There is an iso-hyperdense appearance in the epigastric region, to the right of the midline, at the anterior of the stomach, measuring approximately 15 mm in diameter and which was understood to be a hematoma from previous examinations. When evaluated together with the patient's previous examinations, it shrunk significantly.\n\nImpression:\nConsolidation areas, emphysematous changes in both lung lower lobes evaluated in favor of stable pneumonic infiltration on the right and mild regression on the left. Increase in the diameters of the pulmonary trunk and right left pulmonary artery. Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_c/train_3112_c_1.npy"
        ]
    },
    {
        "id": "report_generation_7481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The described appearance was considered compatible with aspiration pneumonia.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_e/train_3112_e_1.npy"
        ]
    },
    {
        "id": "report_generation_7485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation is accompanied by areas of ground glass in the left lung. The described manifestations were evaluated primarily in favor of pneumonic infiltration. There is also consolidation in a smaller area in the left lung upper lobe lingular segment. Emphysematous changes in both lungs and pleuroparenchymal sequelae changes in both lung apex are observed. The fact that the lesions are located more posteriorly brings to mind aspiration. Consolidation is observed in both lung lower lobes. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the left.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: Coronary arteries also have atheroma plaques. There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_g/train_3112_g_1.npy"
        ]
    },
    {
        "id": "report_generation_7486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: It is recommended to evaluate the patient with clinical findings. Emphysematous changes were observed in both lungs, and pleuroparenchymal sequelae changes were observed in both lungs. Consolidation is accompanied by areas of ground glass in the left lung. The described manifestations were evaluated primarily in favor of pneumonic infiltration. There is also focal consolidation in a smaller area in the left lung upper lobe lingular segment. The fact that the lesions are located more posteriorly brings to mind aspiration. When examined in the lung parenchyma window; Consolidation is observed in both lung lower lobes. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: The diameters of the right and left pulmonary arteries and the pulmonary trunk were measured 28.29 and 30 mm, respectively, and were larger than normal. As far as can be observed, the diameter of the descending aorta is above normal with 33 mm. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed, the diameter of the descending aorta is above normal with 33 mm. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is a PEG catheter placed in the stomach. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in both lungs; no significant difference was found on the right, but minimal regression was observed on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_h/train_3112_h_1.npy"
        ]
    },
    {
        "id": "report_generation_7488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Two consolidation areas in the left lung are observed mostly in a patchy-nodular fashion. When examined in the lung parenchyma window; In the lower lobes of both lungs, posteriorly located consolidation areas are observed, being more dominant in the right lung.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased.\n<bone>: Apart from this, no fractures or lytic-sclerotic lesions were detected in the bones included in the examination.\n<abdomen>: Upper abdominal organs included in the examination were considered normal as far as they were included in the imaging field. Evaluation of vascular structures of solid organs is suboptimal because the report is unenhanced.\n\nImpression:\nDominant areas of consolidation in the lower lobes and especially in the posterior parts of both lungs. It primarily suggests aspiration pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_i/train_3112_i_1.npy"
        ]
    },
    {
        "id": "report_generation_7489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. Trachea and both main bronchi are open.\n<lung>: In the examination made in the lung parenchyma window; A hypodense filling defect, which is evaluated primarily in favor of mucus plug, is observed in the posterobasal segment bronchus of the lower lobe of the right lung. On the right, there are areas of increase in density consistent with consolidation with air bronchograms in the lower lobes of both lungs.\n<pleura>: Bilateral pleural effusion, measuring 35 mm in size, is observed on the right at its deepest point.\n<mediastinum>: It could not be evaluated optimally due to lack of contrast. The diameter of the descending aorta increased by 33 mm. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Mediastinal vascular structures and heart examination IV. There are calcified atheromatous plaques on the wall of the aortic arch and coronary vascular structures. The diameters of the right and left pulmonary arteries and the pulmonary trunk are larger than normal.\n<heart>: An increase in heart size is observed. Pericardial effusion was not detected. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: It could not be evaluated optimally due to lack of contrast. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. There are calcified atheromatous plaques on the wall of the aortic arch and coronary vascular structures. The diameter of the descending aorta increased by 33 mm.\n\nImpression:\nAreas of increase in density compatible with consolidation including air bronchograms are observed in both lung lower lobes, and pneumonic infiltration is considered in the etiology of the findings. There is a progression in the findings according to previous CT examination. A hypodense filling defect is observed in the posterobasal segment bronchus of the right lung lower lobe (mucus plug?) . Bilateral pleural effusion ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_j/train_3112_j_1.npy"
        ]
    },
    {
        "id": "report_generation_7491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Emphysematous changes were observed in both lungs. Ground glass densities are observed around the consolidation areas. The described manifestations were primarily evaluated in favor of pneumonic infiltration. The fact that the lesions are located mostly in the lower lobe posterior brings to mind aspiration. There is volume loss in the lower lobes of both lungs. When examined in the lung parenchyma window; Consolidation areas in nodular configuration are observed in both lung lower lobes.\n<pleura>: Placing pleural effusion was observed in both hemithorax. Pleuraparenchymal sequelae changes are observed in both lungs.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the descending aorta is above normal with 33 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Right and left pulmonary artery diameters and pulmonary conus are wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in non-contrast sections; upper abdominal organs are normal. As far as can be seen; The anterior-posterior diameter of the descending aorta is above normal with 33 mm. A 3.5 mm diameter calculus was observed in the middle part of the right kidney. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. A PEG catheter placed at the stomach antrum level was observed. A millimetric calculus image was observed in the gallbladder lumen.\n\nImpression:\nConsolidation areas that have gained nodular form in the lower lobes of both lungs, and ground glass densities around it; findings were evaluated in favor of pneumonic infiltration. The fact that the consolidations are located posterior to the lower lobe suggests aspiration in the first place.  Bleeding effusion in the bilateral pleural space, loss of volume in the lower lobes of both lungs.  Emphysematous changes, sequelae changes in both lungs.  Right nephrolithiasis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_k/train_3112_k_1.npy"
        ]
    },
    {
        "id": "report_generation_7495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are areas of consolidation in the basal segments of the lower lobes of both lungs, in which air bronchogram signs are observed. Diffuse centrilobular and paraseptal emphysematous changes are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is an osteopenic appearance in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in the lower lobes of both lungs were initially evaluated in favor of bacterial infectious processes. Clinical laboratory correlation and follow-up are recommended for better differential diagnosis due to the current pandemic.  Millimetric calcific foci are present in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_m/train_3112_m_1.npy"
        ]
    },
    {
        "id": "report_generation_7499",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Millimetrically sized non-specific stable nodules were observed in both lungs. First of all, pneumonic infiltration is considered in its etiology. There are emphysematous changes and sequela parenchymal defects in both lungs. When examined in the lung parenchyma window; More prominently on the right, there are areas of increase in density consistent with consolidation, in which air bronchograms are also observed in the lower lobes of both lungs.\n<pleura>: No significant pleural effusion was detected.\n<mediastinum>: There are calcified atheroma plaques on the walls of the thoracic aorta and coronary vascular structures. In the mediastinum and bilateral hilar regions, lymph nodes of millimetric dimensions, which are not in pathological size and appearance, are observed. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast and as far as can be observed; The heart is larger than normal.\n<heart>: Pericardial effusion was not detected. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast and as far as can be observed; The heart is larger than normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image. There are degenerative changes.\n<abdomen>: There are calcified atheroma plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nEmphysematous changes in both lungs, parenchymal changes with sequelae and non-specific stable nodules in millimetric sizes.  Increase in heart size.  Calcified plaques of atheroma in the wall of the thoracic aorta and coronary vascular structures.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_o/train_3112_o_1.npy"
        ]
    },
    {
        "id": "report_generation_7501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calcifications are observed around the trachea and main bronchi (Tracheobronchopathy osteochondroplastica). Trachea and main bronchi are open.\n<lung>: Atelectasis-accompanying consolidation areas with increasing size in the lower lobes of both lungs were primarily evaluated as secondary to aspiration pneumonia. Apart from this, ground glass densities, interlobular septal thickenings in the lung parenchyma, and pleuroparenchymal sequelae densities in the left lung apex are observed in the vicinity of the effusion. Interlobular septal thickenings were evaluated as secondary to cardiac load.\n<pleura>: Atelectasis is observed in the basal segments of the lower lobes of both lungs, accompanied by thin pleural effusion in the left hemithorax, which was also observed in previous examinations.\n<mediastinum>: Millimetric lymph nodes with prominent right upper paratracheal aortopulmonary hilar fat content are observed. Calcific plaques are observed in the walls of the aortic arch and coronary artery.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the walls of the aortic arch and coronary artery.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Gastric PEG is observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Calcific plaques are observed in the walls of the aortic arch and coronary artery.\n\nImpression:\n-Atelectasis-accompanying consolidation areas increasing in size in the lower lobes of both lungs were primarily evaluated as secondary to aspiration pneumonia. - Increase in cardiothoracic index"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_p/train_3112_p_1.npy"
        ]
    },
    {
        "id": "report_generation_7503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Diffuse centrilobular emphysematous changes are observed in both lungs. There are sequelae changes in the apex of both lungs in the pleuroparenchymal areas. The findings were evaluated as a continuation of the infectious process, and clinical and laboratory correlation and follow-up are recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. PEG is observed in the stomach. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere is regression in the findings, which were evaluated in favor of aspiration pneumonia in the first plan, which were also observed in the previous examinations, and it is observed in the lower lobe of the right lung in the current examination.  There are emphysematous changes in both lungs.  PEG is observed in the stomach.  There are sequelae changes in the apex of both lungs in the pleuroparenchymal areas."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3112/train_3112_q/train_3112_q_1.npy"
        ]
    },
    {
        "id": "report_generation_7512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are linear atelectasis in the left lung lingula. When examined in the lung parenchyma window; Millimetric nonspecific nodules are observed in bilateral lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There is diffuse density loss in the liver.\n\nImpression:\nLinear atelectasis in the lingula of the left lung.  Nonspecific nodules in bilateral lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3115/train_3115_a/train_3115_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There are interlobular septal thickenings in the bilateral lung apex.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. Adenum with a diameter of 23 mm was observed in the left adrenal gland (-7HU). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3120/train_3120_a/train_3120_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal emphysematous changes are observed in both lungs. There are millimetric nonspecific nodules in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed.\n<heart>: It is observed that the pacemaker electrodes terminate in the apex of the right ventricle. Atheroma plaques are observed in the aorta and coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are observed in the aorta and coronary artery. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodules in both lungs . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3128/train_3128_a/train_3128_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland is atrophic.\n<lung>: There is an area of depanding atelectasis in the basal segments of the lower lobes of both lungs. Focal increase in fissural thickness is observed in the right major fissure. No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal wall thickness was normal.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, a 70 mm cortical cyst is observed in the right kidney. In the upper pole of the right kidney, the hyperdense lesion with a diameter of 12 mm was thought to belong to the hemorrhagic cyst.\n\nImpression:\nCysts identified in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3135/train_3135_a/train_3135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Peribronchial wall thickness increase in both lungs and diffuse irregularity in the bronchial walls are observed. No occlusive pathology was detected in the lumen.\n<lung>: Intense interlobular septal thickening, traction bronchiectasis adjacent to fibrotic fibrosis, and diffuse pleuroparenchymal sequelae increase in density are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; In both lungs, diffuse parenchymal cysts in peripheral subpleural areas, more common in lower lobe basal segments, and honeycomb appearance compatible with interstitial fibrosis are observed. A 2.4x1.4 cm subpleural bulla was observed in the right lung lower lobe laterobasal segment.\n<mediastinum>: In the sternum, secondary suture materials, and in the anterior mediastinum, metallic density increases consistent with ACBG are observed. Millimetric atheroma plaques are observed in the coronary arteries and thoracic aorta. Prevascular right upper paratracheal, paraesophageal, bilateral lower paratracheal subcarinal aortopulmonary lymph nodes with calcification, some of which reached pathological dimensions, were observed around the subcarinal level with fat hiluses of 18x15 mm in size. Within the sections, atheroma plaques are observed on the wall of the abdominal aorta. Thoracic aorta calibration is normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the sternum, secondary suture materials, and in the anterior mediastinum, metallic density increases consistent with ACBG are observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. At this level, the audience with selectable boundaries was not followed. Findings are consistent with chronic liver disease. Millimetric atheroma plaques are observed in the coronary arteries and thoracic aorta. A calculus with a diameter of 1.7 cm was observed in the gallbladder lumen. Widespread tortoised veins are observed between the left kidney and spleen, which may be compatible with splenorenal shunt. The craniocaudal length of the spleen increased by 14.6 cm. The caudate lobe is hypertrophic. No stones were observed in both kidneys within the sections. Within the sections, atheroma plaques are observed on the wall of the abdominal aorta. The pancreas appears normal. Correlation with clinical and laboratory is recommended. As far as can be seen on non-contrast sections, the liver contours are macrolobule and irregular. Thoracic aorta calibration is normal.\n\nImpression:\nMetallic sutures secondary to the operation in the sternum and anterior mediastinum, cardiomegaly. Multiple lymph nodes, some of which are pathological in size, with calcification in the subcarinal area in the mediastinum. Findings consistent with chronic parenchymal disease in the liver.  Cholelithiasis. Splenomegaly, tortuous vascular structures that may be compatible with this level of splenorenal shunt."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3140/train_3140_a/train_3140_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described findings are more pronounced in the lower lobes. The manifestations described are of the type often observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The diameters of the pulmonary arteries are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. It was understood that the patient had undergone coronary by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No enlarged lymph nodes in pathological dimensions were detected. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3146/train_3146_a/train_3146_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7588",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic Bt within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3152/train_3152_a/train_3152_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are a few millimetric nonspecific nodules.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3154/train_3154_a/train_3154_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid is larger than normal and nodular in appearance.\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Mosaic attenuation was observed in both lungs.\n<pleura>: Peribronchovascular axial interstitial and interlobular septal thickening and subpleural band formations are observed in bilateral lung basals, and subsegmental atelectasis is observed in the anterobasal and lateralbasal segments of the right lung lower lobe. Pleural effusion with a thickness of 4.2 cm on the right and 1.8 cm on the left was observed.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: A dilatation in favor of the left heart was observed in the cardiac chambers.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Appearances of degenerative osteophytes were observed in the vertebra corpus corners.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The left kidney was not observed.\n\nImpression:\nCardiomegaly, atherosclerosis Bilateral pleural effusion Changes identified in the lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3162/train_3162_a/train_3162_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectesis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries  Minimal hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3163/train_3163_a/train_3163_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground glass densities in which their enlargement is detected in the vascular structures with a halo sign around the nodular. The azygos fissure lobe is observed. The findings were initially evaluated in favor of the infectious process.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcification is observed in the right adenoma gland. Thoracic aorta diameter is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia (other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance).  Millimetric calcification in the right adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3165/train_3165_a/train_3165_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, multiple nodules, mostly calcific, reaching 3 mm in diameter, were observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebrae are slightly degenerative.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMostly calcific millimetric nonspecific nodules in bilateral lungs.  Mild degeneration of the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3166/train_3166_a/train_3166_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes are present in both lungs. There are linear atelectasis and pleuroparenchymal sequelae changes in both lungs. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Atheroma plaques are observed in the aorta and coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No enlarged lymph nodes in upper abdominal pathological dimensions were detected in the sections. Atheroma plaques are observed in the aorta and coronary artery. There is minimal free fluid in the upper abdomen. No upper abdominal collection or pathologically enlarged lymph nodes were observed.\n\nImpression:\nChronic liver disease at follow-up.  Millimetric nonspecific nodules in both lungs.  Emphysematous changes, atelectasis and pleuroparenchymal sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3167/train_3167_a/train_3167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Tapering of the vertebral corpus end plates and slight compressions on the lung parenchyma, especially on the right side, are observed. When examined in the lung parenchyma window; There are mild atelectatic changes in the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Tapering of the vertebral corpus end plates and slight compressions on the lung parenchyma, especially on the right side, are observed.\n<abdomen>: Thoracic aorta diameter is normal. There are findings consistent with liver parenchymal disease. In the upper abdominal organs, including sections; a small amount of effusion in the perihepatic-perisplenic space.\n\nImpression:\nMild atelectasis secondary to tapering in the vertebral corpus end plates in the lung parenchyma observed in the paravertebral area.  Small amount of effusion in the perihepatic-perisplenic area. Findings consistent with liver parenchymal disease.  Small lymph nodes and varicose veins in the upper abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3167/train_3167_b/train_3167_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Millimetric sized hypodense nodules were observed in both thyroid lobes. US control is recommended.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Millimetric size, non-specific parenchymal nodules were observed in both lungs. There are bilateral mild peribronchial thickenings. Atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the abdominal aorta and iliac artery wall. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: The ascending aorta measures 42 mm in diameter and shows mild fusiform dilatation. Heart size has increased (cardiomegaly). Post-operative suture materials were observed in the pericardium. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum. Hemangiomatous areas were observed in L3 vertebra and T7 vertebra.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. Intra and extrahepatic bile ducts are normal. Seminal vesicles are natural. Periprostatic fatty tissues are clear. The gallbladder has a hydropic appearance. Calcified atherosclerotic changes were observed in the abdominal aorta and iliac artery wall. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. No space-occupying solid or cystic mass lesion is observed. No increase in wall thickness was detected. Contour, size, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. Hypodense lesions of 18x12 mm were observed at the level of liver segment 8, 9x8 mm in size at the junction of segment 8-7, and 8x7 mm in size at segment 6 (cyst?). The contour, size, parenchyma density of the spleen is normal. There are two calculus in the sac lumen, the largest of which is 16 mm in diameter. Contour, size, parenchymal density of the liver are normal. A cortical cyst of 12 mm in diameter was observed in the middle zone of the right kidney. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nCardiomegaly.  Fusiform dilatation of the ascending aorta.  Emphysematous changes in both lungs, peribronchial thickenings.  Atelectatic changes in both lungs.  Millimetric sized non-specific parenchymal nodules in both lungs.  Two hypodense lesions (cysts?) in the liver.  Hydropic appearance in gallbladder, cholelithiasis.  Right renal hypodense lesion (cyst).  Calcified atherosclerotic changes in the thoracoabdominal aorta and coronary arteries.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3176/train_3176_a/train_3176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7647",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Mild interlobular septal thickening is observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal, aorticopulmonary lymph node in millimetric size is observed. No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly . Mild interlobular septal thickening in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3177/train_3177_a/train_3177_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. Millimetric nonspecific parenchymal nodules, some of which are calcified, are observed in both lungs. Minimal pleuroparenchymal sequelae density increases are observed in both lungs apical.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNonspecific parenchymal nodules of millimeter size, some calcified, in both lungs. Mild sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3178/train_3178_a/train_3178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7649",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Heterogeneity in the parenchyma in both lobes and millimetric calcifications on the left are observed. The thyroid gland is left lobe hypertrophic.\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; An air cyst is observed in the mediobasal segment of the lower lobe of the right lung. A 2 mm diameter calcific nodule is observed in the lateral aspect of the upper lobe posterior segment. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Nodular density is observed in the D7 vertebral corpus (compact bone islet), a slightly sclerotic, lobulated cyst with a diameter of approximately 6 mm is observed at the level extending towards the peduncle on the left in the posterior of the D8 vertebra corpus. Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Sonographic examination is recommended. When the upper abdominal organs included in the sections were evaluated; grade I ectasia is observed in the left kidney pelvicalyceal system. There is a well-defined hypodense lesion in the middle part of the left kidney, which is considered to be compatible with a 38 mm diameter cortical cyst.\n\nImpression:\nNo finding compatible with pneumonia. Hypertrophy in the left lobe of the thyroid gland and heterogeneity in the parenchyma in both lobes. If necessary, USG examination is recommended.  Nodular density is observed in the D7 vertebral corpus (compact bone islet?), a slightly sclerotic, lobulated cyst with a diameter of approximately 6 mm is observed at the level extending towards the left peduncle on the posterior D8 vertebra corpus.  Grade I ectasia in the collecting system in the left kidney, cortical cyst in the middle part of the left kidney ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3179/train_3179_a/train_3179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion-pneumonic infiltration was observed in the lung parenchyma. When examined in the lung parenchyma window; A millimetric calcific nodule was observed in the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A calcific atheroma plaque was observed in the aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lymph node was observed in pathological size and appearance in both supraclavicular fossae. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A mass lesion with a diameter of 21 mm and a value of 2 HU was observed in the left adrenal gland and was evaluated in favor of adenoma. No lymph node was detected in the intra-abdominal pathological dimension and appearance. Millimetric stones were observed in the gallbladder. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. A calcific atheroma plaque was observed in the aortic arch.\n\nImpression:\n· A millimetric calcified nodule in the right lung. · There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma. · Hepatic steatosis. · Cholelithiasis. Left adrenal adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3186/train_3186_d/train_3186_d_1.npy"
        ]
    },
    {
        "id": "report_generation_7686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Atelectasis changes in the lower lobe of the right lung, consolidation area with air bronchogram sign, patchy ground-glass densities at the basal level of the lower lobe of the left lung are observed. Findings were initially evaluated in favor of infectious processes.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. Pes maker double chamber is observed in the superior vena cava. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the aortic arch in the mediastinum.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes were observed in bone structures.\n<abdomen>: Upper abdomen organs are partially included in the examination and were evaluated as suboptimal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aortic arch in the mediastinum.\n\nImpression:\nFindings consistent with infectious processes pneumonia accompanied by cardiac stasis  Small bilateral effusions, more on the right  Increased heart size.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3192/train_3192_a/train_3192_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. Fibrotic sequelae changes were observed in the right lung middle lobe basal segment, lower lobe laterobasal, left lung lower lobe anteromediobasal segments, and pleuroparenchymal fibrotic sequelae. It may be compatible with minor air-vascular diseases. Correlation with clinical and laboratory is recommended.\n<pleura>: Numerous parenchymal-subpleural nodules with a diameter of 6.3 mm in the right lower lobe mediobasal segment and 4 mm in diameter in the left superior lingular segment were observed. Sequelae thickening was observed in the anterior costal pleura along the right lung upper lobe anterior segment and middle lobe medial segment.\n<mediastinum>: As far as can be seen; thoracic aorta and pulmonary artery diameters are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary lymph nodes, some of which did not reach calcified dimensions, were observed.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. As far as can be seen; thoracic aorta and pulmonary artery diameters are normal. Follow-up is recommended.\n\nImpression:\nSliding type hiatal hernia at the lower end of the esophagus . Mosaic attenuation pattern in both lungs may be compatible with small air-vascular diseases. Correlation with clinical and laboratory is recommended .Pleuroparenchymal fibrotic sequelae changes in both lungs. Parenchymal-subpleural nodules in both lungs, follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3214/train_3214_a/train_3214_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance were detected. Several nonspecific nodules with a diameter of 3.5 mm were observed in both lungs, the largest of which was in the posterior segment of the right lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis area is observed in the left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance were detected. Millimetric calcific atheroma plaques are observed in anterior descending coronary artery and aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Millimetric calcific atheroma plaques are observed in anterior descending coronary artery and aorta.\n<esophagus>: There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus.\n<bone>: Vacuum phenomenon consistent with degeneration is observed at the level of the first sternocostal joint. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is a sliding type hiatal hernia at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Millimetric calcific atheroma plaques are observed in anterior descending coronary artery and aorta.\n\nImpression:\nLinear atelectasis area in the upper lobe of the left lung.  Several millimetric nonspecific nodules in both lungs.  Mediastinal millimetric lymph nodes.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3224/train_3224_a/train_3224_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibrations of the trachea and main bronchi are clear.\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. In both lungs, there are peripherally located focal consolidative areas, predominantly peripherally located in all zones. It is recommended to be evaluated together with clinical and laboratory findings in terms of viral pneumonia. It forms a slight consolidation tendency on the left at baseline. A mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?). Pleuroparenchymal linear bands are observed in the left lingular segment (sequelae changes?, band atelectasis?).\n<pleura>: No significant pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. Multiple lymph nodes with partially calcific appearance are observed in the subcarinal area in almost all zones in the mediastinum, the largest of which is measured in the right lower paratracheal area and measuring approximately 20x15 mm. Pulmonary trunk calibration is 35 mm. It is larger than normal.\n<heart>: Both atriums are slightly prominent. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Both adrenal glands are normal. There is a hypodense appearance in the inferior pole of the left kidney, which may be compatible with a cortical cyst in the posterior. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. A nonspecific faint hypodense parenchyma area is observed adjacent to the falciform ligament (area of focal fat?).\n\nImpression:\nWidespread, predominantly peripherally located focal consolidative areas in all zones in both lungs, slight tendency to coalesce on the left at baseline; It is recommended to be evaluated together with clinical and laboratory findings in terms of viral pneumonia.  Hepatosteatosis . Lymph nodes in the mediastinum, the largest at the lower right paratracheal level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3230/train_3230_a/train_3230_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Ground glass densities are observed in both lungs, which form consolidation areas in patches in places. The outlook is in favor of viral pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, liver density decreased, consistent with hepatosteatosis.\n\nImpression:\nTypical-probable Covid-19 pneumonia  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3239/train_3239_a/train_3239_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Slight patchy ground-glass densities are observed in the upper lobe of the left lung superiorly and peripherally in the middle lobe of the right lung. It was evaluated in favor of suspected infectious processes.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the anteriors of the vertebral corpus endplates, and diffuse density reduction in bone structures.\n<abdomen>: There are dilatations in the visible colon loops. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Mild thickenings are observed in the interlobular septa.\n\nImpression:\nSlight patchy ground-glass densities consistent with suspected infectious processes accompanied by cardiac stasis.  Bilateral small-to-moderate effusion.  Atelectatic changes in the lower lobes of both lungs.  Atherosclerotic findings.  Cardiomegaly.  Dilatations with air-fluid leveling in the intestinal loops that can be seen in the upper abdomen.  Diffuse density reduction, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3243/train_3243_a/train_3243_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, stones were observed in the gallbladder lumen in the upper abdominal organs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 2.5 mm diameter calculus was observed in the lower pole posterior of the right kidney. A 1.5 cm diameter hypodense nodular lesion was observed in the lower pole of the right kidney (cyst?).\n\nImpression:\nThere was no finding in favor of infection-mass in the lung parenchyma.  Cholelithiasis.  Right nephrolithiasis. Hypodense nodular lesion (cyst?) in the lower pole of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3246/train_3246_a/train_3246_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific nodules in both lungs. When examined in the lung parenchyma window; Fibrotic changes and minimal central bronchiectasis are seen in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of other vascular structures of the mediastinum is natural. Atheroma plaques calcified to the LAD are observed in the aorta and coronary arteries. Lymph nodes with short axes reaching 10 mm are seen in the mediastinum. There is saccular aneurysmatic focal dilatation at the level of the subclavian artery outlet in the aortic arch.\n<heart>: Atheroma plaques calcified to the LAD are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. The ascending aorta is 43 mm, and the pulmonary artery is 31 mm, and it is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebrae are degenerative. In the left 5th rib, 20x10 mm in size, lytic character and slightly sclerosed lesion is observed laterally.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Atheroma plaques calcified to the LAD are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal. There is saccular aneurysmatic focal dilatation at the level of the subclavian artery outlet in the aortic arch.\n\nImpression:\nAtherosclerosis of the aorta and coronary artery, ectasia in the ascending aorta, focal saccular aneurysmatic dilatation in the aortic arch.  Bronchiectasis, sequelae fibrotic changes, millimetric air cysts and millimetric nonspecific nodules in both lungs.  Degenerative changes in bone structures.  Lytic lesion on left 5th rib lateral."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3247/train_3247_a/train_3247_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. Subsegmentary atelectasis was observed in the medial segment of the right lung middle lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3249/train_3249_a/train_3249_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Emphysematous changes are present in both lungs.\n<pleura>: It is observed that the present pleural effusion findings on the right are totally regressed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the aorta. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in the vertebrae.\n<abdomen>: In the upper abdominal organs included in the sections, there is a cortical hypodense lesion in the upper pole of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are calcific atheroma plaques in the aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3253/train_3253_b/train_3253_b_1.npy"
        ]
    },
    {
        "id": "report_generation_7827",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: Widespread ground-glass-like densities are observed in both lungs, and they have gained a consolidative character in places, and there is also an accompanying bud branch view in the area extending towards the lingular segment, especially in the anterior segment of the right lung upper lobe anterior segment. No lymph node with pathological size and configuration is observed at the hilar level. Although the appearance is suggestive of Covid pneumonia in places, bacterial superinfection cannot be excluded.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the prevascular level, at the aorticopulmonary window, and the largest is measured as 20x11 mm at the prevascular level. It is slightly larger than normal. CTO is normal. The aortic arch calibration is 31 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a mild hiatal hernia.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is slightly larger than normal. Upper abdominal organs included in the sections are normal. The aortic arch calibration is 31 mm.\n\nImpression:\nWidespread ground-glass-like density increases are observed in both lungs, and it has gained a consolidative character in places, and there is a accompanying bud branch view in the area extending towards the lingular segment, especially in the right lung upper lobe anterior segment caudal. Although the appearance is suggestive of Covid pneumonia in places, bacterial superinfection cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3255/train_3255_a/train_3255_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in the left lung parenchyma. Infective pathologies are considered in the etiology of the described findings and post-treatment control is recommended. Areas of increase in density compatible with consolidation, areas of nodular density increase in bud tree appearance are observed in the middle lobe lateral segment lower lobe superior lower lobe mediobasal, anterobasal and laterobasal segments, which almost completely fill the right lung upper lobe.\n<pleura>: A free effusion measuring 13 mm is observed in the deepest part of the right pleural area. Pericardial, left pleural effusion is not observed.\n<mediastinum>: A few short lymph nodes measuring 11.5 mm in size are observed in the right paratracheal area in the mediastinum. Calibration of vascular structures, heart contour and calibration of mediastinal vascular structures, heart contour and size are natural. A few lymph nodes with phosiform configuration are observed. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<heart>: Calibration of vascular structures, heart contour and calibration of mediastinal vascular structures, heart contour and size are natural. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: In the upper abdomen sections within the image, there is a diffuse hypodense appearance secondary to hepatosteatosis in liver parenchyma density.\n\nImpression:\nAreas of consolidation are observed in the above-described localizations in the right lung parenchyma, and infective pathologies are considered in the etiology of the described findings. Post-treatment control is recommended.  Lymph nodes in the right paratracheal area in the mediastinum with a short diameter of more than 1 cm and a fusiform configuration . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3260/train_3260_a/train_3260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Centriacinar nodules observed in the upper lobe of the right lung in the previous examinations of the patient were not observed in this examination. There are millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<mediastinum>: Apart from this, the widths of the mediastinal main vascular structures are normal. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are no enlarged lymph nodes in pathological dimensions. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. As far as can be seen; The port chamber is observed on the right. The port catheter terminates at the superior distal portion of the vena cava.\n<heart>: Heart contour and size are normal. The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. There are atheromatous plaques in the coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Liver parenchyma density within the sections decreased in line with the adiposity.\n\nImpression:\nRectum ca in follow-up  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3275/train_3275_a/train_3275_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Emphysematous changes are observed in both lungs. When examined in the lung parenchyma window; In bilateral bronchial structures, there is diffuse mild ectasia, which is more prominent in the central. No active infiltration or mass lesion was detected in both lung parenchyma. There are ground-glass densities in bilateral lung bases that are primarily considered secondary to the dependent effect.\n<pleura>: In both lung parenchyma, subpleural and intraparenchymal nodules of millimetric dimensions are observed, the largest of which is 8x4 mm subpleural located in the right lung middle lobe, superposed to the horizontal fissure. Pericardial, pleural effusion or thickness increase is not observed.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal. No lymph node is observed in pathological size and appearance in the mediastinum.\n<heart>: Calcific atheroma plaques are observed on the wall of the coronary vascular structures. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. No free fluid or loculated fluid was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDiffuse mild ectasia in bronchial structures in both lungs, emphysematous changes in both lung parenchyma, and subpleural and intrapulmonary nonspecific nodules of millimeter size in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3276/train_3276_a/train_3276_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: However, the presence of an underlying mass cannot be excluded. Evaluation of the patient with clinical and laboratory findings and appropriate follow-up control are recommended. Consolidation is observed in the peripheral area in the anterior segment of the right lung upper lobe anterior segment. The described appearance was primarily evaluated in favor of pneumonic infiltration. There was no mass in both lungs and no appearance compatible with pneumonic infiltration in the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nConsolidation in the anterior segment of the upper lobe of the right lung (appropriate follow-up of the patient is recommended for the presence of an underlying mass.)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3279/train_3279_a/train_3279_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; A 6 mm diameter nodule was suspected in the hilar neighborhood of the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Nodule in the middle lobe of the right lung? If infection is suspected, thin-section CT with contrast is recommended after resolution."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3280/train_3280_a/train_3280_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The findings were evaluated in favor of occupational disease in the first place. No infiltration was observed in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Pleural thickenings with diffuse pleural calcific plaques and nodular appearances are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In case of doubt, advanced examination with contrast upper abdomen CT is recommended. The size of the left adrenal gland was measured up to 26x27 mm. The finding was evaluated in favor of adenoma, and it was evaluated as suboptimal in the non-contrast examination. It is larger than normal. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThe finding described in the left adrenal gland was initially evaluated in favor of adenoma, and further examination, Upper Abdomen Contrast CT is recommended in case of doubt for a better differential diagnosis.  There are findings in favor of occupational disease in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3282/train_3282_a/train_3282_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, ground-glass consolidation areas, which are more common in the lower lobes, localized interlobular septal thickenings in the peripheral areas, and confluence from place to place, are observed, and the appearance is highly suspicious for Covid 19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. The diameter of the pulmonary trunk was 37 mm and was wider than normal (pulmonary hypertension?). As far as can be seen; Calcified atheroma plaques are observed in the thoracic aorta and coronary arteries. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Calcified atheroma plaques are observed in the thoracic aorta and coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; In liver segment 4B, an 18x16 mm hypodense lesion area with no obvious border was observed, adjacent to the anterior portal vein (focal adiposity?). Bilateral adrenal gland thickening was observed. As far as can be seen; Calcified atheroma plaques are observed in the thoracic aorta and coronary arteries.\n\nImpression:\nCalcified atheromatous plaques in the aortic arch and coronary arteries. Increase in the diameter of the pulmonary trunk (pulmonary hypertension?).  Hiatal hernia.  Patchy ground-glass opacities with interlobular septal thickenings, which are more common in the lower lobes of both lungs, more common in the lower lobe and more commonly confluent in the peripheral subpleural areas; outlook highly suspicious for Covid 19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Unlimited area of hypodense lesion (focal lipoidosis?) adjacent to the anterior portal vein in liver segment 4B. Thickening of both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3286/train_3286_a/train_3286_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid glands appear full. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. No mass lesion-active infiltration was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the main vascular structures in the mediastinum, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the main vascular structures in the mediastinum, heart contour and size are normal. Calcific atherosclerotic wall calcifications were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structure in the examination area. Vertebral corpus heights are preserved.\n<abdomen>: A nonspecific hypodense lesion area was observed at the junction of segment 4-8A at the level of the liver dome. Upper abdominal organs as visible on non-contrast sections;. Both kidneys, pancreas and right adrenal gland are normal. Nodular thickening was observed in the lateral crus of the left adrenal gland.\n\nImpression:\nIncrease in thyroid gland size; It is recommended to be evaluated together with US.  Calcific atheroma plaques in LAD.  Pleuroparenchymal sequela atelectatic changes in the right lung middle lobe medial and left lung upper lobe inferior lingular segment.  Nonspecific hypodense lesion (cyst?) at the junction of segment 8-4A at the level of the liver dome.  Nodular thickening of the left adrenal gland lateral crus.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3287/train_3287_a/train_3287_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes and occasional sequelae are observed in both lungs. Right lung volume was minimally decreased. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Bilateral pleural effusion was not detected. In the right hemithorax, calcifications in the pleura are observed.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nEmphysematous changes in both lungs  Local atelectasis in both lungs  Calcifications in the pleura in the right hemithorax  Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3295/train_3295_a/train_3295_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and follow-up of findings in terms of infectious process is recommended. When examined in the lung parenchyma window; Slightly patchy ground glass densities are observed in the basal segments of the lower lobes of both lungs and in the middle lobe of the right lung and the inferior lingula of the left lung.\n<mediastinum>: A few calcific lymph nodes measuring up to 4x5 mm are observed at the carina level in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Hypertrophic osteophytic taperings are observed in the vertebral corpus end plates. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Upper abdominal organs included in the sections are partially observed and no gross pathology was found.\n\nImpression:\nThe findings described in the lung parenchyma were initially evaluated in favor of infective processes. Due to the current pandemic, clinical and laboratory correlation is recommended for the differential diagnosis of Covid-19 viral pneumonia.  Emphysematous findings are present in both lungs.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in end plates are present."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3297/train_3297_a/train_3297_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological increase in wall thickness in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Liver parenchyma density has decreased in line with fatty deposits.\n\nImpression:\nLinear atelectasis in the lingular segment of the left lung upper lobe. Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3300/train_3300_a/train_3300_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Peribronchial soft tissue thickening, more prominent around the apical and posterior segment bronchus of the right lung upper lobe, and ground glass density in the adjacent lung parenchyma, increased peribronchial wall thickness around the right lung lower lobe posterior segment bronchus, and ground glass density in the surrounding lung parenchyma were noted. evaluated in favor of the infective event. Post-treatment follow-up is recommended. Density increases in a reticular manner are observed in the right lung secondary to compressive atelectasis caused by osteophytic taperings in the vertebral corpus end plateaus.\n<pleura>: When examined in the lung parenchyma window; Intrapulmonary and subpleural localized, non-specific, milimetric appearances are observed in both lungs, the largest of which is 4 mm in the posterobasal segment of the lower lobe in the right lung. No pericardial, pleural effusion or thickening was observed.\n<mediastinum>: Lymph nodes are observed in the mediastinal area, the largest in the right paratracheal area, with a short diameter of 8 mm, with fusiform configuration, and without pathological size and appearance. The mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the cardiac examination, and the AP diameter of the ascending aorta was 43 mm, the AP diameter of the descending aorta was 30 mm, and the AP diameter of the pulmonary conus was 31 mm, larger than normal.\n<heart>: There is an increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: There is no pathological increase in wall thickness in the esophagus, and there is a mild hiatal hernia at the lower end.\n<bone>: No lytic-destructive lesion is observed in the bone structures within the image, and there are degenerative changes.\n<abdomen>: In the abdominal sections within the image, a 46x40 mm hypodense nodular lesion located in the parapelvic fluid density in the left kidney and hypodense nodular lesions of fluid density located in the cortical are observed in the left kidney, and it was evaluated primarily in favor of the cyst. The mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the cardiac examination, and the AP diameter of the ascending aorta was 43 mm, the AP diameter of the descending aorta was 30 mm, and the AP diameter of the pulmonary conus was 31 mm, larger than normal.\n\nImpression:\nIncrease in cardiothoracic ratio in favor of the heart, enlargement at the level of the ascending aorta, descending aorta, and pulmonary conus. Peribronchial soft tissue thickening at the level of the right upper lobe apical and posterior segment bronchus, left lung lower lobe segment bronchus, and ground glass density in the adjacent lung parenchyma; The appearances were primarily evaluated as secondary to the infective event, and follow-up CT examination is recommended after the treatment.  Lymph nodes in the mediastinal area that do not have pathological size and appearance.  Mild hiatal hernia . Hypodense nodular lesions of parapelvic and cortical localized fluid density in the right kidney were primarily evaluated in favor of cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3305/train_3305_a/train_3305_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: On the left is a large 5 mm in size in the posterobasal segment of the lower lobe. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma. Nonspecific nodules in millimeter sizes are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo mass or infiltrative lesion was detected in the lung parenchyma. A few on the left, the largest of which is 5 mm in size in the posterobasal segment of the lower lobe. Nonspecific nodules in millimeter sizes are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3306/train_3306_a/train_3306_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No pneumonic infiltration was detected in the lung parenchyma. The described nodules were evaluated in favor of metastasis. Multiple parenchymal nodules of 22x21 mm were observed in both lungs, the largest of which was in the anterior segment of the right lung upper lobe. It is recommended to evaluate the patient together with the history and tissue diagnosis. It may be compatible with primary lung Ca or metastatic lung Ca. When examined in the lung parenchyma window; A mass lesion measuring 10x8.9x10.3 cm was observed in the widest part (anteroposteriorxtransversxcraniocaudal) extending from the anterior segment of the right lung upper lobe to the middle lobe, filling the middle lobe almost completely and compressing the right atrium.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Right upper-bilateral lower paratracheal short axis lymph nodes below 1 cm were observed.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLymph nodes with short axes less than 1 cm in the mediastinum  Right lung upper lobe anterior segment-malignant mass lesion that almost completely fills the lower lobe; . It may be compatible with primary lung Ca or metastatic lung Ca. It is recommended to evaluate the patient together with the history and tissue diagnosis.  Metastatic nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3309/train_3309_a/train_3309_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Mild emphysematous changes were observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta. As far as can be seen; Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: As far as can be seen; Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Upper abdominal sections entering the examination area are natural. No dilatation was detected in the thoracic aorta. As far as can be seen; Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nAtherosclerotic changes.  Mild emphysematous changes in both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3319/train_3319_a/train_3319_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the lower lobe basal segment of both lungs, the medial segment of the right lung middle lobe, and the lingular segment of the left lung.\n<pleura>: A millimetric nonspecific parenchymal nodule was observed in the peripheral subpleural area in the posterior segment of the left lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. The diameter of the pulmonary turuncus was 43 mm and was wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the diameter of the descending aorta was 31 mm, which was larger than normal.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the diameter of the descending aorta was 31 mm, which was larger than normal.\n\nImpression:\nFusiform aneurysmatic dilatation of the thoracic aorta.  Increase in the diameter of the pulmonary trunk.  Calcific atheromatous plaques in coronary arteries. Hiatal hernia. Linear atelectatic changes in right lung middle lobe medial, left lung lingular, and basal segments of both lungs lower lobes. Millimetric nonspecific calcific nodule in left lung upper lobe posterior segment. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3322/train_3322_a/train_3322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_7982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is large, with calcified nodules in millimeters.\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; alveolar-interstitial density increases are observed in both lung lower lobe basal segments (infectious process?).\n<pleura>: In addition, subpleural effusions with a diameter of 10 mm in the thickest part on the right and 9 mm in the thickest part on the left are observed.\n<mediastinum>: Right upper, bilateral lower paratracheal, aortopulmonary lymph nodes measuring 8 mm in narrow diameter are observed. There are calcific atherosclerotic plaques in millimeter size in the aortic arch. The AP diameter of the descending aorta is 3.3 mm and wider than normal.\n<heart>: Calcific plaques are observed on the walls of the coronary artery. The cardiothoracic index increased in favor of the heart. Pericardial thin smear effusion is observed.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Millimetric sized calcules are observed in the gallbladder. Right adrenal medial crus is thick. There are calcific atherosclerotic plaques in millimeter size in the aortic arch. The AP diameter of the descending aorta is 3.3 mm and wider than normal.\n\nImpression:\nMore prominent alveolar interstitial density increases in the lower lobe basal segments in both lungs (infectious process?). Correlation with clinical and laboratory is recommended.  Millimetric sized calculi in the gallbladder, right adrenal medial crus is thick."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3323/train_3323_a/train_3323_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: The outlook was evaluated as compatible with viral pneumonias. Consolidation and ground glass density areas are observed in the left lung lower lobe and upper lobe anterior-inferior lingular segment, right lung upper lobe anterior segment and lower lobe superior segment.\n<pleura>: When examined in the lung parenchyma window; Free effusion up to 30 mm is observed in the deepest part of the left pleural space.\n<mediastinum>: No lymph nodes were detected in pathological size and appearance in both axillary regions. Calcified atheroma plaques are observed on the wall of the coronary vascular structures in the aortic arch. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<heart>: An increase in heart size is observed. As far as can be seen; The ascending aorta is larger than normal with a diameter of 41 mm and a diameter of the pulmonary trunk of 33 mm. There is minimal pericardial effusion. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: Calcified atheroma plaques are observed on the wall of the coronary vascular structures in the aortic arch.\n\nImpression:\nIncrease in ascending aorta and pulmonary trunk calibration, minimal pericardial effusion, calcified atheroma plaques on the wall of the coronary vascular structures in the aorta . Newly developed left pleural effusion . In the lower end of the esophagus sliding hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3332/train_3332_b/train_3332_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: However, early parenchymal involvement may have a similar appearance. In lung parenchyma evaluation; An area of nodular ground glass opacity is observed in the apical segment of the left lung upper lobe. It is monitored as a single focus. It is in a focal focus. Radiological findings were evaluated suspiciously in favor of atypical pneumonia. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Covid pneumonia is included in the differential diagnosis. Clinical follow-up of correlation with clinic and laboratory will be appropriate.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Calcified atheroma plaque is present in LAD. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally. There is a mild siliding type hiatal hernia.\n<bone>: No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, a decrease in liver parenchyma density consistent with moderate hepatosteatosis is observed.\n\nImpression:\nCovid pneumonia is primarily involved in the differential diagnosis of the area of nodular consolidation in the apical segment of the left lung upper lobe. Calcified atheroma plaque, moderate hepatosteatosis, mild sliding type hiatal hernia in LAD."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3342/train_3342_a/train_3342_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Minimal atelectatic changes and ground-glass appearances were observed in the left lung lingula inferior segment and right lung basal.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Lymph nodes with a short diameter of up to 5 mm were observed in the mediastinal prevascular area, in the aortopulmonary window, and in the paratracheal area. No obvious pathology was detected. Mediastinal main vascular structures were evaluated as suboptimal because the examination was without contrast. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The diameter of the ascending aorta was 33 mm. The heart is normal. No pericardial effusion or thickening was detected.\n<esophagus>: Thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No obvious pathology was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. No pathological wall thickening was detected. In the evaluation of the upper abdominal organs included in the sections: The gallbladder is operated.\n\nImpression:\nFibroatelectatic changes and minimal ground-glass appearances in the basals of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3350/train_3350_a/train_3350_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There are stable fibroatelectatic changes in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected. There are fibrotalectatic changes in the bases of both lungs.\n<pleura>: Pleural, pericardial effusion was not detected.\n<mediastinum>: Since the mediastinal main vascular structures and cardiac examination were not contrasted, it could not be evaluated optimally. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Since the mediastinal main vascular structures and cardiac examination were not contrasted, it could not be evaluated optimally. Calibration of vascular structures, heart contour and size are natural. No pathological wall thickening was detected.\n<esophagus>: Thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. In addition, no lymph nodes reaching pathological dimensions were detected in the bilateral axillary region and bilateral supraclavicular area. Vertebral corpus heights are preserved.\n<abdomen>: There are suture materials secondary to the operation in the gallbladder lodge. In the evaluation of the upper abdominal organs included in the sections, within the limits of CT without contrast: Diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density.\n\nImpression:\nNo new advanced pathology was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3350/train_3350_b/train_3350_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Atelectasis is observed in a small area in the medial segment of the right lung middle lobe. Apart from this, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There is an appearance evaluated in favor of the thymus in the anterior mediastinum. Mediastinal main vascular structures are normal. No discernible mass was detected in this localization. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph node was observed.\n\nImpression:\nAtelectasis in a small area in the medial segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3351/train_3351_a/train_3351_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8061",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Peripheral irregularly circumscribed nodular consolidation area is observed in the superior segment of the left lung lower lobe, and it is suspicious for early-stage Covid-19 pneumonia. When examined in the lung parenchyma window; Focal air trapping areas were observed in the lower lobes of both lungs (it is recommended to be evaluated together with clinical and laboratory in terms of small airway diseases).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: It is recommended to be evaluated together with USG in terms of gynecomastia. Irregularly circumscribed soft tissue densities were observed in the bilateral retroarveolar area.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in the sections, stone densities with diameters below 3 mm were observed in the upper and middle poles of the right kidney and the middle pole of the left kidney.\n\nImpression:\nIrregularly circumscribed soft tissue densities in bilateral retroareolar areas are recommended to be evaluated together with USG for gynecomastia.  Focal air trapping in the lower lobes of both lungs; It is recommended to be evaluated together with clinical and laboratory in terms of small airway diseases.  Peripheral localized and irregularly limited focal consolidation in the left lung lower lobe superior segment is suspicious for early Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Bilateral nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3356/train_3356_a/train_3356_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8063",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are emphysematous changes in both lungs. However, the presence of an underlying mass cannot be excluded. There are millimetric nonspecific nodules in both lungs. In the medial segment of the right lung middle lobe, an irregular bordered nodular appearance measuring 25x15mm and a ground glass area are observed around it. When the described appearance was evaluated together with the clinical preliminary diagnosis of the patient, it was thought that it was primarily due to infective pathology. It is recommended to control the patient with CT after appropriate treatment. Atelectasis is observed in the right lung middle lobe medial segment and left lung lingular segment.\n<pleura>: There is an appearance evaluated in favor of atelectasis in the lung adjacent to the pleural effusion on the right. Minimal pleural effusion is observed on the right. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were observed. The diameters of the aortic arch and descending aorta are normal. There are millimetric lymph nodes in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries. The main pulmonary artery diameter was 30mm and wider than normal.\n<heart>: As far as can be observed: The heart is larger than normal. The anterior-posterior diameter of the ascending aorta was 46mm and wider than normal.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nSlightly irregular bordered nodular appearance in the middle lobe of the right lung and a ground glass area around it. (The patient should be evaluated for infective pathologies and checked for the presence of an underlying mass after appropriate treatment.)  Emphysematous changes in both lungs and atelectasis in places.  Millimetric nodules in both lungs. Pleural effusion on the right.  Cardiomegaly, dilatation of the ascending aorta and fusiform aneurysm, atherosclerotic changes in the aorta and coronary artery, increased pulmonary artery diameters. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3357/train_3357_a/train_3357_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Scattered and patchy ground-glass opacities are observed in both lungs, especially in the lower lobes. These findings are also frequently observed in Covid-19 pneumonia. The outlook is in favor of viral pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearance that may be compatible with typical-probable Covid-19 pneumonia. It is recommended to evaluate the patient together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3360/train_3360_a/train_3360_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The spread and appearance of the described findings are in the manner frequently observed in Covid-19 pneumonia. Peripheral and centrally located ground glass areas and consolidations are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described findings are more pronounced in the lower lobes of the lung and in the peripheral areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<heart>: There is a stent in the left anterior descending coronary artery.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3367/train_3367_b/train_3367_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8099",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mucus plugs were observed proximal in the tracheal lumen. Both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse interlobular septal thickness increases were observed in both lungs, which was primarily evaluated as secondary to cardiac stasis. There are areas of increase in density consistent with consolidation, in which air bronchograms are also observed in the right lung lower lobe posterobasal segment, left lung lower lobe and upper lobe inferior lingular segment, accompanied by diffuse peribronchial thickness increases in both lungs. Pneumonic infiltration is considered in the etiology of the findings.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: In the mediastinum, fusiform lymph nodes with a short diameter of up to 12 mm in the subcarinal level were observed in the prevascular, aorticopulmonary window, paratracheal, and subcarinal areas. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the diameter of the pulmonary trunk was 32 mm, the right pulmonary artery was 27 mm, and the left pulmonary artery was 27 mm, and it was wider than normal. Calcified atheroma plaques were observed in the wall of the aortic arch and the wall of the coronary vascular structures.\n<heart>: An increase in heart size was observed. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: In both axillary regions, no lymph nodes in pathological size and appearance were observed in the supraclavicular fossa. No lytic or destructive lesions were observed in the bone structures in the study area. Transpeduncular screw nail materials applied to the vertebral corpuscles at the lower thoracic level were observed.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image. A hyperdense stone was observed in the gallbladder lumen. Calcified atheroma plaques were observed in the wall of the aortic arch and the wall of the coronary vascular structures.\n\nImpression:\nMucus plugs proximal to the trachea  Increased pulmonary conus and both pulmonary artery caliber, increased heart size, calcified atheroma plaques on the wall of the aortic arch and coronary vascular structures  Smooth interlobular septal thickness increases in both lungs; evaluated as secondary to cardiac stasis.  Diffuse peribronchial thickness increases in both lungs accompanied by increases in density consistent with consolidation evaluated in favor of pneuonic infiltration in the lower lobes  Short diameter in the mediastinum, some of which have a fusiform configuration over 1 cm  Calcified lymph nodes  Degenerative changes in bone structures  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3373/train_3373_a/train_3373_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration or mass lesion was detected in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease?small vessel disease?). There is an increase in density consistent with atelectasis in the form of a linear band in the left lung lingular segment.\n<mediastinum>: There are calcific atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures. Mediastinal main vascular structures, heart contour, size are normal. In mediastinal lymph node stations, no pathologically enlarged lymph nodes were detected in both axillary regions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Materials secondary to the operation are observed in the gallbladder lodge. In the upper abdominal organs included in the sections, there is a diffuse hypodense appearance secondary to liver parenchymal density hepatosteatosis.\n\nImpression:\nCalcified atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures . Mosaic attenuation pattern in both lungs (small airway disease?small vessel disease?).  Nonspecific nodules in millimeter sizes, some of which are calcified in both lungs, . Hepatosteatosis . Degenerative changes in bone structures ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3374/train_3374_a/train_3374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders of both lungs was detected. A band atelectatic change was observed in the inferior lingular segment of the left lung. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease?small vessel disease?). Due to the current pandemic, it is recommended to evaluate and follow up with clinical and laboratory in terms of Covid-19 pneumonia. A ground-glass nodular lesion with a diameter of 6.6 mm was observed adjacent to the fissure in the superior segment of the lower lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Accessory spleen with 11 mm diameter was observed in the inferior of the splenic hilus.\n\nImpression:\nMosaic attenuation pattern in the lower lobes of both lungs (small airway disease?small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. Due to the current pandemic, it is recommended to evaluate and follow up with clinical and laboratory in terms of Covid-19 pneumonia.  Band atelectatic change in the inferior lingular segment of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3379/train_3379_a/train_3379_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8117",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Due to its lesion character, it has been interpreted primarily in favor of Covid-19 pneumonia. Nodular consolidation area is observed in the peribronchial area in the anterior segment of the right lung upper lobe. However, due to its localization and monitoring of the lesion in a single area, follow-up CT of the patient is recommended after treatment. When examined in the lung parenchyma window; right lung capacity is decreased secondary to scoliosis.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Wide scoliosis is observed in the thoracic region with its opening to the left.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Multiple kidney stones are observed in both kidneys included in the examination. Upper abdominal organs included in the sections are normal. The proximal ureter, which is included in the left kidney examination area, is minimally evident.\n\nImpression:\nDue to the area of nodular consolidation in the anterior segment of the right lung upper lobe and the lesion character, Covid-19 pneumonia was considered primarily. However, the patient's post-treatment follow-up CT examination is appropriate due to the localization and a single lesion.  Multiple kidney stones are observed in both kidneys ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3380/train_3380_a/train_3380_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in both lungs apical. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. Subsegmentary atelectatic changes were observed in the left lung inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. As far as can be seen; In the mediastinal upper-lower paratrecheal, prevascular, and subcarinal areas, the short axis of the largest one is smaller than 7 mm, some of which are calcified lymph nodes. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Millimetric sized calcifications were observed in the spleen. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSubsegmental atelectatic changes in the left lung and sequelae in both lungs apical.  Mediastinal milimetric lymph nodes, some of which are calcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3384/train_3384_a/train_3384_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe and left lung upper lobe inferiolingular segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; A minimal hypodense lesion of approximately 35x33 mm in size, which could not be characterized within the borders of non-enhanced CT, was observed in the peripheral subcapsular localization at the junction of the liver segment 5-8. A 2.5 mm diameter calculus was observed in the upper pole of the left kidney.\n\nImpression:\nPleuroparenchymal fibroatelectasis sequelae changes in right lung middle lobe and left lung upper lobe inferiolingular segment  Hiatal hernia  Peripheral subcapsular localized hypodens lesion at the junction of liver segment 5-8, uncharacterized on non-contrast examination  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3402/train_3402_a/train_3402_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, left main bronchus is open. Tracheal cannula is observed.\n<lung>: There are minimal emphysematous changes in both lungs. In the right lung upper lobe posterior, middle lobe lateral, and lower lobe superior, a mass that causes obstruction in the bronchial structures with infiltrative character and whose borders cannot be clearly distinguished from the adjacent atelectasis lung parenchyma is observed, therefore the size of which cannot be given clearly. Nonspecific nodules measuring 3.5 mm in size in the posterobasal lower lobe on the right and 5.5 mm in diameter in the left inferior lingular segment are observed in both lungs.\n<mediastinum>: In the left adrenal region, a mass with the longest axis measuring approximately 100 mm is observed in large axial sections whose borders cannot be clearly distinguished from the abdominal aorta medially, the pancreatic body-corpus anteriorly, the small crotch of the stomach, the left kidney midzone-upper pole posteriorly, and the spleen midzone laterally. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Pericardial effusion-thickening was not observed. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be seen; Calibration of vascular structures, heart contour, size is normal.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: Neighboring the mass, metastatic bone lesions causing expansion and cortical destruction are observed in the anterolateral aspect of the right 3rd, 4th, and 5th ribs.\n<abdomen>: In the left adrenal region, a mass with the longest axis measuring approximately 100 mm is observed in large axial sections whose borders cannot be clearly distinguished from the abdominal aorta medially, the pancreatic body-corpus anteriorly, the small crotch of the stomach, the left kidney midzone-upper pole posteriorly, and the spleen midzone laterally. In the upper abdominal sections within the image, a mass of soft tissue density is observed in the right adrenal gland, with the longest axis measuring approximately 65 mm in axial sections.\n\nImpression:\nInfiltrative mass in right lung upper pole posterior, middle zone lateral and lower lobe superior, metastatic bone lesions causing bony expansion and cortical destruction in the right 3rd, 4th, 5th rib anterolateral adjacent to the mass, nonspecific nodules in millimeters and minimal nodules in both lungs emphysematous changes.  Right pneumothorax.  Metastatic masses in both adrenal sites.  Nodular thickness increases in the peritoneum adjacent to segment 6 of the liver and lower pole of the spleen, and nodular soft tissue density lesion in the omental fatty tissue adjacent to the hepatic flexure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3414/train_3414_a/train_3414_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Variational lingular lobe is observed. Scattered subsegmental atelectasis and sequela fibrotic densities are observed in both lungs. When examined in the lung parenchyma window; Diffuse emphysematous changes are observed in bilateral lungs.\n<pleura>: There is pleural effusion in bilateral lungs reaching 3 cm on the right and 3.5 cm on the left.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with a short axis not exceeding 5 mm are observed in the mediastinal area.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. A collection area is observed around the ascending aorta, which cannot be characterized due to the lack of contrast in the examination. The diameter of the ascending aorta has increased, especially at the valve junction. There is minimal pericardial effusion.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific atheroma plaques in the aorta and coronary arteries.  Minimal fluid density in the vicinity of the ascending aorta, especially at the valve junction, which cannot be characterized due to the lack of contrast in the examination (Postop change?).  Diffuse emphysema in both lungs.  Pleural effusion in both lungs.  Calcific atheroma plaques in the aorta and coronary arteries.  Variational lingular lobe on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3416/train_3416_b/train_3416_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In his current examination, there are frosted glass areas in crazy paving pattern, in addition to the current examination, which is new in the previous examination and is more prominent in the upper lobe of the left lung. It is known that the patient was followed up for IPF, and there are findings consistent with interstitial lung disease in both lungs and are followed in the patient's previous examination. The described appearances are thought to be secondary to IPF, and during the pandemic, the appearances may also be compatible with Covid-19 pneumonia. These frosted glass areas described can be observed in the peripheral and central parts and show a significant increase.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The diameters of the pulmonary arteries are normal. The lymph node dimensions observed in the mediastinum are measured up to 12 mm in the short axis and do not show a significant difference. It is recommended that the patient be evaluated together with clinical laboratory correlation findings. No filling defect compatible with embolism was detected in the pulmonary arteries and their branches.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3420/train_3420_a/train_3420_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid is larger than normal and nodular in appearance.\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: Volume reduction, reticular density increases suggestive of fibrosis, and traction bronchiectasis were observed in the upper lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, crazy paving appearances and consolidations were observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<breast>: There is a 17x12 mm thick cortical lymph node in the right axilla.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. An exophytic cortical cyst of 4.1 cm in diameter was observed in the upper pole of the right kidney. Compensatory hypertrophy was observed in other lobes. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Fibrosis, bronchiectasis Nodular goiter Right renal cyst Atherosclerosis Cortical cyst in the right kidney Degenerative changes in bone structures Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3423/train_3423_a/train_3423_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Density increases and ground glass densities compatible with consolidation are observed in the right lung upper lobe posterior and lower upper lobe lateral and posterobasal segments, and left lung lower lobe posterobasal, lateral and anterior segments. Viral pneumonia is considered in the etiology of the described findings.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures within the image, and an increase in thoracic kyphosis, vacuum phenomenon in the lower thoracic intervertebral disc distances, sclerosis adjacent to the disc distance and in the plateaus were noted.\n<abdomen>: Thoracic aorta diameter is normal. No Pathology was detected in the upper abdomen sections within the image.\n\nImpression:\nConsolidation areas, which were evaluated as secondary to viral pneumonia, were observed primarily in the lower lobe of both lungs and the posterior of the right lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3426/train_3426_a/train_3426_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3434/train_3434_a/train_3434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal. A ground-glass-like nodule of approximately 7. Two adjacent nodules, the largest of which is 7. not detected. No pathological size and configuration of lymph nodes were detected at both hilar levels. A nodule with a diameter of 5. A nodule with a diameter of approximately 5.5 mm is observed at the anterior-apicoposterior segment transition level of the upper lobe of the right lung. Mild thickening is observed in the right middle lobe of the peribronchovascular sheath.\n<pleura>: Pleural effusion, significant pleural thickening or pneumothorax are not observed in both lungs.\n<mediastinum>: Mediastinal pathological size and configuration of lymph nodes were not detected. CTO is normal. The aortic arch was calibrated at 37 mm and was wider than normal. Calibration of other major vascular structures in the mediastinum is natural. Millimetric calcific atheroma plaques are observed in the coronary arteries and at the level of the aortic arch.\n<heart>: Millimetric calcific atheroma plaques are observed in the coronary arteries and at the level of the aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Sonographic control examination is recommended. CTO is normal. The aortic arch was calibrated at 37 mm and was wider than normal. In the sections passing through the upper abdomen, geographical fat in the liver and an area protected from fat near the gallbladder are observed. Near the neck of the gallbladder, a density of approximately 2.5 mm in diameter is observed at a level that can fit proximal to the cystic duct. Millimetric calcific atheroma plaques are observed in the coronary arteries and at the level of the aortic arch.\n\nImpression:\nAlthough multiple nodules were observed in both lungs, no significant difference in number and size was detected.  Hepatosteatosis.  Near the neck of the gallbladder, a density of approximately 2.5 mm is observed at a level that can fit proximal to the cystic duct. Sonographic examination is recommended.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3445/train_3445_a/train_3445_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Nodular consolidation areas with crazy paving pattern and vascular expansion finding in the lower lobe posterobasal in the left lung and peripherally located in the upper lobe, with ground glass areas are highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Irregularly limited soft tissue densities are observed in the bilateral retroareolar area, and it is recommended to be evaluated together with USG in terms of gynecomastia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nIrregular soft tissue densities in the bilateral retroareolar area; it is recommended to be evaluated together with USG in terms of gynecomastia. Highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Millimetric nonspecific parenchymal nodules in both lungs. Hemangioma in T2 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3450/train_3450_a/train_3450_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is one of the frequently observed findings in Covid-19 pneumonia. The outlook is in favor of viral pneumonia.\n<pleura>: When examined in the lung parenchyma window; Nodular ground-glass areas-consolidation areas are observed in both lungs in a diffuse and patchy manner with subpleural predominance.\n<mediastinum>: Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Advanced calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical - probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3452/train_3452_a/train_3452_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3453/train_3453_a/train_3453_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Air bronchograms are observed within this consolidated area.\n<lung>: When examined in the lung parenchyma window; Widespread and patchy nodular ground glass densities are observed in almost all segments of all lobes of both lungs. These areas tend to coalesce from place to place. Consolidated area is observed in the posterior part of the left lung upper lobe. The findings are consistent with typical-probable Covid-9 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPossible-typical Covid-19 pneumonia should be evaluated together with clinical and laboratory findings. Other viral pneumonias cannot be excluded."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3455/train_3455_a/train_3455_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A few nonspecific nodules less than 5 mm in diameter are observed in both lungs. Occasionally, septal thickenings accompany the basal segments. Radiological findings are quite characteristic for Covid pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there are subpleural infiltration areas in the form of ground glass opacity that become prominent towards the basals.\n<mediastinum>: In the mediastinum, there are bilateral peribronchial and subcarinal lymph nodes with nonspecific diameters less than 1 cm.\n<heart>: There are suture materials in the coronary arteries (past bypass operation).\n<bone>: The sternotomy line is followed. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, there is a 2 mm diameter calculi image in both kidneys. Two millimetric calculus were observed in the gallbladder lumen.\n\nImpression:\nAtypical pneumonic infiltration in the lung parenchyma, radiological findings are very characteristic for Covid parenchymal involvement. Bilateral nephrolithiasis, cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3462/train_3462_a/train_3462_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: A 6.6 millimeter nodule is observed in the anterior segment of the left lung upper lobe. Active infiltration or mass lesion is detected in both lung parenchyma and there are sequelae changes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: There are calcified atheroma plaques on the wall of mediastinal vascular structures. There are no lymph nodes in pathological size and appearance in both axillary regions in the mediastinum. No pathological LAP was detected in the mediastinum.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: An increase in thoracic kyphosis, osteopenia and osteophytic degenerative effects are observed in bone structures.\n<abdomen>: In the upper abdomen sections within the image, a short diameter 11 mm fusiform lymph node is observed in the left paraaortic area.\n\nImpression:\nSequela changes in both lung parenchyma, mosaic attenuation pattern, nodule in the anterior segment of the left lung upper lobe, calcified atheroma plaques on the wall of vascular structures, lymphadenopathy with a short diameter of 11 millimeters in the left paraaortic area, osteopenia and osteophytic degenerative changes, increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3468/train_3468_a/train_3468_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the middle lobe of the right lung, the lingular segment of the upper lobe of the left lung, and the anteromediobasal segment of the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The catheter terminates at the superior distal portion of the vena cava. Central venous catheter is seen on the right. Although this appearance cannot be evaluated clearly since no contrast material is given, it may belong to a chronic thrombophlebitic change. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Calcifications are observed in the superior distal part of the vena cava, and the superior vena cava diameter is minimally narrowed in this localization.\n<heart>: There is minimal pericardial effusion. Contrast-enhanced CT is recommended if indicated. As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: Liver contours are irregular. Stones were observed in the gallbladder. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. It is recommended that the patient be evaluated for liver parenchymal disease.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, cardiomegaly, minimal pericardial effusion . Calcification in the superior distal vena cava and minimal narrowing in diameter (chronic thrombophlebitic change?).  Mosaic attenuation pattern in both lungs . Atelectasis in both lungs . Irregularity in liver contours . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3470/train_3470_a/train_3470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8312",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. Elongation was observed in the descending thoracic aorta. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Elongation was observed in the descending thoracic aorta. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3472/train_3472_a/train_3472_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lungs, ground glass density increases and crazy paving appearances were observed, with septal thickenings with a common tendency to coalesce in the upper and lower lobes. The outlook can be seen in the advanced stage of Covid-19 pneumonia. In separate diagnosis, other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue diseases may cause similar appearance.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 37 mm and it shows dilatation.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Fusion was observed in the posterior elements at the level of the thoracic vertebrae. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. It is recommended to be evaluated together with clinical and laboratory data in terms of possible inflammatory arthritis.\n<abdomen>: In the upper abdominal sections entering the examination area, the gallbladder has a hydropic appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Clinical and laboratory correlation is recommended.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3483/train_3483_a/train_3483_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<pleura>: In lung parenchyma evaluation, parenchymal and subpleural localized nodular consolidation and ground-glass density areas are observed in both lungs.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, a decrease in liver parenchyma density consistent with grade I hepatosteatosis is observed.\n\nImpression:\nAreas with atypical pneumonic infiltration in the lung parenchyma, radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection. Grade I hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3486/train_3486_a/train_3486_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3489/train_3489_a/train_3489_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid lobes are increased in size. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Pleuroparenchymal fibroatelectatic changes were observed in the middle lobe of the right lung, the inferior lingular segment of the left lung upper lobe, and the basal segments of the lower lobes of both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A thin-walled parenchymal air cyst of 2.5 cm in diameter was observed in the posterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Reticular fibrotic sequelae density increases with minimal emphysematous changes were observed in the apical segments of both lungs as far as can be observed secondary to motion artifacts. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The diameters of the pulmonary trunk right and left pulmonary arteries were 35 mm, 27 mm, and 28 mm, respectively, and were above normal. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be observed, the thoracic aorta calibration is normal. Mediastinal and vascular structures could not be evaluated in the examination performed without contrast. Surgical suture materials secondary to previous surgery in the sternum and anterior mediastinum were observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. On the left, on the anterior chest wall, on the anterior surface of the pectoral muscles, pacemaker and electrodes extending to the apex of the right ventricle are observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Left heart dimensions increased.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Surgical suture materials secondary to previous surgery in the sternum and anterior mediastinum were observed. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse hyperplasia was observed in the left adrenal gland. A parenchymal defect area compatible with chronic sequelae change was observed in the left kidney mid-section lateral. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Upper abdominal organs included in the sections are normal. As far as can be observed, the thoracic aorta calibration is normal. In both kidneys, nodular lesion areas with a diameter of 1.5 cm were observed in the lower pole of the right kidney, the largest of which was fluid density (cyst?). The right adrenal gland is normal. An accessory spleen with a diameter of 7.5 mm was observed in the upper pole anterior of the spleen.\n\nImpression:\nPacemaker on the left anterior chest wall and electrodes extending to the apex of the right ventricle, significant increase in left heart cavities- cardiomegaly, metallic sutures secondary to previous surgery in the sternum and anterior mediastinum, diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries . Pulmonary trunk and both pulmonary arteries increase in diameters . Hiatal hernia . Pleuroparenchymal fibroatelectasis sequelae changes in both lungs . Increases in fibrotic reticular density accompanied by minimal emphysematous changes in the apices of both lungs . Thin-walled parenchymal air cyst in the posterobasal segment of the lower lobe of the left lung . Nodular lesions in fluid density in both kidneys (cyst? ), parenchymal defect area secondary to chronic sequelae changes in the middle part of the left kidney . Diffuse hyperplasia in the left adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3502/train_3502_a/train_3502_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3506/train_3506_a/train_3506_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Diffuse subsegmental atelectatic changes were observed in the lower lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nDiffuse subsegmental atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3506/train_3506_b/train_3506_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the right lung, there are a few millimetric nodular densities up to 5 mm in the upper lobe anterolateral. Ground glass densities are observed in the lower and upper lobe basal segments of the right lung in a slightly patchy manner, more prominently on the left. Clinical laboratory correlation of findings in terms of early onset of viral pneumonia is recommended. No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; There is a small amount of effusion in both hemithorax, more prominent on the right.\n<mediastinum>: There are multiple small lymph nodes in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed. Vertebral corpus heights are preserved. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Both kidney sizes are smaller than normal.\n\nImpression:\nSmall amount of effusion in both hemithorax, more prominent on the right . Ground-glass densities in the lower and upper lobe basal segments of the right lung, slightly patchy, more prominent on the left. Clinical laboratory correlation of findings in terms of early onset of viral pneumonia is recommended.  A few millimetric nodular densities up to 5 mm in the upper lobe anterolateral in the right lung.  Atherosclerosis . Reduction in the size of both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3513/train_3513_a/train_3513_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Covid-19 is atypical in terms of viral pneumonia. When examined in the lung parenchyma window; Centracinar nodular cloud densities are observed in both lungs, especially in the upper lobe apical levels. Small airway disease? small vessel disease? evaluated in its favour.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are hypertrophic osteophytic mild tapering in the end plates of the vertebral corpuscles in the bone structures within the study area.\n<abdomen>: Clinical laboratory correlation and follow-up are recommended. In the upper abdominal organs included in the sections, the density of the liver parenchyma changes in favor of steatosis.\n\nImpression:\nCentriacinar millimetric nodular ground glass densities (small airway disease? small vessel disease?), more prominent at the apical levels of both lung upper lobes, clinical laboratory correlation, follow-up recommended. Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3519/train_3519_a/train_3519_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; An azygos fissure variation was observed in the upper lobe of the right lung.\n<pleura>: Pleuroparenchymal reticular density increases were observed in the apex of both lungs, causing shrinkage in the pleura.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. In the non-contrast examination, the mediastinum could not be evaluated optimally. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Syndesmophytes bridging each other were observed at the mid-thoracic level. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen in the sections, the liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and coronary arteries . Hiatal hernia . Variation of azygos fissure in the upper lobe of the right lung . Increases in pleuroparenchymal reticular density causing pleural retraction in the apex of both lungs . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3520/train_3520_a/train_3520_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8434",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A few lymph nodes are observed at the hilar level, the largest on the right and measuring approximately 13x10 mm. A 4x3 mm nodule is observed in the apicoposterior lingular segment. Some show millimetric calcification. There is a 3 mm diameter nodule in the left lung upper lobe anterior segment lateral. Sequelae changes are observed at the level of the right lung optral lobe. A branch with bud appearance is observed in the posterobasal segment of the lower lobe of the right lung. A ground-glass nodule with a diameter of 4 mm is observed in the laterobasal segment of the lower lobe of the left lung. A nodule with a diameter of approximately 6 mm is observed in the central part of the upper lobe posterior segment.\n<pleura>: In the upper lobe anterior and posterior segment transition, there is a subpleural 3 mm diameter nodule in the lateral.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. Millimetric-sized calcifications are observed in the aortic arch and at the level of the descending aorta. Multiple lymph nodes are observed in the subcarinal area at the prevascular level in the aorticopulmonary window in the upper-paratracheal area, with the largest measuring approximately 20x12 mm in the subcarinal area.\n<heart>: Calcific atheroma plaques and stent appearance are observed in the coronary arteries. CTO is within the normal range.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric-sized calcifications are observed in the aortic arch and at the level of the descending aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild sequelae changes in both lungs .  A few millimetric nodules formation in the lobe of both lungs .  Focal bud branch appearance in the posterobasal segment of the lower lobe of the right lung. It is recommended to be evaluated together with the physical examination findings from the pneumonic infiltration graft.  Lymph nodes in the mediastinum and at the hilar level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3524/train_3524_a/train_3524_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8454",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, there is an increase in density compatible with consolidation around this localization. When evaluated together with the clinical preliminary diagnosis, the described appearance was thought to be compatible with viral pneumonia. Ventilation of both lungs is normal and not detected in both lungs. Peripheral ground glass area is observed in the right lung lower lobe superior segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because no contrast material is given. There are millimetric atheroma plaques in the aortic arch and left coronary artery.\n<heart>: There are millimetric atheroma plaques in the aortic arch and left coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. There is also minimal height loss in the vertebral bodies, most prominently in the T10 vertebra. Intervertebral disc distances are preserved. Widespread low density is observed in the vertebral bodies, consistent with osteopenia.\n<abdomen>: There are millimetric atheroma plaques in the aortic arch and left coronary artery. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAppearance evaluated in favor of viral pneumonia in the superior segment of the lower lobe of the right lung . Low density in the bone structures compatible with osteopenia within the sections . Atheroma plaques in the aorta and left coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3533/train_3533_a/train_3533_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8466",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There are faint ground-glass-like density increments at the posterobasal level in the left lung. On the right, a nonspecific nodule of approximately 5 mm in diameter superposed on the minor fissure is observed. No pathological size and configuration of lymph nodes were detected at both hilar levels. Pleuroparenchymal sequelae changes are observed in the lingular segment. Density increases consistent with emphysema and a mosaic attenuation pattern are observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: There is a 2 mm diameter subpleural calcific nodule at the posterobasal level of the lower lobe of the right lung.\n<mediastinum>: The aortic arch calibration is 34 mm and wider than normal. Calcific atheroma plaques are observed at the level of the aortic arch and coronary arteries. It is wider than normal. The pulmonary trunk calibration was 30 mm, the right pulmonary artery was 30 mm, and the left pulmonary artery was 29 mm, and it was wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: The ascending aorta calibration is 46 mm. Calcific atheroma plaques are observed at the level of the aortic arch and coronary arteries. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: The aortic arch calibration is 34 mm and wider than normal. Calcific atheroma plaques are observed at the level of the aortic arch and coronary arteries. It is wider than normal. In the upper abdominal sections included in the examination, a 35 mm diameter cortical cyst is observed on the posterolateral side of the left kidney in the middle part.\n\nImpression:\nCardiomegaly.  Calibration increases and atherosclerosis in mediastinal major vascular structures.  Findings consistent with emphysema-mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  One to two millimetric nonspecific nodule formations in the right lung and sequelae changes in the left lung.  Left renal cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3538/train_3538_a/train_3538_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Trachea and mediastinum are deviated to the right.\n<lung>: In the previous examination, the size of the largest was measured approximately 20x15 mm and there is an increase in size. A soft tissue density-mass lesion extending to the hilum along the paramediastinal area of the upper lobe of the left lung was observed and was present in the previous examination of the patient. It measures 21mm at its thickest point. There is an effusion in the left fissure, which was observed in the previous examination and measured 8x5 cm in its widest part. The mass lesion encircled the upper lobe bronchus distal to the left main bronchus and narrowed it.\n<pleura>: There are nodular mass lesions, the largest of which is 30x25 mm, extending on the pleural surfaces throughout the aneurysm.\n<mediastinum>: There is an intravascular graft extending from the distal of the ascending aorta along the descending thoracic aorta to the infrarenal region. Intravascular occlusion device is observed in the proximal left subclavian artery. Trachea and mediastinum are deviated to the right. It was understood that postoperative changes in the ascending aorta and bypass grafting of the ascending aorta, right bracketocephalic artery and left carotid artery were performed. At the level of the aortopulmonary window and in the left hilum, pathological lymph nodes, the largest of which are 17x11 mm, were observed. In the descending thoracic aorta, a dissecting aneurysm with a diameter of 97 mm is observed at its widest point.\n<heart>: It was understood that postoperative changes in the ascending aorta and bypass grafting of the ascending aorta, right bracketocephalic artery and left carotid artery were performed. Pericardial effusion-thickening was not observed. The patency of the vascular structures could not be evaluated in the non-contrast examination. Heart contour, size is normal.\n<bone>: Surgical suture materials are observed secondary to bypass surgery in the sternum.\n<abdomen>: There is an intravascular graft extending from the distal of the ascending aorta along the descending thoracic aorta to the infrarenal region. It was understood that postoperative changes in the ascending aorta and bypass grafting of the ascending aorta, right bracketocephalic artery and left carotid artery were performed. In the descending thoracic aorta, a dissecting aneurysm with a diameter of 97 mm is observed at its widest point.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3539/train_3539_b/train_3539_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8472",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Diffuse atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe lingular segments. In addition, interlobular-intralobar septal thickening was observed in the aerated segments of both lungs and it was evaluated in favor of cardiac stasis. When examined in the lung parenchyma window; In the bilateral hemithorax, effusion reaching 4 cm in the thickest part on the right and 5 cm in the thickest part on the left was observed. Both lung lower lobe basal segments are in consolidated appearance. A mixed pattern was observed in the ventilated lung fields (small airway disease? small vessel disease?).\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch. The diameters of the pulmonary trunk, right and left pulmonary arteries were larger than normal with 35 mm, 27 mm and 32 mm, respectively. Several pathological lymph nodes were observed in the bilateral lower paratracheal area, the largest of which was 21x13 mm in size. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; thoracic aorta calibration is natural. In other parts of the mediastinum, lymph nodes with millimetric short axes less than 1 cm, which did not reach pathological dimensions, were also observed.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, scoliosis with the opening facing left and syndes mophytes bridging with each other in the right anterolateral corner were observed.\n<abdomen>: Moderate hydronephrosis was observed in the left kidney (further investigation is recommended for distal occlusive pathology if clinically necessary). In the upper abdominal organs included in the sections, the liver, spleen, and both adrenal glands are normal. Calcific atheroma plaques were observed in the aortic arch. As far as can be seen; thoracic aorta calibration is natural.\n\nImpression:\nCalcific atheroma plaques in the arcus aorta, cardiomegaly, smear-like pericardial effusion . Bilateral lower paratracheal pathologically sized lymph nodes . Bilateral pleural effusion, consolidation with air bronchograms in the lung areas adjacent to the effusion . Right lung medial middle lobe and left lung inferior lingular segment changes . Wide atelectasis Mixed pattern in the ventilated lung fields was evaluated as secondary to cardiac stasis and small vessel-air disease. Moderate hydronephrosis in the left kidney; In case of clinical necessity in terms of distal occlusive pathology, further examination is recommended.  Syndesmophytes bridging each other at the mid-thoracic level and mild scoliosis with left-facing opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3540/train_3540_a/train_3540_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes in both lungs and pleuroparenchymal sequelae changes and linear atelectasis in both lungs were observed. There was no evidence of mass or pneumonic infiltration in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The port catheter terminates at the level of the superior middle part of the vena cava. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in both axillae, bilateral retropectoral and interpectoral regions, mediastinum and hilar regions, and adjacent to internal mammary vessels. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<breast>: No discernible mass was detected in the left breast. As far as can be observed: An implant was observed in the right breast. The described density increase was measured at approximately 15 mm. It is recommended that the patient be evaluated together with USG for a possible breast mass. In the lower outer quadrant of the right breast, there is an increase in nodular density with slightly irregular borders, adjacent to the implant lateral.\n<bone>: No metastatic mass was detected in the bone structures within the sections.\n<abdomen>: A hyperdense appearance is observed in the posterior calyces of the right kidney upper lobe. The described appearance has taken the shape of the calyx. This appearance was thought to be a staghorn stone. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nIn the follow-up, the appearance of the breast ca, the implant in the right breast, the implant in the lower outer quadrant of the right breast, the irregularly circumscribed soft tissue appearance, which is understood to occur in this examination (it is recommended to evaluate with USG).  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Emphysematous changes in both lungs.  Sequelae changes and atelectasis in both lungs.  Millimetric nonspecific nodules in both lungs.  Hyperdense appearance in the upper pole of the right kidney, which may be compatible with a stone."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3547/train_3547_a/train_3547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground glass densities, consolidation areas, and cringing paving patterns are observed in both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are diffuse density increases in bone structures, and there are hypertrophic and osteophytic taperings in the end plates of the vertebral corpuscles.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the study and were evaluated as subopotimal. The gallbladder is operated.\n\nImpression:\nConsolidation and ground-glass density areas in the lung parenchyma with the appearance of a crazing paving pattern. Firstly, clinical and laboratory correlation follow-up is recommended for Viral pneumonia Covid 19. A space-occupying finding cannot be differentiated from the described consolidation areas to the known primary of the patient.  Diffuse density reduction in bone structures, degenerative changes in vertebral corpuscles. The gallbladder is operated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3556/train_3556_a/train_3556_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3559/train_3559_a/train_3559_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are fibrotic changes at the apical levels of both lungs, mild bronchiectasis. No nodular lesion was detected in the lung parenchyma.\n<pleura>: In the left lung, there are nodular densities measuring up to 6 mm in the subpleural larger series 202 image 180 in the inferolingular neighborhood of the lower lobe anteromedially. At these levels described, pleural retraction and atelectatic changes are also present. Atelectatic changes and pleural retraction are also observed in the middle lobe of the right lung. Pleural effusion-thickening was not detected. Especially at the apical levels, pleural recessions are observed in paraseptal emphysema.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A mild calcific atheroma plaque is observed in the aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A mild calcific atheroma plaque is observed in the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. In the left adrenal gland, a 16 mm oval-shaped hypodense finding was primarily evaluated in the direction of adenoma.\n\nImpression:\nFibrotic atethekasic changes and mild at the apical levels of both lungs . Pleural retraction and irregularities observed at the middle lobe level of the right lung, more prominently at the apical levels of both lungs . A few subpleural nodules measuring up to 6 mm in the lower lobe anteromedial in the left lung . Apical What are the sequelae of fibrotic changes and bronchiectasis described at the level? Early viral pneumonia (Covid-19)? In terms of clinical laboratory correlation and follow-up is recommended.  The 16 mm oval-shaped hypodense finding in the left adrenal gland was primarily evaluated in the direction of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3561/train_3561_a/train_3561_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; There are several millimetric nonspecific subpleural nodules in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There are findings in favor of mild hepatosteatosis in the liver parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nSeveral millimetric nonspecific subpleural nodules in both lungs. Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3573/train_3573_a/train_3573_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. There is no mass or infiltrative lesion in both lungs. There is a mosaic attenuation pattern in both lungs, especially in the lower lobes (small airway disease? small vessel disease?).\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Millimetric lymph nodes are observed in the mediastinum and hilar region. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no enlarged lymph nodes in pathological dimensions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. There are no lytic-destructive lesions in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are millimetric stones in the gallbladder. Although the lesion could not be clearly characterized because no contrast agent was given, it was thought to be a cyst when evaluated together with its density. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs. Atelectasis in both lungs.  Mediastinal and hilar lymph nodes. Hiatal hernia.  Cholelithiasis. Hypodense lesion in the left kidney evaluated in favor of a cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3574/train_3574_a/train_3574_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal paraseptal emphysematous areas are observed in the apical segments of both lungs. Interlobular septal thickness increases are observed in both lung lower lobe basal segments.\n<mediastinum>: Thoracic aorta diameter is normal. Several lymph nodes were observed in the mediastinum, the largest of which was in the aortopulmonary area, anterior to the aorta, with a short axis of approximately 1 cm.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal emphysematous changes. Interlobular septal thickness increases in lower lobe basal segments of both lungs, appearance not typical for Covid-19 pneumonia. It is appropriate to evaluate the patient together with clinical and laboratory findings.  Several lymph nodes in the mediastinal area, the largest of which is 1 cm in diameter in the aortopulmonary area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3575/train_3575_a/train_3575_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with a diameter of 14 mm was observed adjacent to the lower pole of the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3585/train_3585_a/train_3585_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the middle lobe of the right lung, there are small consolidated atelectasis areas with air bronchogram sign. Slight patchy ground glass densities are observed in the left lung upper lobe inferior lingula. When examined in the lung parenchyma window; Effusions measuring 20 mm in thickness on the left and 13 mm in thickness on the right in both lungs, clarification in interstitial signs, and a few nodular pieces of ground glass densities are observed at the basal levels of the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. There are several lymph nodes with a short axis measuring up to 5 mm in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Crasentic calcific atheroma plaques are observed in the aortic arch and descending aorta.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Decrease in density, degenerative changes in the endplates, tapering are observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Crasentic calcific atheroma plaques are observed in the aortic arch and descending aorta.\n\nImpression:\nFindings that are a continuation of the infective process in a patient known to be postcovid.  A small amount of effusion, more prominent on the bilateral left.  Lymph nodes with a short axis measuring up to 5 mm in the mediastinum  A small amount of effusion, atherosclerotic changes in both hemithorax  Decrease in density in the bone structures in the examination area, degenerative changes in the endplates, tapering are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3587/train_3587_a/train_3587_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickness increase is observed. Trachea and both main bronchi are open.\n<lung>: Ground-glass areas, especially in the lower lobes, are accompanied by increased interlobular septal thickness and areas of linear atelectasis. There are areas of nodular consolidation in both lungs, more prominently in the upper lobe of the right lung. Findings are consistent with viral pneumonia (COVID 19 pneumonia). Multiple lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Multiple lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. The diameter of the pulmonary trunk was 34 mm and increased.\n<heart>: The diameter of the ascending aorta is 37 mm. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<bone>: There are widespread degenerative changes in the thoracic vertebrae. No lytic-destructive lesion or fracture line was detected.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. No mass with distinguishable margins was detected in the sections passing through the upper abdomen without contrast and containing artifacts.\n\nImpression:\nAreas of nodular consolidation, accompanying ground glass areas, increased interlobular septal thickness, and areas of linear atelectasis in both lungs; findings are consistent with viral pneumonia.  Cardiomegaly, dilatation of the ascending aorta and pulmonary trunk, calcific atheromatous plaques in the aorta and coronary arteries.  Mediastinal lymph nodes.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3587/train_3587_b/train_3587_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8569",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Linear atelectasis was observed in the posterior segment of the right lung upper lobe. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSeveral millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3588/train_3588_a/train_3588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no nodular or infiltrative lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; An intraparenchymal cyst of 7.4 mm in diameter was observed in the superior lingular segment of the right lung. Fibroatelectatic sequelae were observed in the right lung middle lobe medial segment, left lung inferior lingular segment, paracardiac areas, and both lung lower lobe basal segments.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: Diffuse atheroma plaques were observed in the ascending aorta and coronary arteries and in the descending aorta. Lymph nodes with short axes measuring less than 1 cm in the mediastinum that could not reach pathological dimensions were observed. Calibration of the descending aorta is 33 mm at its widest point and has a dolichoectatic appearance.\n<heart>: Diffuse atheroma plaques were observed in the ascending aorta and coronary arteries and in the descending aorta. Heart size increased. Calibration of the ascending aorta is natural. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights in the study area were preserved.\n<abdomen>: A 19x12 mm cortical hypodense lesion area was observed in the upper pole of the right kidney (cyst?). The gallbladder was not observed (operated). Diffuse atheroma plaques were observed in the ascending aorta and coronary arteries and in the descending aorta. Calibration of the descending aorta is 33 mm at its widest point and has a dolichoectatic appearance. The pancreas is natural. A mass lesion compatible with an adenoma was observed in the right adrenal gland corpus, measuring 13x12 mm in which (-)HU values were taken. The left adrenal gland is normal. As far as it can be seen on non-contrast sections, no mass with distinguishable borders was detected in the spleen, liver and both kidneys.\n\nImpression:\nFusiform aneurysmatic dilatation in the descending aorta, cardiomegaly. Sequelae changes in both lungs, intraparenchymal cyst in the anterior segment of the left lung upper lobe.  The hypodense lesion area, which may be compatible with the cyst in the upper pole of the left kidney, is recommended to be correlated with USG.  Right surrenal adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3615/train_3615_a/train_3615_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: No mass-infiltration was detected in both lung parenchyma. Subsegmental atelectasis areas observed in both lungs in the previous examination were not detected in the current examination. When both lung parenchyma windows are evaluated; In both lungs, a few millimetric nonspecific parenchymal nodules were observed, which were stable according to the previous examination.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the case with a history of liver right lobe transplantation in the upper abdominal sections included in the examination area, no significant pathology was found in the non-contrast examination limits. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nLiver right lobe transplantation at follow-up.  Millimetrically sized nonspecific stable parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3624/train_3624_b/train_3624_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is a millimetric calcific nodule in the lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis was observed in the lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There is a 1.5 cm diameter stone in the gallbladder. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nLinear atelectasis in the lower lobe of the left lung . Millimetric calcific nodule in the lower lobe of the right lung . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3627/train_3627_a/train_3627_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8664",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is a decrease in liver parenchymal density consistent with advanced adiposity, as far as can be observed within the limits of unenhanced CT. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nNodules in both lungs . Advanced hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3628/train_3628_a/train_3628_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It has been understood that the mosaic attenuation pattern develops secondary to airway disease. Cystic bronchiectasis foci are observed in the middle lobe and lower lobe of the right lung. When examined in the lung parenchyma window; There is a mosaic attenuation pattern in both lungs. There is an area of pneumonic consolidation in the superior and posterobasal segments of the left lung lower lobe. There are increased bronchial wall thickness in segmental bronchi, tubular bronchiectasis foci, and mucoid impactions that obstruct the bronchial lumens, more prominently in the lower lobes of both lungs.\n<mediastinum>: There are wall calcifications in the aortic arch and thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcified atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a decrease in osteoporotic density in the bone structures entering the image area. Schmorl nodules are observed in the vertebral corpuscles.\n<abdomen>: There are wall calcifications in the aortic arch and thoracic aorta. In the evaluation of the upper abdominal organs included in the sections, the gallbladder was not observed (operated).\n\nImpression:\nMosaic attenuation pattern in both lungs, bronchial wall thickness increase and bronchiectasis dilatation in both lungs, prominent in the lower lobes, mucoid impactions that obstruct the bronchial lumens in the lower lobes. (it is understood that mosaic attenuation develops secondary to small airway disease) . Left lung lower superior and Pneumonic consolidation area in posterobasal segment . Cystic bronchiectasis foci in right lung middle lobe and lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3633/train_3633_b/train_3633_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Paraseptal emphysematous changes were observed in the apex of both lungs and in the posterior segment of the right lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Minimal osteodegenerative changes are observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nParaseptal emphysematous changes in both lung apical and left lung upper lobe posterior segments  Minimal osteodegenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3643/train_3643_a/train_3643_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland is natural and its contours are lobulated. The examination is suboptimal due to respiratory artifact. It is recommended to evaluate with USG.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peripherally located, faintly circumscribed centriacinar millimetric ground glass nodules are observed in the upper lobes of both lungs (chronic bronchitis? smoking history should be questioned). There is an increase in pleuroparenchymal sequela linear fibrotic density in the medial segment of the right lung middle lobe. Focal emphysema area was observed in the posteromediobasal segment of the left lung lower lobe. When examined in the lung parenchyma window; There is a subsegmental atelectasis area in the left lung upper lobe lingula inferior segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripherally located faintly circumscribed centriacinar millimetric ground glass nodules in the upper lobes of both lungs (chronic bronchitis?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3644/train_3644_a/train_3644_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8713",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are sequelae changes in the middle lobe on the right. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level. In the mid-lower zones, there is a mild mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). Sequelae changes are observed in the lingular segment on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Thoracic aorta diameter is normal. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Nodular formation compatible with accessory spleen is observed adjacent to the spleen.\n\nImpression:\nMild mosaic attenuation pattern in both lungs in mid-lower zones (small vessel disease?, small airway disease?) . Mild sequelae changes in both lungs . No obvious finding compatible with pneumonia . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3648/train_3648_a/train_3648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8717",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Multiple ground glass densities are observed in both lungs with a halo sign around the nodules in a patchy manner.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are small lymph nodes measuring up to 6 mm in more than one short axis in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe lung parenchyma of the patient, who was known to be Covid positive 10 days ago, has appearances consistent with diffuse Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.  Small lymph nodes measuring up to 6 mm in multiple short axis in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3651/train_3651_a/train_3651_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8719",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: A stable pulmonary nodule with a diameter of 6 mm was observed in the anterior segment of the right lung upper lobe. Thickening of the interlobular septa in both lungs and structural distortion and volume losses in the lung parenchyma were observed (findings consistent with congestive heart failure and lung fibrosis). Emphysematous appearance is observed in both lung apex.\n<pleura>: The pleural effusion extends to the major fissure and is locally loculated in the upper lobes. Nodular-like thickenings are observed in both pleura and they are stable. More prominent peribronchial thickening in the lower lobes of both lungs and subpleural linear atelectatic changes in both lungs are observed. When examined in the lung parenchyma window; Pleural effusion is observed at a depth of approximately 3.7 cm on the right. There is a stable pleural effusion at a depth of approximately 3.2 cm in the left pleural space.\n<mediastinum>: There are lymph nodes with prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary short axes measuring less than 1 cm, and stable calcific lymph nodes at the subcarinal level are observed. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques were observed in the supraaortic branches of the aortic arch and coronary arteries. Calibration of mediastinal major vascular structures is natural.\n<heart>: As far as can be observed: The heart is observed to be larger than normal. A stable effusion measuring 9 mm was observed in the deepest part of the pericardial area.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs are normal as far as can be seen on non-contrast sections. Calcified atheroma plaques were observed in the supraaortic branches of the aortic arch and coronary arteries.\n\nImpression:\nStable pericardial-pleural effusion . Stable atelectatic changes in both lungs, interlobular septal thickenings and microretractions in the pleura (mild pulmonary fibrosis secondary to congestive heart failure) . Osteodegenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3652/train_3652_a/train_3652_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs are evaluated in the parenchyma window: A wide pneumonthorax reaching 4 cm at its widest point was observed in the left upper lobe of the lung. Diffuse atelectatic changes were observed in both lungs. Mild emphysematous changes were observed in both lungs.\n<pleura>: Between the bilateral pleural leaves, there is a free pleural effusion measuring 30 mm in thickness on the right and 13 mm on the left, and atelectatic changes in the adjacent lung parenchyma.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Density increases of the operation material were observed at the level of the thoracic aorta.\n<heart>: Minimal pericardial effusion was observed. There is metallic density in the aortic valve belonging to the replacement. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Heterogeneous density increases were observed at multiple levels in the bone structures included in the study area. Thorocolumbar kyphosis is increased. There are metallic suture materials belonging to sternotomy on the anterior thorax wall.\n<abdomen>: There are postoperative changes in the stomach in the upper abdominal sections entering the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be observed: Density increases of the operation material were observed at the level of the thoracic aorta.\n\nImpression:\nPostoperative changes in the aorta, wide pneumothorax on the left.  Diffuse atelectatic changes in both lungs and bilateral pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3656/train_3656_a/train_3656_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the trachea and both main bronchial walls and the tracheal bronchial tree wall. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; The left hemidiaphragm is elevated. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Findings are consistent with interstitial lung disease.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. In both lungs, there are interlobular septal thickenings in the peripheral subpleural areas, accompanying honeycomb appearance and micro-retractions in the pleura.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The right kidney was not observed (agenesis?ectopia?) Calcific atheroma plaques were observed in the visceral branches of the abdominal aorta. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 33 mm, larger than normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Both neural foramina are narrowed at the L1-L2 level. Compression fracture characterized by loss of height in L1 corpus vertebra was observed.\n<abdomen>: Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. In the left kidney, hypodense nodular lesion areas with a diameter of 2.5 cm were observed (cyst?). In the evaluation of upper abdominal organs including sections; gall bladder was not observed (operated). No intra-abdominal free or loculated fluid and pathological lymph nodes were detected. The right kidney was not observed (agenesis?ectopia?) Calcific atheroma plaques were observed in the visceral branches of the abdominal aorta. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 33 mm, larger than normal.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Findings consistent with interstitial lung disease in the lung parenchyma; no finding in favor of active infiltration-mass.  Areas of hypodense nodular lesions (cyst?) in the left kidney degenerative changes, compression fracture characterized by loss of height in L1 vertebral body, narrowing in L1-L2 bilateral neural foramen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3657/train_3657_a/train_3657_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration, consolidation or space-occupying lesion was observed. The outlook is significant in terms of interstitial lung diseases and lung diseases progressing to pulmonary fibrosis. In addition, emphysematous changes are observed in the apical segments of the lung.\n<pleura>: Retraction towards the fibrotic area was noted in the pleural area. When examined in the lung parenchyma window; In both lungs, subpleural interlobular septal thickness increases and sometimes honeycomb appearances are observed, which includes all lobes and is more dominant in the lower lobe basal segments.\n<mediastinum>: The diameter of the ascending aorta and thoracic aorta has increased. The evaluation of mediastinal vascular structures is suboptimal as the examination is unenhanced, but it has a natural appearance. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<heart>: No pericardial effusion or thickening was observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophytic tapering compatible with degeneration in the bone structures in the study area and a previous fracture appearance that causes more than 50% height loss in the vertebral corpus, where T12-L1 differentiation cannot be made, are observed.\n<abdomen>: The abdominal organs in the study area have a natural appearance. The diameter of the ascending aorta and thoracic aorta has increased. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nCardiomegaly . Increases in interlobular septal thickness in both lungs may be significant in terms of interstitial lung diseases with pulmonary fibrosis.  Fusiform enlargement in the ascending aorta and thoracic aorta entering the examination area . Sequelae changes in the lung parenchyma . There was no significant finding in favor of active infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3657/train_3657_b/train_3657_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are thickenings of the bronchial walls in the central part.\n<lung>: However, in the new examination, newly developed diffuse ground glass densities are observed in both lungs starting from the central and extending to the periphery, which tends to merge most prominently in the right upper lobe posterior and bilateral lower lobe posteriors.\n<pleura>: When examined in the lung parenchyma window; There are subpleural diffuse reticular density increases and subpleural diffuse millimetric air cyst in the peripheral area in both lung parenchyma.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta and pulmonary trunk are ectatic (43 mm and 31 mm, respectively). Diffuse calcific plaques were observed in the coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: The compression fracture described in the L1 corpus is stable. Diffuse degenerative changes and osteophyte forms are present in the vertebrae in the bone structures within the study area.\n<abdomen>: It was not observed in the right kidney localization in the upper abdominal organs included in the sections. There are cortical millimetric cysts in the left kidney.\n\nImpression:\nNewly developed diffuse ground glass densities on the background of interstitial lung disease in both lungs, findings may be compatible with progressive Covid pneumonia. Apart from this, no significant difference was found between the examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3657/train_3657_c/train_3657_c_1.npy"
        ]
    },
    {
        "id": "report_generation_8748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. However, the presence of an underlying mass cannot be excluded. There are several millimetric nonspecific nodules in both lungs. The described appearance was primarily evaluated in favor of pneumonic infiltration. Consolidation with cavitation in the central part of the anterior and apical segment anterior parts of the right lung upper lobe and centriacinar nodules are observed around them. It is recommended that the patient be evaluated together with previous examinations and clinical and laboratory findings, if any, and to be checked after appropriate treatment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: Atheroma plaques are observed in the aorta. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. It is recommended that the patient be evaluated together with clinical and laboratory findings and further examination if indicated. There is minimal dilatation in both kidney collecting systems and in both ureters within the sections. Pathology that could explain the described dilatation was not detected in this examination.\n\nImpression:\nConsolidation in the upper lobe of the right lung (the described appearance was primarily evaluated in favor of pneumonic infiltration. However, the presence of an underlying mass cannot be completely excluded) . Emphysematous changes in both lungs . Millimetric nonspecific nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Bilateral hydronephrosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3658/train_3658_a/train_3658_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These findings are frequently observed in Coivd-19 pneumonia. There is also patchy consolidation in both lungs. There are atelectasis in both lungs. The views described are not specific. Peripheral and central ground glass areas are observed in both lungs, being more prominent in the lower lobes. However, when evaluated together with the clinical preliminary diagnosis, it was evaluated in favor of infective pathology. No mass was detected in both lungs.\n<pleura>: Minimal pleural effusion is observed on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: The heart is larger than normal. There is no pericardial effusion.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology (viral pneumonia?) in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3663/train_3663_a/train_3663_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: It was evaluated as compatible with Covid-19 pneumonia in the presence of a pandemic. In the evaluation of both lung parenchyma; In both lung parenchyma, extensive peripheral lung tissue and peribronchial consolidation is observed in the form of multiple patches.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: There is a hypodense nodular structure with a diameter of 12 mm in the left adrenal gland and 8 mm in diameter in the medial crus of the right adrenal gland. Point hyperechogenicity is observed in the left kidney. In the localization of the upper pole of the spleen, there is a nodular structure compatible with the accessory spleen with a diameter of approximately 18 m. Calculus is observed in the gallbladder. In sections passing through the upper abdomen, liver parenchyma density decreased in line with hepatosteatosis.\n\nImpression:\nConsolidation in diffuse peripheral lung tissue and peribronchial multiple patches in both lung parenchyma was considered compatible with Covid-19 pneumonia in the presence of Pandemic.  Hepatosteatosis.  Calculus in the gallbladder.  Nodular structure compatible with spleen upper pole and accessory compatible with spleen.  Nodular lesions consistent with a hypodense non-functioning adenoma of 12 mm in diameter in the left adrenal gland and 8 mm in diameter in the medial crus of the right adrenal gland.  Point hyperechogenicity in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3668/train_3668_a/train_3668_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a 5 mm diameter nodule in the left lung superior to the interlobar fissure. At the hilar level, no bilaterally pathologically sized and configured lymph nodes were detected. When examined in the lung parenchyma window; In the anterior segment of the upper lobe of the right lung, superposed nodules with a diameter of 5 mm are observed on a minor fissure with a diameter of 2 mm.\n<pleura>: No significant pleural effusion pneumothorax was detected.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum.\n<heart>: CTO is normal.\n<breast>: If necessary, it is recommended to evaluate with sonography. A nodular formation of approximately 18x15 mm is observed slightly medial to the midline in the lower inner part of the right breast.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. There is a slight decrease in density consistent with hepatosteatosis in the liver. Mild hiatal hernia is observed in the sections passing through the upper abdomen.\n\nImpression:\nNo findings compatible with pneumonia were detected.  Several nonspecific nodules, the largest of which is 5 mm in diameter, in both lungs . Mild hiatal hernia, hepatosteatosis, nodular density in the lower inner part of the right breast. Sonomamographic examination is recommended if necessary."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3669/train_3669_a/train_3669_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. In addition, bud branch appearance and acinar opacities were observed in the laterobasal segment of the lower lobe of the left lung. Post-treatment control is recommended. The left lung upper lobe was not observed secondary to the operation. A nonspecific pulmonary nodule with a diameter of 3 mm was observed in the posterobasal segment of the left lung lower lobe. A few calcified pulmonary nodules measuring 8 mm in diameter were observed in the posterior segment of the right lung upper lobe. Parenchymal fibrosis consistent with structural distortion and a calcified millimetric pulmonary nodule were observed in the apical segment of the right lung upper lobe. A hypodense mass lesion measuring roughly 61x55 mm in size, with a central necrotic character, whose borders could not be clearly evaluated due to lack of contrast, was observed. The appearance is primarily suggestive of an infectious process. The upper lobe bronchus terminates bluntly.\n<mediastinum>: Lymph adenopathies measuring 13x10 mm in size were observed in the upper-lower paratracheal area, in prominent precarinal and subcarinal localization, and the largest in the lower paratracheal localization. Examination showing subcranial extension starting from the hilar region on the left and extending to the suprahilar localization, filling the left prevascular area and obliterating the fatty planes between the aortic arch and the lateral wall, extending to the aorticopulmonary window, extending to the left lower paratracheal locus, concentrically surrounding and narrowing the left pulmonary artery.\n<heart>: A minimal effusion measuring 6 mm was observed in the widest part of the pericardium. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: When the upper abdominal sections in the examination area are evaluated; In the right lobe of the liver, a hypodense lesion with a stable size and appearance was observed, with a diameter of 7. The lesion, which has a similar appearance, is also observed at the level of the left lobe segment 3, and its size is 7.1 mm. At the level of the liver caudate lobe, a stable hypodense lesion with a diameter of 11 mm was observed according to the previous examination. Examination showing subcranial extension starting from the hilar region on the left and extending to the suprahilar localization, filling the left prevascular area and obliterating the fatty planes between the aortic arch and the lateral wall, extending to the aorticopulmonary window, extending to the left lower paratracheal locus, concentrically surrounding and narrowing the left pulmonary artery.\n\nImpression:\nPost-op changes in the upper lobe of the left lung . A mass with central necrotic character extending to the prevascular area at the suprahilar level on the left, extending to and filling the prevascular area at the suprahilar level, with obliterated fatty palnes between the lateral wall of the aorta and the aorta, extending to the aorticopulmonary window and paratracheal area.  Wide area of consolidation in the distal mass, bud branch appearance and acinar opacities in the lower lobe of the left lung have recently emerged in the current examination and suggest an infectious process in the first place. Clinical and laboratory correlations are recommended.  Mediastinal lymphadenopathies . Stable hypodense lesions in the liver (cannot be characterized in this examination. )"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3671/train_3671_a/train_3671_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Diffuse patchy form in both lungs, mostly subpleural, ground glass densities observed in the center, lower vascular dilations are present at the level of densities described.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: it is natural. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including the sections, changes in favor of steatosis are observed in the liver parenchyma.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. It can cause similar appearance to other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease. Clinical and laboratory correlation is recommended. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3672/train_3672_a/train_3672_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<pleura>: It is observed that pleural effusion develops in the deepest part of the right pleural area, 60 mm in the left and up to 30 mm in the left, and there are areas of increased density secondary to atelectasis in the adjacent lung parenchyma.\n<heart>: In addition, an effusion measuring 30 mm in the deepest part of the pericardial area is observed. There is an increase in the cardiothoracic ratio in favor of the heart. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3675/train_3675_a/train_3675_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, linear atelectasis is observed in both lung parenchyma. No mass lesions were detected in both lungs. The ground-glass densities described in the right lung lower lobe in the previous CT examination show regression in the current examination, and there are ground-glass densities in the right lung lower lobe superior segment with unclear borders, which are primarily evaluated as secondary to infective pathologies.\n<mediastinum>: No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. In addition, no lymph nodes in pathological size and appearance were observed in both axillary regions and at the supraclavicular level. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<heart>: The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: No free fluid or loculated collection was observed in the upper abdominal sections within the image.\n\nImpression:\nNonspecific ground-glass areas defined in the previous CT examination in the right lung lower lobe show regression in the current examination, and the lower lobe superior In this segment, vaguely limited areas of ground glass are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3675/train_3675_b/train_3675_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Since the patient is not breathing properly during the examination, the lung parenchyma cannot be optimally evaluated in terms of focal lesion. There are millimetric nodules in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). No mass or infiltrative lesion in both lungs was detected in this examination.\n<pleura>: Atelectasis is observed in the lower lobe of the right lung adjacent to the pleural effusion. Bilateral minimal pleural effusion, more prominent on the right, is observed. There is no pleural thickening.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions and with short diameters less than 1 cm. No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. Pericardial thickening was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAML on follow-up . Bilateral minimal pleural effusion . Minimal pericardial effusion . Mosaic attenuation pattern in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3675/train_3675_d/train_3675_d_1.npy"
        ]
    },
    {
        "id": "report_generation_8790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, no significant nodule or mass appearance was detected in both lungs. There are thickenings in the interstitial scars in both lungs, and slight increase in bronchial thickness. There was no lymph node that reached pathological size and configuration at both hilar levels. Slight thickening appearances are observed in interlobar fissures. In the old examination, it was 17 mm and there was a significant increase. In the evaluation of both lungs in the parenchyma window; A parenchymal calcific nodule of about 5 mm, which was also observed in the previous examination, is observed in the superior segment of the left lung lower lobe and causes slight recession in the interlobar fissure.\n<pleura>: On the right, there is a prominent pleural effusion extending from the basal to the upper zones.\n<mediastinum>: In the mediastinum, in the upper-lower paratracheal area, at the prevascular level, millimetric lymph nodes are observed. It is normal. Pulmonary trunk calibration was measured as 27 mm. Calibration of vascular structures at other levels, and the calibration of mediastinal main vascular structures are natural.\n<heart>: While the CTO rate of the case was 0.4 in the previous review, it was 0.6 in the current review. CTO increased in favor of the heart. The case has mild pericardial thickening-effusion appearance.\n<breast>: Breast tissue is slightly prominent on both sides.\n<bone>: It is recommended to evaluate the case with MRI if necessary for the clavicles. Mild irregularity in the contours of the right clavicle and heterogeneity in the medullary cavity are observed. Degenerative changes are observed in the bone structure.\n<abdomen>: However, it is seen in a full view, although it is partially entered into the image. Right adrenal is normal. It is natural in the parts of the collecting system that can be observed in both kidneys. However, calcifications are observed in both adrenals. In the non-contrast examination, the liver and spleen parenchyma are normal in the sections passing through the upper abdomen. Left adrenal is full.\n\nImpression:\nCardiomegaly, mild pericardial thickening-pleural effusion, prominent bilateral effusion on the right, smooth prominence in interlobular septa (it is recommended to be evaluated together with the clinic in terms of cardiac stasis) . Calcific millimetric nodule observed in the previous examination in the left lung lower lobe superior segment . Degenerative changes in bone structure . In the right clavicle slight irregularity in contours and heterogeneity in the medullary cavity; It is recommended to evaluate the case with MR if necessary for the clavicles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3675/train_3675_f/train_3675_f_1.npy"
        ]
    },
    {
        "id": "report_generation_8811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Heterogeneity is observed within the defined consolidated area, and millimetric densities belonging to a possible part of bronchial calcification are observed in places, and there is a more hypodense appearance in the center, which is considered to be compatible with necrotic areas, but it cannot be evaluated how much of it may be due to postobstructive atelectasis.\n<lung>: At the left hilar level, no pathologically sized and configured lymph nodes are observed. There is a baseline cystic bronchiectasis appearance in the left lung. It showed an increase in size of approximately 10% on the long axis. Sequelae changes are observed in the left lung at the apical level. Focal consolidation area is observed in the right lung upper lobe posterior segment paramediastinal area and is also present in the previous examination. There is mild compressive atelectasis in the right lung adjacent to it. In the middle lobe of the right lung, thickening and focal consolidation in the peribronchial scars are observed. At the apical level, thickening and focal consolidation are observed. Both lungs show a decrease in density consistent with emphysema. In the current examination, there are also consolidation areas at the levels extending from the central to the posterior in the upper lobe and an increase in the ground glass-like densities around it. It was learned from previous examinations that he was being followed up due to lung Ca, in the paramediastinum area in the anterior segment of the right lung upper lobe, in the non-contrast examination, its dimensions, internal structure and neighborhood relations could not be clearly evaluated.\n<pleura>: No significant pleural effusion was detected in the left lung. In the patient, there is a pleural effusion with a thickness of 31 mm (15 mm in the previous examination) in the right lung and it extends to the apex.\n<mediastinum>: Calibration of the aortic arch and other mediastinal major vascular structures are natural. No pathological size and configuration lymph nodes are observed at the level that can be observed in the mediastinum.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening is present.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes in the bone structure and heterogeneous internal lesions compatible with metastasis are observed. There is a pathological fracture in the T2 vertebra that causes about 80% loss of height. Anterior angulation is observed in the anterior vertebral column at this level.\n<abdomen>: The defined lesion extends to the supradiaphragmatic area and mild effusion is observed at this level. A solid mass lesion with milimetric calcifications with heterogeneous microstructure borders and indistinguishable from the vena cava is observed in the right adrenal. There is also a smaller nodular appearance in the left adrenal genus. Calibration of the aortic arch and other mediastinal major vascular structures are natural. No significant difference was found in the rough evaluation.\n\nImpression:\nAs far as can be evaluated; In the upper lobe of the right lung, there is a stable-looking consolidated area in the paramediastinum area. It is not clear how much of the consolidated area is a mass lesion.  There are also consolidated areas, including air bronchograms, in the upper lobe and lower lobe superior segments of the right lung. According to his previous review, there is mild progression.  The appearance of cystic bronchiectasis at the mediobasal level of the lower lobe of the left lung.  A roughly stable-appearing hypodense lesion in the liver.  Probable metastatic mass lesion with heterogeneous internal structure in the right adrenal.  Diffuse metastatic lesions in the bone structure and pathological fracture in the D2 vertebra that caused approximately 80% loss of height."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3684/train_3684_a/train_3684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse centrilobular emphysematous changes are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are calcific atheromatous plaques in the coronary arteries and aorta. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Esophageal varices are observed.\n<bone>: There is a decrease in density in the bone structures in the examination area, and there is a significant loss of height in the L1 vertebral body.\n<abdomen>: There are calcific atheromatous plaques in the coronary arteries and aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal. Liver parenchyma has an appearance compatible with liver S.\n\nImpression:\nEmphysematous changes in both lung parenchyma.  Appearances compatible with Liver S.  Atherosclerotic changes.  Esophageal varices.  There is significant height loss in the L1 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3686/train_3686_a/train_3686_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is bilateral tubular bronchiectasis. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are diffuse ground-glass areas in both lungs, and peripherally weighted patch-like consolidation areas in the lower lobes accompanied by air bronchograms. There are accompanying interlobular septal thickness increases. Compatible with viral pneumonia (COVID 19 pneumonia). There are more prominent emphysematous changes and bulla-bleb formations in the upper lobes of both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: There are calcific atheroma plaques in the anterior descending coronary artery and aortic arch. A few lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the prevascular area, and no enlarged lymph nodes in pathological size and appearance are detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. There are calcific atheroma plaques in the anterior descending coronary artery and aortic arch.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Within the sections, there is a lytic-destructive lesion in the right scapula, the borders of which cannot be clearly distinguished on non-contrast examination.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction. There are calcific atheroma plaques in the anterior descending coronary artery and aortic arch. Coarse calcification is observed in the left lobe of the liver.\n\nImpression:\nDiffuse ground-glass areas in both lungs, more prominent in the lower lobes, peripherally weighted patchy consolidations with air bronchograms; compatible with viral pneumonia.  More prominent diffuse emphysematous changes in the upper lobes of both lungs, bulla-bleb formations, accompanying interlobular septal thickness increases, bilateral tubular bronlectasis.  Mediastinal millimetric lymph nodes.  Hiatal hernia.  Calcific atheroma plaques in the aorta and anterior descending coronary artery.  Lytic-destructive lesion in the right scapula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3687/train_3687_a/train_3687_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. There are breath artifacts in the study. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; Mild pleural irregularities are observed at the apical posterior level of the left lung upper lobe.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. The ascending aorta measures 42 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative height loss is observed in the TH8 vertebral body. There is a diffuse density decrease in bone structures, and there are hypertrophic osteophytic taperings in the anteriors of the vertebral corpuscles and end plates.\n<abdomen>: Cyst in the right lobe of the liver, 10 mm in size, in hypodense fluid attenuation? evaluated towards. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nOsteopenic appearance, degenerative changes in bone structures and loss of height in the TH8 vertebral body, more prominently in the anterior."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3692/train_3692_a/train_3692_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8843",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is minimal emphysema in the upper lobes of the lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Newly developed pleural effusion and atelectasis in the lower lobes, with bilateral widest diameters of 48 mm in the network and 34 mm in the left, are observed.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Other mediastinal main vascular structures are normal. Pulmonary arteries are dilated.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed. There are changes in mitral and tricuspid valve surgery. Coronary stents are observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Sternotomy is available. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSternotomy, valve operation changes, stents in coronary arteries, dilatation in pulmonary artery  Bilateral pleural effusion and lower lobe atelectasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3698/train_3698_b/train_3698_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8845",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: Millimetric-sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetrically sized nonspecific parenchymal nodules in both lungs.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3699/train_3699_a/train_3699_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in the lung parenchyma. The aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinum could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSeveral millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3703/train_3703_a/train_3703_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Passive atelectasis and air bronchograms are observed at the base of the left lung. A nodule with a diameter of 4 mm is observed in the medial segment of the right lung middle lobe.\n<pleura>: Pneumonic infiltration? Minimal pleural effusion was observed on the right. Massive pleural effusion reaching 5 cm was observed on the left.\n<mediastinum>: A central venous catheter was applied. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance. An effusion reaching 6 mm was observed in the thickest part of the pericardial distance, adjacent to the left ventricle. There are calcific atheromatous plaques in the anavascular structures and coronary arteries.\n<breast>: Bilateral dendritic gynecomastia was observed. An 11 x 10 mm epiphrenic lymph node is observed on the right.\n<bone>: On the left is the episternal ossicle. Left 5-6-7. Sclerotic lesions in the anterior parts of the ribs may belong to old fractures showing cal formation.\n<abdomen>: No significant pathology was detected in the sections passing through the upper part of the abdomen. The gallbladder is operated.\n\nImpression:\nLeft massive pleural effusion Passive atelectasis and air bronchograms at the base of the left lung (Pneumonic infiltration?) Minimal pleural effusion on the right Nodule in the medial segment of the right lung middle lobe Pericardial effusion Atherosclerosis Epiphrenic lymph node Bilateral dendritic gynecomastia Left 5-6-7. old fractures in the anterior parts of the ribs?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3714/train_3714_a/train_3714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These appearances are also frequently observed findings in Covid-19 pneumonia. The outlooks were primarily evaluated in favor of viral pneumonia. When examined in the lung parenchyma window; Ground glass opacities are observed in both lungs, especially in the upper lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected. No pleural effusion was observed.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size was slightly increased. Pericardial effusion was not observed. Operation materials are observed in the localization where the heart valves are located.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFirst of all, ground glass opacities that may be compatible with Covid-19 pneumonia.  Increase in heart size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3715/train_3715_a/train_3715_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8894",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Consolidation areas containing air bronchograms are observed in the lower lobes of both lungs. These appearances may be significant for pneumonia. Areas of consolidation in the right lung primarily suggest atelectasis. Air images extending to the anterior of the left lung parenchyma are observed between the heart and the anterior chest wall. Although atelectasis is primarily considered in the consolidation areas of the left lung, pneumonia is also present in the differential diagnosis. A drainage tube extending to the lower lobe of the left lung is observed. Focal ground glass opacities are present in both lungs.\n<heart>: A drainage catheter is observed between the heart and the anterior chest wall. There is a catheter extending to the right atrium. Materials for heart valve operation are available.\n<abdomen>: Post-op air images are observed in the areas where the catheters are placed in the middle part of the abdomen.\n\nImpression:\nAir images suspicious for pneumthorax in the left lung and a drainage tube placed in the left lung are observed.  Appearances that may be compatible with pneumonic infiltration in both lungs  Atelectasis in both lungs  Other than that, air images and catheters in different localizations evaluated in favor of the post-op period"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3715/train_3715_b/train_3715_b_1.npy"
        ]
    },
    {
        "id": "report_generation_8896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are atelectatic changes in the left lung lower lobe and upper lobe inferior lingula.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart valve replacement material is observed. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nPneumothorax in the left hemithorax  Findings consistent with pneumomediastinum.  Heart valve replacement material is monitored.  Skin-subcutaneous post-op changes secondary to sternotomy and air density in the anterior thoracic and abdominal wall. A small amount of effusion and air densities in the mediastinum posterior to the sternum.  Atelectatic changes in the left lung lower lobe and upper lobe inferior lingula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3715/train_3715_c/train_3715_c_1.npy"
        ]
    },
    {
        "id": "report_generation_8902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; Multilobar diffuse consolidation and ground glass density areas are observed in both lung parenchyma, more prominently in the lower lobes, and Covid-19 pneumonia is considered in the etiology of the findings.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, there are lymph nodes with a short diameter of less than 1 cm, a fusiform configuration with a fatty hilus, and no pathological size and appearance. Mediastinal vascular structures and heart examination IV. Evaluation with USG examination is recommended.\n<heart>: it could not be evaluated optimally due to lack of contrast and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and heart examination IV. Widespread calcified atheroma plaques are observed on the wall of coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Osteophytic degenerative changes, which tend to merge at the vertebral corpus corners, are observed. An increase is observed in thoracic kyphosis. In addition, pathological size and appearance of lymph nodes are not observed in both axillary regions and in the supraclavicular fossa. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved. There is left-facing scoliosis in the thoracic vertebral column.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; Millimetric stones are observed in the lower pole of the left kidney. In the upper abdominal sections within the image, no solid mass, free fluid or loculated collection was detected as far as can be observed within the borders of uncontrasted CT.\n\nImpression:\nCalcified atheromatous plaques in the wall of coronary vascular structures. Findings consistent with viral pneumonia in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3718/train_3718_a/train_3718_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8905",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In both lung parenchyma, predominantly centrally located areas of consolidation and ground glass densities, which are bilaterally symmetrically distributed, are observed. Radiological findings were evaluated in favor of pulmonary edema.\n<pleura>: A pleural effusion is observed between both pleural leaves, reaching a diameter of 12 mm on the right and 16 mm on the left.\n<mediastinum>: Calibration of mediastinal major vascular structures is within normal limits. There are wall calcifications in the aortic arch, thoracic and abdominal aorta.\n<heart>: Heart size increased. no pericardial effusion was detected. Calcified atheroma plaques are observed in LAD. Biventricular and left atrial diameter increase is observed.\n<bone>: In both supraclavicular fossa and axilla, no lymph node was observed in pathological size and appearance. No lytic-destructive lesions were detected in bone structures. Significant degenerative changes are observed. A rib fracture is observed in the right 9th rib.\n<abdomen>: A decrease in the thickness of the parenchyma of both kidneys and a large number of high-density (hemorrhagic) cysts in both kidneys are observed in the upper abdominal sections. There are wall calcifications in the aortic arch, thoracic and abdominal aorta.\n\nImpression:\nIncreased heart size, increased biventricular and left atrial diameter. Calcified atheromatous plaques in coronary arteries. Bilateral pleural effusion. Findings consistent with pulmonary edema.  Decreased thickness of both kidney parenchyma and multiple cysts, some of them high-density (hemorrhagic), in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3720/train_3720_a/train_3720_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. It was learned that the patient received immunotherapy. It was also learned that the patient received radiotherapy. There are millimetric nonspecific nodules in both lungs. Ground glass appearance, consolidations, structural distortion and volume loss, and minimal bronchiectasis were observed in the upper, middle and lower lobes of the right lung, especially in the central parts. The presence of unilateral findings excluded the diagnosis of immune pneumonitis. When evaluated together with these findings, radiation recall pneumonitis of the findings described in the right lung was considered. The described appearance was not observed in the previous examination of the patient. There are sometimes linear atelectasis in both lungs.\n<pleura>: No pleural or pericardial thickening was detected. In addition, minimal pleural effusion was observed on the right.\n<mediastinum>: The diameters of the aortic arch and descending aorta are normal. The patient's examination was evaluated together with other examinations dated 2022. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: The described appearance is non-specific. There is a sliding type hiatal hernia at the lower end of the esophagus. There is minimal wall thickness increase in the esophagus within the sections. The fact that it is in the long segment suggests that it is a benign pathology.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The diameters of the aortic arch and descending aorta are normal. There are stones in the gallbladder. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\n· In the follow-up, findings evaluated in favor of lung ca, right pleural effusion, pericardial effusion, and radiation recall pneumonia primarily in the right lung. · Mediastinal and hilar millimetric lymph nodes. · Atherosclerotic changes in the aorta and coronary arteries, minimal fusiform aneurysmatic dilatation in the ascending aorta, minimal increase in long segment wall thickness in the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3721/train_3721_a/train_3721_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8913",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration or mass lesion was detected in the ventilated right lung parenchyma and left lung parenchyma. There are increases in density consistent with atelectasis in the adjacent lung parenchyma.\n<pleura>: There is a pleural effusion in the deepest part of the right pleural area, which was measured as 62 mm in the current examination, and in the comparative evaluation made with the previous CT examination, a decrease in size and density was observed, and there was a pleural effusion with hyperdense areas in places.\n<mediastinum>: The mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the diameter of the pulmonary conus AP was measured as 35 mm, and it was wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: No pericardial effusion or thickening was detected. The mediastinal main vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the diameter of the pulmonary conus AP was measured as 35 mm, and it was wider than normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: In the abdominal sections within the image, there is a lesion in the right adrenal gland with a stable size and appearance, which is primarily evaluated in favor of adenoma.\n\nImpression:\nPleural effusion in the right hemithorax, in which millimetric calcifications and hyperdense areas compatible with hemorrhage are observed in places and decrease in size and density in the comparative evaluation made with the previous CT examination, and areas of increased density in the adjacent lung parenchyma consistent with atelectasis . Low-density hypodense lesion compatible with adenoma in the right adrenal gland ; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3724/train_3724_a/train_3724_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Post-treatment control is recommended. Peripherally located nonspecific nodules were observed in both lungs, the largest of which was approximately 5 mm in diameter in the posterobasal segment of the lower lobe of the right lung. Ground-glass appearances accompanying fibroatelectatic changes in the left lung lingula superior inferior segment draw attention. In addition, there are peribronchial thickenings accompanying fibroatelectatic changes in the anterior basal segment of the lower lobe of the right lung. When the findings are evaluated together, it may be infective. When examined in the lung parenchyma window; There are fibroatelectatic changes in bilateral lung basals.\n<mediastinum>: Calcified atheroma plaques are observed in the mediastinal main vascular structures. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. In the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, lymph nodes reaching 1 cm in short diameter, some of them in round configuration, showing calcification in places are observed.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: The esophagogastric junction has an appearance compatible with a minimal sliding type hernia. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Rotascoliotic changes are observed in the thoracic region. Thoracic kyphosis has increased.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. The esophagogastric junction has an appearance compatible with a minimal sliding type hernia.\n\nImpression:\nFibroatelectatic changes in the basals of both lungs and peribronchial thickenings accompanying fibroatelectatic changes on the left with a ground-glass appearance on the right, the findings may be infective. Control is recommended after treatment.  Nonspecific parenchymal nodules in both lungs.  Mediastinal lymph nodes. Rotascoliosis in the thoracic region."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3726/train_3726_a/train_3726_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: In the left lung upper lobe linguloinferior segment, nonspecific millimetric nodules with a diameter of 5.5 mm, adjacent to the fissure, and 5 mm in diameter, adjacent to the mediastinal pleura were observed. Subpleural septal thickening and pleuroparenchymal linear fibrotic recessions are observed in the right lung upper lobe anterior segment due to the chronic effects of RT.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the fossa in the mediastinum.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are present in LAD. Heart dimensions and compartments appear natural.\n<breast>: Breast-conserving surgery was performed on the right breast.\n<bone>: No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nOperated breast Ca, breast conserving surgery on the right . A few nonspecific millimetric nodules in the lung parenchyma . Pneumonic infiltration is not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3730/train_3730_a/train_3730_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of Covid-9 pneumonia. It raises suspicion in terms of viral pneumonia.\n<pleura>: When examined in the lung parenchyma window; Focal suspicious ground-glass appearance is observed in the left lung lower lobe superior segment, posterior subpleural area.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFocal suspicious ground glass appearance in the posterior subpleural area in the left lung lower lobe superior segment creates suspicion for viral pneumonia. It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of Covid-9 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3736/train_3736_a/train_3736_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; A subpleural nodule with a diameter of 4 mm is observed in the middle lobe of the right lung. There is a 3 mm diameter nodule in the dorsal subpleural area in the posterior segment of the right lung upper lobe. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3749/train_3749_a/train_3749_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Cylindrical bronchiectasis and panobular and paraseptal emphysema appearances are observed in bilateral lungs. In the right hilum, a mass lesion that cannot be clearly differentiated from the consolidation in the surrounding upper lobe, has a blunt ending in the upper lobe bronchus, and whose borders cannot be clearly defined was observed.\n<pleura>: There is nodular pleural thickening in the posterobasal segment of the right lower lobe. There is calcified pleural thickening in the right hemithorax, especially in the neighborhood of the upper lobe, causing restriction.\n<mediastinum>: In the mediastinum, there are stable lymph nodes with a short axis up to 1 cm (subcarinal). The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nRight lung malignant neoplasm on follow-up Mass in the right hilum, consolidation in the right upper lobe Stable lymph nodes in the mediastinum Cylindrical bronchiectasis and panobular and paraseptal emphysema appearances in the bilateral lungs Pleural thickening in the right hemithorax"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3750/train_3750_a/train_3750_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Thickening of the bronchovascular sheath is observed in the perihilar area and lower lobe segments of the right lung. In the lower lobe segments of the right lung, branches with buds accompanying the appearance are observed. No pathological size and configuration of lymph nodes were detected at both hilar levels. Emphysematous changes are present in both lungs. When examined in the lung parenchyma window; In both lungs, there are ground-glass-like density increases that are slightly more prominent on the right and consolidating in the basals.\n<mediastinum>: CTO is normal. The aortic arch calibration is 32 mm, larger than normal. Millimetric lymph nodes are observed in the mediastinum. Calcific atheroma plaques are observed in the descending and ascending aorta of the aortic arch. Calibration of mediastinal major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Hiatal hernia is observed in the case. CTO is normal. Bilateral adrenal glands are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Parenchymal calcifications that partially appear in the inferior pole of the right kidney are observed. The aortic arch calibration is 32 mm, larger than normal. Calcific atheroma plaques are observed in the descending and ascending aorta of the aortic arch. A large parapelvic cyst is observed in the middle part of the left kidney.\n\nImpression:\nWidespread ground-glass-like density increases in both lungs, which are more prominent on the right and consolidation at the right lung lobe posterobasal level. The appearance was evaluated as compatible with Covid pneumonia. However, superposed bacterial infection could not be excluded due to the appearance of a branch with buds in places. Evaluation together with clinical and laboratory findings. recommended. Hiatal hernia.  Parapelvic cyst in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3752/train_3752_a/train_3752_a_1.npy"
        ]
    },
    {
        "id": "report_generation_8995",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Consolidation areas are most prominently observed in the right lung upper lobe apical segment and lower lobe posterobasal segment. Passive atelectatic changes were observed in the right lung lower lobe basal area adjacent to the effusion. In both lungs, nodular lesions-consolidation areas, which tend to merge in the more widespread peribronchial area on the right, were observed. Interlobular septal thickenings were observed in both lungs.\n<pleura>: No pleural effusion was observed on the right. A small amount of free air is observed between the leaves of the pleura on the left.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. There are bilateral interpectoral, retropectoral, bilateral internal mammary, prevascular, aorticopulmonary, right hilar, paraesophageal, paracardiac multiple lymphadenopathy in both axillae. The largest lymphadenopathies were 36x25 mm in the left axilla (27x20 mm target lesion 1 in the previous examination), and the largest in the right axilla was 20 mm in the short axis (15 mm target lesion 2 in the previous examination).\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. It is also present in the patient's previous examination. Effusion reaching 6 mm thickness was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Filling the left breast lodge; A malignant mass lesion invading the skin, subcutaneous fat planes and pectoral muscles, extending laterally to the left axilla medially by crossing the midline and extending to the right breast, and the fatty planes between the sternum and the sternocostal space, invading the mediastinum was observed. Nodular soft tissue-mass lesions were observed in the skin-subcutaneous fat planes in the right breast and were evaluated in favor of metastasis.\n<bone>: There are bone metastases that have become sclerotic with treatment in the cervical-thoracic vertebrae within the sections.\n<abdomen>: The described findings were also present in the previous examinations of the patient and they were thought to be metastases. The spleen, both adrenal glands, both kidneys and pancreas are normal. An enhancing mass lesion with a diameter of 12 mm was observed in the right lobe (segment 6) of the liver. A percutaneous drainage catheter placed in the left subdiaphragmatic area was observed. The disease was considered to have progressed due to the metastasis observed in the current examination in the liver. It is new in the current review and evaluated in favor of metastasis. As far as can be seen within the sections; liver parenchyma density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nLarge mass filling the left breast lodge and invading the mediastinum and right breast, pectoral muscles, skin and mediastinum.  Pericardial effusion; is stable.  New pneumothorax on current examination left.  Left pleural effusion; has decreased.  Nodular lesions-consolidation areas showing a tendency to merge in the peribronchial area of both lungs were evaluated in favor of metastasis.  Hepatosteatosis, newly emerged metastasis in liver segment 6 in the current examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3757/train_3757_a/train_3757_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9017",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There is a 2 mm diameter nodule in the middle lobe. There are findings consistent with mild emphysema in both lungs. A 5 mm diameter nodule is observed in the upper lobe anterior segment of the right lung. In the evaluation of both lungs in the parenchyma window; There was no obvious sign of pneumonia in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A 4x3 mm nodule is observed at the level of the major fissure on the right.\n<pleura>: Pleural effusion-thickening was not detected. Bilateral pleural effusion, pneumothorax were not detected. A 5x4 mm subpleural nodule is observed at the laterobasal level in the left lung.\n<mediastinum>: CTO is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. Pathological size and configuration of lymph nodes are not observed at either level. The aortic arch calibration is 34 mm, wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is at the maximal physiological limit. Density compatible with several calculi, the largest of which is 3 mm in diameter, is observed at the middle and inferior pole level of the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. In the left kidney, there are calcules with a size of 2 mm in the superior pole, the inferior pole, and in the middle section, the largest in the inferior pole. The aortic arch calibration is 34 mm, wider than normal.\n\nImpression:\nNo finding compatible with pneumonia was detected.  Mild emphysematous changes and 1-2 nonspecific millimetric nodules formation in both lungs.  Bilateral millimetric nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3767/train_3767_a/train_3767_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMosaic attenuation pattern in both lungs, hiatal hernia. No sign of pneumonia (NOTE: CT may be negative in the early period of Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3768/train_3768_a/train_3768_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral predominantly diffuse consolidations and ground glass densities around them are observed in almost all lobes, lower lobes and posteriors in both lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is slightly ectatic (40 mm). Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the neighborhood of the spleen hilus, an appearance compatible with the accessory spleen with a size of 10 mm is observed. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3770/train_3770_a/train_3770_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: US control is recommended. Both thyroid parenchyma are heterogeneous and calcified nodule is observed on the left.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the left lung inferior lingular segment and right lung middle lobe. Mild emphysematous changes were observed in both lungs. In the right hilar region, calcified lymph nodes measuring 1 cm on the short axis of the largest were observed. Two calcified nonspecific parenchymal nodules measuring 5 mm in diameter were observed in the middle lobe and lower lobe of the right lung.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal emphysematous changes in both lungs, calcified nonspecific parenchymal nodules in the right lung, sequelae in both lungs. Right hilar calcified lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3774/train_3774_a/train_3774_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Trachea is deviated to the right. On the left, prominent bilateral lung is observed in the lower lobes, the bronchi are partially filled with secretions (infection? Clinical evaluation and radiological follow-up are recommended).\n<lung>: When examined in the lung parenchyma window; The bilateral lung parenchyma has a prominent emphysematous appearance in the upper lobes. On the left, prominent bilateral lung is observed in the lower lobes, the bronchi are partially filled with secretions (infection? Clinical evaluation and radiological follow-up are recommended). There are several nodules smaller than 5 mm in both lungs.\n<pleura>: There are prominent, diffuse ground-glass density areas and fine reticular lines in the posterior and lower lobes of the bilateral lung upper lobe, subpleural areas. Pleural effusion-thickening was not detected. There are four nodules located subpleural in the apicoposterior segment of the right lung upper lobe, 6.3 mm in diameter, 6 mm in diameter in the upper lobe anterior, and 7.5 mm in diameter in the paracardiac area adjacent to the bronchus in the middle lobe, and 5.1 mm in diameter in the left lung upper lobe anterior.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal major vascular structures are normal in size. There are several lymph nodes, including anterior prevascular, aortopulmonary, subcarinal, bilateral hilar, the largest 13x6.5 mm in size. There are wall calcifications in the aorta and coronary arteries.\n<heart>: The cardiothoracic index beat in favor of the heart (cardiomegaly). Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a milimetric sclerotic focus in the right hood humerus. There are degenerative changes in the bones in the examination area. The bone structure is slightly porotic. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\n19 mm diameter, nodular hypodense lesion in the right lobe of the thyroid gland. Trachea deviated to the right.  Wall calcifications in the aorta and coronary arteries, cardiothoracic index beats in favor of the heart (cardiomegaly). Anterior prevascular, aortopulmonary, subcarinal, bilateral hilar, several lymph nodes, the largest 13x6.5 mm in size.  Bilateral lung parenchyma, emphysematous appearance in the upper lobes.  Bilateral lung upper lobe posterior and lower lobes, subpleural areas prominent, diffuse ground-glass density areas and fine reticular lines, prominent bilateral lung lower lobes on the left, bronchi appearing to be filled with secretions from place to place (infection ? Clinical evaluation and radiological follow-up are recommended).  Four nodules 6.3 mm in diameter, 6 mm in diameter in the upper lobe anterior, and 7.5 mm in diameter in the paracardiac area adjacent to the bronchus in the middle lobe, and 5.1 mm in diameter in the left lung upper lobe anterior, located subpleural in the apicoposterior segment of the right lung upper lobe. A few nodules smaller than . Degenerative changes in the bones in the examination area, bone structure is slightly porotic.  Millimetric sclerotic focus in the right hood humerus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3775/train_3775_a/train_3775_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9044",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Widespread patchy ground-glass areas are observed in both lungs, which in places transform into areas of consolidation, and there are diffuse centracinar style nodular opacities in the central parts of both lungs. These appearances were primarily evaluated in favor of viral pneumonia. These findings are also observed in Covid-19 pneumonia.\n<pleura>: Pleural effusion reaching 7 mm in the thickest part of the left lung and compression atelectasis in the accompanying lung parenchyma are observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFirstly, appearances evaluated in favor of viral pneumonia, these findings are also observed in Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3780/train_3780_a/train_3780_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is detected.\n<lung>: When examined in the lung parenchyma window; There are areas of increased density consistent with atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. Ventilation of both lungs is natural. No active infiltration, mass or nodular lesion was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected. No pericardial or pleural effusion was observed.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in both axillary regions and mediastinum. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesion or fracture was detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nSequela parenchymal changes in left lung upper lobe inferior lingular segment and right lung middle lobe medial segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3783/train_3783_b/train_3783_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is localized linear atelectasis in both lungs. Ground glass appearances are accompanied by enlarged vascular structures in places. Ground-glass appearances are observed in the peripheral and central areas of both lungs. No mass or infiltrative lesion was detected in both lungs. The described findings are in the style frequently observed in Covid-19 pneumonia.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3785/train_3785_a/train_3785_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the middle lobe of the right lung, thickening of the peribrocovascular sheath, consolidative areas along the sheath and sequelae of tractional bronchiectasis are observed. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level in both lungs. In the right lung lower lobe superior segment, there is a consolidative parenchyma area with air bronchograms extending from the central parenchyma area to the hilum along the peribronchovascular sheath.\n<pleura>: Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Slight degenerative changes are observed in the bone structure in the examination area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nConsolidative areas in the right lung middle lobe and lower lobe superior segment along the peribronchovascular sheath extending towards the hilum, accompanying tractional bronchiectasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3790/train_3790_a/train_3790_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, there is a 2.5 mm diameter nodule in the peripheral lung parenchyma in the lingular segment of the left lung. Right upper-lower paratracheal, aortopulmonary millimetric lymph node is observed. In the evaluation of both lung parenchyma; A nodule with a diameter of 8 mm is observed in the apex of the left lung. There are interlobular septal thickenings in both lungs evaluated as secondary to cardiac load. More pronounced mosaic attenuation is observed in the lower lobes of both lungs.\n<pleura>: Pleural effusions in the form of thin smears are observed in both hemithorax.\n<mediastinum>: The main pulmonary artery is 41 mm, the right pulmonary artery is 28 mm, and the left pulmonary artery is 25 mm, larger than normal. Calcific plaques are observed in the aortic arch and coronary arteries. No pathological LAP was detected in the mediastinum.\n<heart>: The left atrium and left ventricle are enlarged. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the aortic arch and coronary arteries.\n<bone>: Bone structures are osteopenic. Significant increase in dorsal kyphosis is observed. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No additional obvious pathology was observed in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the left adrenal body part has a thick appearance. Calcific plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nCardiomegaly . 8 mm diameter nodule in the left lung apex, nonspecific 2-3 mm diameter nodule in the lingular segment . Bilateral smearing pleural effusion . Interlobular septal thickenings in both lung parenchyma that can be evaluated as secondary to cardiac load . Mosaic attenuation in the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3795/train_3795_a/train_3795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, there is consolidation in the peripheral area of the laterobasal segment in the lower lobe of the left lung. In addition, there is an appearance evaluated in favor of consolidation in the peripheral area in the mediobasal segment in the lower lobe of the right lung. The described findings were primarily evaluated in favor of pneumonic infiltration. There are localized linear atelectasis and minimal emphysematous changes in both lungs. Minimal peribronchial thickening was observed in both lungs. No mass was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. There is no pericardial thickening. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of pneumonic infiltration in both lung lower lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3796/train_3796_a/train_3796_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9090",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: In both lungs; Parenchymal nodules with a diameter of 5 mm were observed in the right lung, the largest in the lower lobe laterobasal segment, and 4.8 mm in diameter on the fissure in the anteromediobasal segment of the lower lobe on the left, and on the fissure in the anterobasal subsegment of the left lung. When examined in the lung parenchyma window; Central-peripheral focal nodular ground glass opacities are observed in both lungs lower lobe basal, left lung upper lobe lingular and upper lobe anterior segment, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to evaluate and follow-up together with previous examinations, if any. It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in pathological dimensions were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta and renal artery outlets. As far as can be observed: surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Gynecomastia was observed on the left.\n<bone>: At the mid-thoracic level, syndesmophytes bridging each other compatible with DISH were observed. As far as can be observed: surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: No intraabdominal free fluid-collection was detected. In both kidneys, nodular lesion areas with a fluid density of 2.5 cm in diameter were observed (cyst?). Liver, gallbladder, spleen, pancreas, both adrenal glands are normal as far as can be seen in the sections. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Diffuse atherosclerotic wall calcifications were observed at the level of the abdominal aorta and renal artery outlets. Moderate stenosis was observed at the level of the visceral branches. A 6.7 mm diameter hyperdense nodular lesion area was observed in the upper pole lateral part of the right kidney (hemorrhagic cyst?).\n\nImpression:\nLeft gynecomastia . Surgical suture materials secondary to previous bypass surgery in the sternum and anterior mediastinum, widespread atherosclerotic wall calcifications in the thoracic aorta and coronary arteries . Hiatal hernia . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory.  Parenchymal nodules in both lungs; if any, it is recommended to be evaluated and followed up together with previous tests. diffuse atherosclerotic wall calcifications, moderate stenosis at the level of visceral organ outlets . Syndesmophytes at the mid-thoracic level compatible with DISH, bridging each other and forming ankylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3802/train_3802_a/train_3802_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs and minimal calcifications in the form of nodules and layers are observed in the pleura on the right.\n<mediastinum>: Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse calcific atheroma plaques were seen in the aorta and coronary arteries.\n<heart>: Heart size was minimally increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia is seen.\n<bone>: Anterior corner osteophytes are seen in the thoracic vertebrae.\n<abdomen>: The appearance of subtotal gastrectomy and gastrojejunostomy is observed. There is a liver transplant at the upper abdominal level. Significant density difference is observed between the anterior and posterior segments (perfusion defect?). Diffuse calcific atheroma plaques were seen in the aorta and coronary arteries.\n\nImpression:\nLiver right lobe transplant case, density difference in anterior and posterior segments of the right lobe (perfusion defect?).  Minimal cardiomegaly.  Aortic and coronary artery atherosclerosis.  Millimetric nonspecific nodules in both lungs, calcifications in the pleura."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3820/train_3820_a/train_3820_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9149",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is an atelectatic change in the left lung upper lobe inferior lingula. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere is atelectatic change in the left lung upper lobe inferior lingula. Thorax CT examination is within normal limits except as described"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3824/train_3824_a/train_3824_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings are consistent with viral pneumonia (COVID-19). In both lungs, there are patchy ground glass areas that are more widespread and locally confluent and consolidated in the lower lobe posterior segments. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are several lymph nodes in the prevascular, pre-paratracheal area, the largest of which is in the right lower paratracheal area and measuring 6.5 mm in diameter. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is present at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No pathologically enlarged lymph nodes were observed. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Sliding type minimal hiatal hernia is present at the esophagogastric junction. A hyperdense stone of 7.5x6 mm is observed in the middle zone calyx of the left kidney. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nPatchy ground-glass areas in both lungs with occasional consolidation in the lower lobe posterior segments. Compatible with viral pneumonia.  Left nephrolithiasis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3825/train_3825_a/train_3825_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: However, clinical and laboratory studies for the exclusion of infective processes. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Correlation with is recommended. Initially, it was considered in favor of atelectasis. Follow-up is recommended. When examined in the lung parenchyma window; Irregularly circumscribed soft tissue-consolidation areas were observed in the apical segments of each lung. Sequelae may be compatible with atelectasis. Focal consolidation areas with ground glass areas are observed in the right lung middle lobe and left lung lingular segment. No nodular or infiltrative lesion was detected in both lungs.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcified atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. Mediastinal was not evaluated as optimal in the non-contrast examination. Mediastinal and hilar pathologically enlarged lymph nodes were not detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. Calcified atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries.\n\nImpression:\nCardiomegaly, calcific atheromatous plaques in the coronary arteries, aortic arch and supraaortic branches . Hiatal hernia . Areas of soft tissue-consolidation with irregular borders in the apical segments of both lungs. Initially, sequelae were evaluated in favor of atelectasis, follow-up is recommended.  Right lung in middle lobe and left lung lingular ground glass densities around consolidative areas evaluated in favor of atelectasis in the first plan in the segment; clinical and laboratory for the elimination of infective processes. Correlation with is recommended. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3827/train_3827_a/train_3827_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: When examined in the lung parenchyma window; There are nonspecific subpleural millimetric nodules in both lungs, especially at the upper levels.\n<mediastinum>: There are nodules with a short axis measuring 4 mm in the mediastinum.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nNonspecific subpleural millimetric nodules in both lungs, especially at the upper levels."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3838/train_3838_a/train_3838_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9186",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are millimetric nonspecific nodules in both lungs. There are linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Both hemithorax have calcified pleural plaques. No pleural effusion was observed.\n<mediastinum>: There are calcified lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The main pulmonary artery diameter was measured 35 mm. There are atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: Pericardial effusion was not detected. The anterior-posterior diameter of the ascending aorta is 40 mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atelectasis in both lungs.  Calcified pleural plaques in both hemithorax.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3841/train_3841_a/train_3841_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In the thyroid gland, there are millimetric coarse calcifications in both lobes, which are more prominent on the left.\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There was no finding in favor of significant pneumonia. Mild emphysematous changes are observed in both lungs. Fibroatelectatic linear densities are observed in both lungs.\n<mediastinum>: Calcific atheroma plaque is observed in the aortic arch and coronary arteries. There are millimetric lymph nodes in the mediastinum. Calcific atheroma plaques are observed in the abdominal aorta. Calibration of other mediastinal major vascular structures is naturally followed. Pulmonary trunk calibration is 32 mm, wider than normal. There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level.\n<heart>: CTO increased in favor of the heart. Calcific atheroma plaque is observed in the aortic arch and coronary arteries. Calibration of the ascending aorta is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Approximately 25% loss of height is observed in the D9 vertebra. Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaque is observed in the aortic arch and coronary arteries. Calcific atheroma plaques are observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nNo finding compatible with pneumonia. Mild emphysema, fibroatelectatic density increases in both lungs.  Cardiomegaly, increased calibration of pulmonary vascular structures. Degenerative changes in bone structure. Approximately 25% loss of height in the D9 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3845/train_3845_a/train_3845_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Viral pneumonia? There are vascular enlargements in the affected areas.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3847/train_3847_a/train_3847_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Elif Bilgi Elif Bilgin Trachea and main bronchi are open.\n<lung>: Pneumonia was considered in the etiology of the dated findings.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Evaluation with clinical and laboratory tests is recommended. In the sections passing through the upper part of the abdomen, millimetric stones are observed in the gallbladder lumen.\n\nImpression:\nConsolidation area where air bronchograms are also observed in the medial and anterior segment of the lower lobe of the right lung, and nodular consolidation is observed in the lateral segment of the right lung middle lobe, and it is evaluated as compatible with pneumonic infiltration.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3852/train_3852_a/train_3852_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No active infiltration or mass lesion is detected in both lung parenchyma. There are multiple nodules, the largest of which is 5 mm in the anterior segment of the right lung upper lobe, in both lungs, and centracinar emphysematous changes are observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Hyperdense calculus images are observed in the gallbladder lumen in the upper abdomen sections within the image.\n\nImpression:\nEmphysematous changes in both lungs, nonspecific millimetric nodules, cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3854/train_3854_a/train_3854_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidations and ground-glass appearances are observed in both lungs, more prominently in the lower lobes and peripheral regions. No mass was detected in this examination in both lungs. When evaluated together with the patient's clinical knowledge, it was understood that the described appearances were related to Covid-19 pneumonia.\n<pleura>: There is no pleural or pericardial thickening. There is minimal pleural and pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary artery.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are occasional height losses in the thoracic vertebrae. Soft tissue components accompanying metastatic lesions were not detected. Sclerotic bone lesions were observed in the bone structures within the sections and it was understood that they were metastases.\n<abdomen>: There are millimetric stones in the gallbladder. A cortical nodular hyperdense lesion measuring approximately 18 mm in diameter was observed in the anterior aspect of the upper pole of the right kidney. There are atheromatous plaques in the aorta and coronary artery. The described lesion could not be characterized in this examination because no contrast agent was given. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nProstate Ca, bone metastases in follow-up.  Findings consistent with viral pneumonia in both lungs.  Pleural and pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3870/train_3870_a/train_3870_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings are compatible with pneumonic infiltration. Nodular consolidation areas with bilateral diffuse asymmetric confluence are observed in the lung parenchyma. There are frosted glass densities around the consolidation areas. The radiological pattern can also be seen in the lung parenchyma involvement of Covid infection, but the presence of bacterial infection could not be excluded.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart sizes are natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nNodular consolidation areas with bilateral widespread confluence were evaluated as compatible with the infectious process, the radiological pattern can also be seen in the lung parenchyma involvement of Covid infection, but the presence of bacterial infection could not be excluded."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3878/train_3878_a/train_3878_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Linear fibroatelectasis changes were observed in the left lung inferior lingular segment and right lung lower lobe laterobasal segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; Reticular sequela fibrotic changes in the apex of both lungs and accompanying sequelae micro-retractions in the pleura were observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structures in the study area.\n<abdomen>: No stones were observed in both kidneys within the sections. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination.\n\nImpression:\nHiatal hernia . Reticular style sequela fibrotic changes in both lung apices and accompanying sequelae microrecessions in the pleura . Linear fibroatelectatic changes in left lung inferior lingular segment and right lung lower lobe laterobasal segment . Mild degenerative changes in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3879/train_3879_a/train_3879_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are atelectatic changes in the left lung upper lobe inferior lingula and a millimetric nodule in the left lung in series 202 image 88. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are atelectatic changes in the left lung upper lobe inferior lingula and a millimetric nodule in the left lung in series 202 image 88."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3879/train_3879_b/train_3879_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; one medial subpleural nonspecific nodule is observed in the middle lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nOne medial subpleural nonspecific nodule in the middle lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3881/train_3881_a/train_3881_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. Clinical laboratory correlation and follow-up of findings (covid-19) in terms of early viral pneumonia in terms of clinical laboratory is recommended.\n<pleura>: When examined in the lung parenchyma window; Nodular subpleural peripherally located ground glass densities are observed in the posterobasal parts of both lung lower lobes, especially on the right side. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal. There are several pre-paratracheal lymph nodes with a short axis measuring up to 9 mm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. One millimetric calcific focus is observed in the gallbladder.\n\nImpression:\nGround glass densities located subpleural peripherally in the posterobasal segment of the lower lobe of the right lung. Findings (covid-19) clinical laboratory correlation and follow-up are recommended for early viral pneumonia in terms of clinical laboratory.  Several small lymph nodes in the mediastinum.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3887/train_3887_a/train_3887_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are sequelae changes and a thin-walled air cyst with a diameter of 15 millimeters in the posterobasal segment of the lower lobe of the left lung. No active infiltration or mass lesion was observed in both lung parenchyma.\n<pleura>: No pericardial and pleural effusion or thickening was detected.\n<mediastinum>: The ascending aorta is 41 millimeters and the descending aorta is 31 millimeters wider than normal. In the mediastinum, lymph nodes with a short diameter of less than 1 cm and a fatty hilus with a fusiform configuration are observed. There are no pathologically sized lymph nodes. There are calcified atheromatous plaques on the wall of vascular structures.\n<heart>: An increase in the cardiothoracic ratio in favor of the heart is observed.\n<bone>: Pathology is not detected as far as can be observed within the borders of non-contrast CT in the upper abdomen sections within the image, and degenerative changes are observed in the bone structures within the image.\n<abdomen>: The ascending aorta is 41 millimeters and the descending aorta is 31 millimeters wider than normal. There are calcified atheromatous plaques on the wall of vascular structures.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3896/train_3896_a/train_3896_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Minimal atelectasis are observed in the right middle lobe and left lingula.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral paracardiac minimal atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3903/train_3903_a/train_3903_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9320",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These areas tend to coalesce towards consolidation and contain air bronchograms within the nodular segments. No mass was detected in both lungs.\n<pleura>: Ground-glass areas are observed around these nodules, with irregularly circumscribed nodular appearances that are more dominant in the subpleural areas and extend from the subpleural areas to the peribronchovascular area in all segments of both lungs. No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nTypical-probable Covid-19 pneumonia. Clinical evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3904/train_3904_a/train_3904_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Close monitoring of clinical laboratory correlation of findings in terms of Covid-19 viral pneumonia is recommended. When examined in the lung parenchyma window; In both lungs, consolidation areas are observed on the ground of ground glass densities in a patchy style with peripheral and central localization. No nodular lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Hepatosteatosis-related appearance is present in the liver parenchyma entering the section area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nViral pneumonia? Clinical laboratory correlation and close follow-up are recommended for Covid-19. Liver hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3909/train_3909_a/train_3909_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9334",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening is observed in the peribronchial sheaths, and in places ground glass-like density increases accompany the appearance. Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There is progression compared to previous CT of the patient. At baseline, pleuroparenchymal sequelae changes are observed on both sides. In the case under follow-up due to Covid-19 pneumonia, widespread consolidation areas are observed in the merging tendency, which reduces the aeration of both lungs. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected. There are thickenings in the interlobular and subpleural interstitial tissue on the floor.\n<mediastinum>: CTO is within normal limits. Calibration of other major mediastinal vascular structures is natural. Calibration of the aortic arch is natural. Millimetric-sized calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch. Millimetric lymph nodes are observed in the mediastinum, the largest measuring 11x6 mm in the aorticopulmonary window.\n<heart>: There are calcific atheroma plaques in the left coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Calibration of the aortic arch is natural. Surrounding soft tissue plans are natural. Millimetric-sized calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch. In the sections passing through the upper abdomen, a decrease in density consistent with steatosis is observed in the liver. Millimetric nodularity compatible with the accessory spleen is observed in the hilum of the spleen.\n\nImpression:\nnan"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3910/train_3910_b/train_3910_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Examination is suboptimal because of respiratory artifacts.\n<lung>: When examined in the lung parenchyma window; In the middle lobe of the right lung, a 19x14 mm nodule with a consolidation area containing an air bronchogram and gaining cavitary characteristics is observed. Calcified lymph nodes are observed in the right hilar region in the paratracheal area. Mosaic attenuation is present in both lungs (secondary to small airway disease? Secondary to small vessel disease?). After appropriate treatment, control is recommended. It is not possible to exclude the mass on the consolidation ground.\n<pleura>: An increase in parapleural fatty tissue thickness is observed on the right. In the right lung lower lobe posterobasal segment, a 47x25 mm consolidation area is observed in the subpleural area. There are bilateral subpleural nodules, some of which contain calcification, the largest of which is 6 mm in diameter in the apical segment of the right lung upper lobe. No pleural effusion was detected.\n<mediastinum>: Mediastinal structures are slightly deviated to the right. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPulmonary nodule with consolidation-atelectasis with air bronchogram and cavitation in the middle lobe of the right lung. Consolidation area in the subpleural area in the lower lobe of the right lung. The mass cannot be excluded on this ground. After appropriate treatment, control is recommended.  Mosaic attenuation in both lungs (small airway disease? Small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3914/train_3914_a/train_3914_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are patchy ground glass densities, air bronchogram marks, and mild air bronchogram marks and vascular expansion in the described patchy ground glass densities in both lungs.\n<mediastinum>: In the aorticopulmonary window, more than one lymph nodes with significant dimensional and numerical increase are observed. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative appearances and old rib fractures in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Its clinical correlation and follow-up are recommended for pyelonephritis. The upper abdominal organs are partially included in the examination, and a herniation is observed in the anterior abdominal wall, the opening of which is 17 mm, with an operation scar or fatty planes observed on the right of the umbilical region. There is hyperemia and edema in fatty planes in the perinephric area of the left kidney, and a slightly voluminous appearance in the kidney parenchyma.\n\nImpression:\nInfectious findings described in the lung parenchyma were initially evaluated as secondary to Covid-19 viral pneumonia, and there is a slight increase in the findings.  There is an appearance in the left kidney that may be compatible with new pyelonephritis. It was evaluated as suboptimal in non-contrast examination, and clinical laboratory correlation and close follow-up are recommended.  More than one lymph nodes showing significant dimensional and numerical increase are observed in the aorticopulmonary window.4  A small amount of effusion measured up to 20 mm bilaterally  An increase in heart dimensions  Herniation in the anterior abdominal wall with a 17 mm opening on the right side, in which fatty planes without intestinal loop are detected"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3917/train_3917_b/train_3917_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9351",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are patchy ground glass densities, air bronchogram marks, and mild air bronchogram marks and vascular expansion in the described patchy ground glass densities in both lungs.\n<mediastinum>: In the aorticopulmonary window, more than one lymph nodes with significant dimensional and numerical increase are observed. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative appearances and old rib fractures in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: The upper abdominal organs are partially included in the examination, and a herniation is observed in the anterior abdominal wall, the opening of which is 17 mm, with an operation scar or fatty planes observed on the right of the umbilical region. Heperemia edema observed in the pyelonephritis area in the previous examination of the left kidney is partially observed within the limits of the examination and shows regression.\n\nImpression:\nNo significant difference was found in pleural effusions.  Increase in heart size  Heperemia edema observed in the pyelonephritis area in the previous examination of the left kidney is observed as partial within the limits of the examination and shows regression.  Herniation in the anterior abdominal wall with a 17 mm opening on the right side, in which fatty planes with no intestinal loop are detected"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3917/train_3917_c/train_3917_c_1.npy"
        ]
    },
    {
        "id": "report_generation_9353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several lymph nodes, some of them calcific, in the mediastinum and bilateral hilar regions, with a short diameter of less than 4 mm. More prominent bilateral minimal tubular bronchiectasis is present in the left lung upper lobe apicoposterior segment. Dependent density increases are present in the lower pole posterior segment of both lungs.\n<pleura>: No pleural or pericardial effusion was detected. Several calcific nodules are observed in both lungs, the largest of which is in the apicoposterior segment of the left lung upper lobe, 14x14 mm in size, with occasional pleural retraction and increased thickness.\n<mediastinum>: There are several lymph nodes, some of them calcific, in the mediastinum and bilateral hilar regions, with a short diameter of less than 4 mm. No enlarged lymph nodes in pathological dimensions were detected. Calcific atheroma plaques are observed in the coronary arteries and aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. There are osteophytes bridging in the anterior corners of the thoracic vertebra corpus within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Sliding type hiatal hernia is observed at the esophagogastric junction. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nCalcific nodules, minimal tubular bronchiectasis with pleural retraction and increased thickness in both lungs  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3918/train_3918_a/train_3918_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tubular ectasia was observed in the bronchial structures of both lungs.\n<lung>: There are areas of density increase in the ground glass density, which is almost entirely associated with the right lung, accompanied by areas of increase in density consistent with consolidation. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. Findings are accompanied by increases in interlobular septal thickness.\n<pleura>: In the left lung, these findings describe the subpleural areas more prominently in all segments.\n<mediastinum>: In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary and supraclavicular fossae.\n<heart>: There are calcified atheromatous plaques on the walls of the coronary vascular structures.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3918/train_3918_c/train_3918_c_1.npy"
        ]
    },
    {
        "id": "report_generation_9365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Densities consistent with pleuroparenchymal sequelae are observed around the fissure at the level of the upper lobe apicoposterior segment and lower lobe superior segment in the left lung. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There was no finding compatible with pneumonia in both lungs.\n<pleura>: There is a 5x3 mm subpleural nodule in the middle lobe. A 5x3 mm subpleural nodule is observed in the superior segment of the lower lobe. A 2 mm diameter subpleural nodule is observed in the anterior subpleural area in the anterior segment of the upper lobe of the right lung. Contusion, pleural effusion or pneumothorax is observed.\n<mediastinum>: Pathological lymph node in the mediastinum No pathological size and configuration was detected in the mediastinum. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: There is a fracture in the distal part of the left humerus and postoperative-posttraumatic findings in the adjacent soft tissue planes. There is an intramedullary fixator in the left humerus. There are findings consistent with fracture sequelae in the lateral sections of the 4th and 5th ribs on the left. Degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A nodular formation compatible with the millimetric accessory spleen is observed in the spleen hilum. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPosttraumatic-postoperative changes in fracture and surrounding soft tissue planes in the left humerus, intramedullary fixator.  Sequelae fracture appearance in the lateral sections of the 4th and 5th ribs on the left, pleuroparenchymal sequelae changes in the adjacent left lung upper lobe apicoposterior segment and lower lobe superior segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3922/train_3922_a/train_3922_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasional atelectasis and emphysematous changes were observed in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There is minimal peribronchial thickening in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Mixed type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No pathological increase in wall thickness was detected in the herniated stomach part. There are surgical materials in the gallbladder lodge. There are atheromatous plaques in the aorta.\n\nImpression:\nMinimal atherosclerotic changes in the aorta.  Hiatal hernia.  Emphysematous changes and atelectasis in both lungs.  Minimal peribronchial thickening in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3925/train_3925_a/train_3925_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obscure pathology was detected in the trachea and both main bronchi.\n<lung>: Viral pneumonia was initially considered in the differential diagnosis of the patient who had no known history of immunosuppression. In both lungs, there are diffuse nodular ground-glass areas that are more prominent in the lower lobe superior segments, predominantly located peripherally, and consolidated in places.\n<pleura>: No pleural–pericardial effusion or thickening was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. The examination is of suboptimal diagnostic quality due to intense motion artifacts.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: As far as can be observed in the bone structures within the sections, no lytic-destructive lesion was detected.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT, no mass with distinguishable borders was detected in the upper abdominal organs.\n\nImpression:\nDiffuse nodular ground-glass areas in both lungs, locally consolidated; In the differential diagnosis, viral pneumonia was considered in the first place."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3927/train_3927_a/train_3927_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The bronchial walls are thickened.\n<pleura>: When examined in the lung parenchyma window; Subpleural reticular density increases in both lung parenchyma and peribronchial ground glass densities in the lower lobes, more prominent on the right, are observed.\n<mediastinum>: Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Calcific plaques are present in the aorta and its branches. Lymph nodes are observed in the upper mediastinum anteriorly and in the upper-lower paratracheal area, with the short axis of the larger ones reaching 17 mm.\n<heart>: Heart size slightly increased. The pericardium is thick and the sequela contains millimetric calcifications. Calcific plaque and stents are present in the coronary arteries. Pericardial effusion was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder is operated in the upper abdomen that enters the section area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific plaques are present in the aorta and its branches.\n\nImpression:\nAortic and coronary artery atherosclerosis and coronary stents.  Ground glass densities in both lung parenchyma, subpleural reticulonodular densities. The findings are not typical for Covid pneumonia but are likely for Covid pneumonia. In addition, there is a suspicion of interstitial lung disease in the subfloor.  Minimal cardiomegaly and pericardial sequela findings.  Cholecystectomy  Aortic atherosclerosis.  Bilateral gynecomastia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3941/train_3941_b/train_3941_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe and lower lobe posterobasal segment. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in the right lung. Hiatal hernia.  Hepatosteatosis. Left-facing scoliosis of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3942/train_3942_a/train_3942_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: Sequelae of pleurisy? There is a non-specific nodule in the posterobasal segment of the lower lobe of the left lung with a diameter of 10 mm with peripheral point increase in density (calcification?). Follow-up is recommended. Radiological findings were primarily evaluated in favor of the infectious process. Compatible with Covid pneumonia. When examined in the lung parenchyma window; pulmonary parenchyma aeration is increased.\n<pleura>: In both lungs, there are areas of ground glass infiltration, predominantly subpleural, which become prominent towards the basal segments. An increase in thickness and accompanying plaque-like coarse calcification areas are observed in the lower lobe pleura of both lungs.\n<mediastinum>: Calibrations of the main mediastinal vascular structures are normal. Calcified atherosclerotic plaques are observed in the abdominal aorta. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: There are calcified atherosclerotic plaques in the coronary arteries. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections. Calcified atherosclerotic plaques are observed in the abdominal aorta.\n\nImpression:\nAtypical pneumonic infiltrates in both lungs, radiological findings are consistent with Covid-19 pneumonia.  Thickness increases with bilateral pleural plaque-like calcifications (sequelae of pleurisy?).  Non-specific nodular lesion in the lower lobe of the left lung that cannot be characterized in this examination, follow-up is recommended.  Calcific atherosclerotic plaques in coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3943/train_3943_a/train_3943_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Diffuse wall thickness increase is observed in the bronchial system.\n<lung>: When examined in the lung parenchyma window; Linear atelectasis areas are observed in the right lung upper lobe anterior segment and middle lobe medial segment. No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are several non-specific nodules less than 5 mm in diameter in both lungs.\n<mediastinum>: No space-occupying lesion was detected in the mediastinal fat pad. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Suture materials of previous coronary by-pass surgery are observed. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Transplanted liver sizes are normal. No loculus or free fluid was observed in the upper abdomen in the section. In the upper abdominal sections; It was understood that liver right lobe transplantation was performed. Its contours are smooth.\n\nImpression:\nFindings of previous coronary by-pass surgery and liver right lobe transplantation operation.  Subsegmental atelectatic parenchyma areas in the upper and middle lobes of the right lung.  Several non-specific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3947/train_3947_a/train_3947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9428",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected. Bronchiolitis has been considered in its etiology.\n<lung>: In the evaluation made in the lung parenchyma window: There are paraseptal emphysematous changes in the apex of both lungs. The described findings were observed more intensely in peripheral areas. There are sequela parenchymal changes in the left lung superior lingular segment, both lung lower lobe posterobasal and right lung lower lobe superior. In the multilobar peribronchial areas of both lungs, there are areas of increased density of ground glass density with indistinct borders.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected. There is a nonspecific linear pleural thickness increase in the pleura in the area adjacent to the mediastinum in the anterior upper lobe of the left lung.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are detected in the bone structures within the image, and there are degenerative changes.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no pathology was detected. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nCalcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Nonspecific plaque-like calcified thickness increase in the pleura, localized adjacent to the mediastinum in the anterior upper lobe of the left lung.  Locally sequela parenchymal changes in both lungs.  In both lungs, there are areas of multilobar, mostly peripherally located peribronchial areas of increased density with indistinctly circumscribed ground glass density. Bronchiolitis was considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3949/train_3949_a/train_3949_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to correlate the findings with pneumonia?, clinical and laboratory findings in terms of early infectious process onset. When examined in the lung parenchyma window; Patchy ground glass densities and mild atelectatic changes are observed in the paravertebral area including air bronchogram signs at the basal level of the lower lobe of the right lung and in the posterobasal levels of the bilateral lower lobes of both lungs.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. In coronary arteries, calcific atheroma plaques are observed in the aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The venous catheter extends into the superior vena cava.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction was observed in bone structures. Post-op changes secondary to sternotomy are observed in the sternum.\n<abdomen>: In coronary arteries, calcific atheroma plaques are observed in the aorta. Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as subopotimal.\n\nImpression:\nEarly-stage infectious processes early-stage pneumonia in the paravertebral area on the right at basal levels of the lower lobes of both lungs? findings evaluated in favor of clinical lab. blind. follow-up is recommended.  Atherosclerotic changes.  Millimetric calcific lymph nodes in the mediastinum.  Venous catheter in the superior vena cava,  Post-op changes in the sternum.  Diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3949/train_3949_b/train_3949_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. The nodule described in the posterobasal segment of the lower lobe of the left lung was not observed in the previous examination of the patient. There is a nodule measuring approximately 5.5 mm in diameter in the posterobasal segment of the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs. Therefore, the nodule may not be observed.\n<pleura>: It is understood that the pleural effusion observed in the previous examination disappeared. No pleural effusion was detected. However, in the previous examination of the patient, there was pleural effusion and atelectasis in the lower lobe of the lung.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. In the previous examination of the patient, there is a significant reduction in the size of the lymph nodes observed in the mediastinum and hilar region. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. As far as can be observed: A lesion of soft tissue density is observed in the anterior mediastinum with no clear borders. There is a marked regression in the dimensions of the mass observed in the anterior mediastinum. The longest diameter of the lesion was 52 mm at its widest point (series 2, section 161) (measured approximately 130 mm in the previous examination).\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. Significant regression was also observed in the amount of pericardial effusion.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with discernible borders as far as can be observed in this examination. No upper abdominal free fluid-collection was detected in the sections. No upper abdominal pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nLymphoma on follow-up, soft tissue density lesion in the anterior mediastinum . Minimal pericardial effusion . Millimetric nodule in the lower lobe of the left lung . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3955/train_3955_a/train_3955_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In addition, there is a 4 mm nonspecific nodule in the anterior segment of the left lung milk lobe. When examined in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lung parenchyma. There are emphysematous changes and mosaic attenuation pattern (small airway disease? small vessel disease?).\n<pleura>: Right lung upper lobe anterior segment 9x6 mm in size, nodular appearance evaluated in favor of a pleural localized subpleural lymph node on the fissure floor is observed. There is a free effusion measuring 26 mm in the right pleural space and 14 mm in the left.\n<mediastinum>: The ascending aorta is 42 mm and the descending aorta 30 mm wider than normal. Lymph nodes with fusiform configuration are observed in the mediastinum, the largest of which is in the lower paratracheal area, with a short diameter up to 14 mm and a fatty hilum. Calcified atheroma plaques are observed on the walls of the aorta and iliac vascular structures. Calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures.\n<heart>: Pericardial effusion was not detected. An increase in the cardiothoracic ratio in favor of the heart is observed.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Osteophytic degenerative changes, which tend to merge in the right anterolateral vertebral corpus end plateaus, are observed in the bone structures within the study area.\n<abdomen>: The ascending aorta is 42 mm and the descending aorta 30 mm wider than normal. Calcified atheroma plaques are observed on the walls of the aorta and iliac vascular structures. Calcified atheroma plaques are observed on the walls of the aorta and coronary vascular structures. Near the lesser curvature of the stomach, there are lymph nodes measuring 12 mm in diameter, the larger of which is short. In the upper pole of the left kidney, a millimetric-sized cortical hypodense fluid density nodular lesion is observed (cyst?). Gall bladder is not observed in the abdominal sections within the image, and there are suture materials secondary to the operation in its locus.\n\nImpression:\nIncreased cardiothoracic ratio in favor of the heart, ascending aorta and descending aorta larger than normal and calcified atheroma plaques on the wall of the aorta and coronary vascular structures . Lymph nodes in fusiform configuration with a short diameter over 1 cm in the mediastinum . Mosaic attenuation pattern in both lung parenchyma (small air tract disease? small vessel disease?), emphysematous changes in both lungs, nodular appearance evaluated in favor of subpleural lymph node in the right lung upper lobe anterior segment, and millimetric nonspecific parenchymal nodule in the left lung parenchyma cyst?).  Lymph nodes measuring over 1 cm in short diameter near the lesser curvature of the stomach . Findings compatible with DISH in bone structures . Bilateral pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3963/train_3963_a/train_3963_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). Linear atelectasis was observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe.\n<pleura>: There is minimal pleural effusion on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary bypass surgery. Pericardial effusion was not detected. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are bridging osteophytes at the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries . Mediastinal and hilar millimetric lymph nodes . Minimal pleural effusion on the right . Mosaic attenuation pattern in both lungs . Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3963/train_3963_b/train_3963_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is an increase in peribronchial thickness. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Several nodules with a diameter of 4 mm are observed in both lungs, the largest of which is in the posterior segment of the lower lobe of the right lung. Parenchymal air cyst is observed in the upper zone of the right lung. On the left, centriacinar density increases in both upper lobes of both lungs and nodular-nodular consolidations in ground glass density are observed in places (infectious pathology?). There are more prominent subsegmental atelectasis areas in the lower lobes of both lungs.\n<mediastinum>: The diameter of the pulmonary trunk was 32 mm and increased.\n<heart>: Widespread atheroma plaques are observed in the coronary arteries. Intracardiac defibrillator is observed in the left hemithorax, and the catheter tips end in the right ventricle. The cardiothoracic ratio increased in favor of the heart. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<breast>: There is an appearance compatible with gynecomastia in the bilateral retroareolar area.\n<bone>: Bridging osteophytes are observed in the anterior corners of the thoracic vertebra corpus. No lytic-destructive lesion was observed in bone structures. Cerclage suture materials are observed in the sternum, and no separation or displacement is detected.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There are several lymphadenopathies in the perigastric, periportal, periaortic and paracaval areas, the largest of which is 1 cm in diameter.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Increases in centriacinar nodular density in the upper lobes of both lungs, accompanied by nodular-nodular consolidations in ground glass density. It is recommended to be evaluated together with clinical and laboratory findings in terms of infectious processes.  Peribronchial thickness increase in both lungs, subsegmental atelectasis areas, millimetric nonspecific nodules.  Cardiomegaly, intracardiac defibrillator, calcific atheroma plaques in coronary arteries.  Perigastric, periportal, paraaortic and paracaval several lymphadenopathies. No significant difference was found between the dimensions.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3963/train_3963_c/train_3963_c_1.npy"
        ]
    },
    {
        "id": "report_generation_9464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, thickening of the bronchial walls is observed at the central level. No newly developed infiltration was detected.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Other mediastinal main vascular structures are normal. Calcific plaques are present in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Surgical sutures are observed in the sternum. There are extensive osteophytes that tend to merge anteriorly in the thoracic vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques are present in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nChanges secondary to bypass surgery, cardiomegaly, aortic and coronary artery atherosclerosis.  Mediastinal small lymph nodes.  Minimal emphysema in both lungs, thickening of central bronchial walls.  Sequela fibrotic changes in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3963/train_3963_d/train_3963_d_1.npy"
        ]
    },
    {
        "id": "report_generation_9470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: Septal thickness increases are accompanied by ground glass densities. Peribronchial thickness increases and interlobar-interlobular septal thickness increases are observed in both lungs. A few nonspecific pulmonary nodules were observed in both lungs. A mosaic perfusion pattern was observed in all lung segments, more prominently in the lower lobes of both lungs (small airway disease?, small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; An effusion measuring 18.5 mm at the deepest point on the right and 15 mm at the deepest point on the left was observed between the pleural leaves in both hemithorax. When the described findings were evaluated together with pleural effusion, it was thought that there might be cardiogenic edema.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. As far as can be seen; Suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. The ascending aorta is wider than normal with an anterior posterior diameter of 40 mm and an anterior posterior diameter of 32 mm in the descending aorta. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. On the left, a pacemaker and a catheter extending to the apex of the right ventricle are observed on the anterior chest wall.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: At the thoracic level, long segment spur formations extending along the right anterolateral corners of the vertebrae and a secondary scoliosis with a left-facing scoliosis were observed. As far as can be seen; Suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: As far as it can be seen on non-contrast sections, the gallbladder was not observed (operated). Other upper abdominal organs included in the sections are normal. The ascending aorta is wider than normal with an anterior posterior diameter of 40 mm and an anterior posterior diameter of 32 mm in the descending aorta. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries.\n\nImpression:\nAneurysmatic dilatation of the thoracic aorta, postoperative changes in the anterior chest wall and mediastinum secondary to previous bypass surgery, cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Bilateral pleural effusion and accompanying pulmonary edema.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Diffuse idiopathic bone hyperostosis at the thoracic level and secondary left-facing scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3963/train_3963_g/train_3963_g_1.npy"
        ]
    },
    {
        "id": "report_generation_9479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It was evaluated in favor of parenchymal involvement of the new type of Corona virus. When examined in the lung parenchyma window; In both lungs bilaterally on the right, asymmetric prominent peripheral ground glass opacity areas, intralobular septal thickenings and areas of involvement in the form of consolidation are observed. It favors atypical pneumonic infiltration.\n<mediastinum>: There are lymph nodes less than 1 cm in nonspecific diameters in the mediastinum.\n<heart>: Pericardial effusion was not detected.\n<esophagus>: Esophageal calibration is natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is grade II hydronephrosis in the left kidney.\n\nImpression:\nAtypical pneumonic infiltration in both lungs, findings were evaluated in accordance with the lung involvement pattern of the new type of coronavirus. Grade II hydronephrosis in the left kidney, etiology could not be evaluated because the ureter did not enter the section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3968/train_3968_a/train_3968_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. A few millimetric nonspecific nodules were observed in both lungs. There is minimal bronchiectasis in the central parts of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: There is no pleural effusion.\n<mediastinum>: Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Minimal bronchiectasis in the central parts of both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3971/train_3971_a/train_3971_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are bronchial wall thickness increases in both lungs.\n<lung>: There are cystic bronchiectasis foci in the basal segment of the lower lobe of the left lung, and mucus plugs are observed in the ectatic bronchial lumens. No pneumonic infiltration or consolidation area was detected in the lung parenchyma evaluation. The shooting was carried out in the midinspirium. There are air trapping areas in the parenchyma. Tubular bronchiectasis foci are observed in the left lung lingula inferior segment and right lung lower lobe superior segment. Due to this, a mosaic attenuation pattern is observed in the form of aeration differences in places. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: A few nonspecific lymph nodes below 1 cm in diameter are observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node in pathological size and appearance was observed in the axilla and within the supraclavicular fossa section. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, a 26 mm diameter parapelvic cyst was observed in the upper pole of the right kidney. No feature was detected in the structures belonging to the other section.\n\nImpression:\nCystic bronchiectasis foci in the basal segment of the left lung lower lobe and mucus plugs in the bronchial lumens. Tubular bronchiectasis foci in the left lung lingular segment and right lung lower lobe, aeration differences in the parenchyma . Cyst in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3974/train_3974_a/train_3974_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9496",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: In both lungs, alveolar consolidations accompanied by ground-glass appearances involving the central interstitium, more prominently in the upper lobes, were observed (pulmonary edema?). No nodular or infiltrative lesion was detected in the lung parenchyma of both lungs. No pathological wall thickening was detected.\n<pleura>: When examined in the lung parenchyma window; Pleural fluid with a diameter of 45 mm on the right and 40 mm on the left was observed.\n<mediastinum>: Calcified atheroma plaques were observed in the mediastinal main vascular structures. In the mediastinal prevascular area, in the aortopulmonary window and in the paratracheal area, in the bilateral hilar region, multiple lymph nodes with oval and round configurations, the largest of which reaches 29x24mm in size and in diameter, were observed.\n<heart>: The left atrium is markedly dilated. Segmentary-tubular calcifications were observed in the coronary arteries. In the pericardial area, in the area extending to the apex of the heart at the level of the left ventricle, a benign lesion of approximately 117x16mm in size with calcified soft tissue density was observed. The diameter of the ascending aorta is 42mm and it has a dilated appearance. There is cardiomegaly.\n<esophagus>: The thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Vertebral corpus heights are preserved.\n<abdomen>: Cortical cysts were observed in both kidneys. Stones were observed in the gallbladder lumen in the upper abdominal organs that entered the imaging field. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nEnlargement of cardiac spaces consistent with cardiomegaly, more prominently in the left atrium, in a patient with a pre-diagnosis of congestive heart failure. Bilateral pleural fluid.  Diffuse alveolar consolidations and ground-glass appearances consistent with pulmonary edema in both lungs. Benign natural lesion with calcified soft tissue density in the pericardial area in the area extending to the apex of the heart at the level of the left ventricle. Mediastinal lymphadenopathies. Cholelithiasis and bilateral renal cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3976/train_3976_a/train_3976_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, patches of consolidation areas in both lungs are noteworthy. When examined in the lung parenchyma window; In the apical segment of the upper lobe of the right lung, a mass lesion with lobular contour, whose long axis was 106 mm in the current examination (75 mm in the previous examination), was observed. In both lung parenchyma, multiple parenchymal nodules were observed, the largest of which was in the lower lobe of the right lung, with a long axis measuring 16 mm, consistent with multiple metastases. In addition, a diffuse parenchymal consolidation area, extending from the upper lobe to the middle lobe and lower lobe superior segment, was observed in the lung parenchyma adjacent to the apex of the right lung. The appearance is suggestive of an infectious process in the first place.\n<mediastinum>: Significantly increased in size and number of lymph nodes described from previous review. Clinical and laboratory correlation is recommended.\n<heart>: The diameter of the ascending aorta was 46 mm and showed fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: Multiple lendadenopathies, measuring 42x24 mm in size, were observed in the bilateral lower cervical chain, upper-lower paratracheal localization, prevascular, aorticopulmonary window, subcarinal area, and both hilar localizations, the largest in the lower paratracheal localization, which were included in the examination area. In addition, height loss was observed in the T1, T9, T11 and T12 vertebral bodies. In addition, a stable fracture line and callus formation was observed in the right 8th rib according to the previous examination. Diffuse lytic lesions were observed in all thoracolumbar vertebrae and both scapulae in the study area. There is a malunion fracture in the corpus sternium. Height loss due to pathological fracture was observed in the T8 vertebral body. At the level of T7, T8, T9 vertebrae, a mass lesion was observed that encircles the vertebra crecentrically, its borders cannot be distinguished from bone structures, its craniocaudal dimension is 53 mm, and its AP diameter is 31 mm. A pathological fracture was observed in the posterolateral aspect of the right 2nd rib, and it has recently emerged in the current examination. S-shaped scoliosis was observed in the thoracic vertebrae.\n<abdomen>: In the upper abdominal sections in the examination area, there are mass lesions consistent with metastasis in both adrenal glands, measuring 69 mm in the long axis on the right and 74 mm on the left.\n\nImpression:\nMass lesion invading the vertebral corpus . Parenchymal nodules consistent with multiple metastases in the parenchyma of both lungs . Large parenchymal consolidation in the upper lobe of the right lung and patches of consolidation of both lungs with a tendency to diffuse fusion, the appearance was evaluated primarily in favor of an infectious process. Clinical and laboratory correlation is recommended.  Multiple lytic lesions in bone structures. Height loss in the localizations described in the report in the thoracic vertebra, a newly revealed pathological fracture in the posterolateral right 2nd rib in the current examination.  The described findings were evaluated in favor of progressive disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3977/train_3977_b/train_3977_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9516",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are thickenings in the interlobular septa, especially in the lower lobes, bronchiectasis, and peribronchial sheathing. There is a bilateral effusion measuring 29 mm in thickness on the right and 20 mm in thickness on the left. Diffuse mosaic attenuation patterns are observed in both lungs, especially in the lower lobes.\n<pleura>: There are pleural calcifications in the subdiaphragmatic area on the left side.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in ecmic structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpus endplates are present.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Diffuse density reduction in ecmic structures, hypertrophic osteophytic tapering in the anteriors of the vertebral corpus endplates are present.\n\nImpression:\nSmall airway disease?, small vessel disease? with changes secondary to cardiac stasis? is monitored.  Pleural calcifications.  Small lymph nodes are observed in the mediastinum.  A small amount of bilateral effusion.  Atherosclerosis.  Degenerative changes in bone structures.2"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3982/train_3982_a/train_3982_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Linear ground-glass appearance observed in the right lung lower lobe superior and mediobasal segments was evaluated as secondary to osteophytes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric calcific plaques are observed in the aortic arch and the wall of the coronary artery. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum.\n<heart>: Millimetric calcific plaques are observed in the aortic arch and the wall of the coronary artery.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A decrease in density consistent with hepatosteatosis is observed in the liver. Millimetric calcific plaques are observed in the aortic arch and the wall of the coronary artery. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nThe ground-glass appearance observed adjacent to the osteophyte in the lower lobe of the right lung is secondary to the osteophyte. CT findings showing pneumonia are not available. It may be negative in the early period. Clinical and laboratory evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3987/train_3987_a/train_3987_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9542",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. The outlook is highly suspicious for Covid-19 pneumonia. Some calcific millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, linear atelectasis and subpleural streaks accompanied by central-peripheral crazy paving nodular-patchy ground glass consolidations were observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other major mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 29 mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Scoliosis with left thoracic opening was observed.\n<abdomen>: Spleen, pancreas, both adrenal glands, both kidneys are normal. Millimetric nonspecific hypodense lesions were observed in segments 2, segments 4B, 6 and 7 of the liver as far as can be observed within the sections. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 29 mm.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta . Hiatal hernia . High suspicious findings for Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory . Millimetric nonspecific hypodense lesions in the liver, (cyst?) . Scoliosis with left-facing scoliosis at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3995/train_3995_a/train_3995_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is also an appearance compatible with effusion inside the fissure on the left side. When examined in the lung parenchyma window; a few millimetric nonspecific nodules are observed in both lungs. Patchy ground glass densities and budding tree images are observed in the superior and posterior lower lobes of both lungs, and the middle lobe of the right lung. In the left lung upper lobe inferior lingular segment, there are slightly patchy ground-glass densities around subsegmentary atelectatic changes.\n<pleura>: In the left hemithorax, there is a finding consistent with pleural effusion, the thickness of which is measured up to 21 mm in the widest part, in which air densities are observed within the lobulated contours. No pleural effusion-thickening was detected in the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<breast>: There are also emphysematous findings in the form of plastering under the skin on the left chest wall.\n<bone>: Bone structures in the study area are natural. There are widespread osteophytic degenerative changes in the thoracic lumbar vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. The upper abdominal organs are partially involved in the work and were evaluated as suboptimal. The gallbladder is operated. Calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\nPatchy ground-glass densities and budding tree images in both lungs, most prominently in the right middle lobe.  Subsegmental atelectasis in the left lung inferior lingular segment and New patchy ground glass densities around it . A few millimetric sequela nodules in both lungs . Minimal diffuse thickening with effusion in the left major fissure and effusion in the left hemithorax with a thickness of 21 mm in which air densities are observed . Atherosclerotic findings . Small hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3999/train_3999_a/train_3999_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; interlobular septal thickenings, subsegmental atelectasis and a few nodules smaller than 5 mm in the lower lobe basal segment are observed in the left lung (IMA: 103). In addition, the findings were almost completely regressed with the possible infective process observed in all segments in the form of a budding tree view in the right lung in the previous examination.\n<pleura>: In the left hemithorax, thickenings in the mediastinal and costal pleura and effusions entering the fissure are observed.\n<mediastinum>: Right upper-lower paratracheal, aortopulmonary lymph nodes smaller than 1 cm were also observed in previous examinations. Calcific plaques are observed in the walls of the coronary artery in the aortic arch.\n<heart>: Calcific plaques are observed in the walls of the coronary artery in the aortic arch. No pathological LAP was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Perirenal fringing effusions are observed in the sections passing through the upper part of the abdomen. Also available in previous reviews. Calcific plaques are observed in the walls of the coronary artery in the aortic arch.\n\nImpression:\nDecrease in the volume of the left hemithorax . Nearly complete regression in the budding tree scene, which may be compatible with the bronchiolitis observed in the examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3999/train_3999_b/train_3999_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: There are smooth interlobular septal thickenings in the left lung. An appearance compatible with consolidation-peribronchial thickening is observed in the peribronchial area in the lower lobe of the left lung. Left lung volume decreased. No mass or infiltrative lesion was detected in the right lung. The described appearance is non-specific. There are millimetric nodules in both lungs. This view is not specific. It is recommended to follow. This appearance is present in the previous examination of the patient and no difference was detected. The described thickening is irregularly limited in places.\n<pleura>: The thickening in the pleura was measured approximately 21 mm in its thickest part, adjacent to the lower lobe of the lung. Plaque-like thickening of the pleura is observed in the left hemithorax. No significant pleural thickening was detected on the right. Bilateral minimal pleural effusion is observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: There are lymphadenopathies in the prevascular paratracheal subcarinal and both hilar regions. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. The largest of the lymphadenopathies is observed in the subcarinal area and its short diameter is approximately 20 mm.\n<heart>: Heart contour and size are normal. There is no pericardial effusion. Density increases that may be compatible with edema-infiltration and nodular lesions thought to be lymph nodes are observed in the pericardial fat pad on the left.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nOn follow-up, mesothelioma, plaque-like thickening of the pleura in the left hemithorax, increase in density compatible with edema-infiltration in the left pericardial fat pad and lymph nodes, mediastinal and hilar lymphadenopathies . Volume loss in the left lung . Uniform interlobular thickening in the left . Bilateral minimal pleural effusion . Millimetric in both lungs nodules . Consolidation in the peribronchial region in the lower lobe of the left lung-consistent appearance with peribronchial thickening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_3999/train_3999_c/train_3999_c_1.npy"
        ]
    },
    {
        "id": "report_generation_9561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Bronchiectasis and thickening of the bronchial wall are observed in the bilateral lower lobe mediobasal segments.\n<lung>: There are millimetric nonspecific nodules in both lungs. Bronchiectasis and thickening of the bronchial wall are observed in the bilateral lower lobe mediobasal segments. When examined in the lung parenchyma window; Peripherally located ground glass densities are present in both lung parenchyma.\n<pleura>: There are also subpleural fibrotic recessions in the posterobasal left.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anterior osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the upper abdominal organs, including sections; There are millimetric stone densities in the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCoronary atherosclerosis.  Findings consistent with Covid pneumonia in both lung parenchyma.  Bronchiectasis in the posterobasal segments of the lower lobe bilaterally, thickening of the bronchial wall and fibrotic recessions.  Cholelithiasis.  Bilateral millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4003/train_4003_a/train_4003_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation is recommended. It was evaluated in favor of the infectious process. In the lower lobe of the right lung (in image 18 in series 2), 7 mm in size posteriorly and 5 mm in the posterior (in image 170, in series 2), and in the fissure adjacent to the fissure in the lower lobe of the right lung (in image 167 in series 2), three-dimensional three-dimensional There are four nodules in the lower lobe of the left lung and one 4 mm nodule, which can hardly be distinguished from the vascular structures (in series 2 image 202). There are atelectatic changes and small bulla formations, more prominent in the lower lobes of both lungs. In the upper lobe of the left lung, at the level of the superior lingula, a slight patchy ground-glass density, which can hardly be distinguished from the parenchyma, is observed. The described finding can also be seen in Covid-19 viral pneumonia. It was evaluated in favor of the infective process. When examined in the lung parenchyma window; Diffuse emphysematous changes are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. Small lymph nodes with a short axis measuring up to 5 mm are observed at the carina level in the aorticopulmonary window in the mediastinum. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. An increase in heart size was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia is observed.\n<bone>: Hypertrophic – osteophytic taperings are observed in the anteriors of the vertebral corpuscles.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with infectious processes in the central left upper lobe of the lung. It can also be seen in Covid-19 viral pneumonia. Clinical and laboratory correlation is recommended.  Nodules measuring up to 6 mm in both lungs, mostly in the lower lobe on the right.  Mild fibrotic changes at basal levels in both lung lower lobes.  Emphysematous changes in both lungs.  Small hiatal hernia.  Increase in heart size.  Mild hepatosteatosis in the liver parenchyma.  Small lymph nodes with a short axis measuring up to 5 mm at the level of the carina in the aorticopulmonary window in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4011/train_4011_a/train_4011_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9588",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Clarifications are observed in the central bronchovascular structures.\n<lung>: Bronchial thickening and minimal bronchiectasis are seen in the right middle lobe, left lingula and bilateral lower lobes. When examined in the lung parenchyma window; There are minimal mosaic density differences in both lungs.\n<pleura>: Peribronchial and subpleural band atelectasis are seen in the lower lobe on the right.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart size slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: A suspicious nodular asymmetry is observed in the left breast at the retroareolar level, with a size of 24x16 mm, deeply located.\n<bone>: There are osteophytes in the vertebrae. Left-facing scoliosis is observed in the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. USG is recommended.\n\nImpression:\nAortic and coronary artery atherosclerosis, minimal cardiomegaly  Mosaic density differences in both lungs, thickening of the bronchial wall towards the lower lobe, minimal bronchiectasis, band atelectasis  Slight asymmetric thickening of the lower lobe bronchi (acute bronchitis on the basis of chronic bronchitis?).  Left-facing scoliosis in thoracic vertebrae  Osteophytes in vertebrae  Retroareolar nodular opacity on the left, USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4017/train_4017_a/train_4017_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9608",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Viral pneumonias (Covid-19 pneumonia) are considered in the ethology of the findings.\n<pleura>: When examined in the lung parenchyma window; There is subcentimetric minimal effusion in both pleural spaces. Bilateral pleural effusion observed in the previous CT examination showed significant regression in the current examination. In the current examination, there are multilobar, peripheral, subpleural, mostly dorsal-located ground glass and density increase areas compatible with consolidation, which are observed to have newly developed in both lungs.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<heart>: Pericardial effusion was not detected. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: Right 7.,8. There are fracture lines in the 12th and 12th ribs, which do not show significant divergence. In addition, a fracture is observed in the left transverse process of the T11 vertebra. In the bony structures within the image, there is a compression fracture in the right half of the T12 vertebral corpus.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nRight 7.,8. and fracture lines in the 12th ribs, the right half of the T12 vertebral corpus, and the left transverse process of the T11 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4025/train_4025_a/train_4025_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Findings are more prominent in the lower lobes of the lung. There are diffuse ground-glass appearances in both lungs and interlobular septal thickenings accompanying the ground-glass appearance. The described findings were evaluated in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4026/train_4026_a/train_4026_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Shooting was done in expiration. There are areas of atelectasis in the basal segments of the lower lobes of both lungs. Mosaic attenuation pattern in the lung parenchyma was primarily thought to develop secondary to small airway involvement. In the lower lobe basal segment bronchi of the right lung, bronchial wall thickness increases and luminal secretions are observed in places.\n<pleura>: When examined in the lung parenchyma window; There is mild pleural effusion reaching 1 cm in diameter between the left pleural leaves.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was detected in the mediastinum.\n<heart>: A cardiac pacemaker catheter is monitored. Calcification plaques are observed in the coronary arteries. Heart sizes were significantly increased. The distal end of the catheter terminates in the right ventricle.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: There is gas distension in the lumen of the colonic and intestinal loops. The right kidney was not cut. In the upper abdominal sections; The left kidney is atrophic.\n\nImpression:\nIncreased size of the heart, pacemaker, atherosclerotic plaques in the coronary arteries. Atelectasis in the lower lobes of both lungs, mosaic attenuation . Pneumonic consolidation was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4033/train_4033_a/train_4033_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Segmentary-subsegmentary tubular peribronchial thickening and luminal narrowing were observed in both lungs. Multiple nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. Mosaic attenuation in both lungs was found to be secondary to small airway stenosis. More extensive pleuroparenchymal sequelae atelectatic changes were observed in the right lung upper lobe anterior segment and lower lobe basal segments in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: A smear-like effusion was observed in the pleural space in the right hemithorax. Sequela thickening was observed in the posterior costal and mediastinal pleura in the left hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the mediastinum and in both hilum, lymph nodes that did not reach pathological dimensions were observed, the largest of which was 8 mm in the short axis of the right upper paratracheal area.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial amorphous calcifications were observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in the sections, the dimensions of the left lobe and caudate lobe of the liver have increased and their contours are irregular. Findings are compatible with chronic parenchymal disease. The spleen is full.\n\nImpression:\nBilateral gynecomastia.  Pericardial calcification.  Placing-like pleural effusion on the right, sequelae thickening in the costal pleura in the left hemithorax.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Nonspecific parenchymal nodules in both lungs.  Sequelae of atelectatic changes in both lungs.  Findings consistent with chronic liver parenchymal disease, fuller appearance in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4034/train_4034_a/train_4034_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are atelectasis in the right lung middle lobe and left lung upper lobe lingular segment, and both lung lower lobes. No mass or infiltrative lesion was detected in both lungs. Both lungs have ground-glass appearances and smooth interlobular septal thickenings.\n<pleura>: When evaluated together with pleural effusion, the described appearance was primarily thought to be due to cardiac pathology. Bilateral pleural effusion is observed. The pleural effusion measured 35 mm on the right and 32 mm on the left at its thickest point. On the left, it is understood that the pleural effusion has become locally loculated. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: A millimetric atheroma plaque was observed in the distal part of the left anterior descending coronary artery. Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nBilateral pleural effusion  Ground-glass appearance and smooth interlobular septal thickening in both lungs (secondary to cardiac pathology?)  Atelectasis in both lungs  Millimetric atheroma plaque in the left anterior descending coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4038/train_4038_a/train_4038_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nInspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4043/train_4043_a/train_4043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are fibrotic sequelae changes at the apical level in the upper lobe of the right lung. There are one or two small bullae in both lungs.\n<pleura>: When examined in the lung parenchyma window; Diffuse in a nodular manner, especially in the lateral and posterior segment and superior in the lower lobe of the right lung, in the middle lobe of the right lung and in the right lung middle lobe adjacent to the main fissure, consolidation areas that also cause recession in the pleura, containing air bronchogram sign, and more prominently around the consolidation areas in almost the whole lung patchy ground glass densities are observed.\n<mediastinum>: Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion with a thickness of 10 mm is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nInfectious processes accompanied by pulmonary hemorrhage are observed. Clinical laboratory correlation and close follow-up are recommended.  There are one or two small bullae in both lungs.  Pericardial effusion measuring 10 mm in thickness and a small to moderate amount of pleural effusion on the right.  Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4044/train_4044_a/train_4044_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Linear atelectasis was observed in both lungs. When examined in the lung parenchyma window; Consolidation areas in the lower lobe of the right lung, middle lobe and upper lobe and in the basal segments of the lower lobe of the left lung, containing air bronchograms, are observed around which ground glass areas are observed. The described findings were evaluated in favor of pneumonic infiltrates accompanied by alveolar hemorrhage. No mass lesion with distinguishable border was observed in the lung parenchyma. A few millimetric parenchymal air cysts were observed in both lungs.\n<pleura>: The right pleural effusion is completely resorbed. Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: No lymph node in pathological dimensions was observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. The shortest axis of the lymph nodes was measured 9 mm in the right upper paratracheal region. Lymph nodes were observed in the mediastinum.\n<heart>: Heart sizes were significantly increased. Pericardial thickening was not observed. A catheter extending into the right atrium was observed. The aortic valve is calcified. Pericardial effusion with a thickness of 10 mm is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nThe right pleural effusion is completely resorbed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4044/train_4044_b/train_4044_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is minimal tubular bronchiectasis in both lungs. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are faintly circumscribed ground-glass areas (section 128-135) in the medial segment of the lower lobe of the right lung (infectious?). No mass was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Millimetric calcific plaques are observed in the coronary arteries and aorta. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The diameter of the ascending aorta was 54 mm, the diameter of the aortic arch was 31 mm, and the diameter of the descending aorta was 33 mm and increased.\n<heart>: Heart contour and size are normal. The diameter of the ascending aorta was 54 mm, the diameter of the aortic arch was 31 mm, and the diameter of the descending aorta was 33 mm and increased.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: At the corners of the corpus of the thoracic vertebrae, bridging osteophytes are observed. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: The diameter of the ascending aorta was 54 mm, the diameter of the aortic arch was 31 mm, and the diameter of the descending aorta was 33 mm and increased. Sliding type hiatal hernia is observed at the esophagogastric junction. There is no mass with discernible borders in other upper abdominal organs. Millimetric calcific plaques are observed in the coronary arteries and aorta. As far as can be evaluated within the limits of non-contrast CT; there is a hypodense lesion with a diameter of 15 mm in the upper pole of the left kidney (cyst?).\n\nImpression:\nFaintly circumscribed ground-glass areas in the lower lobe of the right lung. It just appeared at a one-month interval. It is recommended to evaluate it in terms of infectious processes, especially viral pneumonias.  Bilateral minimal tubular bronchiectasis.  Aneurysmatic dilatation of the aorta.  Hypodense lesion (cyst?) in the upper pole of the left kidney.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4047/train_4047_a/train_4047_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9655",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are millimetric osteophytes at the vertebral coprus corners. The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: A nodular lesion measuring 15 mm in diameter is observed in the right adrenal gland corpus and was evaluated in favor of adenoma. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. Atelectasis in both lungs.  Hiatal hernia . Adenoma in the right adrenal gland bridge . Minimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4048/train_4048_a/train_4048_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread patchy ground glass-consolidation areas are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Cortical cyst is observed in the right kidney. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical/probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4055/train_4055_a/train_4055_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Wide, patchy diffuse ground-glass opacities and accompanying interlobular septal thickenings were observed in both lungs with central-peripheral peribronchial weight. Segmental - subsegmental peribronchial thickening and luminal narrowing were observed in both lungs. There is a mosaic attenuation pattern in both lungs. Findings were secondary to small airway disease. Passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe lingular segment.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Multiple lymph nodes were observed in the mediastan, with short axis below 1 cm, which did not reach pathological dimensions. The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 35 mm, which was larger than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Metallic sutures secondary to bypass surgery are observed in the sternum and anterior mediastinum. The pulmonary trunk is larger than normal with the diameters of the right and left pulmonary arteries of 31 mm, 32 mm, and 32 mm, respectively.\n<heart>: As far as can be seen; Pacemaker and lead catheters extending to the apex of the right ventricle are observed on the anterior chest wall on the left. Pericardial thickening was not observed. Localized pericardial effusion measuring 14 mm in its thickest part was observed on the right. Heart size increased. The described findings are consistent with cardiac stasis-pulmonary edema.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Metallic sutures secondary to bypass surgery are observed in the sternum and anterior mediastinum. The findings are compatible with DISH. In the right anterolateral corner of the thoracic vertebra, bridging spur formations are observed. Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: There is macrolobulation in liver contours. Pancreas, both kidneys are in natural appearance. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 35 mm, which was larger than normal. As far as can be seen within the sections; liver left lobe and caudate lobe appear hypertrophied. It is recommended to be evaluated together with clinical and laboratory in terms of possible parenchymal disease. Linear sequelae calcifications were observed in the capsule in the lateral part of the spleen. A small amount of free fluid was observed in the abdomen. Peripheral subcapsular, nonspecific hypodense lesion areas with a diameter of 21 mm were observed in segment 3 and segment 7 of the liver.\n\nImpression:\nCardiac pile in the anterior chest wall on the left, lead catheters extending to the right ventricular apex, cardiomegaly, fusiform aneurysmatic dilation in the thoracic aorta, increased pulmonary artery diameters.  Atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches, and coronary arteries . Hiatal hernia in both lungs. findings consistent with stasis-lung edema. Passive atelectatic changes in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe lingular segment. Bilateral pleural effusion in the form of smearing.  Mild hypertrophy of the liver in the left lobe and caudate lobe, macrolobulation in its contours; it is recommended to be evaluated together with clinical and laboratory in terms of possible parenchymal disease. Nonspecific hypodense lesions in segment 3 and segment 7 of the liver; could not be characterized in this study.  Sequelae linear calcifications in the capsule in the lateral spleen. Small amount of free fluid in the abdomen.  Appearance compatible with DISH at the level of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4056/train_4056_a/train_4056_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas and consolidations are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Ground glass areas are accompanied by interlobular septal thickenings. The manifestations and distributions of the described findings are in the style frequently observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. In addition, there are linear density increases extending parallel to the pleura in peripheral areas, especially in the lower lobes.\n<mediastinum>: The descending aorta measures 40 mm in diameter and is wider than normal. The aortic arch is elongated. Mediastinal structures cannot be evaluated optimally because no contrast material is given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Atheroma plaques are observed in the coronary arteries in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The descending aorta measures 40 mm in diameter and is wider than normal. The aortic arch is elongated. Atheroma plaques are observed in the coronary arteries in the aorta.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4069/train_4069_a/train_4069_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The described appearances are among the frequently observed findings in Covid-19 pneumonia. When evaluated together with the patient's previous examinations, minimal regression was observed in the findings. Peripheral and centrally located ground-glass appearances and consolidations in small areas are observed in the upper and lower lobes of both lungs and the lower lobe of the right lung. In addition, interlobular septal thickenings and occasionally cystic areas are present in the ground glass areas. No mass was detected in both lungs.\n<pleura>: Apart from these, linear density increases in the form of bands running parallel to the pleura were observed in the peripheral areas of both lungs. No pleural or pericardial effusion was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4069/train_4069_b/train_4069_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs.\n<pleura>: No pleural effusion was detected. Calcified pleural plaques are observed in both costal pleuras prominent on the left.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: The thoracic esophagus is dilated distally. Mixed type hiatal hernia was observed.\n<bone>: Osteopenia was observed in the bone structure.\n<abdomen>: No dilatation was detected in the thoracic aorta. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. In the upper abdominal sections in the study area; A cortical cyst of 45 mm in diameter was observed in the upper pole of the right kidney.\n\nImpression:\nEsophageal dilatation, hiatal hernia.  Right renal cyst.  Emphysematous changes in both lungs.  Distinct calcified pleural plaques on the left in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4071/train_4071_a/train_4071_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the left lung upper lobe inferior segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs are partially included in the study. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. A small accessory spleen with a size of 10 mm is observed in the spleen hilum.\n\nImpression:\nLinear atelectatic changes in left lung upper lobe inferior segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4084/train_4084_a/train_4084_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is a 7 mm nodule appearance adjacent to pleuroparenchymal sequelae in the lingular segment of the left lung. In the evaluation of both lung parenchyma; Movement artifacts are observed in the lower lobes of both lungs. Motion artifacts are present in the lower lobes of both lungs. Pleuroparenchymal sequelae density with mild nodular form is observed in the lingular segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal lymph nodes, some of which are calcified, are observed in millimeter size. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the walls of the aortic arch and coronary artery.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart. Calcific plaques are observed in the walls of the aortic arch and coronary artery.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. A 3.8 cm cortical exophytic cyst is observed in the left kidney, which partially enters the examination area. In the sections passing through the upper part of the abdomen, the gallbladder has a contracted appearance. Calcific plaques are observed in the walls of the aortic arch and coronary artery.\n\nImpression:\nPleuroparenchymal sequelae in the lingular segment of the left lung and a 7 mm diameter nodule adjacent to it"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4094/train_4094_a/train_4094_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Linear subsegmental atelectatic changes were observed in both lungs. Atelectasis was observed in the lower lobe basal segment of the left lung, and the volume of the lower lobe segment was reduced. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Round atelectasis in the basal segment of the lower lobe of the left lung is completely regressed in the current examination. Peribronchial thickening was observed in both lungs. There are atelectatic changes in the lung parenchyma adjacent to the diaphragm. The left hemidiaphragm is prominently elevated.\n<pleura>: There are calcified pleural plaques in the costal pleura in both hemithoraces. A smear-like pleural effusion was observed in both hemithorax, extending to the fissure and forming a phantom tumor in the fissures.\n<mediastinum>: As far as can be seen; The heart and mediastinum are deviated to the right. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta calibration is natural. The diameters of the pulmonary arteries have increased.\n<heart>: Pericardial effusion-thickening was not observed. Heart size increased. Atherosclerotic wall calcifications were observed in the coronary arteries. As far as can be seen; The heart and mediastinum are deviated to the right.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Multiple cortical cysts were observed in both kidneys on the left. Thoracic aorta calibration is natural.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4100/train_4100_b/train_4100_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: However, thickening of the bronchovascular sheath is observed in the mid-lower zones. Calibration of the trachea and main bronchi is normal.\n<lung>: It is recommended to be evaluated together with the clinic. At the level of the minor interlobar fissure, a soft tissue appearance with a density value of approximately 8 HU is observed, which is considered compatible with the intra-fissure fluid in the vicinity of the fissure. In the evaluation of the parenchymal window of both lungs: Both hemithorax are symmetrical. Dense coarse reticulonodular density appearance compatible with dependent vascular density or infiltration is observed in the posterobasal segment of the right lung lower lobe. No significant mass lesion or nodule formation was detected in both lungs. Centrilobular-paraseptal emphysema appearances are present in almost all areas. In the lower zones, central interstitial septal thickening is observed in both lungs, especially on the left.\n<pleura>: There is a thin pleural effusion not exceeding 1 cm in both lungs. There are prominent subpleural and central interstitial scars at the level of the middle lobe in both lungs, in the anterior segment of the upper lobe and in the left lung, and there are mild irregularities in the pleura. Density increases are observed in both apical levels, which is considered compatible with pleuraparenchymal sequelae.\n<mediastinum>: Calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch, and in the abdominal aorta. The aortic arch was calibrated at 30 mm and was wider than normal. The descending aorta is calibrated at 35 mm and is wider than normal. There are lymph nodes with a short axis not exceeding 1 cm in the aorticopulmonary window at the pretracheal level in the upper-lower paratracheal area. Pulmonary trunk calibration was 34 mm, right pulmonary artery calibration was 32 mm, left pulmonary artery calibration was 39 mm, and it was normal.\n<heart>: Calcific atheroma plaques are observed in the coronary artery and venous structures. On the right, both atria are hypertrophied. CTO increased in favor of the heart.\n<esophagus>: Hiatal hernia is observed in the case.\n<breast>: Parenchyma tissue compatible with gynecomastia is observed in both breasts.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: In sections passing through the upper abdomen, the spleen is larger than normal. It was evaluated as compatible with splenomegaly. Other than that, the surrounding soft tissue and muscle structures are normal. The aortic arch was calibrated at 30 mm and was wider than normal. Calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch, and in the abdominal aorta. The descending aorta is calibrated at 35 mm and is wider than normal. Hiatal hernia is observed in the case.\n\nImpression:\nChanges consistent with emphysema in both lungs. Sequelae changes in both lungs, thickening of the interstitial tissue at basal levels in the upper lobe anterior segment, right middle lobe, left lingular segment, and left lung, slight irregularity in the pleura. Evaluation and follow-up of the case in terms of interstitial lung disease is recommended.  Sequelae changes in both lungs. Minimal smear-like pleural effusion at the base in both lungs, effusion at the level of the minor interlobar fissure on the right. Rough reticular density appearances consistent with basal dependent vascular density or infiltration of the right lung. Degenerative changes in bone structure.  Splenomegaly. Calibration increases in mediastinal major vascular structures, atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4111/train_4111_a/train_4111_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When evaluated together with the clinical history of the patient, the described appearance was thought to be compatible with viral pneumonia. Ground-glass appearances are more prominent in the middle and lower lobes of the lung and are especially observed in the peripheral areas. Diffuse ground glass appearances are observed in both lungs. No mass was observed in both lungs. Apart from these, there is also consolidation in the lower lobe of the right lung.\n<pleura>: There is no pleural effusion on the left. There is minimal pleural effusion on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are millimetric stones in the gallbladder. There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4112/train_4112_a/train_4112_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9810",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, multilobar consolidation and ground glass density areas are observed, mostly peripheral subpleural, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. No bilateral pleural effusion or increase in thickness was detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are normal. No lymph nodes in pathological size and appearance were observed in both axillary regions and mediastinum.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are normal. Minimal pericardial effusion is observed.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: There is a diffuse density decrease secondary to hepatosteatosis in liver parenchyma density as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. No intraabdominal solid lesion was detected. Intraabdominal free fluid – loculated collection is not observed.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Minimal pericardial effusion.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4121/train_4121_a/train_4121_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Calcific lymph nodes are observed in the mediastinum and bilateral hilum. In addition, millimetric nonspecific nodules are observed in the lungs. There are osteophyte-related fibrotic changes in the posterobasal region of the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; nodules sitting on the pleura are observed in the anterior upper lobe of the left lung.\n<mediastinum>: Calcific lymph nodes are observed in the mediastinum and bilateral hilum. Paraaortic calcific lymph nodes are present.\n<heart>: An effusion reaching 14 mm is observed in the widest part of the pericardium. The ascending aorta is ectatic (35 mm). Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in the vertebrae in the bone structures in the study area.\n<abdomen>: Paraaortic calcific lymph nodes are present. Lamellar stone density of 24 mm is observed in the gallbladder in the upper abdominal organs included in the sections.\n\nImpression:\nEctasia in the ascending aorta, aortic and coronary artery atherosclerosis  Pericadial effusion  Stable nodules based on the pleura in the anterior upper lobe of the left lung  Regressed nodule in the apex of the left lung upper lobe  Millimetric nonspecific nodules in both lungs  Mediastinal, hilar and paraaortic calcific lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4122/train_4122_b/train_4122_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma.\n<pleura>: Effusion up to 40 mm is observed on the right in the deepest part of the bilateral pleural space. In the lung parenchyma adjacent to the pleural effusion, there are areas of increase in density evaluated in favor of compressive atelectasis, areas of increase in density consistent with linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.\n<mediastinum>: A central venous catheter is observed. It shows aneurysmatic dilatation with 43 mm of ascending aorta and 31 mm of descending aorta. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: There is an increase in heart size. Minimal pericardial effusion is observed.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. In the corpus of the right adrenal gland, there is a low-density lesion measuring 30x15 mm, which is evaluated in favor of adenoma in which millimeter-sized fat densities are also observed. It shows aneurysmatic dilatation with 43 mm of ascending aorta and 31 mm of descending aorta. In the upper abdominal sections within the image, within the limits of non-contrast CT; There is a hyperdense stone of millimeter size in the gallbladder lumen. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nIncreased calibration of the ascending aorta, descending aorta, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures, and increased heart size.  Minimal pericardial and bilateral pleural effusion.  Density increase areas evaluated in favor of compressive atelectasis in the lung parenchyma adjacent to the effusion in both lungs, and density increase areas evaluated in favor of linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.  Cholelithiasis.  Nodular lesion in the corpus of the right adrenal gland evaluated in favor of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4126/train_4126_a/train_4126_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, calcified millimetric lymph nodes were observed in the left hilar region. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and in the inferior lingular segment of the left lung. When examined in the lung parenchyma window; A nonspecific pulmonary nodule with a diameter of 5mm was observed in the middle lobe of the right lung. Mild emphysematous changes were observed in both lungs. Laboratory correlation is recommended).\n<pleura>: In addition, a subpleural nodule with a diameter of 4.5 mm was observed in the anterior segment of the upper lobe. Non-calcified nonspecific pulmonary nodules with a diameter of 4.7 mm in the subpleural neighborhood of the lower lobe posterobasal segment, 3 mm in diameter in the left lung inferior lingular segment, and 3 mm in diameter in the lower lobe superior segment were observed. In the left lung upper lobe apicoposterior segment, peripheral subpleural localized bud branch appearances are observed (may be compatible with changes secondary to or sequela to bronchiolitis.\n<mediastinum>: Diffuse calcific atherosclerotic changes were observed in the thoracic and aortic coronary artery walls. Multiple lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal, aorticopulmonary, and subcarinal areas. In the bilateral axillary region, benign lymph nodes of ovoid configuration, which concern the central fatty hilum, are observed. No lymph node was detected in mediastinal pathological size and appearance. No pathological size and visible lymph nodes were detected in the bilateral axillary region.\n<heart>: Diffuse calcific atherosclerotic changes were observed in the thoracic and aortic coronary artery walls. Heart size increased (cardiomegaly) Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected at the borders of the non-contrast examination.\n<bone>: It is recommended to be evaluated in terms of DISH disease. Spur formations merging with each other were observed in the anterolateral of the lower thoracic vertebra. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Apart from this, no space-occupying lesion was detected in the liver in the upper abdominal sections. Diffuse calcific atherosclerotic changes were observed in the thoracic and aortic coronary artery walls. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections that entered the examination area, a calculi of 4 mm in diameter was observed in the upper pole of the right kidney.\n\nImpression:\nMediastinal lymph nodes, cardiomegaly. Calcified atherosclerotic changes in the thoracic aorta and coronary arteries.  Nonspecific pulmonary nodules in both lungs in the localizations described in the report. If present, it is recommended to be evaluated together with old radiographs.  Density increases in the upper lobe of the left lung consistent with sequelae changes on the ground of bronchiolitis. Clinical and laboratory correlation is recommended.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4135/train_4135_a/train_4135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae density increases were observed in the right lung middle lobe.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; The diameter of the ascending aorta was 41 mm and showed fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures. There is calcification in the T8-T9 disc.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections in the study area, the liver parenchyma density was diffusely decreased in line with the adiposity.\n\nImpression:\nMild dilatation of the ascending aorta.  Sequelae changes in the right lung. Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4146/train_4146_a/train_4146_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion is detected in both lungs. There are minimal emphysematous changes in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There is a millimetric plaque of atheroma in the descending thoracic aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a millimetric plaque of atheroma in the descending thoracic aorta.\n\nImpression:\nMinimal emphysematous changes in both lungs . Millimetric atheroma plaque in the descending thoracic aorta . Minimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4147/train_4147_a/train_4147_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are minimal emphysematous changes in both lungs. In places, there are sequela parenchymal changes. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A few millimeter-sized nonspecific nodules were observed in both lungs. A thin-walled air cyst measuring 9x7 mm was observed in the laterobasal segment of the lower lobe of the left lung.\n<pleura>: Pericardial and pleural thickening was not detected. Minimal pericardial and bilateral minimal pleural effusion were observed.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in both axillary regions, supraclavicular fossae and mediastinum. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n\nImpression:\nPericardial, bilateral minimal pleural effusion.  A few millimeter-sized nonspecific nodules in both lungs, minimal emphysematous changes, occasional sequela parenchymal changes, and millimeter-sized thin-walled air cyst in the left lower lobe laterobasal segment.  Degenerative changes in bone structures.  Millimetric nodule with calcified wall in the right thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4157/train_4157_b/train_4157_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; subpleural nodular and patchy ground glass densities are observed in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical - probable Covid-19 pneumonia ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4159/train_4159_a/train_4159_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the right lung middle lobe medial segment, left lung upper lobe lingular segment and left lung lower lobe. Apart from these, the aeration of both lungs is normal, and no appearance compatible with a mass or pneumonic infiltration was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are millimetric atheroma plaques in the left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nLinear atelectasis in both lungs.  Millimetric atheroma plaques in the left anterior descending coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4161/train_4161_a/train_4161_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These appearances may be associated with the infective process. Apart from this, sequelae changes and minimal bronchiectasis are observed in the middle lobe bronchi of the right lung, and there are sequelae linear densities in this area. It is recommended to be evaluated together with clinical and examination findings in terms of viral pneumonia and Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Focal ground glass densities are observed in the right lung lower lobe posterior segment, paraspinal region, and left lung lower lobe posterior segments and subpleural area.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the mediastinal area, there are reactive lymph nodes with short axes not exceeding 7 mm.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMinimal focal ground-glass densities in the paraspinal region in the posterior segment of the lower lobes of both lungs. These appearances may be compatible with viral-Covid-19 pneumonia. It may also have nonspecific appearances. It is recommended to be evaluated together with clinical and examination findings in terms of pneumonia.  Calcific atheroma plaques in the aorta and coronary arteries.  Focal bronchiectasis and sequela calcific appearances and linear sequelae densities in the middle lobe bronchi of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4163/train_4163_a/train_4163_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9936",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There are metastases in both lungs, which were observed in the previous examination. Atelectasis observed in the middle lobe of the right lung observed in the previous examination and in the lower lobe of both lungs regressed. In the anterior segment of the left lung upper lobe, several peripherally located nodules with a 1-2 mm diameter are observed in nonspecific appearance. No newly developed nodule was detected. No significant size difference was observed in the nodules other than this. No mass-infiltration was detected in both lungs.\n<pleura>: No pleural effusion-thickening was detected in both hemithorax. Pleural effusion regressed.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There is calculus in the gallbladder. In the sections entering the examination area, passing through the upper part of the abdomen, a large number of metastases with a diameter of approximately 5.5 cm are observed in the liver parenchyma, the largest in the anterior segment of the right lobe, as far as can be distinguished from the non-contrast examination. Pancreas and spleen are normal.\n\nImpression:\nIn the follow-up, colon Ca, lung met. No new metastases were detected. It was evaluated that there was no significant difference, and regression in atelectasis and pleural effusion in the previous examination.  Kc met, . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4174/train_4174_b/train_4174_b_1.npy"
        ]
    },
    {
        "id": "report_generation_9942",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. No pleural effusion was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal. Pacemaker electrodes terminate in the right atrium and right ventricular apex.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs, atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4177/train_4177_a/train_4177_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9944",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Close follow-up is recommended for better differential diagnosis after effusion exclusion. The effusion observed in the anterior lobe of the right lung has a more intense appearance, and the differential diagnosis of a space-occupying lesion cannot be made at this level. In both lungs, there are clarifications in the right and more prominent interlobular septa, and consolidation areas in the lower lobe of the right lung with air bronchogram sign. Findings were initially evaluated in favor of bronchopneumonia, and clinical laboratory correlation follow-up is recommended.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion with a thickness of 16 mm is observed in the right hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. There are lymph nodes with a short axis measuring up to 10 mm in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Density reduction is observed in bone structures. Height loss was detected in the TH12 vertebral body. There are hypertrophic osteophytic taperings in the anterior end plates of the vertebral bodies.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIncrease in cardiothoracic index.  Calcific lymph nodes in the mediastinum.  Atherosclerosis.  There is a more prominent appearance in the effusion localization observed at the anterior level of the middle lobe of the right lung, and the differential diagnosis of a space-occupying lesion cannot be made at this level. Follow-up is recommended for better differential diagnosis after exclusion of infection and effusion.  Hiatal hernia is observed.  There is a finding consistent with bronchopneumonia in both lungs, more prominent on the right. Clinical laboratory correlation monitoring is recommended.  There are effusions measuring up to 20 mm in thickness in the right hemithorax.  Loss of height in the TH12 vertebral body, hypertrophic osteophytic tapering in the end plates of the vertebral bodies, decrease in density in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4178/train_4178_a/train_4178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule or mass was detected in both lungs. There are subsegmental atelectasis appearances in places. Bilateral mosaic attenuation was considered.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nAtherosclerosis Mosaic attenuation, subsegmental atelectasis in bilateral lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4179/train_4179_a/train_4179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Centracinar emphysematous changes are observed in both lungs. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There is an area of increase in density evaluated in favor of atelectasis in a linear band style in the inferior lingular segment of the upper lobe of the left lung. There are a few nonspecific nodules in millimeter sizes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: An increase in heart size is observed. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few nonspecific millimetric nodules in both lungs, an area of increased density in favor of linear band atelectasis in the left lung inferior lingular segment, centracinar emphysematous changes in both lungs; no evidence of pneumonic infiltration was detected.  Increase in heart sizes . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4191/train_4191_a/train_4191_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open. Wall calcifications are observed in the walls of the trachea and both main bronchi.\n<lung>: In addition, mild peribronchial ectasia is observed in the middle lobe of the right lung. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma (small airway disease?, small vessel disease?). In the apicoposterior segment of the upper lobe of the right lung, linear pleuroparenchymal sequelae density is observed.\n<pleura>: Thin pleural thickenings are observed in both hemithorax. In the right lung upper lobe apicoposterior segment, several nodules with a diameter of 3.5 mm, the largest of which are 3.5 mm in diameter, are observed in the subpleural distance, and 8.8 mm in diameter in the middle lobe of the right lung.\n<mediastinum>: Left lower paratracheal, aortopulmonary millimetric lymph nodes are observed. Calcific plaques are observed in the aortic arch. The diameter of the main pulmonary artery is 3.7 cm, the diameter of the right pulmonary artery is 2.5 cm, the diameter of the left pulmonary artery is 3.5 cm, and it is wider than normal.\n<heart>: Calcific plaques are observed on the walls of the coronary artery. The cardiothoracic index increased in favor of the heart. Stent suture materials are available secondary to cardiac bypass surgery.\n<bone>: No lytic-destructive lesion is observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. The gallbladder is large in volume. Calcific plaques are observed in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIncrease in pulmonary artery diameter.  Cardiomegaly.  Mosaic attenuation in both lung parenchyma (small airway disease? , small vessel disease?).  Nodules in the paramediastinal area in the apicoposterior segment of the left lung upper lobe and in the right lung middle lobe.  Nodular densities described in both lungs were absent in the previous examination.  Degenerative changes in bones."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4196/train_4196_a/train_4196_a_1.npy"
        ]
    },
    {
        "id": "report_generation_9985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are uniform interlobular septal thickness increases in both lungs. It was evaluated as secondary to cardiac pathology. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). An increase in density was observed in the lung parenchyma adjacent to the effusion, which was considered secondary to compressive atelectasis.\n<pleura>: When examined in the lung parenchyma window; In the right pleural space, there is an effusion up to 70 mm in its deepest part.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. There are calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be seen; pulmonary trunk and both pulmonary artery calibrations are increased. The diameter of the pulmonary trunk was 41 mm, the diameter of the right pulmonary artery was 28 mm, and the diameter of the left pulmonary artery was 29 mm, respectively.\n<heart>: An increase in heart size is observed. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. There are hyperdense appearances of the mitral valve prosthesis. Minimal pericardial effusion was observed.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: There are calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nIncreased caliber of the pulmonary trunk and both pulmonary arteries, increased heart size, mitral valve prosthesis, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures, minimal pericardial effusion.  Right pleural effusion and adjacent lung parenchyma with an area of increased density evaluated in favor of compressive atelectasis, smooth interlobular septal thickness increases in both lung parenchyma (secondary to cardiac pathology), mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4196/train_4196_b/train_4196_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were primarily evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In the lower and upper lobes of both lungs, mostly in the left lung upper lobe superior and in the lower lobe superior, ground glass densities in crazy paving pattern and consolidation areas in the vascular structures extending to the described consolidation areas, mild bronchiectasis are observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. A few small lymph nodes with a short axis measuring up to 7 mm are observed in the aorticopulmonary window in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The upper abdominal organs are partially included in the study, and the oval-shaped finding of the same density as the spleen with a size of 20 mm in the spleen hilum was evaluated in the direction of the splenula. There is a small hiatal hernia.\n\nImpression:\nAreas of consolidation in crazy paving pattern compatible with Covid-19 pneumonia in both lungs, close follow-up is recommended.  Small hiatal hernia. Accessory spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4201/train_4201_a/train_4201_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph node was detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Thoracic vertebral corpus heights, alignments and densities are normal within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMosaic attenuation pattern in both lungs  Millimetric nodules in both lungs  Atherosclerotic changes in the aorta and coronary arteries  Mediastinal and hilar lymph nodes  Hiatal hernia  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4202/train_4202_a/train_4202_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; more peripherally located patchy ground glass densities are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. There are enlargements in the vascular structures at the described levels.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4212/train_4212_a/train_4212_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Dependent densities were observed in the posterior parts of both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 43 mm anteriorly and is wider than normal. As far as can be observed: The heart is larger than normal. Heart contours are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: In the vertebral sections within the sections, height loss is observed in places. There are osteophytes in the vertebral corpus corners. Intervertebral disc spaces and neural foramina are narrowed.\n<abdomen>: There are stones in the gallbladder about 1 cm in diameter. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Cardiomegaly, fusiform aneurysmatic dilation of the ascending aorta, atherosclerotic changes in the aorta and coronary arteries.  Cholelithiasis.  Thoracic spondylosis, loss of height in thoracic vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4232/train_4232_a/train_4232_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Linear atelectatic changes were observed in both lungs. Due to the pandemic, it is recommended to be evaluated together with clinical and laboratory in terms of Covid-19 pneumonia.\n<pleura>: A 66x45 mm consolidation area consistent with pneumonic infiltration with irregular borders and ground glass densities was observed in the subpleural area of the right lung lower lobe basal. In addition, nodular consolidation areas with ground glass opacities were observed partially in the peripheral subpleural areas in the right lung upper lobe posterior, inferior lingular and right lung lower lobe mediobasal segment, in the left lung lower lobe postero-laterobasal segment.\n<mediastinum>: Lymph nodes with short diameters below 1 cm that do not reach pathological dimensions are observed in the mediastinum. Calibration of other vascular structures of the mediastinum is natural. Widespread calcific atheroma plaques were observed at the level of the abdominal aorta and right renal artery outlet. The mediastinum could not be evaluated optimally in the non-contrast examination. Surgical suture materials secondary to previous surgery in the sternum and anterior mediastinum were observed. Calcific atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries.\n<heart>: There is a stent placed in the coronary arteries. Pericardial effusion-thickening was not observed. As far as can be observed, the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Calcific atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries. Heart sizes were significantly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At the corners of the T9-T11 vertebral corpus, degenerative osteophytic taperings were observed and bridged with each other. Surgical suture materials secondary to previous surgery in the sternum and anterior mediastinum were observed. At the thoracic level, hemivertebra anomaly is observed in T8 and T10 vertebrae, and S-shaped scoliosis is present at the thoracic level secondary to this.\n<abdomen>: Widespread calcific atheroma plaques were observed at the level of the abdominal aorta and right renal artery outlet. The spleen and pancreas are normal. Widespread free fluid was observed in the abdomen. The left kidney is barely discernible, and its size and parenchyma thickness are markedly reduced (atrophic). As far as can be seen in the sections, hepatic veins and inferior vena cava are dilated (secondary to heart failure). Calculus images were observed in the gallbladder lumen. Calcific atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries.\n\nImpression:\nSurgical suture materials secondary to surgery in the sternum and anterior mediastinum, stent placed in the coronary arteries, cardiomegaly, fusiform aneurysmatic dilatation in the ascending aorta. Pneumonic infiltration in the basal segment of the lower lobe of the right lung.  Peripheral nodular consolidation areas in the right lung upper lobe posterior, left lung inferior and both lung lower lobe basal segments; due to the current pandemic, it is recommended to be evaluated together with the clinic and laboratory in terms of Covid 19 pneumonia.  Atelectasis changes in both lungs, volume loss and left pleural effusion.  Dilatation of hepatic veins and inferior vena cava (signs of overload secondary to heart failure.  Atrophy in left kidney.  Intraperitoneal diffuse ascites.  S-shaped scoliosis at thoracic level secondary to hemivertebrae in T8 and T10 vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4238/train_4238_a/train_4238_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, numerous calcific nodules measuring approximately 18 mm in diameter were observed in both lungs, the largest of which was in the lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. There are sometimes linear atelectasis and pleuroparenchymal sequela changes in both lungs. Apart from these, there are noncalcified millimetric nodules in both lungs, the largest of which is approximately 7 mm in diameter. Diffuse emphysematous changes are observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nDiffuse emphysematous changes in both lungs . Calcified nodules in both lungs . Atelectasis and sequelae changes in both lungs . Nonspecific noncalcified nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4242/train_4242_a/train_4242_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. A few nonspecific millimetric nodules were observed in the right lung. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Intimal calcifications are observed in the aortic arch and thoracic aorta. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: There is free fluid in the form of plastering between the pericardial leaves adjacent to the right ventricle. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Intimal calcifications are observed in the aortic arch and thoracic aorta. No gall bladder was observed in the upper abdominal sections (operated).\n\nImpression:\nMild smear-like pericardial effusion  A few nonspecific nodules in the right lung  Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4244/train_4244_a/train_4244_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10100",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheaostomy catheter is observed.\n<lung>: Evaluation of parenchyma structures is quite suboptimal due to respiratory artifact. No infectious involvement was detected in the parenchyma. There are several nonspecific millimetric lymph nodes in the right upper paratracheal area. There is also an area of atelectasis at subsegmental level in the linguloinferior segment of the left lung. When examined in the lung parenchyma window; There are prominent areas of atelectasis in the upper lobe posterior segments and lower lobe basal segments of both lungs, and in the posteromediobasal segment on the left.\n<mediastinum>: Calibrations of mediastinal main vascular structures were followed naturally. It is in ovoid configuration.\n<heart>: The left ventricle is slightly dilated. Heart size increased. Between the pericardial leaves, there is a pericardial effusion reaching 1 cm in diameter at its widest point.\n<bone>: A corpectomy was performed with an anterior approach in C6-C7 vertebrae and a corpectomy cage was applied from the anterior. No lytic-sclerotic space-occupying lesion was detected in the bone structures in the study area. In the bilateral supraclavicular fossa, no lymph node in pathological size and appearance was observed in the cross-section. No lymph node in pathological size and appearance was observed in both supraclavicular fossae.\n<abdomen>: PEG catheter is monitored. No gross pathology was detected in the upper abdomen sections entering the image area.\n\nImpression:\nPericardial effusion, increased left ventricular diameter, tracheaostomy and PEG catheters, prominent subsegmental atelectasis areas in the basal segments of both lungs . C6-C7 vertebral corpectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4246/train_4246_a/train_4246_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea. The patient has a tracheostomy and a tracheostomy cannula in the trachea.\n<lung>: There is minimal peribronchial thickening in both lungs. There are linear atelectasis in the posterior parts of both lungs. Minimal emphysematous changes are observed in both lungs. There is no mass or infiltrative lesion in both lungs. A few millimetric nonspecific nodules are observed in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There is an appearance of gastrostomy in the epigastric region of the stomach. In the upper abdominal organs within the sections, there is no mass that can be seen within the borders of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAtelectasis in both lungs. Emphysematous changes in both lungs.  Several millimetric nodules in both lungs. Cardiomegaly and pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4246/train_4246_b/train_4246_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and middle lumen of both main bronchi. The patient has a tracheostomy and a tracheostomy cannula in the trachea.\n<lung>: It is recommended to evaluate it together with clinical and laboratory in terms of aspiration pneumonia. There are linear atelectasis in the posterior segments of both lungs. A few millimetric nonspecific nodules were observed in both lungs. When examined in the lung parenchyma window; There is minimal peribronchial thickening in both lungs. No mass lesion with discernible borders was observed in both lungs. Minimal emphysematous changes were observed in both lungs. Minimal consolidative areas were observed in the peribronchial areas of the left lung lower lobe superior segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. An effusion measuring 1.5 cm was observed in the thickest part of the pericardial space. Calcific atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nCardiomegaly, calcific atheroma plaques in LAD, pericardial effusion.  Atelectasis, emphysematous changes in both lungs.  Peribronchial minimal consolidation in the left lung lower lobe superior segment; It is recommended to be evaluated together with the clinic and laboratory in terms of aspiration pneumonia.  Several nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4246/train_4246_e/train_4246_e_1.npy"
        ]
    },
    {
        "id": "report_generation_10110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea calibration is natural. Tracheostomy is observed.\n<lung>: Thickening of the peribronchial sheath is observed and sequelae changes in the lower zones-linear densities consistent with band atelectasis are also observed in the previous examination. No pathological size and configuration lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Mosaic attenuation pattern is observed in both lungs and is also present in the previous examination.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: LAD has calcific atheroma plaque. CTO increased in favor of the heart. Pericardial effusion is present. It is also observed in the previous examination, and a slight decrease in pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are mild degenerative changes in the bone structure. Incomplete fusion appearance is observed at the level of the first and second ribs on the right. A screw plate system is observed at the lower cervical level.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease? small airway disease?).  Fibroatelectatic linear density increments in the lower lobes of both lungs.  Cardiomegaly, pericardial effusion. There is a slight decrease in pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4246/train_4246_f/train_4246_f_1.npy"
        ]
    },
    {
        "id": "report_generation_10122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in the lower lobes of both lungs. Millimetric nonspecific parenchymal nodules were observed in both lungs. (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs. Mosaic attenuation pattern in lower lobe basal segments of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4252/train_4252_a/train_4252_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10144",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Slight patchy ground glass densities are observed in the areas extending to the upper lobe posterior, more prominently at the apical level of the right lung upper lobe, and slight ground glass densities are observed in the left lower lobe posterior. and infectious-process? It is recommended in terms of clinical and laboratory correlation and further diagnosis.\n<mediastinum>: Thoracic aorta diameter is normal. A port catheter is observed in the superior vena cava. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. A small amount of pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild patchy ground-glass densities in the apical level of the upper lobe of the right lung and the lower lobe of the left lung, Early viral pneumonia Covid 19? An infectious process? It is recommended for clinical and laboratory correlation and follow-up differential diagnosis.  Small amount of pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4260/train_4260_a/train_4260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10148",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Since the examination is unenhanced, the evaluation of mediastinal structures is suboptimal, and both main bronchi are open in the midline of the trachea.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: No pleural thickening or effusion was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures appear natural. Since the examination is unenhanced, the evaluation of mediastinal structures is suboptimal, and both main bronchi are open in the midline of the trachea.\n<heart>: In the pericardial area, effusion reaching 14 mm in diameter at its widest point is observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4260/train_4260_c/train_4260_c_1.npy"
        ]
    },
    {
        "id": "report_generation_10168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In bilateral secondary pulmonary lobules, prominences secondary to possible cardiomegaly-venous stasis are observed. No mass nodule infiltration was detected. Apart from this, there are increases in depelndan density in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atherosclerotic plaques are observed in the coronary arteries of the descending aortic arch. No pathological LAP was detected in the mediastinum. There is a vena cava filter that partially enters the examination area. Prevascular right upper-bilateral lower paratracheal aortopulmonary lymph nodes, the larger one with narrow diameter 5-6 mm, and narrow diameter less than 1 cm, are observed.\n<heart>: Calcific atherosclerotic plaques are observed in the coronary arteries of the descending aortic arch. The cardiothoracic index increased in favor of the heart.\n<bone>: Ligament calcification consistent with DISH disease is observed in the anterior parts of the vertebral body of the thoracic vertebrae in the anterior corner of the vertebrae. There are degenerative changes in bone structures. Metallic sutures secondary to bypass surgery are observed in the sternum. In thoracic localization, left-facing scoliosis is observed.\n<abdomen>: Point microcalculus is observed in the localization of the gallbladder. No additional pathology was detected in the abdominal sections. Bilateral adrenal glands appear natural. Calcific atherosclerotic plaques are observed in the coronary arteries of the descending aortic arch. On non-contrast examination, a 2.5 cm cyst is observed in the upper pole of the left kidney. No significant pathology was observed in the non-contrast examination of the sections passing through the upper part of the abdomen.\n\nImpression:\nCardiomegaly. Secondary pulmonary lobules in both lungs. Prominence in pulmonary lobules secondary to cardiomegalivenous stasis.  Microcalculus in the gallbladder."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4267/train_4267_a/train_4267_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen.\n<lung>: There is no active infiltration or mass lesion in both lungs, and there is a mosaic attenuation pattern in the lower lobes (small airway disease?, small vessel disease?). Sequelae parenchymal changes and a few millimetric nodules are observed in both lungs.\n<pleura>: Pericardial-pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Calibration of vascular structures is natural. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. A slight increase in heart size is observed.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Intraabdominal free liqu- ulated collection is not observed.\n\nImpression:\nThere are no signs of pneumonic infiltration in both lungs, and there are sequelae parenchymal changes, a few millimeter-sized nonspecific nodules, and a mosaic attenuation pattern (small airway disease?, small vessel disease?).  Slight increase in heart size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4268/train_4268_a/train_4268_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: When the bone was examined in the window, no lytic-destructive lesion was observed in the thoracic vertebral column and the bones forming the thorax.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver, spleen and pancreas that entered the section area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4269/train_4269_a/train_4269_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath is observed. Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: A nodule of approximately 3x2 mm in size is observed, superposed on the minor fissure in the right lung. There are sequelae changes in the middle lobe. Sequelae changes are observed at the apical level. In the upper lobe of the left lung, there are millimetric densities that give a partially reticulonodular appearance, adjacent to the peribronchial sheaths at the central level. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There is prominent emphysema in both lungs. It was not detected with the old CT dated 6.1.2021 of the case.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: CTO is within normal limits. Calibration of other major vascular structures in the mediastinum is natural. Millimetric sized calcific atheroma plaques are observed in the aortic arch. The aortic arch calibration is 34 mm, wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: There are also millimetric calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: In the dorsal region, there is mild scoliosis with the left opening. Degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. In the axial plane, a density of 14x12 mm, consistent with cholelithiasis, is observed. Surrounding soft tissue plans are natural. Millimetric sized calcific atheroma plaques are observed in the aortic arch. The aortic arch calibration is 34 mm, wider than normal. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area.\n\nImpression:\n· Findings consistent with emphysema. · Mild sequelae changes in both lungs. · Focal reticulonodular density increases in the central upper lobe of the left lung, which were not detected in the old CT of the case dated 6.1.2021, are recommended to be evaluated primarily in terms of infective processes together with clinical and laboratory findings. · Cholelithiasis. · Hepatic steatosis. · Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4277/train_4277_a/train_4277_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10218",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 46x38 mm nodule including calcification was observed in the parenchyma. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: No occlusive pathology was observed in the lumen of the trachea and main bronchus. The nodule in the thyroid has displaced the trachea to the right.\n<lung>: No significant difference was detected. A mass-consolidation area was observed in the soft tissue density extending along the left middle and lower lobe bronchi in the central right lung and obliterating the lower lobe bronchus. The described findings are also present in the previous examination of the patient. It was measured 48x39 mm in the previous examination. The mass-consolidation area was measured 88x68 mm at its widest point. No pneumonic infiltration was detected in both lungs. Both lungs appear emphysematous. Millimetric nodules were observed in the lung parenchyma.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in the right hemithorax. Diffuse interlobular septal thickenings were observed in the peripheral subpleural areas of both lungs. Bilateral pleural effusion was not observed.\n<mediastinum>: Thoracic aorta is tortuous and elongated. Calcific atheroma plaques were observed in the aortic arch. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of mediastinal main vascular structures is natural as far as can be observed.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic or destructive lesion in favor of metastasis was observed in the bone structures included in the examination area. Spur formations bridging each other were observed at the thoracic level.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta is tortuous and elongated. Calcific atheroma plaques were observed in the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen on non-contrast sections.\n\nImpression:\nArea of mass-consolidation in the lower lobe of the right lung extending along the middle and lower lobe bronchi and obstructing the lower lobe bronchus; In the previous examination, the mass did not completely enter the cross-sectional area, and in the current examination, atelectasis areas were formed around the mass and contrast was not given in the case who received radiotherapy.  Nodule with calcification in the left thyroid gland displacing the trachea to the right lateral; It is recommended to be evaluated together with US.  Calcific atheroma plaques in the aortic arch, cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4286/train_4286_a/train_4286_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is also observed in the previous examination. No nodular or infiltrative lesion was detected in the lung parenchyma.\n<pleura>: Mild recessions are observed in the pleura, especially in the lower lobes. Stable increase in pleura thickness and millimetric calcifications are observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are small lymph nodes measuring up to 8 mm in the short axis and 23 mm in the long axis, which were also observed in the previous examination in the paratracheal area at the carina level.\n<heart>: Pericardial effusion-thickening was not observed. Vascular structures were evaluated as suboptimal due to the lack of contrast in the study. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Retrolisthesis is observed at T12-L1 level. Degenerative loss of height, which was also observed in the previous examination, is observed in the T11 vertebral body.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nMosaic attenuation patterns observed in both lungs are primarily small airway disease?, small vessel disease? evaluated in its favour.  Stable pleural thickening millimetric calcific foci in the anterior segment of the right lung upper lobe.  A few small lymph nodes in the mediastinium that do not differ significantly.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4292/train_4292_a/train_4292_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Multilobar diffuse ground glass and areas of increase in density consistent with consolidation are observed in both lungs, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: In the mediastinum, there are lymph nodes with a fusiform configuration, the largest of which is 9 mm in diameter at the subcarinal level. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. In the upper abdominal sections within the image, within the limits of non-contrast CT; there is diffuse density decrease secondary to hepatosteatosis in liver parenchyma density.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4293/train_4293_a/train_4293_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10259",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, lobar and segmental bronchi of both main bronchi are open.\n<lung>: Radiological findings were evaluated as compatible with Covid pneumonia. There are also patchy consolidation areas in places. In both lungs, bilateral asymmetrically distributed patchy consolidation and atypical pneumonic infiltration areas of ground glass density are observed.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. In the mediastinum, lymph nodes that are thought to be reactive with a slight increase in number and size are observed.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: Cortical cyst was observed in the right kidney. In the upper abdominal sections, there is slight fat in the liver parenchyma density.\n\nImpression:\nFindings consistent with Covid pneumonia  Mediastinal lymph nodes thought to be reactive  Mild hepatosteatosis  Cyst in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4304/train_4304_a/train_4304_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: More superiorly, there are two nodules, the largest of which is 3 mm in diameter. There is a 4x3 mm nodule in the lateral aspect of the anterior-posterior segment of the upper lobe of the right lung. There is a 3 mm diameter nodule in the middle lobe. In the left lung, there is a 4 mm diameter nodule adjacent to the interlobar fissure in the upper lobe apicoposterior segment caudal. No pathological size and configuration of lymph nodes were detected at both hilar levels. There are one or two nodules with a diameter of 2 mm in the superior segment of the lower lobe. Mild sequelae changes are observed bilaterally at the apical level. There is a 6x4 mm nonspecific nodule at the anteromediobasal level of the lower lobe of the left lung. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<pleura>: There was no finding compatible with bilateral pleural effusion, pneumothorax, pneumonia. A subpleural 3 mm diameter nodule is observed anteriorly. A few subpleural nodules with a diameter of 3 mm are observed at the posterobasal level of the lower lobe of the right lung.\n<mediastinum>: Millimetric lymph nodes are observed in all stations in the mediastinum, and the short axis of the largest one (in the aorticopulmonary window) was measured as 7 mm. Cone-configured thymic tissue is observed in the anterior mediastinum. Catheter appearances extending behind the right atrium along the superior vena cava are observed. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is within the normal range. Millimetric-sized calcific atheroma plaques are observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Corticomedullary signal distribution of the bone structure is natural.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific millimetric nodule formations in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4306/train_4306_a/train_4306_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland dimensions are normal and inhomogeneous. Further examination with US is recommended for nodule formation.\n<trachea_and_bronchie>: Trachea, both anabronchi, mediastinal main vascular structures, heart contour, size are normal.\n<lung>: This view is not specific. When examined in the lung parenchyma window; Diffuse patchy ground glass areas, especially in the apical segments of both lungs, more intense on the right, accompanying interlobular septal thickenings, superposition of intralobular lines are observed (Cobblestone).\n<pleura>: Pericardial-pleural thickening or effusion is not observed. In addition, pleuroparenchymal sequelae showing linear extension towards the pleura are observed in the bilateral lung bases.\n<mediastinum>: Trachea, both anabronchi, mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Trachea, both anabronchi, mediastinal main vascular structures, heart contour, size are normal.\n<bone>: When the bone is examined in the window, multisegmentary degenerative changes are observed in the thoracic vertebral column, and syndesmophytes are observed in the lateral vertebral corpuscles. No lytic-destructive lesion is observed in the thoracic vertebral column and other bones forming the thorax.\n<abdomen>: In the spleen hilum, millimeter-sized accessory spleen is observed. The gallbladder is natural. A reduction in the size of the right kidney is observed. Bilateral adrenal glands are natural. Pancreas dimensions and parenchyma are natural. In kidneys partially entering the examination area, cystic lesions are observed in the right kidney, the largest of which is 5 cm. In the upper abdominal organs included in the sections, the liver and spleen are normal.\n\nImpression:\nDiffuse patchy ground-glass areas and accompanying interlobular septal thickenings (crazy paving), more prominent in bilateral lung apexes, the appearance is not specific. However, it was learned that the patient's history was DIC. With this finding, the appearance may be compatible with pulmonary (alveolar) hemorrhage syndrome. It is recommended that the patient be evaluated together with clinical and laboratory findings in this respect.  Multiple cysts in the right kidney. Heterogeneity in the thyroid gland is recommended to be checked with US. Findings of thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4318/train_4318_a/train_4318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Nodular appearances in both lungs, the largest of which is 15x14mm in the right lung lower lobe superiorly, and observed in ground glass density in the diffuse periphery of all lobes, have recently developed in the current examination, and evaluation for fungal infection is recommended in an immunosuppressed patient. There are pleuroparenchymal fibrotic sequelae bands in the right lung middle lobe medial, left lung lingular segment and pleuroparenchymal segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are newly developed multiple LAPs in the mediastinum, the largest of which is in the paratracheal area, measuring approximately 13x11mm. Mediastinal main vascular structures, heart contour, size are normal. There is a catheter in the SVC.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In this area, there is an increase in density in the left lateroconal fascia and mesentery. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, there is a 12mm diameter hypodense stable lesion in the liver segment 4B. Colonoscopic control is recommended.\n\nImpression:\nNewly developed LAPs in current review in the mediastinum. Multiple diffuse nodules in both lungs with peripheral ground glass density; In the current review, clinical and laboratory evaluation is recommended in terms of fungal infection in an immunosuppressed patient.  Stable hypodense lesion in the liver. Stable concentric wall thickening in the descending colon and increased density in pericolonic fatty tissue; Colonoscopic control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4318/train_4318_c/train_4318_c_1.npy"
        ]
    },
    {
        "id": "report_generation_10297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: A slightly irregularly circumscribed mass measuring approximately 35 mm in diameter at its widest point is observed in the superior segment of the right lung lower lobe. The described findings are consistent with the diagnosis of fungal infection. When the patient's medical history was examined, it was learned that the patient was treated for aspergillus infection. Apart from this, there are other nodules with irregular borders in both lungs, the largest of which is observed in the posterior segment of the right lung upper lobe and measures approximately 15 mm. There are appearances evaluated in favor of air bronchograms and air crescent sign in the mass.\n<mediastinum>: Mediastinal main vascular structures are normal. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are millimetric lymph nodes in the mediastinum and hilar regions. There is a central venous catheter on the right.\n<heart>: There is minimal pericardial effusion. Pericardial thickening was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No pathologically enlarged lymph node was detected. No discernible mass was detected in either adrenal gland. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAML and fungal infection on follow-up, multiple nodules in both lungs consistent with a diagnosis of fungal infection. Pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4318/train_4318_e/train_4318_e_1.npy"
        ]
    },
    {
        "id": "report_generation_10323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, peribronchial thickening is observed in the central part of the middle and lower lobes of the right lung. When examined in the lung parenchyma window; right lung upper lobe central part, peribronchial area, consolidation-soft tissue density appearance is observed. It is understood that the described mass decreased significantly after the treatments. An 8.3 mm diameter irregularly circumscribed nodule in the posterior segment of the right lung upper lobe and parenchymal changes secondary to radiotherapy were observed in its vicinity. A few millimetric nonspecific stable nodules were observed in the lung parenchyma. When the first examination of the patient is examined, it is understood that the patient has a primary mass around the upper lobe of the lung. It is recommended to follow them. No significant difference was detected in the appearance described with the previous examination. Although the presence of an underlying residual mass cannot be completely excluded, it was thought that the described findings were primarily treatment-related changes. In the current examination, the size of the nodule has decreased significantly, and the changes secondary to RT have also decreased. In his previous examination, the longest diameter of the present nodule was 17 mm. The size of the nodule, which was measured as 6.7x5.2 mm in the current examination in the middle lobe of the right lung, was measured as 8.2x5.7 mm in the previous CT examination. Pneumonic infiltration was not observed in the lung. No newly developed nodules were detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. There are short lymph nodes less than 1 cm in diameter in the mediastinal and hilar regions. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No lymphadenopathy was detected in pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is height loss in the T6 vertebral body. Sclerotic metastases are observed in the bone structures within the image. No cortical destruction or soft tissue component was detected.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Within the sections, the upper abdominal organs are natural.\n\nImpression:\nLung Ca in the follow-up, stable consolidation in the peribronchial area in the central right lung-soft tissue density; were evaluated in favor of changes secondary to treatment.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4331/train_4331_a/train_4331_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A newly developed atelectasis consolidation is seen in the lower lobe of the left lung. There is also minimal newly developed consolidation in the right lung.\n<pleura>: On the right, there is an accompanying pleural effusion with a diameter of 8 mm. When examined in the lung parenchyma window; There is no significant difference in the consolidation-soft tissue densities, which start from the center in the upper lobe of the right lung and extend to the pleura. There was no significant difference in fibrotic densities accompanied by subpleural millimetric nodule in the medial right middle lobe and bronchial thickening in the central.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes in the mediastinum that do not reach pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There were extensive sclerotic lesions in the bone structures included in the sections, and no significant difference was observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLung ca on follow-up  Newly developed consolidations in both lower lobes, more prominent in the left lung lower lobe, and pleural effusion on the right; findings were evaluated in favor of bacterial pneumonia.  Diffuse metastatic lesions in bone structures  No significant difference was detected in atelectasis soft tissue densities described in the upper lobe of the right lung, sequela fibrotic changes in the right middle lobe and nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4331/train_4331_b/train_4331_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the right lung upper lobe posterior, atelectatic soft tissue density adjacent to the major fissure is stable. Consolidation in the lower lobe of the left lung is reduced. In both lungs, there are thickenings of the bronchial wall, peribronchial consolidation and ground glass densities, mainly in the anterior peribronchial area in the right upper lobe.\n<pleura>: The pleural effusion on the right increased.\n<bone>: Apart from this, no significant difference was found. There are widespread metastatic lesions in the bone structures included in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4331/train_4331_c/train_4331_c_1.npy"
        ]
    },
    {
        "id": "report_generation_10333",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Segmentary tubular bronchiectasis and peribronchial thickening were observed in both lungs. The described findings were evaluated in favor of Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Scattered, central-peripheral weighted crazy paving pattern and patchy ground glass consolidations were observed in both lungs. In addition, a crazy paving pattern located in the paramediastinal area at the apex of the right lung was observed, and a consolidation area with interlobular septal thickenings was observed around it.\n<mediastinum>: Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the descending aorta was larger than normal with a diameter of 31 mm.\n<heart>: Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteodegenerative changes were observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the descending aorta was larger than normal with a diameter of 31 mm.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  Findings consistent with Covid-19 pneumonia in the lung parenchyma  Segmentary tubular bronchiectasis in both lungs, peribronchial thickening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4333/train_4333_b/train_4333_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Peripheral subcapsular areas of the lung are partially preserved. Appearance is nonspecific. ARDS was considered in the differential diagnosis in the first place, and pneumonia and alveolar proteiniosis should be kept in mind. When examined in the lung parenchyma window; Widespread symmetrical ground-glass densities with a consolidated appearance in both the lower lobe superior and upper lobe posterior segments of both lungs and diffuse interlobar and intralobular septal thickenings were observed on this floor.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; In the case, which was learned to have undergone great artery transposition operation, the pulmonary arteries are located on the right in the aorta-mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The diameter of the pulmonary artery was reduced focally, consistent with stenosis.\n<heart>: Heart size increased. A conduit was observed between the pulmonary artery and the right ventricle, and surgical suture materials are observed at this level. Pericardial effusion-thickening was not observed. In the examination performed without contrast, no information was obtained regarding conduit stenosis.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Metallic sutures secondary to the operation on the sternum were observed. Hemangioma focus was observed in T3 vertebral corpus.\n<abdomen>: Liver, gallbladder, spleen, pancreas, both adrenal glands, both kidneys are normal in non-contrast examination.\n\nImpression:\nOperated transposition of the great arteries, surgical suture materials at the level of the ileal conduit, reduction in diameter compatible with stenosis in the pulmonary artery, cardiomegaly. septal thickenings. Appearance is nonspecific. ARDS was considered in the first place. Pneumonic infiltration and alveolar proteinosis were considered in the differential diagnosis.  Left-facing scoliosis at the thoracic level. Hemangioma focus in the T3 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4336/train_4336_a/train_4336_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: No parenchymal fixation was detected. When the lung parenchyma window is examined; Linear fibrotic densities are observed in the lingula and lower lobe of the left lung. Aeration of the parenchyma of the right lungs is normal, and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: There are suture materials and signs of sternosis in the pulmonary artery. Lymph node enlargement in pathological size and appearance was not observed in the pretracheal, prevascular and subcarinal regions, bilateral hilar and axillary regions.\n<heart>: The right ventricle is smaller than normal. The remaining cardiac chambers are dilated. There are changes related to great artery transposition surgery.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. There are surgical changes in the sternum.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPacemaker, cardiovascular surgery changes in the left chest wall.  Linear fibrotic changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4336/train_4336_b/train_4336_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. When examined in the lung parenchyma window; Pericardiac fat pad is enlarged and there are minimal passive atelectasis in the paracardiac lung parenchyma.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiayal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Stone density of 37 mm is observed in the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nParacardiac minimal passive atelectasis.  Hiatal hernia.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4343/train_4343_b/train_4343_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper lower paratracheal lymph node in millimetric size is observed. In the evaluation of both lung parenchyma; A nonspecific nodule with a diameter of 2.5 mm is observed in the middle lobe of the right lung. Apart from this, no mass/infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There are metallic clips in the lodge. Uncontrasted CT scans show that the gallbladder has been operated. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. A punctate microcalcular image is observed in the left kidney.\n\nImpression:\nNodule smaller than 5 mm in nonspecific appearance in the middle lobe of the right lung. No imaging finding of pneumonia was observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4344/train_4344_a/train_4344_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Motion artifacts are observed in both lung parenchyma. In addition, there are several tubular bronchiectasis and pleuroparenchymal sequelae densities in the middle lobe. Pleuroparenchymal sequelae are observed in the apex of both lungs. A nodule with a diameter of 5 mm is observed in the middle lobe of the right lung.\n<mediastinum>: Calcific atherosclerotic plaques are observed in the descending aorta and abdominal aorta. Right upper-lower paratracheal, prevascular, aortic pulmonary lymph node with narrow diameter less than 1 cm is observed. No pathological LAP was detected in the mediastinum.\n<heart>: Millimetric calcific plaque is observed in the coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Calcific atherosclerotic plaques are observed in the descending aorta and abdominal aorta. Calcules with a diameter of approximately 2 cm are observed in the renal pelvis in the part of the right kidney that enters the examination area. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is ectasia in the right renal pelvis, which cannot be clearly evaluated on non-contrast examination.\n\nImpression:\nTubular bronchiectasis and pleuroparenchymal sequelae in several bronchi in the middle lobe of the right lung. 5 mm diameter nodule in the middle lobe of the right lung with nonspecific appearance.  Calculus-ectasia in the renal pelvis of the right kidney partially entered into the examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4347/train_4347_a/train_4347_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10373",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: In the differential diagnosis, Covid-19 pneumonia was considered due to bronchopneumonia and pandemic. The outlook is not typical for Covid-19 pneumonia. When examined in the lung parenchyma window; A centracinar nodular infiltration area accompanied by ground glass densities was observed in the apicoposterior segment of the left lung upper lobe. No mass lesion with distinguishable borders was detected in both lungs. Pleuroparenchymal fibroatelectasis sequelae change was observed in the inferior lingular segment of the left lung upper lobe.\n<pleura>: An increase in adipose tissue was observed in the subpleural area, which is compatible with sequelae at the fissure level, adjacent to the superior segments of the lower lobes of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: A sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structures in the examination area.\n<abdomen>: A high-density, well-defined lesion measuring 22x14 mm was observed in the right adrenal gland corpus (fat-poor adenoma?). In the upper abdominal organs, including the sections, the liver parenchyma density was slightly decreased, consistent with hepatosteatosis.\n\nImpression:\nHiatal hernia  Infection area in the left lung upper lobe apicoposterior segment, which is not typical for Covid-19 pneumonia; bronchopneumonia in the differential diagnosis and Covid-19 pneumonia due to pandemic is considered; It is recommended to be evaluated together with clinical and laboratory.  Sequelae in posterior costal pleura in both hemithorax, pleuroparenchymal sequelae change in left lung upper lobe inferior lingular segment  High-density well-circumscribed lesion (fat-poor adenoma?) in right adrenal gland corpus  Minimal degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4350/train_4350_a/train_4350_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. There is minimal bronchiectasis in the central parts of both lungs. In this localization, bronchiectasis is accompanied by minimal structural distortion and minimal volume loss. No mass or infiltrative lesion was detected in both lungs. Minimal bronchiectasis is also observed in the left lung upper lobe lingular segment inferior subsegment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Millimetric atheroma plaques are observed in the coronary arteries. As far as can be observed: Heart, contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nMinimal bronchiectasis in both lungs, peribronchial thickening and structural distortion accompanying bronchiectasis in the left upper lobe lingular segment.  Millimetric nonspecific nodules in both lungs.  Millimetric atheroma plaques in coronary arteries.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4352/train_4352_b/train_4352_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Diffusion was not observed in the previous examination. There are medial segments of the right lung middle lobe and linear atelectasis in the left upper lobe. There is atelectasis in both lung lower lobes adjacent to the effusion. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). There are uniform interlobular septal thickenings in both lungs. This view is nonspecific.\n<pleura>: The pleural effusion measured 70 mm at its thickest point and continues to the apex of the lung when the patient is in the supine position. There is bilateral pleural effusion. There are millimetric nonspecific nodules in both lungs, some of which are subpleural. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nBliateral pleural effusion. Mosaic attenuation pattern in both lungs. Millimetric nodules in both lungs. Uniform interlobular septal thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4356/train_4356_a/train_4356_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Patchy-nodular ground-glass consolidations with crazy paving pattern and vascular enlargement, more common in multilobar, multisegmental, central-peripheral dependent sections, were observed in both lungs. The described findings are highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific atheroma plaque was observed in the aortic arch and distal LAD. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaque was observed in the aortic arch and distal LAD. The gallbladder and pancreas appear natural.\n\nImpression:\nHigh suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory findings.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4359/train_4359_a/train_4359_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was observed in both lung parenchyma. The increase in pleuroparenchymal linear nonspecific density in the apical segment of the right lung upper lobe is consistent with the sequelae change.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Aberrant right subclavian artery variation was observed.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaque is observed in LAD. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: Fracture line is not observed. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nCalcified atheromatous plaques in LAD. Sequelae linear parenchymal changes in the apical segment of the upper lobe of the right lung.  Aberrant right subclavian artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4364/train_4364_a/train_4364_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. Slight patchy ground glass densities are observed in the middle lobe of the right lung. When examined in the lung parenchyma window; mosaic perfusion appearance is present in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Pulmonary embolism was evaluated as suboptimal within the limits of the examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are several millimetric calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Heart valve replacement material is observed. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic kyphosis has increased. There are hypertrophic-osteophytic taperings in the anteriors of the end plates of the vertebral corpuscles.\n<abdomen>: Upper abdominal organs are partially included in the study and were evaluated as subopotimal. There are several millimetric calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nMild patchy ground-glass densities and bilateral mosaic perfusion appearance in the middle lobe of the right lung. Clinical and laboratory correlation and close follow-up are recommended in terms of the differential diagnosis of early viral pneumonia? Onset of infiltration? due to the current epidemic.  Diffuse density decrease in bone structures, degenerative changes , increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4368/train_4368_a/train_4368_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; In both lung parenchyma, multilobar majority peripherally located consolidation and ground glass density increases are observed, and viral pneumonias are considered in the etiology of the findings. In terms of Covid-19 pneumonia, evaluation together with clinical and laboratory findings is recommended.\n<pleura>: Pleural effusion-thickening was not detected. No bilateral pleural effusion or thickness increase was observed.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The examination was considered suboptimal since no contrast agent was given.\n<heart>: An increase in heart size is observed. As far as can be seen; The transverse diameter of the ascending aorta was measured as 41 mm and increased. There is free fluid in the form of pericardial plastering.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. No lytic or destructive lesion was detected. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. The examination was considered suboptimal since no contrast agent was given.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4374/train_4374_a/train_4374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A small amount of bilateral effusion is observed. When examined in the lung parenchyma window; Density increases are observed in both lungs in a diffuse patchy crazy paving pattern, including air bronchogram signs. A small amount of bilateral effusion with a thickness of 40 mm on the right and 19 mm on the left is observed. The findings are similar to the ARDS appearance, and the imaging features can also be observed in Covid-19 viral pneumonia.\n<mediastinum>: There are multiple lymph nodes measuring up to 12 mm in size in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries and aortic arch.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed. There are hypertrophic osteophytic taperings on the vertebral corpus endplates. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: There is a 20 mm hypodense area (cyst?) in the right lobe of the liver, which is considered suboptimal within the limits of the examination. In the upper abdominal organs included in the sections, suspicious millimetric calculus is observed in the gallbladder. It enters the images partially and was evaluated as suboptimal. There are calcific atheromatous plaques in the coronary arteries and aortic arch.\n\nImpression:\nImaging features can be seen in Covid-19 viral pneumonia. It has the appearance of ARDS, close clinical laboratory correlation is recommended. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause similar appearance.  Short axis in the mediastinum up to 12 mm measured lymph nodes . Suspected cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4385/train_4385_a/train_4385_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Cystic nodule with oval shape in fluid attenuation measuring 29 mm in size in the left thyroid lobe? evaluated in its favour.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Centrilobular emphysematous changes are observed in both lungs. When examined in the lung parenchyma window; In the right lung upper lobe posterior, in series 2 image 134, the hyperdense finding with radial retraction, measuring 15.4 mm in size, was evaluated in favor of a nodular lesion.\n<mediastinum>: In the coronary arteries, calcific atheroma plaques are observed in the aortic arch. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. There is a pericardial effusion measuring 13 mm in thickness.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures in the examination area, Schmorl nodules in the end plates of the vertebral corpuscles are present.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the coronary arteries, calcific atheroma plaques are observed in the aortic arch. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPericardial measurement up to 13 mm is recommended. effusion . Cystic nodule in left thyroid lobe, USG, clinical laboratory correlation is recommended.  Centrilobular emphysematous changes in both lungs . Atelectatic changes in left lung upper lobe inferior lingula . Calcific atheroma plaques in arcus aorta, coronary arteries . Atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4388/train_4388_a/train_4388_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are also density increases in the posterobasal segment of the lower lobe of the right lung, which are evaluated in favor of parenchymal bands. Findings observed especially in the lower lobe of the left lung are frequently encountered findings in Covid pneumonia. Peripheral ground glass areas are observed in the left lung lower lobe superior segment and in the posterobasal segment of the lower lobe. The described manifestations were evaluated in favor of viral pneumonia. In addition, a nodular ground glass area is observed in the anterior segment of the upper lobe of the right lung. A similar appearance can also be observed in the right lung middle lobe lateral segment. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4392/train_4392_a/train_4392_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: A slight increase in bronchial wall thickness and a slight increase in parenchymal aeration are observed in segmental bronchi.\n<lung>: There are several millimetric size (<3mm) nonspecific nodules in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are observed in LAD. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Gall bladder was not observed in the upper abdominal sections (operated).\n\nImpression:\nCalcified atheromatous plaques in LAD. Cholecystectomized.  Nonspecific nodules in both lungs and increased parenchymal aeration with mild bronchial wall thickness increase in segmental bronchi"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4397/train_4397_a/train_4397_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?).\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no upper abdominal free fluid-collection in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4405/train_4405_a/train_4405_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are slight prominences in the interstitial conditions. Millimetric nonspecific nodule is observed in the middle lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nClarification in interstitial signs is atypical for viral pneumonia. Clinical laboratory correlation is recommended.  Millimetric nonspecific nodule in the middle lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4411/train_4411_a/train_4411_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. There are a few nonspecific nodular density increases under 5 mm in diameter in both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nA few millimetric nonspecific nodular lesions in both lungs . Pneumonic infiltration was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4416/train_4416_a/train_4416_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is subsegmental atelectasis in the medial segment of the right lung middle lobe. Minimal bronchiectasis and minimal peribronchial thickening were observed in the central parts of both lungs. The largest of these nodules is observed in the peribronchial area in the upper lobe of the right lung, and its longest diameter is approximately 8 mm. Some of these nodules are irregular and raise suspicion for malignancy. It is recommended that the patient be evaluated together with previous examinations and further examination, if any. In addition, linear atelectasis was observed in both lungs from place to place. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are nodules in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nNodules, some with irregular borders, in both lungs (if any, it is recommended to be evaluated together with previous examinations and further examination)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4430/train_4430_a/train_4430_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Pleuroparenchymal linear densities are observed in the inferior lingular segment of the left lung. There are pleuroparenchymal sequelae changes at the laterobasal level. There is a parenchymal band compatible with the sequelae change at the anterobasal level of the right lung lower lobe. Mild sequela changes are observed in the middle lobe of the right lung. No pathological size and configuration lymph nodes were detected at both hilar levels. There is a decrease in density consistent with mild emphysema in both lungs.\n<mediastinum>: Millimetric calcific atheroma plaque is observed in the aortic arch. CTO is within the normal range. It is wider than normal. No lymph node was detected in the mediastinum in pathological size and configuration. The aortic arch calibration is 41 mm. Pulmonary trunk caliber 40 mm wider than normal.\n<heart>: The ascending aorta is calibrated 49 mm wider than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaque is observed in the aortic arch. CTO is within the normal range. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The aortic arch calibration is 41 mm.\n\nImpression:\nCalibration of major vascular structures has increased in the mediastinum.  No finding compatible with pneumonia was detected.  Findings consistent with mild emphysema and sequelae changes in both lungs.  Eventration view in the right hemidiaphragm."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4432/train_4432_a/train_4432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of bronchial structures increased on both sides. When examined in the lung parenchyma window; tracheal calibration is natural. There are thickenings of the peribronchovascular sheath. It was evaluated as compatible with mild bronchiectasis.\n<lung>: An air cyst of approximately 12 mm in diameter is observed in the lower lobe of the left lung. Mosaic attenuation is observed in the lower zone of the right lung, and it was not detected in the previous examination. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<mediastinum>: CTO is normal. It is slightly larger than normal. The aortic arch calibration is 29 mm. Calibration of mediastinal major vascular structures at other levels is normal. No lymph node with pathological size and configuration was detected in the mediastinum. Mild calcific atheroma plaques are observed in the abdominal aorta.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: CTO is normal. It is slightly larger than normal. There is a hypodense appearance of approximately 10x6 mm in the subcapsular area at the periphery of the right lobe anterior segment of the liver in the upper abdominal sections in the examination area (diaphragmatic corrugation?). The aortic arch calibration is 29 mm. It was not detected in the previous review. Both adrenals are natural. No significant difference is observed in other findings. Mild calcific atheroma plaques are observed in the abdominal aorta.\n\nImpression:\nMild bronchiectasis appearance and air cyst in the lower lobe of the left lung.  Mild mosaic attenuation appearance at the base level in the right lung was not observed in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4434/train_4434_a/train_4434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10542",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and lower lobe posterobasal segment, right lung lower lobe posterobasal segment and middle lobe medial segment and both lung lower lobe superior segments. Active infiltration or mass lesion is not detected in both lungs. When examined in the lung parenchyma window; There are emphysematous changes in both lungs, more prominently at the apex and on the right.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. In a comparative evaluation with the previous CT technique in the mediastinum, there are lymph nodes in the fusiform configuration, whose size and number are stable, short diameter less than 1 cm.\n<heart>: Calcific atheroma plaques are observed on the wall of the coronary vascular structures. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image, and there are degenerative changes. In addition, no lymph nodes in pathological size and appearance were detected in both axillary regions and in the supraclavicular fossa.\n<abdomen>: No lymph node was detected in pathological size and appearance. In the upper abdominal sections within the image, no free liqu- ulated collection was detected as far as can be observed within the borders of non-contrast CT. Intraabdominal.\n\nImpression:\nStable lymph nodes in the mediastinum that are not in pathological size and appearance  Calcified atheromatous plaques on the wall of the coronary vascular structures  Emphysematous changes in the apical segments and sequelae parenchymal changes in both lungs, more prominent on the right in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4436/train_4436_b/train_4436_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Sequela parenchymal changes were observed in the superior segments of the lower lobes of both lungs. Linear subsegmental and band atelectatic changes were observed in the left lung upper lobe inferior lingular, lower lobe basal segments and right lung middle lobe. When examined in the lung parenchyma window; Both lungs are emphysematous. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Aberrant right subclavian artery variation with retroesophageal course is present. Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, lymph nodes with short axes less than 1 cm in fusiform configuration, which did not reach pathological dimensions, were observed.\n<heart>: There is stent material placed in the LAD. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAberrant right subclavian artery variation  Stent placed in LAD  Emphysematous changes, sequela parenchymal changes in both lungs  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4436/train_4436_c/train_4436_c_1.npy"
        ]
    },
    {
        "id": "report_generation_10554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. However, this appearance is one of the appearances that can be observed in Covid-19 pneumonia. The described appearance is non-specific. It is recommended to evaluate the patient together with laboratory findings. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. A round-shaped consolidation and ground-glass appearance are observed in the subpleural area at the junction of the laterobasal segment-superior segment in the lower lobe of the left lung.\n<mediastinum>: There are atheroma plaques in the aortic arch. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Vertebral alignments are normal. The neural foramina are narrowed. Thoracic kyphosis has increased. Minimal height losses are observed at the mid-thoracic level in the vertebral corpuscles within the sections. There are osteophytes in the vertebral bodies.\n<abdomen>: There are atheroma plaques in the aortic arch. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nRound-shaped consolidation and ground-glass appearance in the lower lobe of the left lung (it is recommended to evaluate the patient for viral pneumonia)  Minimal emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4441/train_4441_a/train_4441_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10559",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index slightly increased in favor of heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4444/train_4444_a/train_4444_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; diffuse emphysematous changes in the upper lobes of both lungs and bulla formation in the upper lobe of the left lung were observed. A nonspecific ground glass density increase was observed in the posterobasal segment of the lower lobe of the left lung. Soft tissue density, which is primarily evaluated in favor of parenchymal fibrosis, which causes structural distortion and volume loss in the upper lobe of the right lung, was observed. Pleuroparenchymal sequelae density increases and paracicatricial bullae formation were observed in the lower lobe and middle lobe of the right lung. It is recommended to be evaluated together with previous examinations, if any.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Calcified atherosclerotic changes are observed in the wall of the abdominal aorta. No pulmonary artery dilatation was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). The diameter of the ascending aorta was 41 mm and showed fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<breast>: As far as can be seen; Soft tissue densities consistent with gynecomastia were observed in the bilateral retroareolar area.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Calculus was observed in the gallbladder lumen in the upper abdominal sections that entered the examination area. Calcified atherosclerotic changes are observed in the wall of the abdominal aorta. Diffuse thickening was observed in the bilateral adrenal gland.\n\nImpression:\nDiffuse emphysematous changes, bulla formations, and sequelae changes in both lungs. Nonspecific ground-glass density increase in the lower lobe of the left lung. Cardiomegaly. Fusiform dilatation of the ascending aorta.  Calcific atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery. Hiatal hernia.  Cholelithiasis. Diffuse thickening of both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4452/train_4452_a/train_4452_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the upper lobe of the right lung, the medial segment of the middle lobe, and the lingular segment of the upper lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nMinimal emphysematous changes in both lungs. Locally linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4453/train_4453_a/train_4453_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. Nonspecific pulmonary nodules, the largest of which does not exceed 4 mm in diameter, are observed in both lungs. There is linear subsegmental atelectasis in the medial segment of the right lung middle lobe. The outlook was evaluated in favor of viral pneumonia. When examined in the lung parenchyma window; Widespread ground glass densities are observed in both lungs in a common patchy manner and observed in all segments.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic walls.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Minimal hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; The liver density included in the examination was diffusely decreased, consistent with hepatosteatosis. Calcific atheroma plaques are observed in the aortic walls.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4476/train_4476_a/train_4476_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. Diffuse mild ectasia and peribronchial diffuse minimal thickness increases were observed in both lung bronchial structures.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Diffuse mild ectasia and peribronchial diffuse minimal thickness increases were observed in both lung bronchial structures. It is also present in the previous CT examination of the patient, and no change was detected in their number and size. Ventilation of both lungs is natural. Millimetrically sized nonspecific nodules were observed in both lungs.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Calibration of mediastinal vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. There are calcified atheroma plaques in millimetric sizes in the wall of the aortic arch.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Bilateral neural foramina are normal. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections within the image, there is a diffuse density decrease consistent with hepatosteatosis as far as can be observed within the limits of non-contrast CT. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in pathological size and appearance. There are calcified atheroma plaques in millimetric sizes in the wall of the aortic arch.\n\nImpression:\nMillimetric-sized nonspecific nodules were observed in both lungs. It is also present in the patient's previous CT examination, and no change was detected in their number and size.  Diffuse mild ectasia and diffuse mild peribronchial thickness increases in bronchial structures in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4476/train_4476_b/train_4476_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. This appearance was thought to be due to gunshot wounds. In addition, millimetric calcific nodules were observed in the left lung. A foreign body causing artifact is observed around the lower lobe of the left lung. There is minimal bronchiectasis in the central parts of both lungs and minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Both lungs have noncalcified nodules measuring approximately 6 mm in diameter, the largest of which is in the posterior segment of the right lung upper lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The diameters of the pulmonary arteries are normal.\n<heart>: The anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMinima bronchiectasis in the central parts of both lungs. Emphysematous changes in both lungs. Nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4477/train_4477_a/train_4477_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10627",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Focal thickening of the gallbladder fundus wall was observed (adenomyomatosis?). A slightly hazy appearance and enlarged lymph nodes, the largest of which was 12x8.7 mm, were observed in the central mesenteric fatty planes. US control is recommended. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFibrotic density increases with reticulonodular sequelae in the apex of both lungs. There was no finding in favor of pneumonia in the lung parenchyma.  Focal thickening of the gallbladder fundus wall; US control is recommended for adenomyomatosis. Mesenteric panniculitis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4478/train_4478_a/train_4478_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, central and peripheral crazy paving pattern and patchy ground glass consolidations indicating vascular enlargement were observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Two accessory spleens, 22 and 15 mm in size, were observed adjacent to the lower pole of the spleen. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4480/train_4480_a/train_4480_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Linear atelectasis in the right lung middle lobe medial segment and left lung inferior lingular segment and bilateral lower lobes, and a few nonspecific millimetric nodules in both lungs and paraseptalamphysemeto changes were observed in the upper lobes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nLinear atelectasis in the right lung middle lobe medial segment and left lung inferior lingular segment and bilateral lower lobes, and a few nonspecific millimetric nodules in both lungs and paraseptalamphysemeto changes were observed in the upper lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4487/train_4487_a/train_4487_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Millimetric calcifications are observed in the wall of the main bronchi. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Interlobular thickenings and honeycomb lung appearance are observed in the upper lobes of both lungs, in the middle lobe of the right lung, and minimally in the laterobasal segments of the lower lobes of both lungs, and in the lingular segment of the left lung. No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric calcific plaques are observed in the aortic arch. A few lymph nodes with a right upper, bilateral lower paratracheal aortopulmonary narrow diameter less than 5 mm are observed. No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Millimetric calcific plaques are observed in the aortic arch. In the localization of the common choledochal wall, millimetric calcifications draw attention. In the sections passing through the upper part of the abdomen, the left lobe of the liver has an atrophic appearance. No dilatation was detected in the intrahepatic bile ducts.\n\nImpression:\nSignificant atrophy of the liver left lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4500/train_4500_a/train_4500_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The upper abdominal organs, including within the sections, are normal.\n\nImpression:\nThoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4501/train_4501_a/train_4501_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Dependent atelectasis is present in both lungs.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: There are several small lymph nodes measuring up to 5 mm in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Pacemaker double chamber is observed in superior vena cava and right heart.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Heart size increased. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in bone structures.\n\nImpression:\nAtherosclerosis.  Pacemaker double chamber in superior vena cava and right heart  Mediastinal lymph nodes  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4505/train_4505_a/train_4505_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Ground glass areas and centriacinar nodules are also present in the medial segment of the right lung middle lobe. Similar appearances are also observed in the lower lobe of the right lung. Ground glass areas are observed adjacent to the consolidations described in the lower lobe of the left lung. When the findings were evaluated together, it was thought that the appearances were compatible with infective pathology. The described appearance is also present in the previous examination of the patient. In addition, there are areas of consolidation and areas of ground glass around it in the superior segment of the lower lobe of the left lung and the apicoposterior segment of the upper lobe. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion is observed. More prominent on the left, there is consolidation in the lower lobes of both lungs, adjacent to the pleural effusion, in which air bronchograms are observed. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Lymph nodes with a short diameter of 12 mm are observed in the prevascular, paratracheal, subcarinal and both hilar regions, the largest of which is observed to the right of the midline in the paratracheal region. There are calcific atheroma plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are calcifications in the mitral valve. As far as can be observed: The heart is larger than normal. There is no pericardial effusion. In particular, both atria are observed to be larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. There are calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nBilateral pleural effusion. Findings evaluated primarily in favor of infective pathology in both lungs.  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4520/train_4520_c/train_4520_c_1.npy"
        ]
    },
    {
        "id": "report_generation_10735",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The finding favors respiratory bronchiolitis. It is recommended to question the history of tobacco use. No area of pneumonic consolidation or infiltration was detected in the lung parenchyma in the section. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There are prominent centracinar ground glass nodules in the upper lobes.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings in favor of respiratory bronchiolitis, pneumonic infiltration were not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4526/train_4526_a/train_4526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. It is in the form of plastering.\n<lung>: It reaches a diameter of 1.5 cm in the right upper lobe at its widest point. When the findings were evaluated together, they were primarily evaluated in favor of pulmonary edema. More prominent peribronchial ground glass density areas are observed in the lower lobe basal segments of both lungs. Shooting was performed in mid-expiration.\n<pleura>: Bilateral pleural effusion is observed.\n<mediastinum>: There are nonspecific millimetric lymph nodes in the mediastinum.\n<heart>: Heart size increased. Calcific atherosclerotic plaques are observed in the coronary arteries. Pericardial effusion is present. The diameter of the effusion, adjacent to the right atrium, was 12 mm at its widest point.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is a 13 mm diameter calculus in the gallbladder lumen. Clinical evaluation after treatment would be appropriate.\n\nImpression:\nIncreased heart size, calcific plaques in coronary arteries  Pericardial effusion, mild bilateral pleural effusion  Ground glass densities in the lower zones of both lungs were considered in favor of pulmonary edema when radiological findings were evaluated together. Post-treatment clinical evaluation is recommended.  cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4527/train_4527_a/train_4527_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; As far as it can be observed secondary to motion artifacts, patchy-nodular ground-glass consolidations that formed a multilobar, multisegmental, peripherally located crazy paving pattern were observed in both lungs. The outlook was evaluated as compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Linear atelectasis accompanying consolidations were observed in both lung lower lobe basal segments.\n<mediastinum>: Subcarinal and right hilar nonspecific calcific lymph nodes were observed. Pulmonary artery diameters are normal. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the right anterolateral corner of the thoracic vertebra, spur formations bridging with each other were observed with left-facing scoliosis.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Cortical-parapelvic cysts with a diameter of 32 mm were observed in both kidneys, the largest in the right upper pole.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries. Findings consistent with Covid-19 pneumonia in the lung parenchyma, accompanying linear atelectasis . Parapelvic-cortical cysts in both kidneys . Diffuse idiopathic bone hyperostosis dexostosis of the thoracic aorta, patency"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4528/train_4528_a/train_4528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A 14x6 mm calcific lymph node is observed at the infrahilar level on the right. There is a 6 mm calcific lymph node in the right hilar region.\n<pleura>: When examined in the lung parenchyma window; Peripherally located subpleural predominantly nodular ground glass densities and mild pleural thickening in the posterior are observed, more prominently in the lower lobes of both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in coronary aortic traces.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is slightly ectatic (41 mm). Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<abdomen>: Calcific atheroma plaques are observed in coronary aortic traces. In the sections, hypodense lesions with a size of 30 mm are observed in the upper pole of the right kidney and at the parapelvic level on the left (cyst).\n\nImpression:\nFindings consistent with bilateral Covid pneumonia. Mediastinal sequelae of calcific lymph nodes.  Coronary atherosclerosis. Bilateral renal cysts. Vertebral osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4528/train_4528_b/train_4528_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Paraseptal emphysematous changes are observed at the apical levels. Centriacinar nodular ground glass densities are present in both lungs, more prominently at diffuse apical levels. Findings are atypical for viral pneumonia, and clinical laboratory correlation and follow-up are recommended for better differential diagnosis.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Postoperative clips are observed in the paracardiac area. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes are observed in bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are diffuse centriacinar nodular ground glass densities in both lungs, especially at the apical levels. The findings are atypical in terms of viral pneumonia, and clinical laboratory correlation and follow-up are recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4537/train_4537_a/train_4537_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: It is recommended to be evaluated for the infective process. In addition, peripheral nodular ground-glass-like density increases are observed in the current examination in the left lung upper lobe apicoposterior segment. In the left lung, the areas of consolidation decreased in the current examination. Peribronchial thickenings were observed in the bilateral lower lobe of the lung. No significant mass lesion was detected in the examination borders in both lung parenchyma. A few millimetric nonspecific pulmonary nodules were observed in both lungs. When examined in the lung parenchyma window; in the current examination, the size of the consolidation areas increased in the lower lobe of the right lung.\n<mediastinum>: Mediastinal structures could not be evaluated optimally. Narrow lymph nodes less than 1 cm in diameter were observed in the mediastinal prevascular, paratracheal, subcarinal and hilar regions. No lymph node was detected in pathological size and appearance. Calcified atherosclerotic plaques were observed in the walls of the thoracic aorta and coronary artery. Calibration of mediastinal major vascular structures is natural.\n<heart>: The examination cannot be characterized as it lacks contrast. Pericardial thickening-effusion was not detected. In non-contrast imaging, the sensitivity of the examination is low. Calcified atherosclerotic plaques were observed in the walls of the thoracic aorta and coronary artery. As far as can be seen; The heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal within the examination limits and no significant pathological wall thickening was detected.\n<breast>: Soft tissue density compatible with gynecomastia was observed in the bilateral retroareolar area.\n<bone>: Diffuse density increases consistent with extensive sclerotic metastases were observed in all bone structures in the study area. There were no significant differences in bone structures.\n<abdomen>: A suspicious hypodense area with a diameter of 29 mm was observed in the middle zone posterior cortex of the left kidney (cortical cyst ?). Apart from this, no obvious pathology was detected in the upper abdominal organs. Calcified atherosclerotic plaques were observed in the walls of the thoracic aorta and coronary artery. There is free fluid in the form of smearing at the level of the right subhepatic and bilateral paracolic gutter.\n\nImpression:\nMetastatic prostate ca in follow-up, multiple sclerotic metastatic lesions in bone structures. Stable hypodense lesion in the right lobe of the liver cannot be characterized in this examination.  Bilateral pleural effusion. Consolidation areas in both lungs, atelectasis-consolidation area observed on the right increased, and newly emerging ground-glass-like density increases were observed in the left lung upper lobe. The outlook was primarily evaluated in favor of the infectious process. Millimeter-sized nonspecific pulmonary nodules in both lungs. Mediastinal and hilar millimetric-sized stable lymph nodes.  Free fluid in the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4539/train_4539_b/train_4539_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Sequela fibrotic density increases are observed in the left lung lower lobe laterobasal segment. Minimal bronchiectatic changes were observed in the center of both lungs. No mass lesion-active infiltrative with distinguishable borders was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal sequelae changes in the left lung.  Minimal bronchiectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4547/train_4547_b/train_4547_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4552/train_4552_a/train_4552_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are sequelae changes in the inferior lingular segment. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?). Mild sequelae changes are observed at the apical level in the right lung. There is a 3 mm diameter nodule superposed on the minor fissure on the right. In the lower lobe superior segment, there is a view of branches with buds in the area extending towards the basal. It can be differentiated on hilar-level non-contrast examination. In the right lung, there are sequelae changes in the middle lobe and a slight ground-glass-like density increase. Sequelae changes are observed in the apicoposterior segment of the left lung upper lobe.\n<pleura>: There is a smear-like pleural effusion in the left lung, and a well-circumscribed nodule of approximately 16x10 mm is observed in the superior segment of the lower lobe. There is mild irregularity in the pleura at the lower lobe basal level in the left lung.\n<mediastinum>: Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, and the largest is measured in the aorticopulmonary window, measuring approximately 19x12 mm. Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Pulmonary trunk calibration is 37 mm, right pulmonary artery calibration is 34 mm, left pulmonary artery calibration is 31 mm, which is larger than normal. The aortic arch calibration is 34 mm. No prominent lymph node was detected.\n<heart>: CTO slightly increased in favor of the heart.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: There is a hypodense appearance in the left kidney, which is considered consistent with a cortical cyst. Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the aortic arch and descending aorta. The aortic arch calibration is 34 mm. In the sections passing through the upper abdomen, a nonspecific hypodense formation is observed in the liver that enters the image from the last section.\n\nImpression:\nCardiomegaly, increased calibration of mediastinal main vascular structures . Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Nonspecific nodule formations, sequelae changes in both lungs, the largest of which is in the right lung lower lobe superior segment, . Branch with buds at the level of the lower lobe of the right lung. Evaluation with clinical and laboratory findings in terms of infective processes is recommended. The outlook is atypical for Covifd-19 pneumonia.  Nonspecific hypodense lesion partially visible in the liver . Left renal cortical cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4560/train_4560_a/train_4560_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window, the aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits except hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4561/train_4561_a/train_4561_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4573/train_4573_b/train_4573_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; 5 mm diameter ground-glass opacity nodule is observed centrally located in the left lung upper lobe lingular segment. No nodular lesions were detected in both lung parenchyma. Apart from this, peripherally located faint, barely distinguishable ground glass opacities are observed in both lungs. The outlook may be compatible with Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripheral localized faintly discernible ground-glass opacities (Covid-19 pneumonia?) in both lungs, especially in the lower lobes. It is recommended to be evaluated together with the clinical laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4576/train_4576_a/train_4576_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Subsegmental atelectatic changes are observed in the left lung inferior lingular segment and left lung lower lobe.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Ground-glass-like density increases were observed in the peripheral subpleural area and peribronchovascular localization in the upper lobes and lower lobes of both lungs. When examined in the lung parenchyma window; Calcified plaques are present in both pleura.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Soft tissue densities compatible with gynecomastia were observed in both retroareolar areas.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Calcified pleural plaques in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4585/train_4585_a/train_4585_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10876",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Emphysematous changes are observed in both lungs. There are sequela fibrotic densities adjacent to the paracardiac area in the lower lobe of the left lung. No active infiltration, consolidation or mass was observed in both lungs.\n<mediastinum>: Long segment aneurysmatic dilatation is observed in the thoracoabdominal aorta. In the upper abdominal organs included in the examination; Widespread calcific atheroma plaques are observed in the abdominal aortic walls. The thoracic aortic wall reaches 82 mm at its widest point and a stent is observed that continues up to the lower end of the thoracic aorta. Reactive lymph nodes with short axes not exceeding 6 mm are observed in the mediastinal area.\n<heart>: Aortic diameter was measured as 49 mm at valve localization.\n<bone>: Suture materials of sternotomy are observed in the sternum.\n<abdomen>: Long segment aneurysmatic dilatation is observed in the thoracoabdominal aorta. In the upper abdominal organs included in the examination; Widespread calcific atheroma plaques are observed in the abdominal aortic walls. The thoracic aortic wall reaches 82 mm at its widest point and a stent is observed that continues up to the lower end of the thoracic aorta. There are gallstones in the gallbladder.\n\nImpression:\nAneurysmatic dilatation is observed starting from the aortic arch, continuing through the thoracic aorta and extending to the abdominal aorta.  There is a stent extending from the aortic arch to the lower end of the thoracic aorta. No stent was observed in the distal part of this area.  Cholelithiasis.  Emphysema and sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4586/train_4586_a/train_4586_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are emphysematous changes in both lungs. Scattered nodular consolidation areas are observed in both lungs. This appearance was also present in the previous examination of the patient and was primarily evaluated in favor of atelectasis. A sharp-edged consolidation area is observed at the level of the lower lobe of the left lung, adjacent to the aorta. A similar appearance is also present in the left lung upper lobe segments as areas of nodular consolidation. The size of the atelectasis area described from the previous review was slightly reduced.\n<pleura>: The most prominent of these views are located in the right lung lower lobe superior segment and right lung middle lobe lateral segment subpleural areas. No significant pleural effusion was detected in both lungs.\n<mediastinum>: The thoracic aorta is deviated to the left lung. The evaluation of solid organs, vascular structures, and mediastinal structures is suboptimal because the examination is non-contrast. In the mediastinal area, there are several lymph nodes, the largest of which is in the pretracheal region, with a short axis of 1 cm in diameter, which can be distinguished by fatty hiluses, which are considered reactive. Operational materials are monitored in the aorta.\n<heart>: A smear-like pericardial effusion is observed. Other findings are stable when evaluated together with the patient's previous examination.\n<abdomen>: The thoracic aorta is deviated to the left lung. The appearances evaluated in favor of infarct in the spleen are stable. Operational materials are monitored in the aorta.\n\nImpression:\nApart from this, no new findings were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4586/train_4586_b/train_4586_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Calcified wall thickenings were observed in both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. A nonspecific ground-glass-like density increase was observed in the posterior segment of the right lung upper lobe. Pleuroparenchymal sequelae density increases were observed in both lung lower lobes. In addition, similar nonspecific ground-glass-like density increases were observed in the right lung middle lobe lateral segment and left lung lingular segment.\n<pleura>: A free pleural effusion extending to the fissure measuring 24 mm in its thickest part between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma were observed, which has recently emerged in the current examination. In the right lung, passive atelectasis changes are noted adjacent to the pleura. Between the left pleural leaves, there is a minimal free pleural effusion measuring 5 mm in its thickest part.\n<mediastinum>: Lymph nodes with a short axis smaller than 1 cm, some of which are calcified, are observed in the right upper paratracheal, lower paratracheal, bilateral hilar localization and subcarinal area. Both pulmonary arteries are dilated. A 13x10 mm lymph node was observed between the fatty planes adjacent to the anterior pericardial area. The AP diameter of the ascending aorta was 42 mm and showed fusiform dilatation. The main pulmonary artery diameter was 39 mm and increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the aortic arch was 31 mm, and the AP diameter of the descending aorta was 29 mm.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected. Calcifications are noted in the mitral valve in the aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: Metallic suture materials of sternotomy were observed on the anterior thorax wall.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural. Diffuse varicose tortuous venous vascular structures were observed among the subcutaneous fatty planes in the study area. The AP diameter of the ascending aorta was 42 mm and showed fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the aortic arch was 31 mm, and the AP diameter of the descending aorta was 29 mm.\n\nImpression:\nStable nonspecific millimetric sized pulmonary nodules in the left lung.  Significant bilateral pleural effusion on the right and an area of passive atelectasis in the right lung. Newly revealed in the current examination.  Sequelae changes in both lungs.  Cardiomegaly, dilatation of pulmonary arteries, fusiform dilatation of the ascending aorta. Stable lymph nodes mediastinal, some of them calcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4589/train_4589_a/train_4589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Linear atelectatic changes were observed in the right lung middle lobe medial and left lung lower lobe anteromediobasal segment. There is a mosaic attenuation pattern in the lower lobes of both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: Pulmonary artery calibration is natural. Anteroposterior diameter of the patterned aorta was observed to be wider than normal with 30 mm proximal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The mediastinum could not be evaluated optimally in the non-contrast examination.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; ascending aorta calibration is natural. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. As far as it can be followed within the sections; bone structures are natural.\n<abdomen>: Anteroposterior diameter of the patterned aorta was observed to be wider than normal with 30 mm proximal.\n\nImpression:\nDilatation in the proximal part of the descending aorta. Linear atelectatic changes in the medial segment of the right lung middle lobe and the anteromediobasal segment of the left lung lower lobe. Mosaic attenuation pattern in the lower lobes of both lungs (small airway disease? , small vessel disease?).  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4595/train_4595_a/train_4595_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No active infiltration or mass lesion was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (Small airway disease?, small vessel disease?). When examined in the lung parenchyma window; There are areas of increase in density consistent with linear atelectasis in the inferior lingular segment of the left lung upper lobe.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. In the upper abdominal sections within the image, a nodular lesion measuring 16x13 mm in size in favor of myelolipoma was observed in the corpus of the left adrenal gland, as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nNo active infiltration or mass lesion was observed in both lungs. There are areas of increase in density consistent with linear atelectasis in the left lung upper lobe upper lobe inferior lingular segment. A mosaic attenuation pattern was observed in both lungs (Small airway disease?, small vessel disease?).  A nodular lesion evaluated in favor of myelolipoma was observed in the left adrenal gland corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4596/train_4596_a/train_4596_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10924",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are diffuse peripheral localized, patchy ground-glass densities in both lungs and atelectatic changes in the lower lobe basal segments of both lungs.\n<mediastinum>: Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, parenchymal density in the liver changes in favor of steatosis.\n\nImpression:\nThe findings described in the lung parenchyma were primarily evaluated in favor of Covid-19 viral pneumonia, and clinical laboratory follow-up is recommended for better differential diagnosis.  Increase in heart sizes. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4606/train_4606_a/train_4606_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up are recommended for early viral pneumonia (Covid-19).\n<pleura>: When examined in the lung parenchyma window; Several peripheral subpleural ground-glass densities are observed, more prominently in the left lung.\n<mediastinum>: There are calcific atheromatous plaques in the aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Cardiomegaly is observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcific atheromatous plaques in the aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtherosclerosis, cardiomegaly . A few peripheral subpleural localized ground-glass densities, more prominent in the left lung; Clinical laboratory correlation and close follow-up are recommended for early viral pneumonia (Covid-19).  Degenerative changes in vertebrae and bone structures, diffuse density reduction in bone structures . Calcific foci in the thyroid parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4611/train_4611_a/train_4611_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Depandant density increases and pleuroparenchymal sequelae densities are observed in the lower lobes of both lungs.\n<pleura>: Pleural effusions are observed in the right hemithorax, which is 3.8 cm in the thickest part and 4 cm in the left, and enters the fissure on the right.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. Right upper-lower paratracheal, aortapulmonary lymph nodes smaller than 1 cm were observed. No pathological LAP was detected in the mediastinum. Calcific atherosclerotic plaques are observed in the aortic arch, descending aorta, and coronary artery walls.\n<heart>: Calcific atherosclerotic plaques are observed in the aortic arch, descending aorta, and coronary artery walls. The cardiothoracic index increased in favor of the heart. The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Degenerative changes are observed in bone structures.\n<abdomen>: Calcific atherosclerotic plaques are observed in the aortic arch, descending aorta, and coronary artery walls. Microcalcular images are observed in bilateral kidneys. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly . Bilateral pleural effusion entering the fissure on the right . Pleuroparenchymal sequelae and mildly dependent increases in density in the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4617/train_4617_a/train_4617_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10962",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No mass or nodular suspicious space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Nonspecific lymph nodes less than 1 cm in diameter were observed in the paraaortic area, adjacent to the renal vascular structures. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Nonspecific lymph nodes less than 1 cm in diameter were observed in the paraaortic area, adjacent to the renal vascular structures. Gas distension is present in the colonic loops in the upper abdominal sections. Loculated or free fluid was not detected.\n\nImpression:\nThoracic CT examination within normal limits. Intra-abdominal gas distension, paraaortic lymph nodes adjacent to renal vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4622/train_4622_a/train_4622_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The described findings were not detected in the previous examination. Mild sequelae changes are observed in the anterior segment caudal of the right lung upper lobe. It is recommended to evaluate the case with clinical and laboratory findings in terms of Covid pneumonia. Consolidated areas with air bronchograms are observed in the lower lobe segments, especially at the level of the lower lobe superior segments. When examined in the lung parenchyma window; There are ground-glass-like focal density increases with peripheral distribution in the mid-lower zones of both lungs. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes are observed at the subcarinal level in the upper-lower paratracheal area, the largest of which was measured in the right lower paratracheal area and measuring 19x10 mm. In its previous examination, it is 15x7 mm in size. Calibration of mediastinal major vascular structures is normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Slight degenerative changes are observed in the bone structure. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. In the upper abdominal organs, including sections; there is an increase in calibration at the level of the transverse colon in the intestinal loops. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. According to the previous review, a slight increase in calibration is observed.\n\nImpression:\nIt is recommended to evaluate the case with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4622/train_4622_b/train_4622_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: In addition, several millimetric nonspecific nodules located in the peripheral interstitium are observed in both lungs. When examined in the lung parenchyma window; In the anterior segment of the left lung upper lobe, a pulmonary nodule with 17 mm diameter and spicular extensions with irregular borders and lobulated contours is observed in the anterior segment of the left lung upper lobe. There was no evidence of active infiltration consistent with infiltration in both lungs. PET CT is recommended.\n<mediastinum>: Lymph nodes with a short diameter of up to 5 mm are observed in the mediastinal prevascular area and paratracheal area. Mediastinal major vascular structures and cardiac examination are suboptimal because they are unenhanced.\n<heart>: Pericardial effusion-thickening was not observed. No obvious pathology was detected. Mediastinal major vascular structures and cardiac examination are suboptimal because they are unenhanced. The heart is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes are observed in the bone structures entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. A slight thickening is noted in the medial crus of the left adrenal gland. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodule with irregularly delimited lobulated contoured spicular extensions in the anterior segment of the left lung upper lobe (PET CT is recommended).  Several millimetric nonspecific nodules located in the peripheral interstitium of both lungs.  Lymph nodes that do not reach mediastinal pathological dimensions. Slight thickening of the medial crus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4623/train_4623_a/train_4623_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a 3.5 mm diameter nodule in the right lung middle lobe lateral segment. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. There are areas of linear atelectasis in both lungs. Emphysematous changes and occasionally millimetric parenchymal air cysts are observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: Within the sections, indentations of Schmorl's nodules were observed in the thoracic vertebral endplates. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Liver parenchyma density has decreased in favor of fattening. As far as it can be evaluated within the non-contrast BT limits; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nMinimal emphysematous changes in both lungs, areas of linear atelectasis.  Millimetric nodule in the middle lobe of the right lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4630/train_4630_a/train_4630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_10981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a millimetric nonspecific nodule in the middle lobe of the right lung. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No enlarged lymph nodes in pathological dimensions were detected. No upper abdominal free fluid-collection was observed in the sections. In the liver parenchyma density, there is a decrease in density compatible with moderate or severe adiposity.\n\nImpression:\nMillimetric nonspecific nodule in the right lung  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4630/train_4630_b/train_4630_b_1.npy"
        ]
    },
    {
        "id": "report_generation_10993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: The outlook can be traced in Covid-19 pneumonia. Focal nodular ground glass density increases were observed in the right lung lower lobe laterobasal segment. When examined in the lung parenchyma window; no mass-nodule was detected in both lung parenchyma. However, it is not specific.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFocal nodular ground glass density increases are observed in the right lung lower lobe laterobasal segment. The outlook can be traced in Covid-19 pneumonia. However, it is not specific. In the differential diagnosis, infectious-non-infectious processes can be considered. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4636/train_4636_a/train_4636_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid lobes have increased dimensions and have a heterogeneous appearance. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. The findings were initially evaluated in favor of changes secondary to post-treatment. Large areas of consolidation-fibroatelectasis sequelae in which air bronchograms are observed, causing volume loss and structural distortion, were observed in the lateral parts of the right lung upper-middle and lower lobe superior segment close to the ribs.\n<mediastinum>: Pulmonary artery calibration is natural. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 50 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries. Prevascular right upper paratracheal short axes were less than 1 cm, but nodular lymph nodes were observed.\n<heart>: Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Round shaped, enlarged lymph nodes were observed in the right cervical and supraclavicular areas. Metastases in the right 2nd, 4th, 5th, 6th and 7th ribs have an expansile appearance. Extensive sclerotic metastases were observed in both hemithorax, ribs, cervical and thoracic vertebra corpus-posterior elements, sternum, scapula and humeral head within the sections.\n<abdomen>: Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 50 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal.\n\nImpression:\nIncrease in the size of each thyroid lobe-heterogeneous appearance. It is recommended to be evaluated together with US. Right cervical, supraclavicular, prevascular, right upper paratracheal nodular nodular lymph nodes are suspicious for metastasis.  Smearing effusion in the right hemithorax, changes secondary to post-treatment in the lateral parts of the right lung upper, middle and lower lobe superior segment. Diffuse sclerotic metastatic foci in bone structures.  There was no finding in favor of pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4640/train_4640_a/train_4640_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11027",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main a bronchi are open. No obstructive pathology was detected.\n<lung>: In the background of interstitial lung disease, there are more prominent ground-glass appearances, interlobular septal thickening and peribronchial thickness increases in the lower lobe basals of both lungs. When the lung parenchyma window is examined, emphysematous changes are observed in both lungs. The described appearances were also present in the previous examination of the patient and no difference was found in the appearance. The findings were evaluated in favor of atypical pneumonia in the background of the interstitial lung, and correlation with clinical and laboratory is recommended. Findings are consistent with honeycomb appearance and end-stage interstitial disease. However, it is observed that a completely solid metastatic mass in the lingular segment of the left lung has acquired a cavitary appearance. There is a consolidated view with air bronchograms in the upper lobe of the left lung apicoposterior segment and the upper lobe of the right lung in the superior segment.\n<pleura>: Bilateral pleural effusion is observed. In both lungs, more prominent interlobular septal thickening, interstitial thickening and multiple cysts are observed, especially in the peripheral subpleural areas, more prominent in the lower lobe basal segments. In the previous examination, effusion in the right pleural space was not observed, and it has recently emerged in the current examination.\n<mediastinum>: Prevascular, upper-lower paratracheal, aortopulmonary, subcarinal.bilateral hilar multiple lymph nodes, the largest of which was 15x10 mm, some reaching pathological dimensions were observed. Calibration of mediastinal major vascular structures is natural.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. Pericardial thickening was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Vertebral corpus heights are natural within the sections.\n<abdomen>: Spleen, pancreas, both adrenal glands are normal. Contour and size of the liver are normal as far as can be seen on non-contrast sections. Two kidney stones were not observed in the sections.\n\nImpression:\nLung Ca, metastatic mass lesions in the left lung lower lobe with no significant difference in size, but some of them developing new cavitation.  Bilateral plveral effusion.  Findings consistent with end-stage interstitial lung disease in both lungs, newly emerged extensive ground glass areas and consolidations on this background. Findings were evaluated in favor of pneumonic infiltration. Correlation with clinical and laboratory is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4651/train_4651_a/train_4651_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11041",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is observed.\n<lung>: Paraseptal emphysematous changes are observed in the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. In the evaluation made in the lung parenchyma window; Density increases are observed in the ground glass density, which is considered secondary to the dependent effect in both lung bases.\n<pleura>: Pericardial-pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally due to the lack of IV contrast in the cardiac examination, and as far as can be observed; Calibration of mediastinal vascular structures, heart contour, size is natural. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures could not be evaluated optimally due to the lack of IV contrast in the cardiac examination, and as far as can be observed; Calibration of mediastinal vascular structures, heart contour, size is natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesion is observed in the bone structures within the image.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Free liquid-loculated collection is not observed.\n\nImpression:\nPreseptal emphysematous changes in both lung apexes and ground glass density density increases secondary to dependent effect in both lung bases; There was no finding in favor of pneumonic infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4656/train_4656_a/train_4656_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. Subsegmentary atelectasis appearances were observed in bilateral lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There is minimal free fluid in the perihepatic region. There are accessory spleen views. Calcific atheroma plaques were observed in the main vascular structures. Transplanted liver was observed in the right upper quadrant.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4657/train_4657_a/train_4657_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Centrilobular emphysematous changes are observed in the upper lobes of both lungs, more prominently on the right. In the upper lobes of both lungs, patchy ground-glass densities are observed at the apical and superior levels, which can hardly be distinguished from the parenchyma (primarily evaluated in favor of small vessel disease?, small airway disease?), it is in the differential diagnosis of early infection. Due to the current pandemic, clinical and laboratory correlation is recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. There is a slight decrease in density in the bone structures. Hypertrophic-ostephoitic taperings are observed in the vertebral corpus endplates. Bone structures in the study area are natural. There is diffuse density reduction in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall patchy ground glass densities, especially in the upper lobe superior and apical levels, evaluated in favor of small vessel disease in both lungs, small airway disease., clinical and laboratory correlation is recommended for the differential diagnosis of the early infectious process due to the current pandemic.  Both There are mild centrilobular emphysematous changes in the lung, especially in the upper lobes, and a few millimetric non-specific nodules.  Slight decrease in density in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4660/train_4660_a/train_4660_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Trachea, calibration of both main bronchi is normal. Lumens are clear. Tracheal diverticulum is observed in the right posterolateral aspect of the thoracic entry. This level of thickening was observed in the bronchovascular sheath. In the case, the appearance of cystic bronchiectasis was observed in the lingular segment, and density increases consistent with mucus were detected in the bronchiectatic areas.\n<lung>: Mild sequela changes were detected in the apical of both lungs, especially in the right lung. No lymph node with pathological size and configuration was observed at the hilar level. No nodular or infiltrative lesion was detected in both lung parenchyma. There are sequelae changes accompanied by calcification at the upper lobe dorsal pleuroparenchymal level in the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There is no pathological size and configuration of lymph nodes in the mediastinum. Calibration of mediastinal major vascular structures is natural. Millimetric sized calcific atheroma plaques were detected at the level of the aortic arch.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. A hypodense lesion of approximately 15x8mm is observed in the posterior left rib that did not cause destruction in the cortex.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Millimetric sized calcific atheroma plaques were detected at the level of the aortic arch.\n\nImpression:\nBronchiectasis in the lingular segment on the left and mucus impactions in places. Sequelae changes in both lungs at the apical level.  Degenerative changes in bone structures, hypodense lesion of approximately 15x8mm in the posterior left rib that did not cause destruction of the cortex."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4664/train_4664_a/train_4664_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: Subpleural weighted diffuse ground glass densities are present in almost all lobes of both lungs. When examined in the lung parenchyma window; Subpleural sequela fibrotic changes and millimetric air cysts are observed in the upper lobes of both lungs.\n<mediastinum>: There are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. The ascending aorta is ectatic (41 mm). Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; spleen size increased (140 mm).\n\nImpression:\nFindings consistent with Covid pneumonia in bilateral lung lobes.  Sequelae changes in upper lung lobes. Mild ectasia of the aortic arch. Coronary atherosclerosis.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4666/train_4666_a/train_4666_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11068",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or mass lesion, pneumonic infiltration area is detected in the lung parenchyma.\n<mediastinum>: No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4671/train_4671_a/train_4671_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Covid-19 pneumonia is considered in the etiology of the findings.\n<pleura>: When examined in the lung parenchyma window; Diffuse ground glass densities are observed in mulilobar peripheral subpleural localization in both lung parenchyma. No pericardial or pleural effusion was observed.\n<mediastinum>: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures, heart contour size is natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures, heart contour size is natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: There is a diffuse hypodense appearance consistent with hepatosteatosis in liver parenchyma density. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings compatible with Covid-19 pneumonia in both lungs; evaluation together with clinical laboratory findings and control after treatment is recommended. Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4688/train_4688_a/train_4688_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11117",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the segmental bronchi of both lungs. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Several nonspecific parenchymal nodules with a diameter of 3 mm were observed in both lungs, the largest of which was in the lateralobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the segmental bronchi of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal peribronchial thickening of the segmental bronchi of both lungs.  Several millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4692/train_4692_a/train_4692_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. Slightly more caudally, there is a largely calcific 8 mm diameter nodule. There is a focal consolidation area in the inferior lingular segment. There are pleuroparenchymal sequelae changes in the upper lobe anterior-posterior segment transition in the right lung. In the posterior segment of the upper lobe, a nodule with a diameter of approximately 4.5 mm is observed on the ground of sequelae. In the anterior segment caudally, a largely calcific nodule of approximately 10x4 mm and adjacent pleuroparenchymal sequelae changes are observed. Sequelae changes are observed at the apical level in both lungs. Sequelae changes extend caudally towards the lingular segment. A calcific nodule with a diameter of 3 mm is observed in the upper lobe apicoposterior segment of the left lung.\n<pleura>: There was no finding compatible with pleural effusion, pneumothorax or pneumonia in both lungs.\n<mediastinum>: In the mediastinum, there are millimetric-sized lymph nodes (the largest in the right upper paratracheal area, with a short axis of 6 mm) that do not reach pathological dimensions. Calibration of mediastinal major vascular structures is natural. In the anterior mediastinum, a fatty involutional density appearance is observed, which does not show mass configuration compatible with thymic remnant.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a nonspecific subtle increase in density in the central mesentery. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae changes in both lungs, formation of several largely calcific nodules.  There was no finding compatible with active pneumonia in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4697/train_4697_a/train_4697_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the right lung, in the lower lobe anterior segment, adjacent to the fissure, there is an oval, well-contoured nodule measuring 7 mm in serial 2 image 120. Except as described, no infiltration was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in bone structures, hypertrophic-osteophytic taperings in the vertebral corpus endplates and a tendency to merge.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nNodule adjacent to the fissure in the anterior lower lobe of the right lung; follow-up is recommended.  Diffuse density reduction in bone structures, hypertrophic-osteophytic tapering in the anterior of the vertebral corpus end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4698/train_4698_a/train_4698_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11140",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Consolidation and ground glass areas, mostly located peripherally, are observed in both lungs, more prominently on the right, and viral pneumonias are considered in the etiology of the findings. In terms of Covid -19 pneumonia, evaluation together with clinical and laboratory findings is recommended.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal. Lineup and dance are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; There is an accessory spleen with a diameter of 23 mm in the anterior neighborhood of the spleen. Intraabdominal free liqu- ulated collection is not observed. No solid mass was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4702/train_4702_a/train_4702_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11144",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes and tubular bronchiectasis in both lungs. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are several nodules in both lungs with a short diameter of less than 3 mm. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Millimetric calcific atheroma plaques are observed in the anterior descending coronary artery.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction. Several hyperdense stones with a diameter of 3 mm are observed in the gallbladder lumen.\n\nImpression:\nMinimal emphysematous changes in both lungs, tubular bronchiectasis  A few millimetric nonspecific nodules in both lungs  Cholelithiasis  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4704/train_4704_a/train_4704_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; there is a finding consistent with a bulla measuring 12 mm in size, located in the subpleural region of the anterior upper lobe of the left lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia is observed.\n<bone>: There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles, and a slight decrease in density in the bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\n12 mm in size, subpleural mild exophytic bulla in the anterior upper lobe of the left lung. Osteopenic and degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4708/train_4708_a/train_4708_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; there is a finding consistent with a small bull measuring up to 10 mm in the superior lower lobe of the right lung. There are several peripheral and centrally located nonspecific nodules measuring up to 4 mm in the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFinding consistent with small bull in the superior lower lobe of the right lung. Several peripheral and centrally located nonspecific nodules in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4709/train_4709_a/train_4709_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland appears full.\n<lung>: Widespread ground-glass-like density increments are observed in both lungs, which do not give a clear contour. There is a 3 mm diameter nodule in the anterior-apicoposterior segment transition of the left lung upper lobe. It is nonspecific.\n<pleura>: When examined in the lung parenchyma window; 3 mm diameter nodule is observed in the right lung upper lobe anterior segment lateral subpleural area. No significant pleural effusion pneumothorax was detected.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. CTO is at the maximal physiological limit. Hilar and mediastinal lymph nodes with pathological size and configuration were not detected. The aortic arch calibration is 32 mm and larger than normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the descending aorta.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: CTO is at the maximal physiological limit. Linear-millimetric densities, which may be compatible with hypodense areas and calcification, are observed. In both kidneys, there are hyperdense lesions (hemorrhagic cyst? solid lesion? polycystic kidney disease?), the largest on the right anterolateral, and approximately 34 mm in size. Multiple hypodense lesions are observed in both lobes of the liver in the upper abdominal organs included in the sections. The aortic arch calibration is 32 mm and larger than normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch and in the descending aorta. Contours of both kidneys are lobulated.\n\nImpression:\nNon-specific ground-glass-like density increases are observed in both lungs, which do not give a faint contour, and they are atypical for Covid pneumonia. Clinical and laboratory correlation is recommended.  Findings considered compatible with polycystic kidney disease, hypodense lesions in both kidneys and liver, hyperdense lesions in both kidneys, the largest on the right well-circumscribed nodular lesions (hemorrhagic cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4713/train_4713_a/train_4713_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. Minimal emphysematous changes were observed in both lungs. There are several non-specific nodules in millimeter sizes.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nMinimal emphysematous changes in both lungs and a few millimeter-sized non-specific nodules.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4714/train_4714_a/train_4714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Intervertebral disc distances are preserved. There are no lytic-destructive lesions in the bone structures within the sections. Neural foramina are open. Thoracic vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4718/train_4718_a/train_4718_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. There are consolidations in the posterobasal segments of both lung lower lobes. There are smooth interlobular septal thickenings in both lung lower lobes. Occasionally, atelectasis is observed in both lungs. This distinction was not made in this study. The manifestations described may be of atelectasis or pneumonic infiltration. No mass was detected in both lungs.\n<pleura>: However, due to the presence of adjacent pleural effusion, it was first evaluated in favor of atelectasis. Bilateral minimal pleural effusion is observed. There is no pleural thickening.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: No pericardial effusion or thickening was detected. There are stents in the left coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<abdomen>: There is a hyperdense appearance in the gallbladder. No pathologically enlarged lymph nodes were observed. It is recommended to evaluate the patient together with laboratory findings. Atheroma plaques are observed in the aorta and coronary arteries. If the patient has a recent IV contrast examination, appearances in the gallbladder and kidney may indicate impaired renal function. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal pleural effusion . Consolidations in the lower lobes of both lungs (atelectasis? pneumonic infiltration??) . Atelectasis in both lungs . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Mediastinal and hilar lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4721/train_4721_a/train_4721_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the right lung middle lobe lateral, left lung lower lobe laterobasal nodules, larger than 4 mm, were observed.\n<pleura>: In the posterobasal region of the lower lobe of the left lung, a subpleural nodular density of approximately 6 mm is observed in the form of ground glass.\n<mediastinum>: Millimetric lymph nodes with a short axis not exceeding 1 cm were observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is slightly ectatic (39 mm), apart from this, other mediastinal main vascular structures, heart contour, and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are osteophyte formations anteriorly in the vertebrae in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are lamellar stone densities in the gallbladder. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEctasia of the ascending aorta . Millimetric nodules in the lung . Cholelithiasis . Millimetric ground-glass density in the posterobasal region of the lower lobe of the left lung (suspected for the onset of viral pneumonia. Clinical lab correlation is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4732/train_4732_a/train_4732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Interlobular septal and interstitial thickenings are observed in both lungs. In addition, the described views are sometimes accompanied by frosted glass appearances. The described manifestations were primarily thought to be compatible with interstitial lung disease. In addition, microcystic changes, which are evaluated in favor of fibrosis, are observed in the peripheral areas of both lungs. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion was observed. The pleural effusion measured 55 mm at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 17 mm. There are lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: The heart is larger than normal. It is understood that the patient underwent coronary bypass surgery. Pacemaker electrodes terminate in the right atrium and right ventricular apex localization.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries, pleural effusion.  Mediastinal and hilar lymph nodes.  Findings evaluated primarily in favor of interstitial lung disease in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4733/train_4733_a/train_4733_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open as far as can be observed. Examination is suboptimal due to motion artifacts. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas.\n<lung>: CT involvement score was evaluated as mild. In the evaluation of both lung parenchyma; Scattered similar fibrosis appearances were observed in both lungs, the most prominent of which was volume loss in the left lung upper lobe apicoposterior segment, reticular density increases, traction bronchiectasis and air cysts, and chronic fibrotic lesion.\n<pleura>: Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4736/train_4736_a/train_4736_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11222",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Correlation with USG is recommended. Thyroid isthmus thickness increased and nodular thickening was observed.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Ground glass areas were observed in the basal segments of both lung lower lobes. Passive atelectatic changes were observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. A band atelectatic change was observed in the lingular segment of the left lung.\n<pleura>: Pericardial, pleural effusion-thickening was not observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A corpuscular hemangioma was observed in the T8 vertebra. Vertebral corpus heights are natural within the sections.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Liver, gallbladder, spleen, pancreas, both adrenal glands are normal as far as can be seen on non-contrast sections. Upper abdominal organs included in the sections are normal. No calculus was observed in both kidneys within the sections. A cortical cyst of 3 cm in diameter was observed in the upper pole posterior of the left kidney.\n\nImpression:\nNodular thickening in both thyroid lobes and isthmus; correlation with USG is recommended.  Ground glass in both lung lower lobes and band fibroatelectatic changes in both lungs . Left kidney upper pole posterior cortical cyst . Corpuscular hemangioma in T8 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4744/train_4744_a/train_4744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Nodular ground glass densities are observed predominantly in the posterior segments, more prominently on the right in both lung parenchyma. There are millimetric air cysts in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Anterior osteophyte formations are observed in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4749/train_4749_a/train_4749_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with trachea bronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Emphysematous appearance was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Diffuse pleuroparenchymal linear atelectatic changes were observed in the posterobasal segment of the left lung lower lobe, and broad band atelectasis changes were observed in the lower basal segment and adjacent to the major fissure. Millimetric nonpsychic parenchymal nodules were observed in both lungs. In addition, there are linear subsegmentary atelectatic changes in the inferior lingular segment of the left lung.\n<mediastinum>: Calibration of mediastinal vascular structures is normal. As far as can be observed, surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteodegenerative changes and fusion spur formations on the anterior surface of the dorsal vertebrae were observed in the bone structures in the examination area. As far as can be observed, surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A cortical cyst with a diameter of 19 mm was observed in the middle part posterior of the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Linear capsular calcifications consistent with sequelae were observed in the lateral part of the spleen.\n\nImpression:\nAppearance compatible with trachea bronchopathic osteochondroplastica in the walls of the trachea and both main bronchi.  By-pass in the stenum and anterior mediastinum, cardiomegaly, atherosclerotic wall calcifications in the thoracic-abdominal aorta and coronary arteries.  Hiatal hernia.  Placing pleural effusion in the left hemithorax, atelectatic changes in the left lung upper lobe lingular and lower lobe basal segments.  Emphysematous appearance in both lungs.  Millimetric nonspecific parenchymal nodules in both lungs.  Left renal cortical cyst.  Sequelae linear calcification in the spleen capsule.  Osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4753/train_4753_a/train_4753_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: However, metallic artifacting density observed in the proximal airways and trachea in the previous examination was not detected in the present examination. Trachea calibration and main bronchus calibration are natural.\n<lung>: It is recommended to evaluate the case with clinical and laboratory findings in terms of viral pneumonias (Covid-19 pneumonia?). No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion and pneumothorax were not detected in both lungs.\n<mediastinum>: There are lymph nodes in the mediastinum, the largest of which is in the aorticopulmonary window and the short axis is 6 mm. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Hiatal hernia is observed in the upper abdominal organs included in the sections. There is a decrease in density consistent with steatosis in the liver. Nodular formation compatible with two accessory spleens is observed in the spleen hilum.\n\nImpression:\nThere is a diverticula posterior to the distal left main bronchus and a density that is considered compatible with a foreign body.  There are diffuse ground-glass-like density increases in both lungs suggestive of viral pneumonia (Covid-19 pneumonia?). Clinical laboratory correlation is recommended.  Hepatosteatosis  Mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4757/train_4757_b/train_4757_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passage is open.\n<lung>: No nodular or mass-occupying lesion was detected in the lung parenchyma. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. The diameters of the main mediastinal vascular structures are normal.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n\nImpression:\nInspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4758/train_4758_a/train_4758_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11258",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; respiratory artifacts are observed. There are thin sequela fibrotic densities in the left lung lower lobe anterobasal.\n<pleura>: One millimetric nonspecific nodule adjacent to the pleura was observed in the left lung lower lobe laterobasal segment.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In thoracic vertebrae, degeneration of the end plates and millimetric Schmorl nodules are present.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequela fibrotic change and nonspecific nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4761/train_4761_a/train_4761_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground-glass areas and consolidations and parenchymal bands are observed in both lung lower lobes and right lung middle lobe. The described findings are in the style frequently observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density consistent with minimal-moderate adiposity.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4765/train_4765_a/train_4765_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11283",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in the parenchyma of both lungs.\n<pleura>: Pleural effusion-thickening was not observed in both hemithorax.\n<mediastinum>: Lymph nodes with a right upper paratracheal narrow diameter of 8 mm and aortopulmonary narrow diameters of less than 1 cm are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. The gallbladder is operated. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass nodule infiltration was observed in the parenchyma of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4773/train_4773_a/train_4773_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is a 2-3 mm diameter nonspecific nodule in the fissure of both lungs. No mass-infiltration was detected in both lungs. In the evaluation of both lung parenchyma; A nonspecific nodule with a diameter of 2 mm is observed in the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In addition, minimal increase in density is observed in the subpleural localization of the left hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal aorticopulmonary lymph nodes with millimetric size are observed. Millimetric sized calcific plaque is observed in the aortic arch. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: There are degenerative changes in bone structures. In the dorsal localization, left-facing scoliosis is observed.\n<abdomen>: In the sections passing through the upper part of the abdomen, calculus is observed in the gallbladder. Millimetric sized calcific plaque is observed in the aortic arch. No additional significant pathology was detected.\n\nImpression:\n2 nonspecific nodules in the middle lobe of the right lung and in the fissure of both lungs . Minimal density increase in subpleural localization in the left hemithorax"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4779/train_4779_a/train_4779_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11312",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. As far as can be observed secondary to motion artifacts; Sequelae band atelectatic change was observed in the left lung inferior lingular segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: calibration of mediastinal major vascular structures is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly . A few millimetric non-specific parenchymal nodules in both lungs . Sequelae band atelectasis in the left lung inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4787/train_4787_a/train_4787_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No significant difference was detected. Linear subsegmental atelectatic changes were observed in the right lung lower lobe laterobasal segment. Findings are also present in the patient's previous examination. Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe and lower lobe mediobasal segment adjacent to the plaques, causing parenchymal distortion and volume loss in the middle lobe. A mosaic attenuation pattern was observed in the lung parenchyma (small airway disease?, small vessel disease?). No mass lesion, active infiltration and nodule suspicious for metastasis were observed in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Calcific plaques were observed in the anterocostal pleura adjacent to the right lung upper lobe anterior segment-middle lobe lateral segment, in the posteromedial costal pleura adjacent to the right lung lower lobe superior segment-lower lobe mediobasal segment, and in the mediastinal pleura in the right lung lower lobe basal mediastinal pleura.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<abdomen>: Intra-abdominal solid organs were evaluated in detail in MR examination.\n\nImpression:\nStable calcific pleural plaques in right lung upper lobe anterior-middle lobe lateral segment, right lung lower lobe superior-lower lobe mediobasal and diagrammatic pleura, fibroatelectasis sequelae in adjacent lung parenchyma; is stable.  Mosaic attenuation pattern in lung parenchyma (small airway disease?, small vessel disease?).  Cystic lesion with thin septa in the left lateral part of the T4 vertebra corpus; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4792/train_4792_a/train_4792_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground-glass appearance is accompanied by interlobular septal thickening. Involvement is also observed in the upper lobe and middle lobe. Consolidations and ground-glass appearances are observed in both lungs. The described views were evaluated in favor of Covid-19 pneumonia during the pandemic process. The described appearances completely involve the lower lobe, especially in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: The gallbladder was not observed (operated). No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There is a decrease in liver parenchyma density consistent with adiposity.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4793/train_4793_a/train_4793_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: A mosaic attenuation pattern was observed in both lungs ((small airway disease? small vessel disease?). Apart from this, there are millimetric nodules in both lungs. There is a nodule measuring 11mm in diameter in the anterior segment of the upper lobe of the right lung. No mass or infiltrative lesion was observed in both lungs. There is linear atelectasis in the medial segment of the right lung middle lobe. When evaluated together with the patient's previous examinations, the number and size of the nodules No difference was found.\n<pleura>: No pleural or pericardial effusion is detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Millimetric atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in pathological dimensions were detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Width of the mediastinal main vascular structures It is normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Millimetric atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal free fluid-co no lesion was detected.\n\nImpression:\nStable nodules in both lungs. Mosaic attenuation pattern in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4795/train_4795_b/train_4795_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; 2 mm diameter nonspecific nodule is observed in the middle lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo finding compatible with Covid-19 pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4799/train_4799_a/train_4799_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11351",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Fibroatelectatic changes were observed in the middle lobe of the right lung, the basal segments of the lower lobes of both lungs, and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Millimetric parenchymal nodules were observed in both lungs, and the largest nodule was measured in the right lung lower lobe laterobasal segment with a diameter of 5 mm.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: The diameter of the main pulmonary artery was 32 mm and it shows dilatation. Mediastinal and hilar short axis lymph nodes smaller than 1 mm were observed. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size has increased (cardiomegaly). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. As far as can be seen; The diameter of the ascending aorta was measured 35 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Density increases in the gallbladder lumen were observed in the upper abdominal sections in the examination area (calculus?). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. US control is recommended.\n\nImpression:\nFibroatelectatic changes in both lungs.  Mosaic attenuation area in both lungs (small airway disease? small vessel disease?).  Dilatation of the pulmonary artery, cardiomegaly. Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Density increases (calculus?) in the gallbladder lumen. US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4802/train_4802_a/train_4802_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation in the right lung middle lobe and lower lobe posterobasal segment and ground glass areas are observed around it. The described manifestations were primarily evaluated in favor of bacterial pneumonia. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The catheter terminates at the superior distal portion of the vena cava. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. As far as can be seen: Central venous catheter is seen on the right. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. There is no pericardial effusion.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nFindings consistent with pneumonic infiltration in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4803/train_4803_c/train_4803_c_1.npy"
        ]
    },
    {
        "id": "report_generation_11361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Consolidation in the posterobasal segments of the right lung lobe and both lung lower lobes and ground glass areas are observed around it. The described manifestations were primarily evaluated in favor of bacterial pneumonia.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Central venous catheter is seen on the right. The catheter extends into the superior distal portion of the vena. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; the spleen is full.\n\nImpression:\nFindings consistent with pneumonic infiltration in the lower lobe basal segments of both lungs in the right lung middle lobe.  Small amount of bilateral pleural effusion.  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4803/train_4803_e/train_4803_e_1.npy"
        ]
    },
    {
        "id": "report_generation_11363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal linear densities are observed in both lungs in the left lung upper lobe lingular segment, left lung lower lobe superior part, right lung lower lobe posterobasal part and right lung middle lobe, and frosted glass densities are observed adjacent to these areas.\n<pleura>: Pleural effusions in both hemithorax in the previous examination are not present in the current examination.\n<mediastinum>: A port catheter extending to the superior right atrium junction of the vena cava is observed on the right anterior wall of the chest. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen size was increased in the upper abdominal organs included in the sections.\n\nImpression:\nCardiomegaly  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4803/train_4803_f/train_4803_f_1.npy"
        ]
    },
    {
        "id": "report_generation_11371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and main bronchi are open.\n<lung>: Band-like sequela fibrotic density increases were observed in the middle lobe of the right lung, the inferior lingular segment of the left lung, and the lower lobe. Millimetric-sized nonspecific parenchymal nodules were observed in the upper lobe of the left lung and the lower lobe of the right lung. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In sections passing through the upper part of the west; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal glands appear natural.\n\nImpression:\nSequelae changes in both lungs. Millimetric sized nonspecific parenchymal nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4805/train_4805_a/train_4805_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. Focal aeration increase was observed in the lower lobe of the right lung. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Examination of mediastinal structures was evaluated as suboptimal since it was unenhanced. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A catheter image extending to the superior vena cava was observed.\n<heart>: Minimal pericardial effusion was observed. Heart contour size is natural. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. The parenchymal density has decreased diffusely in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections in the study area; liver size increased.\n\nImpression:\nPericardial minimal effusion.  Hepatomegaly, hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4814/train_4814_b/train_4814_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Linear atelectasis was observed in the left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There is an appearance evaluated in favor of thymic residue in the anterior mediastinum.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There are nonspecific density increases in the perirenal area around the upper pole of the right kidney. Since only a small part of the upper abdomen was included in the sections, a clear assessment was not made. In the right hemithorax, there is an appearance of the catheter, which is thought to be a ventriculoperitoneal shunt catheter extending towards the upper abdomen in the subcutaneous adipose tissue.\n\nImpression:\nAtelectasis in the left lung upper lobe lingular segment . Density increases in the perirenal area around the right kidney upper pole"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4819/train_4819_a/train_4819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nInspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4820/train_4820_a/train_4820_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. In all lobes of the right lung, especially in the basal segment of the lower lobe, wide patchy consolidations form and in the left lung there are peripheral nodular forms; Large areas of consolidation in which air bronchograms were observed were observed. However, Covid 19 pneumonia and other viral-bacterial pneumonias were considered in the differential diagnosis due to the pandemic. The outlook is not specific for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Surgical suture materials secondary to previous bypass surgery in the anterior mediastinum of the sternum were observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A hypodense nodular lesion with a diameter of 2.5 cm in fluid density was observed in the middle part anterior of the left kidney (cyst?).\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, calcific atheromatous plaques in the coronary arteries. Hiatal hernia.  Infective processes that are not typical for Covid-19 pneumonia in the lung parenchyma; Covid-19 pneumonia, other viral-bacterial pneumonias were considered in the differential diagnosis due to the pandemic. It is recommended to be evaluated together with the clinic and laboratory. ?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4822/train_4822_a/train_4822_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: There is a parenchymal band in the upper lobe of the right lung. Widespread ground-glass-like density increases and areas of consolidation are observed in almost all segments, more prominently at the base in both lungs. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Bilateral pleural effusion or pneumothorax is not observed.\n<mediastinum>: There are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. There is a hypodense appearance that may be compatible with a cortical cyst in the superior pole of the right kidney.\n\nImpression:\nFindings compatible with Covid-19 pneumonia, clinical and laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4831/train_4831_a/train_4831_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland is atrophic.\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; right hemidiaphragm is elevated. A band atelectatic change was observed in the inferior lingular segment of the left lung upper lobe. Subsegmental atelectatic changes were observed in the middle lobe of the right lung due to elevation of the right hemidiaphragm. A millimetric nonspecific nodule was observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. There are atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: Liver contours are smooth. There are atheromatous plaques in the aorta and coronary arteries. Liver right lobe transplantation was performed.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and coronary arteries  Subsegmental atelectasis due to right diaphragm elevation  Millimetric nonspecific stable nodule in the middle lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4836/train_4836_c/train_4836_c_1.npy"
        ]
    },
    {
        "id": "report_generation_11446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a slight increase in peribronchial wall thickness. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Segmentary tubular bronchiectasis was observed in both lung lower lobe basal segments. Linear-band atelectatic changes were observed in the left lung inferior lingular segment, right lung middle lobe medial segment and both lung basal segments. When examined in the lung parenchyma window; mosaic attenuation was observed in both lungs (small airway disease, correlation with clinical and laboratory is recommended).\n<pleura>: Pericardial -pleural effusion-thickening was not observed.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the aortic arch-supraaortic branches and coronary arteries. A large number of lymph nodes with fatty hiluses with short axes less than 1 cm were detected. Although the mediastinum cannot be evaluated optimally in non-contrast examination, the mediastinal main vascular structures, heart contour size, are normal. No lymph node was observed in the mediastinum and in both axillae in pathological size and appearance.\n<heart>: Atherosclerotic wall calcifications were observed in the aortic arch-supraaortic branches and coronary arteries. Although the mediastinum cannot be evaluated optimally in non-contrast examination, the mediastinal main vascular structures, heart contour size, are normal.\n<esophagus>: Mixed type hiatal hernia was observed in the distal esophagus.\n<bone>: Mild scoliosis with left opening was observed at the thoracic level. There are degenerative changes at the level of the thoracic vertebrae.\n<abdomen>: The pancreas is atrophic. Nodular hypodense areas, which may be compatible with parapelvic cysts or focal caliectasis, are observed in the right renal pelvis. Atherosclerotic wall calcifications were observed in the aortic arch-supraaortic branches and coronary arteries. Liver and spleen are normal as far as can be seen on non-contrast images. Extrarenal pelvis variation was observed in the left kidney. It is recommended to evaluate with USG. Both adrenal glands are normal.\n\nImpression:\nMixed type hiatal hernia in the distal esophagus.  Mosaic attenuation in both lungs (small airway disease, correlation with clinical and laboratory is recommended).  . Segmentary bronchiectasis, peribronchial wall thickness increases and fibrotic sequelae changes in both lungs.  Hypodense areas in the right renal pelvis that may be compatible with focal caliectasia-parapelvic cyst. Correlation with USG is recommended.  Thoracic spondylosis, mild scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4840/train_4840_a/train_4840_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: The findings were first evaluated in favor of viral pneumonia. There are sequela parenchymal changes in the lower lobes of both lungs, the middle lobe of the right lung and the lingular segment of the left lung upper lobe. In both lungs, there are areas of increased density consistent with consolidation and mostly peripherally located ground glass, more prominent in the lower lobes. Follow-up is recommended.\n<pleura>: In the posterobasal segment of the lower lobe of the right lung, a pleural-based, well-defined nodule measuring 11 mm in size is observed. No pericardial-pleural effusion or increased thickness was detected. In addition, there are nodular lesions with a fusiform configuration measuring 8x6 mm on the right and 13x6 mm on the left, located in bilateral oblique fissure, and evaluated primarily in favor of subpleural lymph node.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Free liquid-loculated collection is not observed.\n\nImpression:\nConsolidation and ground glass density areas in both lungs compatible with viral pneumonia, sequela parenchymal changes in both lung lower lobes, left lung upper lobe lingular segment and right lung middle lobe, well-circumscribed pleural-based nodule in the right lung lower lobe posterobasal segment (follow-up recommended ), nodular lesions with bilateral oblique fissure localized fusiform configuration, primarily evaluated in favor of subpleural lymph node"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4843/train_4843_a/train_4843_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the area where FDG uptake is observed in the atelectatic parenchyma in PET/CT examination, there is no feature in CT examination. A minimal focal consolidation appearance is observed in the paracardiac localization in the middle lobe of the right lung. Tubular bronchiectasis and pleuroparenchymal sequelae densities are observed in the upper lobe, middle and lower lobes of the right lung, and less frequently in the lingular segment in the upper lobe anterior segment of the left lung. This appearance is also observed in the left lung upper lobe anterior segment and lingula. According to this review, atelectasis is newly developed. In the evaluation of both lung parenchyma; The left lung has a total atelectasis appearance.\n<pleura>: In the lingula, the pleura showed focal thickening, and linear focal atelectasis and ground glass densities extending from the pleura to the lung parenchyma are observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures are deviated to the left.\n<heart>: The heart and mediastinal vascular structures are deviated to the left.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. A nodule with a diameter of 5. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDiffuse bronchiectasis and peribronchial fibrotic densities in both lungs  Nodule increasing in size in the anterior segment of the upper lobe of the right lung  Stable left axillary"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4859/train_4859_f/train_4859_f_1.npy"
        ]
    },
    {
        "id": "report_generation_11523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Post-treatment control is recommended. When examined in the lung parenchyma window; In the right lung upper lobe and lower lobe posterobasal segment, centracinar ground-glass densities-nodular density increases are observed in the appearance of a tree with buds, and infective pathologies are considered in the etiology. In addition, there are increases in density consistent with pleuroparenchymal sequelae bands-linear atelectasis in the left inferior lingular segment, right lung upper lobe anterior segment.\n<pleura>: Pericardial, pleural effusion is not observed.\n<mediastinum>: Mediastinal vascular structures and heart could not be evaluated optimally because the examination was performed without IV contrast material. There are no lymph nodes in pathological size and appearance in both axillary regions, supraclavicular level and mediastinum. Calibration of mediastinal vascular structures, heart contour, size are normal.\n<heart>: Mediastinal vascular structures and heart could not be evaluated optimally because the examination was performed without IV contrast material. Calibration of mediastinal vascular structures, heart contour, size are normal.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Left-facing scoliosis is observed in the thoracic vertebral column. No lytic-destructive lesion was observed in the bone structures in the study area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper pole of the left kidney, there is a nodular lesion with a size of 27 mm in hypodense fluid density, which cannot be clearly characterized within the borders of non-contrast CT, and it was first evaluated in favor of a cyst. In the upper abdominal sections included in the sections, free fluid, loculated collection is not observed within the borders of non-contrast CT. A low-density nodular thickness increase of approximately 16x12 mm is observed in the lateral crus of the left adrenal gland. First of all, it was evaluated in favor of adenoma.\n\nImpression:\nIn the right lung upper lobe and lower lobe posterobasal segment, centracinar ground glass densities with bud tree appearance-nodular density increase areas; infectious pathologies are considered in the etiology, and post-treatment control is recommended. Also, pleuroparenchymal sequelae bands in both lung parenchyma-density compatible with linear atelectasis areas of enlargement . Low-density nodular thickness increase in the lateral crus of the left adrenal gland; evaluated in favor of adenoma.  Nodular lesion in the upper pole of the left kidney in hypodense fluid density, which cannot be clearly characterized within the limits of unenhanced CT, and is evaluated primarily in favor of a cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4871/train_4871_a/train_4871_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11533",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Respiratory artifacts are observed in the lower lobes of both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anterior corner osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCoronary atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4876/train_4876_a/train_4876_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings are more prominent especially in the lower lobe. Views are not specific. It is recommended that the patient be evaluated from this point of view. However, the appearance and distribution of the dated lesions are in a manner that can be observed in Covid-19 pneumonia. Nodular shaped consolidations and ground glass areas are observed in the peripheral regions of both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings in both lungs that may be compatible with viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4878/train_4878_a/train_4878_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When evaluated together with the clinical information of the patient, these appearances were evaluated in favor of viral pneumonia. Consolidations and ground glass areas are observed in the peripheral and central areas of both lungs. These findings are common in Covid-19 pneumonia. It was not detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4884/train_4884_a/train_4884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11550",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. Thickening is observed in the segmental bronchial walls of both lungs, and there is mild luminal narrowing.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe medial, left lung upper lobe inferior lingular and left lung lower lobe posterobasal segment. Mosaic attenuation was thought to be secondary to small airway disease. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: An increase in the thickness of the costal pleura sequelae adjacent to the posterobasal segment of the lower lobe of the left lung was observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. The anterior-posterior diameter of the descending aorta has increased by 33 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. There is surgical material secondary to valvuloplasty in the aortic valve. Heart sizes are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. As far as can be seen; Suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: Liver parenchyma density decreased in line with hepatosteatosis. The anterior-posterior diameter of the descending aorta has increased by 33 mm. Multiple millimetric stones were observed in the gallbladder lumen.\n\nImpression:\nFusiform aneurysmatic dilatation in the descending aorta, aortic valve replacement, suture materials secondary to surgery in the sternum and anterior mediastinum  Mosaic attenuation pattern secondary to small airway disease in both lungs, sequelae changes  A few millimetric nonspecific pulmonary nodules in both lungs  Hepatosteasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4885/train_4885_a/train_4885_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. The outlook is typical Covid-19 findings.\n<pleura>: When examined in the lung parenchyma window; Nodular and patchy ground-glass opacities are observed in the right lung, which are located subpleural. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4892/train_4892_a/train_4892_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11572",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: A 3 mm diameter calcific nodule is observed in the upper lobe anterior segment of the right lung. No pneumonia was detected. A 2 mm diameter calcific nodule is observed in the inferior lingular segment of the left lung.\n<pleura>: There is a 2 mm diameter calcific nodule in the subpleural area in the superior segment of the right lung lower lobe. No pleural effusion or pneumothorax was observed.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, there is a hyperdense appearance with faint borders in the superior pole of the left kidney (hemorrhagic cyst?). There is another nodular density of 2 mm in diameter adjacent to the defined lesion.\n\nImpression:\nPneumonia was not detected. Hyperdense appearance with faint borders (hemorrhagic cyst?) in the superior pole of the left kidney, another nodular density adjacent to the defined lesion; It was evaluated as compatible with urolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4897/train_4897_a/train_4897_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A mild mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Band-like sequela fibrotic density increases were observed in the posterobasal segment of the left lung lower lobe. No mass nodule-infiltration was detected in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial minimal effusion is present. The ascending aorta measures 41 mm in diameter and shows slight dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly.  Minimal pericardial effusion, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall.  Slight fusiform dilatation of the ascending aorta.  Mosiac attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4900/train_4900_a/train_4900_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11596",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Millimetric sized nodules were observed in both thyroid lobes.\n<lung>: When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in both lung parenchyma. Tubular bronchiectasis is also observed in the basal segment of the lower lobe of the right lung. Mild tubular bronchiectasis foci, bronchial wall thickness increases, and secretions within the bronchial lumens are observed in the basal segment of the lower lobe of the left lung.\n<mediastinum>: No lymph node in pathological size and appearance was detected in the mediastinum. There are extensive calcified atheroma plaques in the thoracic and abdominal aorta and its branches.\n<heart>: There are calcified atheroma plaques in the coronary arteries. Heart sizes are natural.\n<bone>: In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: Cortical cysts are observed. In upper abdominal sections, both kidneys are atrophic. There are extensive calcified atheroma plaques in the thoracic and abdominal aorta and its branches.\n\nImpression:\nNo pneumonia was observed. Tubular bronchiectasis in both lung basal segments, secretion within the bronchial lumens on the left.  Diffuse calcific atheromatous plaques in the thoracic and abdominal aorta in the coronary arteries. Bilateral atrophic kidney, cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4909/train_4909_a/train_4909_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: A nonspecific parenchymal nodule with a diameter of 4.2 mm was observed adjacent to the major fissure in the anterobasal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Linear fibroatelectasis sequelae were observed in the medial segment of the right lung middle lobe and the basal segment of the left lung lower lobe.\n<mediastinum>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Minimal effusion was observed in the pericardial space. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed in the non-contrast examination; Liver parenchyma density is diffusely decreased, consistent with adiposity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. It could not be characterized in this examination. A hypodense lesion area with a diameter of 1 cm was observed in the parenchyma in the pancreatic body section.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. Linear-passive atelectasis changes in right lung middle lobe medial and left lung lower lobe basal segment.  Nonspecific parenchymal nodule adjacent to major fissure in the anterobasal segment of the lower lobe of the right lung.  Hepatosteatosis.  Intraparenchymal hypodense lesion area with faint borders in the pancreatic corpus. It could not be characterized in this examination. Further examination with MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4910/train_4910_a/train_4910_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. In addition, there are atelectasis in the medial segment of the right lung and the lingular segment of the left lung upper lobe. There is minimal bronchiectasis in the central parts of both lungs. Minimal pleuroparenchymal shape changes are observed in both lung apex. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No pathologically enlarged lymph node was detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs . Millimetric nonspecific nodules in both lungs . Minimal hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4950/train_4950_a/train_4950_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11697",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was observed in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the parenchyma.\n<pleura>: Density increases in the posterior and basal segments of the lower lobes of both lungs, in dependent localizations adjacent to the pleura, were evaluated in favor of atelectasis.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla, and mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n\nImpression:\nGrade II hydronephrosis in the right kidney . Linear density increases of atelectasis parenchyma more prominent in the lower lobes of both lungs in the dependent segments and posterobasal areas"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4957/train_4957_a/train_4957_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11701",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; In the upper lobe and lower lobe, which almost completely fill the upper lobe in the left lung, and in all segments in the right lung, there are areas of increase in density consistent with consolidation, with indistinct borders, tending to coalesce, and in which air bronchograms are also observed. Viral pneumonias are considered in the etiology of the findings.\n<pleura>: In both pleural spaces, there is minimal effusion measured approximately 16 mm deep on the left at its deepest point.\n<mediastinum>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. In the mediastinum, lymph nodes with fusiform configuration were observed, the largest of which was measured in size 11 with a short diameter.\n<heart>: Pericardial effusion was not observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; calibration of vascular structures is natural. A slight increase in heart size was observed.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image, and there are widespread degenerative changes.\n<abdomen>: No solid or cystic mass with discernible borders was observed in the intra-abdominal parenchymal organs. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; no lymph node was observed in pathological size and appearance. No free fluid, loculated collection was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Bilateral pleural effusion.  Thoracic aorta, calcified atheromatous plaques in the wall of coronary vascular structures, slight increase in heart size.  Lymph nodes in the mediastinum with a short diameter of more than 1 cm in fusiform configuration.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4959/train_4959_a/train_4959_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. As far as can be seen; Trachea, lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. No mass nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: Widespread millimetric-sized hypointense lytic lesions were observed in the bone structures within the study area. There are degenerative changes in bone structures. There is an increase in trabeculation in the vertebrae compatible with osteopenia in the bone structures in the study area. Thoracic kyphosis has increased.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysematous changes in both lungs, peribronchial thickenings. Degenerative changes in bone structures and diffuse millimetric lytic lesions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4960/train_4960_a/train_4960_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the upper lobe of the right lung and in the superior segment of the lower lobe of the left lung, there are nonspecific nodules of 2-3 mm in diameter in the localization of the fissure. In the evaluation of both lung parenchyma; A minimal ground glass appearance is observed in the lung parenchyma, adjacent to the vertebral osteophyte in the left lung apex, and it was also present in the previous examination. There is minimal linear pleuroparenchymal sequelae in the right lung lower lobe mediobasal segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Central venous catheter is seen on the right. No pathological LAP was detected in the mediastinum. Millimetric size atherosclerotic calcific plaque is observed in the aortic arch.\n<bone>: In addition, nonspecific hypodense lytic lesion is observed in the 12th rib on the right. Hyperdensities belonging to old fractures are observed in the 8th and 9th levels on the left.\n<abdomen>: Millimetric size atherosclerotic calcific plaque is observed in the aortic arch. No obvious pathology was distinguished in the abdominal sections. Available in previous review. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMinimal ground-glass appearance in the lung parenchyma, adjacent to the osteophyte in the left lung apex, and nonspecific 2-3 mm diameter nodules in the fissure localization in the right lung upper lobe and left lung lower lobe superior segment are present in the previous examination.  Old fractures in the left 8th and 9th ribs, hypodense lesion with lytic appearance in the right 12th rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4960/train_4960_b/train_4960_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11711",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In both lung apical region and lower lobe posterior segments, bulla-bleb formations compatible with emphysematous changes and accompanying linear atelectasis areas and interlobular septal thickness increases are observed in places. No mass or infiltrative lesion was detected in both lungs. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the anterior descending coronary artery.\n<esophagus>: It is understood that the increase in periesophageal density belongs to varicose in the previous contrast-enhanced examination. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<breast>: An appearance compatible with gynecomastia is observed in both retroareolar areas.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. Minimal height loss observed in T5, T7, T9 vertebrae is stable.\n<abdomen>: No discernible mass was detected in the upper abdominal organs within the sections. Perihepatic minimal free fluid is present. Sliding type hiatal hernia is observed at the esophagogastric junction. Spleen AP diameter was measured 150 mm and increased. As far as it can be evaluated within the limits of non-contrast CT; liver contours show microlobulation.\n\nImpression:\nCalcific atheroma plaque in anterior descending coronary artery  Hiatal hernia  Microlobulation in liver contours, perihepatic minimal free fluid, splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4961/train_4961_c/train_4961_c_1.npy"
        ]
    },
    {
        "id": "report_generation_11742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There are sequelae linear atelectasis in the medial segment of the middle lobe of the right lung and the lingular segment of the left lung.\n<pleura>: Parenchymal distortion, linear density and subpleural bands observed in the left lower lobe posterobasal segment suggested relatively chronic processes. Pleural effusion-thickening was not detected in both hemithorax. A faint ground-glass appearance was observed in the posterior subpleural areas of the right lower lobe and the anterior subpleural areas of the left upper lobe.\n<mediastinum>: No pathological lymph node was detected in the mediastinum.\n<heart>: The ascending aorta diameter of 4 cm is at the upper limit of normal. Aortic and mitral valve replacements were observed. Calcific atheroma plaques were observed in the main vascular structures. There is global enlargement of the cardiac cavities.\n<esophagus>: There is a hiatrus hernia at the lower end of the esophagus.\n<bone>: There are metallic sutures in the sternum. There are degenerative changes in bone structures.\n<abdomen>: A cyst of 3 cm in diameter was observed in the left kidney. Clinical and laboratory evaluation is recommended. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include probable and relatively subacute-chronic findings for COVID. Clinical and laboratory evaluation is recommended. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4973/train_4973_a/train_4973_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the mediastinum and bilateral hilar regions, a short diameter of less than 5 mm, some calcific lymph nodes are observed, and no enlarged lymph nodes in pathological size and appearance are detected. More prominent ground glass areas are observed in the lower lobes of both lungs. In the left lung lower lobe posterior segment, upper lobe lingular segment, and right lung upper lobe posterior segment, there are peripheral weighted consolidation areas in which air bronchograms are observed in places. Several calcific nodules with a diameter of 15 mm are observed in the left lung, the largest of which is in the superior segment of the lower lobe. Findings are consistent with viral pneumonia (COVID-19 pneumonia).\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: In the mediastinum and bilateral hilar regions, a short diameter of less than 5 mm, some calcific lymph nodes are observed, and no enlarged lymph nodes in pathological size and appearance are detected. The diameter of the ascending aorta was 37 mm, and the diameter of the descending aorta was 31 mm and increased. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction. A few periesophageal lymph nodes with a diameter of 6 mm are observed.\n<bone>: No lytic-destructive lesion was observed in bone structures. Widespread osteophytes bridging are observed in the anterior corners of the thoracic vertebral corpus within the sections.\n<abdomen>: As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. The diameter of the ascending aorta was 37 mm, and the diameter of the descending aorta was 31 mm and increased. Sliding type hiatal hernia is observed at the esophagogastric junction. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nPeripheral consolidation areas and ground glass areas in both lungs. Findings are consistent with viral pneumonia.  A few calcific millimetric nodules in both lungs  A few millimetric and some calcific lymph nodes in the mediastinum  Hiatal hernia  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4975/train_4975_a/train_4975_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi calibrations are normal.\n<lung>: No detectable hilar lymph nodes were detected on non-contrast examination. Linear density increase is observed in the lingular segment in the left lung, consistent with sequelae, and there are ground-glass-like density increases in the laterobasal segment of the left lung. Band atelectasis is observed at the level of the anteromediobasal segment in the left lung. When examined in the lung parenchyma window; In both lungs, faint ground-glass-like density increases are observed in the posterobasal segment.\n<mediastinum>: In the mediastinum, the pulmonary trunk calibration is 31 mm wider than normal. The aortic arch was calibrated at 32 mm and was wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: The ascending aorta is larger than normal with a calibration of 41 mm. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the case.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: The aortic arch was calibrated at 32 mm and was wider than normal. Density compatible with 2 mm diameter calculi is observed in the superior pole of the right kidney. The spleen and pancreas are natural. In the sections passing through the upper abdomen, hepatosteatosis is observed in the liver geographical character.\n\nImpression:\nBlurred ground-glass-like density increases in the posterobasal segment and the left laterobasal segment in both lungs. Band atelectasis in the anteromediobasal segment of the left lung.  Hepatosteatosis . Right nephrolithiasis . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4981/train_4981_a/train_4981_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Due to the described findings, differential diagnosis of space-occupying lesion cannot be made. There are peribronchial sheaths, bronchiectasis, new consolidations accompanied by air bronchogram findings in the right lung parenchyma, and atelectatic changes observed in the previous examination.\n<pleura>: In pleural thickenings in the anterior upper lobe of the right lung, there is a 17 mm nodular lesion that was not observed in the previous examination.\n<mediastinum>: There was no significant difference in the size and number of lymph nodes observed in the mediastinum. New nodular lesions measuring up to 19 mm in size are observed in the paracardiac area, at the level of the costosternal junctions in the anterior mediastinum, which were not observed in the previous examination.\n<heart>: Pericardial 12 mm thick new effusion is observed.\n<bone>: Intercostal lipoma, whose extension is also observed between the ribs, and whose size is up to 33 mm, is observed.\n<abdomen>: A few hypodense lesions are observed in the liver, which are not observed in the previous examination, can hardly be distinguished within the limits of the examination, and measure up to 29 mm at the roof level of segment 8 in the subdiaphragmatic area. It was evaluated in favor of metastases in the patient with known primary. There was no significant dimensional and structural difference in the hypodense lesion, whose subcapsular size was measured up to 31 mm, observed at the level of segment 6 of the liver right lobe, which was also observed in the previous examination (hemangioma?).\n\nImpression:\nThe case known to be pleural Ca; significant increases in pleural thickness increases and thick band-shaped atelectasis in his current examination.  Nodular lesion in the upper lobe of the right lung, not observed in the previous examination, measuring up to 17 mm, barely distinguishable from the described thickenings and atelectasis.  Thickening of interlobular septa in the right lung, significant peribronchial thickening.  Significant increase in pleural thickness.  No significant difference was found in the loculated effusion observed in the right hemithorax.  The volume of the right lung parenchyma is decreased and does not differ significantly.  New nodular lesions measuring up to 19 mm in size, which were not observed in the previous examination, are observed at the costosternal junctions in the anterior mediastinum in the paracardiac area.  8.9 on the right. intercostal lipoma measuring up to 33 mm in size with its extension between the ribs.  Lesions evaluated in favor of new metastases in the subdiaphragmatic area at the level of the liver dome.  New pericardial effusion.  No gross pathology was detected in the left lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4983/train_4983_b/train_4983_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation and ground glass appearances are observed in both lungs, especially in peripheral areas. The described manifestations were evaluated in favor of viral pneumonia. These findings are common in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and left coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There are atheromatous plaques in the aorta and left coronary artery. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4984/train_4984_a/train_4984_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Nodule-nodular consolidation in the central part of the middle lobe of the right lung and a ground-glass appearance (halo sign) is observed around it. The described appearance is non-specific. There is minimal bronchiectasis in the central parts of both lungs. However, this appearance is one of the findings that can be observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as it can be monitored within the limits of non-contrast CT; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nHalo sign in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4985/train_4985_a/train_4985_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: The borders of the largest nodule identified are slightly irregular. In the evaluation of both lung parenchyma; In the bilateral lungs, appearances of centrilobular emphysema areas were observed in places. Nodules with a diameter of 5.3 mm in the medial segment of the middle lobe of the right lung, and 4 mm and 4.4 mm in the anterior segment of the upper lobe are observed. After 3 months, control CT is recommended.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum. There are calcific atheromatous plaques in the main vascular structures.\n<heart>: The heart is in natural appearance.\n<esophagus>: The esophagus was evaluated within normal limits.\n<bone>: Appearances of degenerative osteophytes were observed in the vertebra corpus corners.\n<abdomen>: A stone appearance was observed in the gallbladder lumen. There are calcific atheromatous plaques in the main vascular structures. The appearance of accessory spleen was observed in the posterior spleen. Bilateral millimetric non-specific parenchymal nodules were also observed. Bilateral adrenal glands were evaluated within normal limits.\n\nImpression:\nAtherosclerosis Emphysema Pulmonary parenchymal nodules, control CT is recommended after 3 months. Cholelithiasis Accessory spleen Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4986/train_4986_a/train_4986_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. Especially right lung lower lobe basal segments are atelectatic. There are sometimes linear atelectasis in other lung segments. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Pleural effusion was measured 100 mm at its thickest point at the level of the basal segments of the right lower lobe of the lung. Atelectasis is observed adjacent to the pleural effusion in the right lung. There is no pleural effusion on the left. Pleural effusion is observed on the right. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The main pulmonary artery diameter was 30 mm and wider than normal. The diameters of the aortic arch and descending aorta are normal. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: No pericardial effusion or thickening was detected. The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No pathologically enlarged lymph nodes were observed. There is minimal free fluid in the perihepatic region. The diameters of the aortic arch and descending aorta are normal. No upper abdominal collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMinimal cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters, pleural effusion on the right . Atelectasis in both lungs . Emphysematous changes in both lungs . Perihepatic minimal free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4987/train_4987_a/train_4987_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: An increase in aeration is observed in the lower lobe of the right lung. There are linear atelectasis areas in the medial segment of the right lung middle lobe in both lower lobes of the lungs. Several nodules with a diameter of 4.5 mm are observed in both lungs, the largest of which is in the posterior segment of the left lung lower lobe.\n<pleura>: There are areas of linear atelectasis accompanied by pleural retraction and minimal volume loss in the lingular segment of the left lung upper lobe. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: In the mediastinum and bilateral hilar regions, several lymph nodes, the largest of which are 8 mm in diameter, are observed in the pretracheal area, some of them calcific. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<bone>: Cerclage suture material is observed in the sternum, and no separation or displacement is detected. In the sections, osteophytes are observed in the corners of the lower thoracic vertebra corpus. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Liver parenchyma density has decreased in favor of fattening. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nLinear areas of atelectasis in both lungs.  Several nodules in both lungs. It is stable over a three-year interval.  Several lymph nodes, some of them calcific, in the mediastinum.  Millimetric nodule in the left lobe of the thyroid gland.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4989/train_4989_a/train_4989_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground glass densities with nodular air sign are observed at the right lung middle lobe and lower lobe posterobasal level.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are widely reported imaging features of Covid-19 pneumonia. Influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease and other diseases can cause similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4999/train_4999_a/train_4999_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are areas of glass density increase. Ground glass evaluated in favor of viral pneumonia defined in the right lung middle lobe and lower lobe posterobasal segment in the previous CT examination, and areas of increased density consistent with consolidation show significant regression.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection was detected.\n\nImpression:\nnan"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_4999/train_4999_b/train_4999_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the evaluation made in the lung parenchyma window; A 2.5 mm parenchymal calcified nodule is observed in the posterobasal segment of the lower lobe of the right lung. No active infiltration or mass lesion was detected.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Calibration of mediastinal main vascular structures, heart contour and size are natural.\n<heart>: Calibration of mediastinal main vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n\nImpression:\nMillimetric calcified parenchymal nodule in the posterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5002/train_5002_a/train_5002_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the superior part of the trachea, there is an isodense appearance with a diameter of 2 mm protruding towards the lumen on the right wall, and it was evaluated primarily in favor of mucus impaction. Trachea and both main bronchi are open.\n<lung>: There is a 2.5 mm diameter nonspecific nodule adjacent to the fissure in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Pleural or pericardial effusion–thickening was not detected.\n<mediastinum>: There are several lymph nodes in the mediastinum with a short diameter of less than 4 mm. Mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Since no contrast material is given, it is not possible to make a clear interpretation about its extension and nature.\n<esophagus>: Sliding type minimal hiatal hernia is present at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. There is an isodense solid lesion measuring 40x30x70 mm (APXRLXCC) at its widest point at the T7-9 vertebral levels, in the posterior mediastinum, with faint borders, with millimetric amorphous calcification in it, and suspicious extension towards the left neural foramen at the T7-T8 level.\n<abdomen>: Sliding type minimal hiatal hernia is present at the esophagogastric junction. No discernible mass was detected in the upper abdominal organs within the contrast CT limits.\n\nImpression:\nIsodense solid lesion in the posterior mediastinum, at T7-T8 level, showing suspicious extension towards the left neural foramen, with faint borders, with amorphous calcifications in it. Since no contrast material is given, it is not possible to make a clear interpretation about its extension and nature.  Millimetric nonspecific nodule in the upper lobe of the left lung.  Several millimetric lymph nodes in the mediastinum.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5005/train_5005_a/train_5005_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver parenchymal density was evaluated in favor of steatosis. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver entering the section area.\n\nImpression:\nHepatosteatosis. Thorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5015/train_5015_a/train_5015_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11835",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Segmentary-subsegmental peribronchial thickening was observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. A paraseptal emphysematous area accompanied by fibrotic recessions was observed in the apex of both lungs.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm and an anterior-posterior diameter of the descending aorta 34 mm. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atheroma plaques were observed in the aortic arch.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space. The aortic valve is calcified.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Hypodense nodular lesion areas measuring 44 mm in the long axis on the right and 30 mm in the long axis on the left were observed in the upper pole of both kidneys. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm and an anterior-posterior diameter of the descending aorta 34 mm. Diffuse thickening was observed in the left adrenal gland. As far as can be seen within the sections; upper abdominal organs are normal. Calcified atheroma plaques were observed in the aortic arch.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, cardiomegaly, calcific atheroma plaques in the aortic valve.  Hiatal hernia.  Minimal thickening of the segmental bronchial wall in both lungs, sequelae changes, paraseptal emphysema.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Diffuse thickening of the left adrenal gland.  Areas of hypodense nodular lesions (cyst?) in the upper poles of both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5017/train_5017_a/train_5017_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It shows a retroesophageal passage and appears to be compressed between the aberrant right subclavian artery and trachea at the level of the esophageal thoracic inlet.\n<lung>: A mosaic attenuation pattern is observed in the lower lobes (small airway disease? small vessel disease?). When examined in the lung parenchyma window; There are findings consistent with emphysema in both lungs. No pathological size and configuration of lymph nodes were detected at both hilar levels. Sequelae changes are observed at the apical level of the right lung. There are accompanying ground glass-style density increments in the lower zones. There is an air cyst in the posterobasal segment of the right lung. Pleuroparenchymal consolidative density increases are observed in the inferior lingular segment.\n<mediastinum>: It is wider than normal. It is slightly above normal. There are calcific atheroma plaques in the coronary arteries at the level of the aortic arch. The aortic arch calibration was measured as 33 mm. There are multiple lymph nodes in the mediastinum, the largest of which does not reach the pathological limits, at the right lower paratracheal level and 12x8 mm in size. Aberrant right subclavian artery was observed in the case. It shows a retroesophageal passage and appears to be compressed between the aberrant right subclavian artery and trachea at the level of the esophageal thoracic inlet. The descending aorta calibration is within normal limits.\n<heart>: The ascending aorta calibration is 41 mm. There are calcific atheroma plaques in the coronary arteries at the level of the aortic arch. CTO is normal.\n<bone>: There is right-facing scoliosis in the dorsal region. Degenerative changes are observed in the bone structure.\n<abdomen>: It is wider than normal. It is slightly above normal. There are calcific atheroma plaques in the coronary arteries at the level of the aortic arch. The aortic arch calibration was measured as 33 mm. The descending aorta calibration is within normal limits.\n\nImpression:\nAberrant right subclavian artery, compression effect on esophagus . Calibration increase in mediastinal ascending aorta and aortic arch, atherosclerotic changes . Emphysema, mosaic attenuation pattern in middle-lower zones . Pleuroparenchymal consolidative density increases in right lung inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5028/train_5028_a/train_5028_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not observed. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: A large number of millimetric sized cholesterol stones were observed in the gallbladder lumen. There is advanced hepatosteatosis in the liver parenchyma density entering the section area.\n\nImpression:\nPneumonic infiltration is not detected. Advanced hepatosteatosis, cholesterol stones in the gallbladder"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5037/train_5037_a/train_5037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11880",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings were primarily evaluated in favor of atelectasis changes. When examined in the lung parenchyma window; Atelectatic changes are observed in the lower lobe, middle lobe and upper lobe of both lungs. The atelectatic changes described in the anterior upper lobe of the left lung are more prominent.\n<mediastinum>: There are calcific small lymph nodes in the paraaortic area. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific atheromatous plaques in the coronary arteries and aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophenic appearance and degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcific small lymph nodes in the paraaortic area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheromatous plaques in the coronary arteries and aortic arch.\n\nImpression:\nAtherosclerosis . Atelectasis changes in both lungs, volume losses in the left lung especially in the upper lobe, small consolidated area containing air bronchogram, deformative appearances in the costae in the left hemithorax, postoperative changes in the mediastinum. The findings described in the lung parenchyma are primarily post op. evaluated in favor of atelectatic changes. Due to the current pandemic, clinical laboratory correlation is recommended for the differential diagnosis of a suspected infectious process.  Osteopenic appearance, degenerative changes were observed in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5038/train_5038_a/train_5038_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Interlobular-intralobar septal thickenings were observed in both lungs. Nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs. Passive atelectatic changes were observed in the left lung inferior lingular segment, right lung middle lobe medial segment, and linear atelectasis in both lower lobes of both lungs.\n<pleura>: Pleural effusion reaching 10 mm on the right and 12.5 mm on the left, extending to the fissures in both hemithorax was observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. In addition, a large number of lymph nodes with short axes less than 1 cm in the mediastinum that did not reach pathological dimensions were also observed. Mediastinal main vascular structures, heart contour, size are normal. Several pathologically sized lymph nodes were observed at the right upper and lower paratracheal level, the largest of which reached 11 mm in the short axis.\n<heart>: Mild effusion was observed in the pericardial space. Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: As far as can be seen in non-contrast sections; liver, gall bladder, spleen, both adrenal glands and pancreas are normal. The appearance is compatible with the renal failure indicated in the clinical preliminary diagnosis. Reticular density increases consistent with edema-inflammation and thickening of Gerato and lateroconal fascia were observed in bilateral perinephrtic fatty planes. Findings may be secondary to renal failure or consistent with infective processes.\n\nImpression:\nMild pericardial-pleural effusion . A few pathologically sized lymph nodes at the right upper-lower paratracheal level . Intralobar-interlobular septal thickenings, passive-band atelectatic changes in both lungs. The appearance is nonspecific. It may be secondary to kidney failure or infections. It is recommended to be evaluated together with the laboratory. Millimetric nonspecific nodules in both lungs. Increases in reticular density consistent with edema-inflammation in bilateral perinephric fatty planes and thickening of gereto-lateroconal fascia. The appearance is compatible with acute renal failure, which is stated in the clinical preliminary diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5041/train_5041_a/train_5041_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. There are a few nonspecific nodules in millimeter sizes.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5043/train_5043_a/train_5043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11895",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Linear pleuroparenchymal fibroatelectasis sequelae change was observed in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A 5 mm diameter calcific nodule accompanied by linear atelectasis was observed in the middle lobe of the right lung. Both lungs are emphysematous.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. As far as can be observed: Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: An intramuscular lipoma of 51x37 mm was observed in the latissimus dorsi muscle on the left lateral chest wall.\n<bone>: An increase in trabellulation compatible with osteoporosis and spur formations bridging with each other in the right anterolateral corners of the vertebrae at the mid-thoracic level were observed in the bone structures within the study area. There are hemangiomas in the L2 and T9 vertebral bodies.\n<abdomen>: Thoracic aorta diameter is normal. At the epigastric level, a 13 mm fascial hole was observed in the anterior abdominal wall and herniation of the omental adipose tissue to the anterior abdominal wall was observed. As far as can be observed: Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Millimetric calculus images were observed in the gallbladder lumen as far as can be seen in the sections. Left kidney is not observed (agenesis?, ectopic kidney?). Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches.\n\nImpression:\nAtherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Emphysematous appearance in both lungs.  Calcific nodule with linear atelectasis in the middle lobe of the right lung.  Atelectatic changes in both lungs.  Cholelithiasis.  Lipoma in the left latissimus dorsi muscle.  Ventral hernia.  Osteoporosis in bone structures, diffuse idiopathic bone hyperostosis.  Hemangiomatous foci in L2 and T9 vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5044/train_5044_b/train_5044_b_1.npy"
        ]
    },
    {
        "id": "report_generation_11899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5046/train_5046_a/train_5046_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are dependent density increases in the posterior section. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. Paraseptal and centriacinar emphysema appearances were observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: A 47 mm diameter exophytic cortical cyst was observed in the left kidney. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. Emphysema Left renal cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5048/train_5048_a/train_5048_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11905",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There are millimetric non-specific or pure calcific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: The right humerus and right scapula contain islets of compact bone. No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5050/train_5050_a/train_5050_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11913",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: During the pandemic process, Covid-19 pneumonia comes to mind first. Therefore, many pathologies can cause similar appearance. There are emphysematous changes in both lungs. However, other viral pathogens and pneumocystis jiroveci can cause a similar appearance. Findings are widely followed. Widespread ground-glass appearances and microcystic areas accompanying ground-glass appearances are observed, more prominently in the lower lobes of both lungs. There are millimetric nodules in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nThere are advanced emphysematous changes in both lungs.  Diffuse ground glass appearances in both lungs and microcystic areas accompanying ground glass appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5054/train_5054_a/train_5054_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11933",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Especially around the intermediate bronchus, the mass lesion at the posterior level of the bronchus becomes prominent. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Fibroatelectatic density increases are observed in the lingular segment and in the upper lobe apicoposterior segment, adjacent to the interlobar fissure. However, peritumoral spread in this localization is also included in the differential diagnosis. Density increases consistent with pleuroparenchymal sequelae are observed at the apical level in both lungs. The largest is observed in the right lung at the apical level and in dimensions of 32x30 mm. Sequelae changes are observed in the middle lobe and at the level of the minor fissure. When examined in the lung parenchyma window; Paraseptal emphysema and bulla-blep formations are observed in the upper-middle zones of both lungs. There is a significant increase in size. Irregular thickenings and ground-glass-like density increases are observed in the interstitial parenchymal tissue in the lower lobe superior segment around the lesion. In addition, another soft tissue lesion similar to the main lesion, which cannot be distinguished from sequelae changes, is observed at the level of the interlobar fissure more anteriorly and was not detected in the previous examination. This view has become evident in his previous study. There is a calcific nodule of approximately 4 mm in diameter in the left lung at the apical level, which was also observed in the previous examination. It is 19x22 mm in its old review. In the case with previous PCP pneumonia history, the appearance is nonspecific.\n<mediastinum>: Calibration at this level is measured at 30 mm. The aortic arch calibration was measured as 30 mm, slightly above normal. Multiple lymph nodes are observed in the prevascular area at the pretracheal level, in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, and the largest one in the aorticopulmonary window is measured at 16x12 mm in the aorticopulmonary window. Partially calcific looking lymph nodes are also observed at the right hilar level, the largest measuring 22x13 mm in the vicinity of the pulmonary vein. Pulmonary trunk calibration is natural. A calcific atheroma plaque is observed at the level of the aortic arch.\n<heart>: Slight thickening of the pericardium is observed at the ventricular level. However, the infundibulum level is prominent. CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Prominence is observed in dorsal kyphosis. There is a compression fracture in the D8 vertebra, which causes about 50% loss of height.\n<abdomen>: Right adrenal glands were normal and no space-occupying lesion was detected. It could not be observed in the left kidney lodge. The aortic arch calibration was measured as 30 mm, slightly above normal. No significant mass was detected in the left adrenal site. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver. A calcific atheroma plaque is observed at the level of the aortic arch.\n\nImpression:\nIn the lesion observed around the intermediate bronchus at the right central level, there is an increase in size in this mass, especially in the posterior part of the lesion. Again, soft tissue density, which does not give a clear contour with an appearance similar to the interlobar fissure superposed to the central level, was not detected in the previous examination.  Sequelae changes in both lungs and paraseptal emphysema appearances in the upper-middle zones. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5064/train_5064_a/train_5064_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass or infiltration was detected in both lung parenchyma. When examined in the lung parenchyma window; Fibroatelectatic changes were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Mild emphysematous changes were observed in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. There are lymph nodes measuring 12 mm in the short axis of the largest in the mediastinal, upper-lower paratracheal, subcarinal, and bilateral hilar regions. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. 9 mm diameter calculus was observed in the gallbladder. No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections in the study area; A 29x26 mm hypodense lesion was observed at the liver segment 2 level (cyst?).\n\nImpression:\nAtherosclerotic changes.  Cardiomegaly.  Mild emphysematous changes, fibroatelectasis changes in both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Hiatal hernia.  Hypodense lesion (cyst?) in the liver.  Cholelithiasis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5068/train_5068_a/train_5068_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is minimal peribronchial thickening in both lungs. There is a millimetric nonspecific nodule in the right lung. Minimal emphysematous changes were observed in both lungs. In addition, there are sometimes linear atelectasis in both lungs. There are findings evaluated in favor of pleuroparenchymal sequela fibrotic changes in both lung apex.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nOperated HCC at follow-up.  Atheroma plaques in the aorta and coronary arteries.  Hiatal hernia.  Pleuroparenchymal sequela fibrotic changes in both lung apex.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5085/train_5085_a/train_5085_a_1.npy"
        ]
    },
    {
        "id": "report_generation_11992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: A linear fibroatelectasis sequela change was observed adjacent to the major fissure in the left lung inferior lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Sequela reticulonodular density increases were observed in the apex of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes and left-facing scoliosis at the thoracic level were observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Linear sequela fibroatelectatic change adjacent to the major fissure in the left lung inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5086/train_5086_a/train_5086_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Band-like consolidation areas are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe, and the findings may be secondary to atelectasis, and pneumonic infiltration cannot be excluded. Changes secondary to atelectasis are observed in the basal segments of both lung lower lobes adjacent to the effusion. There are smooth interlobar septal thickness increases, more prominent in the lower lobes of both lungs.\n<pleura>: A free pleural effusion measuring 55 mm in the deepest part on the right and 30 mm in the deepest part on the left is observed.\n<mediastinum>: There are calcified atheroma plaques in the aortic arch and coronary vascular structures. Because the mediastinal main vascular structures and heart examination were performed without IV contrast material, it was not evaluated optimally. In the mediastinum, lymph nodes with a short diameter of less than 1 cm in fusiform configuration and without pathological size and appearance are observed.\n<heart>: Pericardial effusion was not observed. Cardiac pulmonary edema was evaluated as secondary. Because the mediastinal main vascular structures and heart examination were performed without IV contrast material, it was not evaluated optimally. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<breast>: A pace maker is observed on the left anterior chest wall.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area. There are degenerative changes. No lymph nodes were detected in pathological size and appearance in both axillary regions and in the supraclavicular fossa.\n<abdomen>: There is a drainage catheter extending into the gallbladder lumen. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. There are calcified atheroma plaques in the aortic arch and coronary vascular structures.\n\nImpression:\nIncrease in heart dimensions, calcified atheroma plaques on the wall of mediastinal and coronary vascular structures . Bilateral pleural effusion . Smooth interlobular septal thickness increases, which are more clearly observed in the lower lobes of both lungs; evaluated as secondary to cardiac pulmonary edema.  In the lower lobes of both lungs adjacent to the effusion, Band-like consolidation areas are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe, and the findings were primarily evaluated in favor of areas of increased density secondary to atelectasis. However, pneumonic infiltration cannot be excluded. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5089/train_5089_b/train_5089_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonic infiltration. Density increase areas, which are evaluated primarily in favor of atelectasis, are observed in both lung parenchyma adjacent to the effusion, and pneumonic infiltration cannot be excluded at these levels.\n<pleura>: In addition, an area of increase in density consistent with nodular consolidation is observed in the anterior segment of the left lung upper lobe, approximately 13x12 mm in size, located in the peripheral subpleural. Pleural effusion is observed in the right pleural space, up to 10 cm at its deepest point, and up to 7 cm at its deepest point on the left.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5089/train_5089_c/train_5089_c_1.npy"
        ]
    },
    {
        "id": "report_generation_12006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a nodule in the right thyroid lobe that extends into the intrathoracic cavity.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is slight thickening of the interlobular septa. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are atherosclerotic changes in the coronary arteries, aortic arch, and observable levels of the abdominal aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. There is an increase in heart size. There are atherosclerotic changes in the coronary arteries, aortic arch, and observable levels of the abdominal aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Tapering is observed in the end plates of the vertebral corpus. Diffuse density reduction is observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are atherosclerotic changes in the coronary arteries, aortic arch, and observable levels of the abdominal aorta.\n\nImpression:\nAn increase in heart size is observed.  Slight changes secondary to cardiac stasis.  Nodule is observed in the right thyroid lobe, USG correlation is recommended.  Atherosclerotic changes.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5091/train_5091_a/train_5091_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Sequelae linear atelectatic changes were observed in the left lung lower lobe anteromediobasal, inferior lingular and right lung middle lobe medial segments. The outlook is compatible with bronchopneumonia. Nonspecific ground glass densities were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Bronchiectasis and peribronchial thickenings were observed in both lungs, which became prominent in the center.\n<pleura>: Centriacinar nodular infiltrates were observed in the peripheral subpleural areas in the posterior segment of the right lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Numerous lymph nodes were observed in the mediastinum, with short axis below 1 cm, some of which did not reach pathological dimensions, some with fatty hiluses. As far as can be observed: calibration of mediastinal major vascular structures is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. The stent material applied to the LAD was monitored.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed in the non-contrast examination; liver contour and size were normal and periportal edema was observed. A 56 mm diameter hypodense nodular lesion area was observed in the upper pole posterior of the left kidney (cyst?). A hyperdense appearance was observed in the gallbladder lumen. The spleen, both adrenal glands, and the pancreas are natural. It is recommended to be evaluated together with USG in terms of bile sludge.\n\nImpression:\nCardiomegaly, stent applied to LAD . Multiple lymph nodes with short axes in the mediastinum that do not reach pathological dimensions below 1 cm . Hiatal hernia . Tubular bronchiectasis prominent in the center of both lungs, peribronchial thickening, centriacinar nodules in the peripheral subpleural area in the posterior segment of the right lung upper lobe infiltrations; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia. Linear fibroatelectasis sequelae changes in right lung middle lobe medial, left lung inferior lingular and left lung lower lobe anteromediobasal segment. Hyperdense appearance giving level in gallbladder lumen; It is recommended to be evaluated together with USG in terms of bile sludge.  Periportal edema in the liver . Hypodense well-circumscribed exophytic nodular lesion (cyst?) in the upper pole of the left kidney in the upper pole"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5101/train_5101_a/train_5101_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Budding tree view adjacent to the pleuroparenchymal sequela in the right lung apex, similar appearance is also observed in the right lung lower lobe mediobasal segment. Right upper-bilateral lower paratracheal lymph nodes smaller than 1 cm are observed. In addition, subsegmental atelectasis are observed in the right lung middle lobe, right lung superior and anterobasal segment, and left lung upper lobe anterior segment in the paramediastinal area. There is a thin-walled bullae formation with a diameter of 9 mm in the posterior segment of the right lung upper lobe.\n<pleura>: Slight thickening of the diaphragmatic pleura is observed on the left. No pleural effusion was detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nBudding tree view in the right lung apex and right lung mediobasal segment, as well as subsegmental atelectasis in the right lung middle lobe lower lobe superior and anterobasal segment, left lung upper lobe anterior segment, paramediastinal area, Viral pneumonia cannot be excluded, although not typical. Clinic-lab. correlation is recommended ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5108/train_5108_a/train_5108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12063",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Although the mediastinum cannot be evaluated optimally in non-contrast examination; Tracheostomy tube was observed in the tracheal lumen. Trachea and lumen of both main bronchi are open. Trachea and mediastinum are deviated to the right.\n<lung>: Pleuroparenchymal fibroatelectatic changes were observed in the upper, middle and lower lobes of the right lung, and in the superior and inferior lingular segments of the left lung. Central tubular bronchiectasis was noted in both lungs. There are volume loss, fibrotic recessions and structural distortion, and traction bronchiectasis in the vicinity of fibrotic recessions, more prominently in the apical segments of both lungs in the vicinity of calcific nodules. Evaluation with previous examinations and histopathology is recommended, if any. When examined in the lung parenchyma window; Effusion reaching 2 cm in bilateral hemithorax was observed. Passive atelectatic changes in the lung planes adjacent to the effusion in both lung lower lobe basal segments and diffuse fibrosis in the right lung lower lobe basal segments and secondary volume loss and structural distortion were noted. Findings may be compatible with TB granuloma, pneumoconiosis, or malignancy. Apart from this, multiple calcific nodules with a diameter of 18 mm were observed in the superior segment of the left lung upper and lower lobe and in all segments of the right lung, the largest of which was in the left lung lower lobe superior segment.\n<pleura>: In the apicoposterior segment of the upper lobe of the left lung, a smooth-demarcated soft tissue mass with an anterior-posterior x-transverse dimension of 3.9x5.8 cm, sitting on the pleura, and a spiculated contour that causes shrinkage in the peripheral calcified major fissure, is observed.\n<mediastinum>: A large number of lymph nodes, prevascular, right upper, bilateral lower, precarinal, subcarinal, bilateral hilar, aortopulmonary, which did not reach pathological dimensions measuring 14x9.5 mm, were observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, coronary arteries, and visceral branches of the abdominal aorta. Trachea and mediastinum are deviated to the right. The diameters of the pulmonary trunk and both main pulmonary arteries increased by 40 mm, 28 mm, and 27.5 mm, respectively. Thoracic aorta calibration is natural.\n<heart>: There is minimal effusion in the pericardial space. Pericardial thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a nasogastric tube extending from the esophagus to the stomach.\n<bone>: In the sections, a slight loss of height in the T8 vertebra superior end plateau was observed, which is consistent with a compression fracture.\n<abdomen>: Free fluid in the form of plastering is observed in the abdomen. The gallbladder wall thickness has increased and it has an edematous appearance (considered secondary to intra-abdominal fluid). The pancreas is atrophic. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, coronary arteries, and visceral branches of the abdominal aorta. There is a nasogastric tube extending from the esophagus to the stomach. No stones were observed in both kidneys within the sections. In case of clinical necessity, further examination with MRI is recommended. Widespread density increases and heterogeneous appearance compatible with edema were observed in the subcutaneous and mesenteric fatty tissues within the sections. Both adrenal glands are normal. Thoracic aorta calibration is natural. A well-circumscribed loculated collection of approximately 64x74x60 mm was observed in the vicinity of the posterior segment of the right lobe of the liver, with indistinguishable borders from the liver and extending inferiorly along the subcapsular area. Millimetric calculi were observed in the gallbladder lumen. As far as can be seen in non-contrast sections; spleen is normal.\n\nImpression:\nIncrease in pulmonary trunk and pulmonary artery diameters, pericardial-pleural effusion . Soft tissue mass in the apicoposterior segment of the left lung upper lobe and calcified multiple nodules in both lungs; Findings may be compatible with TB granuloma, pneumoconiosis, or malignancy. Evaluation with previous examinations and histopathology is recommended, if any.  Intense fibrotic retraction in both lungs, traction bronchiectasis, more prominent volume loss and structural distortion on the right . Cholelithiasis and diffuse wall thickness increase in the gallbladder (thought to be secondary to intra-abdominal fluid . The liver is in the posterior segment of the right lobe posterior segment, it is well-defined, continuing along the subcapsular area up to the inferior) lesion area; advanced examination with MRI is recommended . Free fluid in the abdomen . Diffuse edema in subcutaneous and mesenteric fatty planes within the sections . Mild compression fracture in T8 vertebra superior end plateau"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5110/train_5110_a/train_5110_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It was evaluated in favor of changes secondary to postradiotherapy. Fibrotic sequelae were evaluated in favor of changes. When examined in the lung parenchyma window; Areas measuring up to 7 mm with spiculated contours containing calcifications are observed in the right lung lower lobe superior. There are bronchiectatic changes and calcific foci in the upper lobe of the right lung.\n<pleura>: There are pleural irregularities in the upper lobe of the left lung. There are calcific nodular sequelae changes in the apical level and subpleural area in the upper lobe of the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are tapering in the end plates. Degenerative changes are observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are fibrotic sequelae changes, calcifications, and postradiotherapeutic changes at the apical level of the left lung upper lobe inferior lingula, and the right lung upper lobe apical level.  Calcific nodules are observed.  No significant difference was found in the described findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5116/train_5116_a/train_5116_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In places, there are emphysematous changes due to sequela parenchymal changes. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs. Several nonspecific nodules measuring 5x4 mm in size were observed in both lungs, the largest of which was in the posterobasal segment of the left lung lower lobe.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. Apart from the described lymphadenopathy, the superior vena cava cannot be clearly distinguished in places, and there are dilated tortiosity varicose venous structures in subcutaneous fatty planes in the anterior chest wall, which is considered secondary to this. The findings were evaluated in favor of superior vena cava syndrome. Mediastinal vascular structures and heart examination IV. Calcified lymph nodes were observed in the right hilar, subcarinal, aorticopulmonary window localization. Firstly, it was evaluated in favor of lymphadenopathy. There is a soft tissue density lesion with calcifications measuring approximately 38x28 mm in the right paratracheal area with similar features to the described lymph nodes.\n<heart>: It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. As far as can be seen, the ascending aorta diameter is 42 mm and shows aneurysmatic dilatation. Heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesion was detected. There are osteophyte degenerative changes in the bone structures within the image, which tend to merge in the vertebral corpus corners on the right anterolateral.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nAneurysmatic dilatation in the ascending aorta  Thoracic aorta, calcific atheroma plaques on the wall of coronary vascular structures  Subcarinal, right hilar, aorticopulmonary window localization in the mediastinum, calcified lymph nodes with a short diameter less than 1 cm and lymphadenopathy in the right paratracheal area of a similar nature to these lymph nodes described. There are dilated torsional varicose structures in the anterior chest wall secondary to the superior vena cava compression of lymphadenopathy. The findings were evaluated as compatible with vena cava superior syndrome.  Emphysematous changes in both lungs, parenchymal changes with sequelae, nonspecific nodules in millimeters.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5119/train_5119_a/train_5119_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12090",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is one calcified nodule in the lower lobe of the right lung. When examined in the lung parenchyma window; In both lungs, there are areas of diffuse ground glass density, more prominent in the lower lobes, and consolidations with air bronchograms in places (infection? Clinical evaluation and radiological follow-up are recommended). There are areas of air trapping in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are multiple lymph nodes in the upper, lower paratracheal, bilateral parasternal, aortopulmonary, anterior prevascular, subcarinal, and the largest 20x12 mm lymph nodes. Thoracic aorta diameter is normal. There are LAPs on the left paraaortic, interaortocaval, the largest being 29x24 mm, showing conglomeration from place to place. Mediastinal main vascular structures are normal.\n<heart>: There are images of possible operation materials at the level of the mitral valve. There is an image of a possible port catheter with its distal end ending in the right atrium. There is minimal pericardial effusion, which is 5 mm in its thickest part. Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: The right hemidiaphragm is slightly elevated.\n<bone>: There are degenerative changes in the bones in the examination area.\n<abdomen>: Thoracic aorta diameter is normal. There are LAPs on the left paraaortic, interaortocaval, the largest being 29x24 mm, showing conglomeration from place to place. The liver contours are lobulated and there are heterogeneous hypodense areas with faint borders in the parenchyma (metastasis?). The bilateral adrenal gland is diffusely thick. In sections passing through the upper part of the west; There is minimal-moderate free effusion with dense content in the abdomen. Spleen size is 148 mm, liver size is 165 mm and has increased.\n\nImpression:\nRight hemidiaphragm appears slightly elevated. Image of a possible port catheter with its distal end ending in the right atrium.  Cardiothoracic index increased in favor of the heart (cardiomegaly), minimal pericardial effusion observed as 5 mm in its thickest part, images of possible operation materials at the level of the mitral valve.  Upper, lower paratracheal, bilateral parasternal, aortopulmonary, anterior prevascular, subcarinal, larger 20x12 mm. multiple lymph nodes.  Areas of diffuse ground glass density, more prominent in the lower lobes of both lungs, consolidations with air bronchograms in places (infection? Clinical evaluation and radiological follow-up is recommended).  Areas of air trapping in both lungs.  One calcified nodule in the lower lobe of the right lung. Free effusion with minimal to moderate content in the abdomen.  Liver contours are lobulated and heterogeneous hypodense areas with faint borders (metastases?) in the parenchyma. Spleen size is 148 mm, liver size is 165 mm and increased.  LAPs showing left paraaortic, interaortocaval, 29x24 mm in size, with conglomeration from place to place. Bilateral adrenal gland has a diffusely thick appearance.  Locally degenerative changes in the bones in the study area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5121/train_5121_a/train_5121_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12100",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Calcific atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCalcific atheromatous plaques in LAD. Several millimetric nonspecific parenchymal nodules in both lungs. Pleuroparenchymal sequelae density increases in right lung middle lobe medial and left lung upper lobe inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5126/train_5126_a/train_5126_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Tubular bronchiectasis is observed in the middle lobe of the right lung, and recession is observed in the parenchyma in this localization.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in bilateral adrenal glands in the sections passing through the upper part of the abdomen. No significant pathology was detected in the non-contrast abdominal CT examination.\n\nImpression:\nParacicatricial tubular bronchiectasis in the middle lobe of the right lung is stable"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5131/train_5131_a/train_5131_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No lymph node was detected in intrabdominal pathological size and appearance. No free fluid-loculated collection was observed.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5145/train_5145_a/train_5145_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Ventilation of both lung parenchyma is natural. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. In both lungs, some purcalcified non-specific nodular lesions, some of which are 3.5 mm in size, were observed in the right middle lobe lateral segment.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nNo active infiltration or mass lesion is detected in both lungs, and non-specific nodular lesions in millimetric sizes, some of them purcalcified."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5146/train_5146_a/train_5146_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are millimetric nodular densities in the upper lobes of both lungs. Slight ground-glass density increases are observed in the right lung upper lobe anterior segment, inferiorly. It has been primarily evaluated in favor of atelectasis, and clinical laboratory correlation follow-up is recommended for the onset of early viral pneumonia.\n<mediastinum>: Calcific lymph nodes measuring up to 5 mm are observed in both hilar regions and in the mediastinum. Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calicific atheroma plaques are observed in the thoracic aorta.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in bone structures, and degenerative changes are observed in the distances of intervertebral disc spaces.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calicific atheroma plaques are observed in the thoracic aorta.\n\nImpression:\nMillimetric nodular ground glass densities in the superior upper lobes of both lungs and irregular density increases in the paracardiac area in the right lung middle lobe in the anterior inferior parts of the right lung upper lobe, clinical laboratory correlation and close follow-up are recommended for the onset of early viral pneumonia.  In both hilar regions and Calcific lymph nodes measuring up to 5 mm are observed in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5147/train_5147_a/train_5147_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12162",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Findings are common findings in Covid-19 pneumonia. Expansion in structures in the vascular structures was noted in the lesions described.\n<pleura>: No pericardial or pleural effusion was detected. In the examination made in the lung parenchyma window; In both lungs, multisegmental, peripheral subpleural localized areas of density increase compatible with consolidation and ground glass density densities are observed.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal vascular structures and heart examination IV. Calcified atheroma plaques are observed on the walls of the aortic arch, descending aorta and coronary vascular structures. Calibration of mediastinal vascular structures and heart contour and size are natural.\n<heart>: It could not be evaluated optimally due to lack of contrast. Calcified atheroma plaques are observed on the walls of the aortic arch, descending aorta and coronary vascular structures. Mediastinal vascular structures and heart examination IV. Calibration of mediastinal vascular structures and heart contour and size are natural.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No solid mass was detected as far as can be observed within the limits of unenhanced CT. No intraabdominal free fluid or loculated collection is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcified atheroma plaques are observed on the walls of the aortic arch, descending aorta and coronary vascular structures. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. In the upper abdominal sections within the image, multiple hyperdense stones in millimetric sizes are observed in the gallbladder lumen.\n\nImpression:\nPeripheral subpleural consolidation areas and ground glass density increases in both lungs; Covid-19 pneumonia is considered in the etiology of the findings. Clinical and laboratory evaluation is recommended.  Sliding hiatal hernia at the lower end of the esophagus.  Calcified atheromatous plaques in the wall of the aortic arch, descending aorta, and coronary vascular structures. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5155/train_5155_a/train_5155_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. There are millimetric osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5166/train_5166_a/train_5166_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. If the patient has findings consistent with infective pathology, this appearance may belong to infective pathology. There are millimetric nonspecific nodules in both lungs. The described ground glass appearance is nonspecific. A ground-glass appearance is observed in a small area in the superior segment of the lower lobe of the left lung. Density increases in favor of pleuroparenchymal sequela fibrotic changes and minimal volume loss and minimal structural distortion are observed in both lung apexes. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Lymph nodes maintain their normal fusiform shape. There are lymph nodes in the mediastinum and hilar regions. Calcific atheroma plaques are observed in the aorta and coronary arteries. The largest of the described lymph nodes is observed in the paratracheal region and its short diameter is 11 mm.\n<heart>: As far as can be observed: The heart is larger than normal. It is understood that the patient underwent mitral valve replacement.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are no pathologically enlarged lymph nodes. No upper abdominal free fluid-collection was detected in the sections. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as can be observed within the borders of unenhanced CT.\n\nImpression:\nNonspecific nodular ground glass area in the superior segment of the lower lobe of the left lung. Pleuroparenchymal sequelae changes in both lung apex.  Emphysematous changes in both lungs. Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5173/train_5173_a/train_5173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open, no occlusive pathology is observed.\n<lung>: Indistinct limited nodular consolidation areas measuring approximately 9x10 mm in diameter were observed in the upper lobe apical segment of the right lung, peripherally located in the lower lobe superior segment, and the largest in the lower lobe superior. Follow-up is recommended. Ventilation of both lungs is natural. In the Covid positive case, the findings may belong to early pneumonic infiltration areas. No mass lesions were detected in both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. There are lymph nodes in the mediastinum, the largest at the precarinal level, with a fusiform configuration measuring less than 1 cm in diameter and without pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: No intraabdominal free fluid or loculated collection was detected. There are surgical suture materials secondary to the operation in the gallbladder lodge as far as can be seen within the borders of non-contrast CT in the upper abdominal sections within the image. No lymph node was observed in pathological size and appearance. As far as the borders can be observed within the borders of non-contrast CT in the intra-abdominal parenchymal organs, no solid mass with distinguishable borders was detected.\n\nImpression:\nRight lung upper lobe apical segment and lower lobe superior have areas of increased density consistent with peripherally located nodular consolidation. Findings may belong to early viral pneumonic infiltration areas in the Covid positive case. Follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5176/train_5176_a/train_5176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Bilateral millimetric non-specific nodules were observed. In the evaluation of both lung parenchyma; Cylindrical-cystic bronchiectasis and subsegmental atelectasis were observed in both lower lobes.\n<pleura>: Bilateral localized focal pleural thickening was noted. No pleural effusion was detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are appearances of degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. Bilateral kidneys were observed as atrophic. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Cylindrical-cystic bronchiectasis and subsegmental atelectasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5182/train_5182_a/train_5182_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Density increases in ground glass density are observed in the upper lobe posterior segment of the right lung, and in the lower lobe of the left lung, and subsegmental atelectasis areas are observed in the lower lobe of the right lung. When examined in the lung parenchyma window; There are mild bronchiectatic changes in both lungs.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There is an image of a central venous catheter ending in the superior vena cava.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild bronchiectatic changes in both lungs. Density increases in ground glass density in the posterior upper lobe of the right lung and the lower lobe of the left lung.  Subsegmental atelectasis in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5193/train_5193_a/train_5193_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: These views are not specific. There are emphysematous changes in both lungs. Peribrochial thickenings are observed in both lungs. Apart from this, there are centriacinar nodules in both lungs, most of which have the appearance of budding trees, more prominently on the right. When consolidations and centriacinar nodules were evaluated together, they were thought to belong to infective pathology. Occasionally, linear atelectasis is observed in both lungs. The right upper lobe of the lung is not observed. In addition, frosted glass areas are also observed in places. The described appearance was not observed in the previous examination of the patient. It was learned that the patient had undergone lobectomy. No mass was detected in both lungs.\n<pleura>: There is consolidation in a small area in the right lung middle lobe, anterior to the subpleural area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5197/train_5197_b/train_5197_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: It is nonspecific. No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma. In addition, diffuse low-density centriacinar nodules in both lungs are selected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary, prevascular, milimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMosaic attenuation in both lung parenchyma (small airway disease? small vessel disease?).  Diffuse low-density centriacinar nodules in both lungs are nonspecific. It may be compatible with extrinsic allergic alveolitis or respiratory bronchiolitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5198/train_5198_b/train_5198_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12283",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Atelectasis was also observed in the lower lobe of the left lung. Appearance-consolidation was observed in soft tissue density in the central part of the lower lobe of the left lung and in the apicoposterior segment of the upper lobe. The largest of these nodules is observed in the lower lobe and the longest diameter was 13 mm. It is understood that some of these nodules have just appeared. There are air bubbles in the encapsulated area described. The described appearance is also present in the previous examination of the patient. As far as can be observed: Total loss of aeration is observed in the right lung. The described appearance was primarily considered to be a sequelae change. There are nodules in the ventilated left lung. Right lung upper, middle and lower lobe bronchi are not observed.\n<pleura>: The largest of the described masses is observed in the mediastinal pleura, medial to the anterior segment of the right lung upper lobe, and measures 55 mm at its widest point. At the level of the upper and middle lobes of the right lung, an infiltrative mass is observed that fills the right hemithorax to a large extent and its borders cannot be distinguished from the pleura, pericardium and mediastinal main vascular structures. In addition, encapsulated pleural effusion measuring approximately 160x95 mm was observed at the level of the lower lobe of the right lung. Bilateral pleural effusion was observed. Apart from the described mass, multiple masses were observed in both hemithorax, pleura and pericardium, more prominent on the right.\n<mediastinum>: It is understood that the size of the previously existing lesions has increased. The widths of the mediastinal main vascular structures are normal. It appears that some of the lymphadenopathies described are new-emergent. The short diameter of the lymph nodes is less than 1 cm. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are lymph nodes in the mediastinum and hilar regions. Since the contrast agent was not given, the described mass limits could not be evaluated clearly, and its length was measured approximately 150 mm at its widest point as far as can be observed. Atheroma plaques are observed in the aorta and coronary arteries. The port catheter terminates in the superior distal portion of the vena cava.\n<heart>: Lymph nodes were also observed within the pericardial fat pad. Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<bone>: The largest of these lymphadenopathies is observed in the left supraclavicular area and its short diameter is 16 mm. No lytic-destructive lesions were detected in the bone structures within the sections. Lymphadenopathies were observed in bilateral infraclavicular and supraclavicular regions.\n<abdomen>: It is understood that the size of lymphadenopathies has increased. No upper abdominal fluid-collection was detected in the sections. It is understood that the free fluid has also just appeared. Atheroma plaques are observed in the aorta and coronary arteries. There are lymphadenopathies in the upper abdomen. Perihepatic free fluid is present.\n\nImpression:\nIn the follow-up, lung ca and colon ca, total loss of aeration in the right lung, infiltrative mass at the level of the upper and middle lobes of the right lung, masses in the pleura and pericardium in both hemithorax, metastatic lesions in the aerated left lung, lymphadenopathies in the supra and infraclavicular regions, intra-abdominal lymphadenopathies, perihepatic free fluid, metastatic nodules in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5199/train_5199_d/train_5199_d_1.npy"
        ]
    },
    {
        "id": "report_generation_12300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Polypoid lesions are observed in the left lateral wall of the trachea and in the lumen of the left main bronchus. It may belong to the secretion.\n<lung>: Traumatic pneumothorax, hemothorax, pulmonary contusion or hematoma are not observed in the lung parenchyma. Orbital structures have a natural appearance. The presence of nodular-polypoid lesion could not be excluded. Acute sinusitis changes are observed in the left maxillary sinus. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and mediastinum as far as can be distinguished in the non-contrast examination.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration is natural.\n<breast>: Effusion is observed in the left middle ear cavity and mastoid cells.\n<bone>: No lytic-destructive lesions were detected in bone structures. The cranial cervical junction has a natural appearance. No fracture was observed. The corpus heights of the cervical vertebrae were preserved. No osseous pathology extending to the neural foramen and spinal canal is observed.\n<abdomen>: No loculated or free fluid was detected in the upper abdominal sections.\n\nImpression:\nAcute traumatic pathology was not observed in thorax, cervical and brain CT examination. Left maxillary sinusitis, left middle ear cavity and effusion in mastoid cells"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5205/train_5205_a/train_5205_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Emphysematous changes are present in both lungs. Occasionally, linear atelectasis was observed in both lungs. There are millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural effusion or thickening was detected.\n<mediastinum>: The central venous catheter is seen on the right and the catheter terminates in the superior distal part of the vena cava. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. The described appearance was also present in the previous examination of the patient and no difference was detected. Lytic bone lesions that cause heterogeneous appearance are observed in the bone structures within the sections. In addition, approximately 50% loss of height is observed in the T8 vertebral body, especially in the central part, and there is minimal sclerosis in the vertebral body. No significant decrease was detected in other thoracic vertebral corpus heights.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nMultiple myeloma in follow-up, lytic bone lesions in the bone structures within the sections, compression and loss of height in the T8 vertebral body . Millimetric nodules in both lungs . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5206/train_5206_b/train_5206_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A 9 mm calcific nodule was observed on the diaphragmatic side of the lower lobe of the left lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific nodule of 9 mm in size on the diaphragmatic percent of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5212/train_5212_a/train_5212_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No mass lesions were detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; Multilobar, subpleural localized, vaguely defined, ground glass and density increase areas consistent with consolidation are observed in both lungs, and Covid-19 pneumonia is considered in the etiology of the findings. No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nFindings consistent with vircal pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5215/train_5215_a/train_5215_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings were evaluated as compatible with pneumonic infiltration. It is compatible with parenchymal involvement of Covid infection.\n<pleura>: When examined in the lung parenchyma window; Bilateral asymmetrical, peribronchial and subpleural localized ground glass densities and infiltration areas in the form of consolidation areas are observed in both lungs.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Bilateral peribronchial and subcarinal millimetric nonspecific lymph nodes are observed.\n<heart>: Heart size increased. Left ventricular diameter increased. Calcified atheroma plaques are observed in the coronary arteries.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nIncrease in heart size, calcified atheroma plaques in coronary arteries . Bilateral atypical pneumonic infiltration areas in the lung parenchyma, radiological findings are compatible with parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5222/train_5222_a/train_5222_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The largest of the described lesions are observed in the posterobasal segment of the lower lobe of the right lung. Peripheral and central consolidations and ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The distribution and appearance of the described findings primarily suggest viral pneumonia. These findings can be observed frequently in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5231/train_5231_a/train_5231_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the upper lobe of the right lung, there are centriacinar nodular ground glass density increases in the appearance of a tree with buds in the neighborhood of the bronchovascular structures. Diffuse mild ectasia and peribronchial thickness increases are observed in both lung bronchial structures. There are sequela parenchymal changes in the lower lobe of the left lung and in the inferior lingular segment of the upper lobe. In the examination made in the lung parenchyma window; No mass is observed in both lung parenchyma. Pneumonic infiltration or distal airway diseases may be the etiology of the findings. Ventilation of both lungs is natural. Multiple calcified nodular lesions in millimetric size are observed in the lower lobe of the left lung.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection is observed.\n\nImpression:\nIn the peribronchovascular area of the upper lobe of the right lung, centriacinar nodular ground-glass densities are observed in the appearance of a tree with buds, and pneumonic infiltration or distal airway diseases are considered in the etiology of the findings. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5238/train_5238_a/train_5238_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial sheath thickening is observed. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Mild sequelae changes are observed in the left inferior lingular segment. Lymph nodes with pathological size configurations are not observed at both hilar levels. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: Slightly more prominent on the right, but mild nonspecific ground-glass-like subpleural density increases are observed on both sides. A calcific nodule with a diameter of 3 mm is observed in the diaphragmatic subpleural space at the posterobasal level on the right. Focal thickening of the pleura and the appearance of a 3 mm diameter calcific nodule are observed in the anterior segment of the right lung upper lobe. Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. No lymph node with pathological size configuration was detected in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. Gallbladder, spleen, pancreas, both kidneys are normal.\n\nImpression:\nFaint focal nonspecific ground-glass-like density increases at posterobasal level in both lungs.  2 calcific millimetric nonspecific nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5240/train_5240_a/train_5240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12389",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe and left lung upper lobe lingular segments. Parenchymal air cysts were observed in the right lung lower lobe mediobasal segment. When examined in the lung parenchyma window; Mozoic attenuation pattern was observed in both lungs as far as can be observed secondary to motion artifacts (small airway disease? small vessel disease?). Dependent nonspecific density increases were observed in both lungs. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. Mild effusion was observed in the pericardial space.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. As far as can be seen; Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: The spleen, pancreas, both adrenal glands and both kidneys are normal. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Upper abdominal organs included in the sections are normal. It is nonspecific.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and mediastinum, cardiomegaly, mild pleural effusion, calcific atheroma plaques in the arcus and coronary arteries . Hiatal hernia . Mozoic attenuation pattern in both lungs (small airway disease? small vessel disease?) . Pleuroparenchymal fibroatelectasis sequelae changes in the right lung middle lobe and left lung upper lobe lingular segment . Parenchymal air cysts in the right lung lower lobe mediabasal segment . Millimetric calcified nodular lesion adjacent to the liver right lobe posterior segment, nonspecific."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5244/train_5244_a/train_5244_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal wall thickness was normal.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5246/train_5246_a/train_5246_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lungs, peripheral consolidations in the form of peribronchial patches are observed. Typical findings for Covid-19 pneumonia in the presence of a pandemic.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: On non-contrast examination, no pathological LAP was detected in the mediastinum. Right upper-lower paratracheal, aortic pulmonary millimetric lymph node is observed.\n<heart>: There is pericardial effusion in the form of anteropericardial thin smear.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No obvious pathology was detected in non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nConsolidations in the form of peripheral and peribronchial patches in both lungs, typical findings for Covid-19 pneumonia in the presence of a pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5250/train_5250_a/train_5250_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The described appearance was evaluated in the direction of the primary mass of the patient, which was also followed in previous studies. Consolidation observed in the anterobasal segment of the lower lobe of the right lung in the previous study was significantly reduced in the current study. Mild emphysematous changes are present in both lungs. There is no finding in favor of a mass in the left lung, and there are atelectatic changes in the paracardiac area at the inferior anterior level in the left lung upper lobe. The described findings were primarily evaluated in the direction of infective pathology, which was evaluated as decreased in the current study, which was also followed in the previous study. When examined in the lung parenchyma window; In the right lung, budding tree appearance and centriacinar nodular opacities, which were observed in the previous study and decreased in the current study, are observed, being more intense in the lower lobe. Peribronchial thickenings are observed around the right main bronchus, causing narrowing in the bronchial structures extending around the upper-middle and lower lobe bronchi.\n<mediastinum>: The aneurysm is partially thrombosed. Mediastinal main vascular structures, heart contour, size are normal. There are atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Stent material is observed with fusiform aneurysmatic dilatation in the descending thoracic aorta. Pulmonary arteries are normal.\n<heart>: Pericardial effusion was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aneurysm is partially thrombosed. It is also present in small amounts in the current study. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. There are atheromatous plaques in the aorta and coronary arteries. Stent material is observed with fusiform aneurysmatic dilatation in the descending thoracic aorta.\n\nImpression:\nThe findings of lung Ca in the follow-up, consolidation around the bronchial structures around the bronchial structures in the right pulmonary hilum, narrowing in the bronchial structures, budding tree images, and peribronchial thickening show a decrease in the current study. There are dimensional regressions in the lymph nodes observed in the paraaortic area and mediastinum adjacent to the left lobe of the thyroid gland.  Emphysematous changes in both lungs. Millimetric nonspecific nodules in both lungs. There is a small decrease in effusion in the right lung.  Aneurysmatic dilatation and stent material in the thoracic aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5253/train_5253_a/train_5253_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12414",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: However, it is understood that the appearance observed in the anterobasal segment of the lower lobe of the right lung is enlarged. Peribronchial thickening extending along the bronchial structures in the right lung and soft tissue appearance, which may be compatible with mass-consolidation in the lower lobe of the right lung, especially in the anteromediobasal segment, are observed. Evaluation of the patient with clinical and laboratory findings and appropriate follow-up control are recommended. In addition, there is minimal interlobular septal thickening and budding tree appearance in the lower lobe of the right lung, especially in the basal segments. It was thought that these findings might belong to an infective pathology (distal airway disease). When the patient was evaluated together with the primary disease, it was primarily thought that the patient had a mass in the lower lobe of the right lung. These findings were not observed in the previous examination. The enlargement of the soft tissue appearance in the lower lobe of the right lung was thought to be due to an infective pathology. It was learned that the patient was followed up for lung cancer.\n<pleura>: Bilateral minimal pleural effusion was observed.\n<mediastinum>: However, a clear assessment cannot be made because contrast material is not given. Aneurysmatic dilatation is observed in the descending thoracic aorta.\n<heart>: Pericardial effusion was not detected.\n<abdomen>: Endovascular stent is present in the localization of aneurysmatic dilatation. However, a clear assessment cannot be made because contrast material is not given. Aneurysmatic dilatation is observed in the descending thoracic aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5253/train_5253_b/train_5253_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: In the lower lobe basal segments of both lungs, faintly circumscribed ground glass areas were observed, and the appearance was evaluated in favor of sequelae changes in the patient who was learned to have had Covid-19 pneumonia. Pleuroparenchymal fibroatelectatic sequelae changes were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was observed in the lung parenchyma. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Segmentary-subsegmental peribronchial thickening and tubular bronchiectatic changes that became prominent in the center were observed in both lungs.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The diameter of the ascending aorta was measured as 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Long segment bridging spur formations are observed in the right anterolateral corners of the vertebrae at the mid-thoracic level and are compatible with DISH.\n<abdomen>: Mild thickening was observed in the left adrenal gland. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; The diameter of the ascending aorta was measured as 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. As far as can be seen within the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the aortic arch and coronary arteries.  Emphysematous-fibroatelactatic sequelae changes in both lungs.  Tubular bronchiectasis changes that are prominent in the center of both lungs, segmental-subsegmental peribronchial thickening.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Hepatosteatosis.  Minimal thickening of the left adrenal gland.  Findings consistent with DISH in thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5265/train_5265_a/train_5265_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; no mass-nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was observed in pathological size and appearance. Thoracic aorta diameter is normal. Lymph nodes with a short axis smaller than 7 mm were observed in the mediastinum, upper-lower paratracheal, prevascular, and subcarinal areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: There is metallic suture material belonging to sternotomy on the anterior thorax wall. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the examination area are normal.\n\nImpression:\nNo signs of pneumonia detected. Note: CT may be negative early in Covid 19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5268/train_5268_a/train_5268_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the case, who is being followed up due to Covid-19 pneumonia, in the current examination, areas of density increase in both lungs, middle lobe and upper lobe apical segment, upper lobe anterior segment, consistent with consolidation, in which air bronchograns are also observed, and areas of density increase in ground glass density are observed in the current examination. Other findings are stable.\n<pleura>: There is newly developed bilateral minimal pleural effusion.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5269/train_5269_b/train_5269_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Linear pleuroparenchymal fibrotic sequelae density increases were observed in the right lung middle lobe and both lung lower lobe basal segments. Density increases in reticular fibrotic sequelae accompanied by paraseptal emphysema areas were observed in both lung apexes. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. The described findings are not typical for Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In the posterobasal segment of the right lung lower lobe, large consolidation area in the peripheral subpleural area, centriacinar nodular infiltration areas were observed in the right lower lobe, right lung middle lobe localization adjacent to the major fissure, and in the anterior segment of the left lung upper lobe. A smear-like effusion was observed in the right pleural space and the appearance was evaluated in favor of pneumonic infiltration.\n<mediastinum>: The diameter of the pulmonary trunk was 36 mm, and the diameters of the right and left pulmonary arteries were larger than normal with 32 mm and 26 mm, respectively (pulmonary hypertension?). As far as can be observed, the anterior-posterior diameter of the ascending aorta is 38 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries, abdominal aorta and visceral branches.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries, abdominal aorta and visceral branches.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: As far as can be observed, the anterior-posterior diameter of the ascending aorta is 38 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. In the evaluation of the upper abdominal organs included in the sections, the gallbladder was not observed (operated). Diffuse thickening was observed in the left adrenal gland. The right adrenal gland is normal. No stones were detected in both kidneys within the sections. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries, abdominal aorta and visceral branches.\n\nImpression:\nFusiform aneurysmatic dilatation of the thoracic aorta, diffuse calcified atheroma plaques in the thoracic aorta, its supraaortic branches, in the coronary arteries and in the abdominal aorta, in its visceral branches . Cardiomegaly . Hiatal hernia . Peripheral subpleural consolidation area in the posterobasal segment of the right lung lower lobe, right lung lower lobe, middle lobe and centracinar nodular infiltrates in the anterior segment of the upper lobe of the lung, scaly pleural effusion in the right hemithorax; the appearance was evaluated in favor of pneumonic infiltration. It is not typical for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Fibrotic density increases with reticular sequelae accompanied by areas of paraseptal emphysema in the apex of both lungs . Linear atelectatic changes in both lungs . Cholecystectomized . Diffuse thickening of the left adrenal gland . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5277/train_5277_a/train_5277_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are multiple schmorl nodules in the vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits  Multiple schmorl nodules in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5280/train_5280_a/train_5280_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Focal, nonspecific, ground-glass-like density increase is observed at the mediobasal level on the right. When examined in the lung parenchyma window; A nonspecific nodule with a diameter of 2 mm is observed in the anterior-posterior segment transition of the right lung upper lobe. A 5x3 mm calcific nodule is observed in the posterior segment of the right lung upper lobe. Sequelae changes are observed at the level of the inferior lingular segment on the left.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. A 16x7 mm calcific nodule is observed in the aorticopulmonary window. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 16x7 mm calcific nodule is observed in the aorticopulmonary window. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. In the anterior neighborhood of the spleen, a millimetric nodular density, which is considered compatible with the accessory spleen, is observed.\n\nImpression:\nFocal nonspecific ground-glass-like density increase in the right lung at the mediobasal level and millimetric nonspecific nodule formation, one of which is calcific, the findings are atypical for Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5282/train_5282_a/train_5282_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are narrowed. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The liver parenchyma density within the sections decreased minimally, consistent with adiposity.\n\nImpression:\nHepatic steatosis.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5287/train_5287_a/train_5287_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12530",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Nasogastric tube is observed.\n<lung>: Clinical laboratory correlation and close follow-up of the finding in terms of bacterial infectious process is recommended. When examined in the lung parenchyma window; In the lower lobe of the right lung, an area of consolidation with air bronchogram signs is observed.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. In the upper abdominal organs included in the sections, there is an appearance consistent with hepatosteatosis in the transplanted liver.\n\nImpression:\nConsolidation area with air bronchogram signs followed by volume loss in the lower lobe of the right lung. Initially, it was evaluated in favor of bacterial infectious process. Clinical laboratory correlation and follow-up are recommended due to the current pandemic.  Smearing effusion in both hemithorax  Atherosclerosis  Finding consistent with steatosis in Tx liver parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5305/train_5305_a/train_5305_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Parenchymal fibrosis and paracicatricial bronchiectatic changes were observed in the left lung, causing significant volume loss in the upper lobe and causing structural distortion. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass-infiltration was detected in both lung parenchyma. There are also parenchymal fibrosis areas and paracicatricial bronchiectatic changes in the paracardiac-paramediastinal area in the lower lobe of the left lung. Increases in pleuroparenchymal sequelae density in the upper lobe and lower lobe of the right lung are noteworthy.\n<mediastinum>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The diameter of the aortic arch was 37.5 mm. Mediastinal structures were evaluated as suboptimal since the technique was unenhanced. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The main pulmonary artery diameter was 34 mm, the right pulmonary artery diameter was 29 mm, and the left pulmonary artery diameter was 25 mm and increased.\n<heart>: The ascending aorta measures 43 mm in diameter and shows fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Biconcave appearance was observed in T2 vertebra. Compression fracture with a height loss of more than 50% was observed in the L1 vertebra. Thoracic kyphosis has increased. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The diameter of the aortic arch was 37.5 mm. No significant retropulsion-intraduct free fragment was detected. A millimetric simple cortical cyst was observed in the right kidney. The dimensions of the right kidney decreased in the upper abdominal sections included in the examination area.\n\nImpression:\nDilatation of the thoracic aorta and pulmonary artery. Diffuse calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Emphysematous changes in both lungs. Significant decrease in left lung upper lobe volume, parenchymal fibrosis and paracicatricial bronchiectatic changes causing this level of structural distortion and volume loss . Sequelae changes in both lungs. Increase in thoracic kyphosis, compression fracture in L1 vertebra, right atrophic kidney, right renal millimetric cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5310/train_5310_a/train_5310_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there is an appearance compatible with interstitial lung disease accompanied by traction bronchiectasis involving the peripheral interstitium more prominently in the middle lobe and lower lobes. No nodular lesion was detected. Both lungs are emphysematous and there are centrally located thin air cysts. Although these appearances cause parenchymal distortion especially in the lower lobes, they gain a honeycomb lung appearance. Patchy ground glass densities are observed in both lungs.\n<pleura>: There are diffuse thickenings of the bilateral pleura and coarse calcifications parallel to the pleura. There are also coarse calcifications in the pleura at the bilateral diaphragmatic level. There is pleural effusion 11 mm deep on the right.\n<mediastinum>: There are calcific plaque formations in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There are calcific plaque formations in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in the bone structures and vertebrae in the study area.\n<abdomen>: There are calcific plaque formations in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearance compatible with chronic interstitial lung disease in both lungs. Emphysema with thin air cysts in both lungs.  Diffuse pleural thickening in both lungs and coarse calcifications in the pleura. Right pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5315/train_5315_a/train_5315_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12557",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. When examined in the lung parenchyma window; A wide right posterolateral tracheal diverticulum is observed at the level of the thoracic inlet. Lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There are diffuse ground-glass-like density increments with peripheral distribution in both lungs. At the hilar level, no lymph node that has reached a significant pathological size and configuration is observed bilaterally. In places, densities compatible with pleuroparenchymal sequelae accompany the appearance.\n<mediastinum>: Lymph nodes at the prevascular level are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, and the largest measured 14x8 mm in the right lower paratracheal area. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: In the upper abdominal organs included in the sections, there is a hypodense lesion with an average density of -20 HU, measuring approximately 11x6 mm in the left adrenal medial crus. It was evaluated as compatible with adenoma.\n\nImpression:\nIt is recommended that diffuse ground-glass-like density increases in both lungs with peripheral distribution should be evaluated together with clinical and laboratory findings in terms of covid pneumonia.  Hypodense lesion in the left adrenal gland, which was evaluated as compatible with adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5317/train_5317_a/train_5317_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the lung parenchyma window; No mass infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric sized nonspecific parenchymal nodule in the right lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5324/train_5324_a/train_5324_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5329/train_5329_a/train_5329_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12583",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The appearance was primarily evaluated as compatible with the infectious process. However, viral pneumonia cannot be excluded. The right hemidaphragm shows elevation. When examined in the lung parenchyma window; Widespread patchy consolidation areas were observed in the lower lobes of both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nWidespread areas of consolidation in the lower lobes of both lungs, the appearance was evaluated primarily in favor of the infectious process. However, viral pneumonias should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5330/train_5330_a/train_5330_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; No pneumonic infiltrative involvement or consolidation area was observed in the parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration is natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: In the upper abdomen sections, two images of calculus with a diameter of 6 mm were observed in the gallbladder lumen. There is a hypodense nodule with a diameter of 10 mm in liver segment 7 localization. No nodular or mass-occupying lesion was detected.\n\nImpression:\nNon-contrast Thorax within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5344/train_5344_a/train_5344_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. A 10 mm diameter nonspecific hypodense lesion area was observed in the liver segment 7 localization. Two images of calculus with a diameter of 6 mm were observed in the gallbladder lumen. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nNo findings in favor of infection-mass were detected in the lung parenchyma . Cholelithiasis . Hepatosteatosis . Hypodense lesion in the liver segment 7 localization that cannot be characterized by this examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5344/train_5344_b/train_5344_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Focal ground glass density is observed at the interface of minor and major fissures in the middle lobe of the right lung, and the appearance is nonspecific. It may be compatible with sequelae. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Nonspecific millimetric calcific nodules were observed in both lungs. Linear fibroatelectasis sequelae changes were observed in the basal segments of both lung lower lobes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFocal ground-glass density at the interface of minor and major fissures in the middle lobe of the right lung; the appearance is nonspecific, (sequelae?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5350/train_5350_a/train_5350_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral tubular bronchiectasis and accompanying peribronchial thickness increase are observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings are consistent with viral pneumonia (COVID-19 pneumonia). Several lymph nodes with a diameter of 8.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. There are several nodules in both lungs with a short diameter of less than 3 mm. In both lungs, there are very common, locally confluent, peripherally weighted consolidation areas, accompanying ground glass and interlobular septal thickness increases.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 8.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. The widths of the mediastinal main vascular structures are normal.\n<heart>: The left atrium is dilated. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: There are several periesophageal lymph nodes, the largest of which is 7.5 mm in diameter. Sliding type minimal hiatal hernia is observed at the esophagogastric junction.\n<bone>: There is a vacuum phenomenon consistent with degeneration on the left sternoclavicular joint surface. No lytic-destructive lesion was observed in bone structures. There are bridging osteophytes in the anterior corners of the thoracic vertebra corpus within the sections.\n<abdomen>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Liver parenchyma density decreased in favor of fat (36 HU).\n\nImpression:\nConsolidation areas, accompanying ground glass areas, and interlobular septal thickness increases in both lungs showing predominantly peripheral confluence. Findings are consistent with viral pneumonia.  Bilateral tubular bronchiectasis, increased peribronchial thickness,  Cardiomegaly.  Mediastinal millimetric lymph nodes.  Hepatosteatosis.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5363/train_5363_a/train_5363_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; A nonspecific pulmonary nodule with a diameter of 4 mm is observed in the lateral subpleural area in the apicoposterior segment of the left lung upper lobe.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Evaluation of solid organs, vascular structures and mediastinal structures is suboptimal because the examination is non-contrast. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallstones with a diameter of 17 mm are observed in the gallbladder.\n\nImpression:\nCholelithiasis.  Nonspecific pulmonary nodule in the lateral subpleural area in the apicoposterior segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5370/train_5370_a/train_5370_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12681",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs as far as can be observed secondary to movement artifacts (small airway disease? small vessel disease?). Minimal fibrotic recessions were observed in both lung apical segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Aortopulmonary, paratracheal, subcarinal lymph nodes with a size of 21x9.5 mm that did not reach pathological dimensions were observed. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Calcified atheroma plaques were observed in the aortic arch and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Trabeculation increase consistent with osteopenia was observed in bone structures.\n<abdomen>: As far as can be seen in non-contrast sections; liver, gall bladder, both adrenal glands, pancreas and both kidneys are natural. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Nodular calcifications were observed in the spleen (secondary to previous granulomatous infection).\n\nImpression:\nCalcified atheroma plaques in the aortic arch and coronary arteries . Sliding type hiatal hernia . Mosaic attenuation pattern in both lungs as far as can be observed secondary to motion artifacts (small airway disease? small vessel disease?) . Fibrotic recessions in the apex of both lungs . Sequelae of granulomatous infection in the spleen nodular calcifications compatible with . Osteopenia in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5375/train_5375_a/train_5375_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Viral pneumonia? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5376/train_5376_a/train_5376_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Centrelobular paraseptal emphysematous changes are observed in both lungs. At the basal level of the lower lobe of the right lung (series 2 image 331), there is one nodule with lobulated contours, measuring up to 7 mm, in the paravertebral area.\n<pleura>: There is a 5 mm subpleural nodule in the middle lobe of the right lung (serial 2 image 243). Apart from these two nodules described, there are several millimetric nodules in the subpleura in the paravertebral areas, especially in the lower lobes, in both lungs.\n<mediastinum>: There are small lymph nodes with a short axis measuring up to 7 mm in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area. There are hypertrophic osteophytic taperings on the vertebral corpus endplates.\n<abdomen>: The left adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In case of doubt, further examination is recommended. Upper abdominal organs included in the sections are normal. There are several hypodense, oval-shaped findings (adenoma?) in the left adrenal gland measuring up to 20 mm in size. A change in favor of steatosis was observed in the parenchyma.\n\nImpression:\nSuspicious adenomas in the left adrenal gland; further examination is recommended in case of doubt. Centrelobular paraseptal changes in both lungs, emphysematous changes observed mostly in the upper lobes.  Multiple nodules in both lungs, the largest measuring up to 7 mm at the basal level of the lower lobe of the right lung (series 2 image 331); it is recommended to compare and follow-up the findings with previous examinations, if any.  Hepatosteatosis.  Degenerative changes in bone structures, hypertrophic osteophytic tapering in the vertebral corpus end plates. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5379/train_5379_a/train_5379_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Paraseptal emphysematous changes were observed in the upper lobes of both lungs, more commonly in the upper lobe of the right lung, with bulla-bleb formation. Subsegmental atelectatic changes were observed in both lungs. No significant difference was detected. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. In both lungs, parenchymal nodules with a diameter of 5 mm in the lower lobe posterobasal segment on the left and 7 mm in diameter on the right, the largest in the lower lobe mediobasal segment were observed, and they were also present in the previous examination of the patient.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, which is above normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour size is normal. There are calcific atheroma plaques and placed stent materials in the coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Hypertrophic and osteophytic taperings were observed in the vertebral corpus end plates.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, which is above normal. A well-circumscribed nodular mass lesion reaching 20 mm in diameter was observed in the medial crus of the left adrenal gland (fat-poor adenoma?). As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nHiatal hernia. Fusiform aneurysmatic dilation of the thoracic aorta. Hiatal hernia. Atherosclerosis.  Stable mass lesion (fat-poor adenoma?) in the left adrenal gland.  Paraseptal emphysematous changes in both lungs with bulla-bleb formation in the upper lobe of the right lung.  Millimetric stable parenchymal nodules in both lungs. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5379/train_5379_b/train_5379_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In both lungs, especially in the upper lobes, ground glass areas in the central and peripheral parts and millimetric centriacinar nodules are observed in places. Therefore, differential diagnosis could not be made. The views described are not specific. The distributions and appearances of the described manifestations are not in the manner often encountered with Covid 19 pneumonia. However, it primarily brings to mind an infective pathology. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are atheromatous plaques in the coronary arteries in the aorta. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the coronary arteries in the aorta. Many pathologies can cause similar appearance. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5380/train_5380_a/train_5380_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12724",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Sequelae changes are observed in the inferior lingular segment. In the evaluation of both lungs in the parenchyma window; Especially in the lower zones and peripherally distributed, there are frosted glass-like density increases in diffuse appearance.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and at both levels. Calibration of the main vascular structures in the mediastinum is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nParticularly in the lower zones and peripherally distributed, there are frosted glass-like density increments. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Sequelae changes are observed in the inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5392/train_5392_a/train_5392_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the posterobasal region of the lower lobe of the left lung, density increases are observed in the form of millimetric nodular ground glass adjacent to each other.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nodular ground-glass density increases adjacent to each other in the posterobasal lower lobe of the left lung (not specific to Covid pneumonia, but suspicious for the onset of pneumonia. Clinical laboratory correlation is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5407/train_5407_a/train_5407_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma. Ventilation of both lungs is natural.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: Calibration of mediastinal vascular structures and heart contour size are normal. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Calibration of mediastinal vascular structures and heart contour size are normal. Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nFindings within normal limits; nodular ground glass density areas observed in the posterobasal segment of the left lung lower lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5407/train_5407_b/train_5407_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Multiple hypodense nodules are observed in both thyroid lobes. Both thyroid lobes are increased in size. US control is recommended.\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. No mass-infiltration was detected in both lung parenchyma. Millimetric sized nonspecific parenchymal nodules are observed in both lungs. Consolidation area with air bronchogram is observed in the lower lobe of the left lung (may be consistent with atelectasis or consolidation). There are atelectatic changes in the inferior lingular segment of the left lung and in the lower lobes of both lungs.\n<pleura>: A free pleural effusion measuring 15 mm between the pleural leaves on the left and 7 mm on the right is observed.\n<mediastinum>: Lymphadenopathies measuring 58x33 mm in size are observed at the level of the portal hilus, in the paraaortic localization and adjacent to the pancreatic head. There are lymph nodes measuring 12 mm in diameter in the mediastinal, upper-lower paratracheal, and the largest subcarinal area. There are diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries. The diameter of the main pulmonary artery was 27 mm.\n<heart>: The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. There are diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: Metallic suture materials belonging to sternotomy are observed in the sternum. The mass lesion observed in the left humeral head has paraosseous soft tissue components. Lytic lesions compatible with multiple metastases are observed at multiple levels in the thoracic and upper lumbar vertebrae, lateral to the right 6th rib, left humeral head, right 9th rib posterior, adjacent to the costovertebral joint.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries. In the upper abdominal sections in the examination area, there are hypodense lesions consistent with metastasis in the liver as far as can be observed within the limits of non-contrast examination. The gallbladder was observed (operated). Lymphadenopathies measuring 58x33 mm in size are observed at the level of the portal hilus, in the paraaortic localization and adjacent to the pancreatic head.\n\nImpression:\nGastric Ca on follow-up. Fusiform dilatation of the thoracic aorta, diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery wall.  Atelectatic changes in both lungs, minimal pleval effusion. Consolidation-atelectasis area in the lower lobe of the left lung.  Millimeter-sized nonspecific parenchymal nodules in both lungs. Subcarinal and intra-abdominal lymphadenopathies.  Metastases in the liver.  Multiple metastases in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5418/train_5418_a/train_5418_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, there are centracinar nodules in the lower lobes of both lungs, more prominent on the left. There are minimal emphysematous changes in both lungs. These findings are not frequently observed in Covid-19 pneumonia. There are millimetric nonspecific nodules in both lungs. In addition, a mosaic attenuation pattern was observed, more prominent in the lower lobes of both lungs (small airway disease?, small vessel disease?). Peribronchial thickening was observed in the lower lobes of both lungs. There are sometimes linear atelectasis in both lungs. Some of these nodules have the appearance of budding trees. These findings were evaluated in favor of infective pathology. No mass was detected in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheromatous plaques in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nPeribronchial thickening in both lungs and some budding tree appearance in both lung lower lobes, centracinar nodules (considered in favor of infective pathology)  Minimal emphysematous changes in both lungs  Mosaic attenuation pattern in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5421/train_5421_a/train_5421_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The left lobe of the liver is atrophic. In the upper abdomen sections, there is a nodular lesion compatible with a 17 mm diameter adenoma in the medial crus of the right adrenal gland.\n\nImpression:\nPneumonic infiltration was not detected in the lung parenchyma.  Right adrenal adenoma . Atrophy in the left lobe of the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5424/train_5424_a/train_5424_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickening followed. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: There is bilateral free pleural effusion measuring 16 mm in thickness on the right and 30 mm on the left. A stable parenchymal nodule with a diameter of 5.5 mm located subpleural was observed in the apicoposterior segment of the left lung upper lobe.\n<mediastinum>: On the right, the image of the catheter extending to the superior vena cava is observed. There are multiple lymph nodes in the mediastinum with a short axis of less than 1 cm, stable in size and number according to the previous examination.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lymph node was detected in the pathological size and appearance in the bilateral subraclavicular region. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nStable lymph nodes in both lungs. Diffuse interlobular septal thickenings in both lungs, patchy ground-glass density increases in the periphery and areas of consolidation in the lower lobes, a marked increase in the findings described in the previous review were observed.  Stable parenchymal nodule in the upper lobe of the left lung. Bilateral peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5428/train_5428_d/train_5428_d_1.npy"
        ]
    },
    {
        "id": "report_generation_12840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Consolidations are observed in the lingular segment and lower base of the left lung, pneumonic infiltration? Sliding type hiatus hernia was observed at the lower end of the esophagus.\n<pleura>: There are appearances of passive atelectasis in the lungs adjacent to the pleural effusion. Pleural effusion reaching 3 cm on the right and 2 cm on the left was observed in both hemithorax.\n<mediastinum>: Dilatation was observed in the pulmonary arteries. No pathological lymph node was detected in the mediastinum.\n<heart>: Dilatation is observed in the cardiac cavities in favor of the left heart. There is minimal pericardial effusion. Calcific atheroma plaques are observed in the main vascular structures and coronary arteries, and there are stents in the left coronary arteries. There are aortic valve calcifications.\n<bone>: There are appearances of degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly Atherosclerosis Aortic valve calcifications Dilatation in pulmonary arteries Minimal pericardial effusion Bilateral pleural effusion, passive atelectasis in adjacent lungs Pneumonic infiltration in left lung? Esophageal hiatus hernia? Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5436/train_5436_a/train_5436_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12846",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: An irregularly circumscribed nodule measuring approximately 10x9 mm in anterior-posterior and transverse diameter at its widest point (series 2, section 195) is observed in the medial part of the right lung lower lobe superior segment. In addition, there are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. A ground glass area is observed around the described nodule. No mass or infiltrative lesion was detected in both lungs. Tissue diagnosis is recommended.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed. Anteroposterior diameters of the aortic arch are normal.\n<heart>: The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Periosteal reaction was not detected.\n<abdomen>: This view could not be characterized because only a portion of the kidney was cut into sections. Atheroma plaques are observed in the aorta and coronary artery. A hypodense appearance is observed in the parapelvic area in the upper pole of the left kidney. However, it may be a parapelvic cyst less likely. Anteroposterior diameters of the aortic arch are normal. The described appearance is primarily thought to be the enlarged collector system. No upper abdominal free fluid-collection was detected in the sections. If there is an indication, it is recommended to be evaluated with USG.\n\nImpression:\nIrregularly circumscribed nodule in the superior segment of the lower lobe of the right lung (tissue diagnosis is recommended) . Millimetric nodules in both lungs . Emphysematous changes in both lungs . Minimal fusiform aneurysmatic dilation in the ascending aorta, atherosclerotic changes in the aorta and coronary arteries . Hiatal hernia . Hypodense in the left kidney upper pole appearance (enlarged collecting system? parapelvic cysts??)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5439/train_5439_a/train_5439_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A small lymph node measuring 12 mm in size is observed in the left hilar region. When examined in the lung parenchyma window; Mild ground glass densities, atelectasis changes, mild bronchiectasis are observed in the right lung middle lobe and upper lobe inferior anteriors. Interlobular septal thickening is observed in both lungs, especially in the lower lobes. Findings were primarily evaluated in favor of infectious processes, and clinical and laboratory correlation and close follow-up are recommended.\n<mediastinum>: A few lymph nodes measuring 10 mm in the mediastinal aorticopulmonary window, the largest of which was not detected. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion is observed in the neighborhood of the heart right atrium, more prominently at 15 mm thickness. Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic and osteophytic taperings, decrease in density in bone structures, degenerative changes in the end plates of the vertebral corpuscles.\n<abdomen>: There is minimal free fluid in the perihepatic space. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. A small amount of free fluid is present in the parahepatic space. Calcific atheroma plaques are observed in the aortic arch and descending aorta.\n\nImpression:\nPatchy ground-glass densities, atelectasis changes, consolidation area and mild bronchiectasis in the right lung middle lobe are observed in both lungs, especially in the right lung middle lobe and upper lobe inferior. Findings were primarily evaluated in the direction of Covid 19 viral pneumonia? Other infectious processes? Clinical and laboratory correlation is recommended for better differential diagnosis.  Density reduction, degenerative changes in bone structures.  Small amount of fluid in the perihepatic area, pericardial effusion 15 mm thick.  Mediastinal and bilateral hilar several lymph nodes, the largest of which measures 12 mm in the aorticopulmonary window . Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5445/train_5445_a/train_5445_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12872",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are linear atelectatic changes in the paracardiac area in the anteriors of both lungs upper lobes. When examined in the lung parenchyma window; Aeration losses are observed in both lungs, more prominently on the right. Clinical laboratory correlation of findings in terms of early viral pneumonia (Covid-19) is recommended.\n<pleura>: There are peripheral ground-glass densities located in the subpleural, slightly patchy in the superior and inferior areas of the left lung lower lobe.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta.\n\nImpression:\nSlightly patchy, subpleural localized peripheral ground-glass densities in the superior and inferior areas of the left lung lower lobe. Clinical laboratory correlation of the findings in terms of early viral pneumonia (Covid-19) is recommended.  Aeration losses in both lungs, more prominent on the right. Linear atelectatic changes in the paracardiac area in both upper lobe anteriors of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5450/train_5450_a/train_5450_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A distinct mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease?small vessel disease?). When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lungs apical. Emphysematous changes are present in both lungs. Bilateral minimal peribronchial thickenings were observed.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Minimal calcified atherosclerotic changes were observed in the abdominal aorta and iliac artery wall.\n<heart>: Minimal calcified atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bilateral pars interarticularis defect was observed at L5-S1 level. There are mild degenerative changes in the bone structures entering the cross-sectional area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal calcified atherosclerotic changes were observed in the abdominal aorta and iliac artery wall. Hepatic and portal venous systems are normal. Mild hydroureteronephrosis was observed in the right kidney. Intra and extrahepatic bile ducts, gallbladder are normal. Periprostatic fatty tissues are clear. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. A small hernia defect was observed in the umbilical region. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour of the pancreas, its dimensions are natural. appendicitis. Contour, size, localization, parenchymal thickness of both kidneys and pelvicalyceal structures of the left kidney are normal. No intraabdominal free-loculated fluid was detected. The contour, size, parenchyma density of the spleen is normal. The contour of the liver is normal in size. Liver parenchyma density is diffusely decreased in line with fatty deposits. No enlargement was detected in the main pancreatic duct. There was no CT finding in favor of A.\n\nImpression:\nCalculus in the lumen of the right distal ureter and caused by mild hydroureteronephrosis.  Prostatomegaly.  Mild hepatosteatosis.  Mild calcified atherosclerotic changes in the abdominal aorta and iliac arteries.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Emphysematous changes, sequelae changes, minimal peribronchial thickenings in both lungs.  Lysis defect in the bilateral pars interarticularis at L5-S1 level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5451/train_5451_a/train_5451_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Atelectasis changes were observed in both lower lobe posterobasal segments of both lungs. Clinical and laboratory correlation is recommended. The described findings can be traced in Covid-19 pneumonia. In addition, a millimeter-sized ground-glass nodule was observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; Ground glass density increases were observed in the right lung middle lobe and upper lobe anterior segment, bilateral lower lobe posterobasal segment and peripheral subpleural area. Bilateral pleural thickening - effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Several lend nodes were observed in the mediastinal upper - lower paratracheal, prevascular and subcorinal areas, the largest of which was 7 mm in the short axis.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are present. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMediastinal millimeter-sized lymph nodes. Subpleural ground-glass density increases in the right lung middle lobe and upper lobe anterior segment, and a millimetric-size ground-glass nodule in the right lung lower lobe, the appearance is highly suspicious for Covid-19 pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5460/train_5460_a/train_5460_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12894",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The frosted glass areas are accompanied by linear density increases and consolidations from time to time. Peripheral and centrally located ground glass areas are observed in both lungs. The described findings are in the style frequently observed in Covid-19 pneumonia. No mass was detected in both lungs.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5460/train_5460_b/train_5460_b_1.npy"
        ]
    },
    {
        "id": "report_generation_12907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. Thickening of the peribronchovascular sheath in both lungs and bronchiectasis in the lower lobes are observed.\n<lung>: There are pleuroparenchymal sequelae changes in the middle lobe and several nodules with a diameter of 4 mm on this background. It was evaluated as compatible with infiltration accompanying bronchiectasis. There are mild sequelae changes at the apical level. In the right lung lower lobe laterobasal segment, 2 adjacent nodules, the largest 8x6 mm in size, are observed. In the posterobasal segment, there are again diffuse bud views and accompanying ground glass-like density increments. Thickening of the peribronchovascular sheath in both lungs and bronchiectasis in the lower lobes are observed. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. In the lower lobe of the right lung, there are branches with buds from place to place, frosted glass-like density increases in places, and densities that have formed consolidation by merging in places. The right lung is slightly hypovolemic in the upper zone. There is a 2 mm diameter nodule in the periphery of the apicoposterior segment lateral. No pathological size and configuration lymph nodes were detected at both hilar levels. Pleuroparenchymal sequelae changes are observed in the inferior lingular segment of the left lung. Mild tubular bronchiectasis is observed in the middle lobe.\n<pleura>: A 7x5 mm nodule is observed in the subpleural area in the posterobasal segment. There are irregularities in the pleural contours in the upper zones of both lungs. In the posterobasal segment, there are multiple nodules in the subpleural area, the largest of which is 8x6 mm.\n<mediastinum>: Millimetric sized multiple lymph nodes are observed in the mediastinum. Calibration of other main vascular structures in the mediastinum is normal. Calcific atheroma plaques and stent appearances are observed in the coronary arteries in the aortic arch. However, they do not reach the pathological size and configuration. Arch aortic calibration is 35 mm and above normal.\n<heart>: Calcific atheroma plaques and stent appearances are observed in the coronary arteries in the aortic arch. CTO is within the normal range. Pericardial thickening is observed adjacent to the right ventricle.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Nodular density, which is considered to be compatible with the accessory spleen with a diameter of approximately 12 mm, is observed in the vicinity of the hilus inferior adjacent to the spleen. Irregular density increases are observed in the perinephric fatty planes in the right kidney. The left kidney is atrophic. Calcific atheroma plaques and stent appearances are observed in the coronary arteries in the aortic arch. There is a decrease in density consistent with hepatosteatosis in the sections passing through the upper abdomen. Arch aortic calibration is 35 mm and above normal. In the inferior pole of the right kidney, a density compatible with 4-5 calculi, the largest of which is approximately 7 mm in diameter, is observed superposed on each other and adjacent to each other.\n\nImpression:\nBronchiectasis in the mid-lower zones of both lungs. Branch views, ground-glass density increments, and focal consolidative areas consistent with infiltration in the lower zones of both lungs.  Thickening of the peribronchovascular sheath, parenchymal bands and irregularities in the pleural contours accompanying this appearance in both lungs. Hepatosteatosis, right nephrolithiasis, atrophic kidney on the left, degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5467/train_5467_a/train_5467_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5470/train_5470_a/train_5470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, atelectasis is observed in the lingular segment. In the evaluation of both lung parenchyma; Motion artifacts are observed in the examination. Although minimal ground-glass appearance selected from motion artifacts is observed in the right lung, there is no typical finding for Covid-19 pneumonia.\n<pleura>: The pleural effusion also enters the fissure on the left. In the lower lobe of the left lung, atelectasis is observed adjacent to the pleural effusion. Pleural effusion entering the fissure measuring 2.7 cm in the thickest part of the left hemithorax is observed.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Bilateral interlobular septa were slightly thickened and mild cardiac edema was considered secondary. The cardiothoracic index increased in favor of the heart. Calcific plaques are present in the coronary arteries.\n<bone>: There is no lytic-destructive lesion in bone structures. Suture materials secondary to bypass surgery are observed in the sternum.\n<abdomen>: In the non-contrast examination, no obvious pathology was detected in the abdominal sections. In the sections passing through the upper part of the west; gallbladder is operated. Bilateral adrenal glands appear natural.\n\nImpression:\nPleural effusion entering the fissure on the left, measuring 2.7 cm in the thickest part of the left hemithorax. Atelectasis in the lingular segment and adjacent to the pleural effusion in the left lung lower lobe.  Minimal ground glass appearance selected from motion artifacts in the right lung. There are no typical findings for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5472/train_5472_a/train_5472_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12943",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The finding is too small to be characterized and may be compatible with early Covid-19 viral pneumonia due to the current pandemic. Atelectasis is also in its differential diagnosis. When examined in the lung parenchyma window; 7 mm diameter nodular at the basal level of the lower lobe of the right lung, a patchy ground glass density with a halo sign is observed around it. Clinical laboratory correlation and close follow-up are recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodular, ground-glass density described in the lower lobe of the right lung with a diameter of 7 mm at basal level, with a halo around it. Atelectasis?, early suspected Covid-19 viral pneumonia? Clinical laboratory correlation and follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5485/train_5485_a/train_5485_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Atelectatic changes are observed in the basal segments of the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Small lymph nodes are observed in the aorticopulmonary window with a few short axes measuring 3 mm in the mediastinum. There are calcific atheromatous plaques in the ascending arch and descending aorta. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the examination area, and degenerative tapering is observed in the end plates.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are calcific atheromatous plaques in the ascending arch and descending aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectasis changes in the basal segments of the lower lobes of both lungs are atypical for an infectious process. Clinical laboratory correlation is recommended.  Atherosclerosis . Decreased density and degenerative changes in bone structure, fixation material secondary to fracture in the right humeral head."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5487/train_5487_a/train_5487_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the middle lobe of the right lung and the lingular segment of the left lobe upper lobe. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). Atelectasis was observed in both lung lower lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Millimetric cassific atheroma plaque is observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal. Calcifications are observed in the mitral valve.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Millimetric cassific atheroma plaque is observed in the aorta.\n\nImpression:\nMosaic attenuation pattern in both lungs . Atelectasis in both lungs. Millimetric nodules in both lungs. Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5489/train_5489_a/train_5489_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12958",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The lesion extends around the lower lobe bronchus and its branches and around the intermediate bronchus.\n<lung>: Pleuroparenchymal sequela fibrotic density increases are observed in favor of previous infection sequelae in the upper lobe of the left lung. The middle lobe of the right lung is in total collapse. The lesion extends around the lower lobe bronchus and its branches and around the intermediate bronchus. There is a mass lesion in the right lung hilum obstructing the middle lobe bronchus. On the other hand, in the lower lobe, secondary bronchopneumonic infiltration, tumoral infiltration around the segmental bronchi and interlobular septa, and lymphangitic involvement are observed. Conglomerate in appearance.\n<pleura>: There is a pleural effusion reaching 1.5 cm in diameter between the right pleural leaves.\n<mediastinum>: Prevascular, paraaortic, right upper and bilateral lower paratracheal subcarinal and right peribronchial, right hilar metastatic lymph nodes are observed in the mediastinum. The shortest diameter was 45 mm, the largest of which was in the right upper paratracheal area.\n<bone>: Metastatic lymph nodes with a short diameter of 34 mm are observed in the right supraclavicular fossa, and a short diameter of 17 mm in the left supraclavicular fossa. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The short axis of the largest measured 23 mm. There are metastatic lymph nodes adjacent to the celiac trunk in the retroperitoneum. There is one metastatic lymph node with a diameter of 11 mm in retrocrural location. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections.\n\nImpression:\nMalignant mass lesion in the right lung that obstructs the middle lobe bronchus and narrows the lower lobe bronchi, metastatic mediastinal, bilateral supraclavicular and retroperitoneal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5493/train_5493_a/train_5493_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are emphysematous changes in both lungs. It is understood that almost all of the nodules have appeared recently and were evaluated in favor of metastases. Atelectasis was observed in both lungs from time to time. The described nodular lesion appears to be the patient's primary mass. The optimal size cannot be given due to the irregular borders of the nodule. Apart from these, numerous nodules were observed in both lungs. Due to the irregular border of the described lesion, the exact size could not be given, but it was measured approximately 23x33 mm in the widest part (series 2, section 194). The mass has irregular borders and causes structural distortion and loss of volume around it. There is an irregularly circumscribed nodule in the apical segment of the upper lobe of the right lung. Inal structures cannot be evaluated optimally.\n<pleura>: A soft tissue lesion with infiltrative character, whose borders cannot be distinguished from the anterior chest wall, is observed in the anterior subpleural area in the left lung upper lobe anterior segment-lingular segment combination. There is bilateral minimal pleural effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. It is understood that the patient underwent coronary by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Therefore, it was thought that metastasis may occur.\n<abdomen>: However, as far as can be seen, the anteroposterior and transverse diameters were approximately 26x23 mm at their widest point. The described lesion measured approximately 18 mm at its thickest point. The described appearance is also present in the previous examination of the patient. Thickening is observed in the right adrenal gland corpus. There are atheromatous plaques in the aorta and coronary arteries. However, this examination revealed that the lesion enlarged. No upper abdominal free fluid-collection was detected in the sections. It is understood that this lymph node has just appeared.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5497/train_5497_a/train_5497_a_1.npy"
        ]
    },
    {
        "id": "report_generation_12984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse ground glass densities, which tend to merge in both lung parenchyma, are seen.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific millimetric plaques were observed in LAD. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anterior osteophytes are observed in the vertebrae.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. In the upper abdominal sections, there is diffuse density loss in the liver.\n\nImpression:\nCoronary atherosclerosis.  Diffuse ground glass densities (viral pneumonia?) that tend to coalesce in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5506/train_5506_a/train_5506_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, more prominent on the left, mostly peripherally located, patchy-style crazy paving pattern ground glass densities are observed. There are millimetric calcific foci sequelae changes in the left lung upper lobe apicoposterior.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Small hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia, other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Fibrotic calcific sequelae changes in the apicoposterior of the left lung upper lobe . Small hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5514/train_5514_a/train_5514_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric calcific nodules evaluated in favor of nonspecific are observed in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5516/train_5516_a/train_5516_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea calibration is natural. It is normal in bronchial calibrations, but thickening of the peribronchovascular sheath is observed, more prominently at the central level. At this level, tractional bronchiectasis is seen in adjacent bronchial structures.\n<lung>: No lymph node with pathological size and configuration is observed at the hilar level.\n<pleura>: Subpleural bleb appearance is observed in the posterobasal segment of the lower lobe of the right lung. Significant spicular extensions and pleural retraction are observed around the largest sized nodule defined. Apart from this, no significant effusion, pleural thickening or pneumothorax was detected in both lungs. There is a multiple nodule formation in both lungs, some of which is subpleural and some intraparenchymal, the largest of which is approximately 12x11 mm in the superior segment of the right lung lower lobe.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural. Thymic remnant is observed in the anterior mediastinum.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Surrounding soft tissue plans are natural. Both adrenals are natural. In the evaluation of the upper abdominal organs included in the sections, an accessory spleen appearance with a diameter of approximately 20 mm is observed in the spleen hilum.\n\nImpression:\nMultiple nodule formation in both lungs, some of which are subpleural and some are intraparenchymal, the largest of which is observed in the superior segment of the right lung lower lobe, more prominent in the larger ones, with millimetric calcifications and some with irregularly circumscribed spicular extensions around it."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5517/train_5517_a/train_5517_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: In both lungs, there are several nodules with a diameter of 4 mm, some of them calcific, in the subpleural area, the largest of which is in the lateral segment of the lower lobe of the right lung. In the right lung upper lobe apical segment, upper lobe posterior segment, and left lung upper lobe apicoposterior segment, there are areas of atelectasis accompanied by tubular bronchiectasis, sometimes becoming nodular in the apical segments, causing pleural retraction, and nonspecific focal ground-glass areas in its periphery. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: In the mediastinum and bilateral hilar regions, calcific lymph nodes, the largest of which are 7 mm in diameter, are observed in the right aortopulmonary window. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in LAD.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. There are several calcific lymph nodes distal paraesophageal, the largest of which measures 5 mm in diameter. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Thoracic kyphosis is increased. Bridging osteophytes at the corners of the thoracic vertebra corpus and Schmorl's nodule are observed in the T11 vertebra superior endplate. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nAreas of atelectasis in the upper lobes of both lungs, accompanied by bronchiectasis and pleural recessions, which become nodular in the apical regions  Some calcific, a few millimetric nonspecific nodules in both lungs  Some calcific lymph nodes in the mediastinum, bilateral hilar regions  Calcific atheroma in the LAD plaques"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5528/train_5528_a/train_5528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; In both lungs, an area of increase in density consistent with consolidation in which air bronchograms are observed is observed in the area conforming to the peribronchovascular distribution. Due to the lack of contrast of bilateral hilus examination, it could not be evaluated optimally. The manifestations described are primarily suggestive of acute pulmonary edema.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, lymph nodes with fusiform configuration are observed, the largest of which is 12.5 mm in diameter at the precarinal level. The examination was considered suboptimal since no contrast agent was given.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed on the walls of the coronary vascular structures. The examination was considered suboptimal since no contrast agent was given.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with acute pulmonary edema in both lungs . Lymph nodes with a fusiform configuration in the mediastinum, the largest at the precarinal level, short in diameter over 1 cm, . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5533/train_5533_a/train_5533_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is fullness in the hilum. When examined in the lung parenchyma window; There are minimal ground glass densities without peribronchial border, more prominent in the lower lobes and in the central part of both lung parenchyma. Band atelectesis in the middle lobe on the right and an air cyst on the lingula on the left. Passive atelectasis was observed in the vicinity of the effusion.\n<pleura>: There is bilateral pleural effusion reaching 48 mm on the right and 37 mm on the left.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with a size of 16x12 mm are observed in the mediastinum.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Chronic fractures are observed in the 10th and 10th ribs.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis  Mediastinal millimetric lymph nodes  Bilateral pleural effusion and passive atelectasis  Minimal pulmonary edema in both lungs  Chronic rib fractures on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5533/train_5533_b/train_5533_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: (small airway disease ?small vessel disease?) In the right lung middle lobe medial segment and bilateral lung lower lobe posterobasal segment, atelectasis consolidation increases that cannot be clearly differentiated were noted. Mosaic attenuation pattern is observed. There are sequelae changes in both lungs and no mass lesion is observed. Evaluation with clinical and laboratory findings is recommended.\n<pleura>: There is a pleural effusion reaching 45 millimeters on the right in its deepest part bilaterally.\n<mediastinum>: There are widespread calcified atheroma plaques on the wall of mediastinal vascular structures. Mediastinal vascular structures and cardiac trigger could not be evaluated optimally due to lack of contrast. Multiple lymph nodes are observed in the mediastinum, the largest of which is at the right upper paratracheal level, with a short diameter of 11 meters and a fusiform configuration.\n<heart>: An increase in favor of the heart is observed in the cardiothoracic ratio. Mediastinal vascular structures and cardiac trigger could not be evaluated optimally due to lack of contrast.\n<bone>: No lytic or destructive lesions are detected. Widespread degenerative changes are observed in bone structures.\n<abdomen>: A 40-millimeter defect is observed around the anterior abdomen at the epigastric level, and herniation of the colonic loops to the subcutaneous fatty tissue is noted. There are also common calcified atheroma plaques on the wall of abdominal vascular structures. In the upper abdomen sections within the image, there is a 65 x 60 millimeter lesion in the right kidney middle zone with a cortical fluid density that cannot be clearly characterized due to the lack of contrast in the examination (cyst?). There is one nodule up to 2 cm in each of the bilateral adrenal glands. has drawn.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5537/train_5537_a/train_5537_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Multilobar, multisegmental, central-peripheral localized, crazy paving pattern and small focal consolidations showing signs of vascular enlargement were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques were observed in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: In the upper abdominal organs, including sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the aortic arch.\n\nImpression:\nHiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Hepatosteatosis.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5538/train_5538_a/train_5538_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes in both lungs and linear atelectesis in both lungs are observed. No mass or infiltrative lesion was detected in both lungs. There are dependent densities in the posterior parts of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are atheroma plaques in the aorta and coronary arteries. Mediastinal structures could not be evaluated as suboptimal since no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Pulmonary artery diameters are normal.\n<heart>: The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners. There are degenerative hypertrophic changes in the facet joints.\n<abdomen>: There are atheroma plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. The thickness of the left kidney parenchyma is observed as thinned in places.\n\nImpression:\nEmphysematous changes in both lungs  Atelectasis in both lungs  Minimal fusiform aneurysmatic dilation in the ascending aorta, atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5539/train_5539_a/train_5539_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a stable calcific pulmonary nodule with a diameter of 3 mm in the posterior of the right lung upper lobe. There are pleuroparenchymal sequelae bands in the right lung middle lobe medial and left lung lingular segment. Linear segmental atelectasis is present in the lower lobe base of the right lung. No infiltrative lesion was detected in both lung parenchyma. Apart from this, there are a few nodules less than 3 mm in stable size and appearance in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Pulmonary trunk diameter increased by 33mm. The diameter of the ascending aorta increased by 51mm and the diameter of the descending aorta by 44mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There are nodular stable lesions with benign appearance in the outer quadrant of the left breast.\n<bone>: There are osteodegenerative changes in the vertebrae and bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The diameter of the ascending aorta increased by 51mm and the diameter of the descending aorta by 44mm. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSeveral pulmonary nodules less than 3 mm in stable size and number in both lungs. Stable calcific nodule in the right lung. Linear atelectasis in the right lung. Stable LAPs in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5540/train_5540_b/train_5540_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13082",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is minimally deviated to the left. Both main bronchi are open.\n<lung>: Nonspecific millimetric nodules are observed in both lungs. Millimetric sized sequela lymph nodes are observed in both lung hilum. A mosaic attenuation pattern is observed in bilateral lungs, which may be compatible with small airway or small vessel disease. When examined in the lung parenchyma window; Ventilation of both lungs is normal. No active infiltration, consolidation or space-occupying lesion was observed in the bilateral lungs. There are densities that may be compatible with linear subsegmental atelectasis in the lower lobes of both lungs.\n<mediastinum>: In the prevascular paratracheal, no lymphadenopathy was detected in pathological size and appearance in both axillae. Aortic diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Heart contour is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteophytes are observed in the anterior corpus corners of the vertebrae. Thoracic kyphosis has increased.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Aortic diameter is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The skin and subcutaneous structures included in the examination have a natural appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. Low-density nodules are observed in both adrenal gland corpuscles (adenoma?). An increase in density, which may be compatible with gallstones or biliary sludge, is observed in the neck section of the gallbladder included in the examination.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway, small vessel disease?).  There was no finding in favor of active infection in both lungs.  Increased heart size, calcific atheromatous plaques in mediastinal major vascular structures.  Nonspecific millimetric nodules in both lungs.  An increase in density, which may be compatible with gallstones or biliary sludge, is observed in the neck of the gallbladder.  Low-density nodules are observed in both adrenal gland corpuscles (adenoma?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5545/train_5545_a/train_5545_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13109",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: USG is recommended for better differential diagnosis with heterogeneous appearance in the thyroid parenchyma and a few oval-shaped findings measuring up to 22 mm compatible with nodules.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings have been evaluated in terms of viral pneumonia, and clinical laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; Ground glass density increases are observed in both lungs in a patchy manner, especially at the posterobasal and anterobasal levels of the left lung upper lobe.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch. Oval-shaped hypodense findings with more than one short axis measuring up to 12 mm in the mediastinum were evaluated in the direction of lymph nodes. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch. There are several calculus in the gallbladder. Upper abdominal organs are partially included in the study.\n\nImpression:\nClinical laboratory correlation and close follow-up of the findings described above in the lung parenchyma in terms of viral pneumonia are recommended.  Atherosclerotic changes . Lymph nodes in the mediastinum . MNG . cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5555/train_5555_a/train_5555_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13113",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, and diffuse mild ectasia and peribronchial thickness increases are observed more prominently in the bilateral bronchial structures in the center.\n<lung>: No active infiltration or mass lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, and diffuse mild ectasia and peribronchial thickness increases are observed more prominently in the bilateral bronchial structures in the center. There are several nonspecific nodules measuring 3.2 mm in size in both lung parenchyma, the largest of which is in the anterior segment of the right lung upper lobe.\n<mediastinum>: In mediastinal lymph node stations, no lymph nodes are observed in pathological bout and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, the heart contour contour, and the size are normal.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, the heart contour contour, and the size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in bone structures, and vertebral corpus heights were preserved.\n<abdomen>: In the image, the left lobe of the liver variably extends to the left upper quadrant in the abdominal sections. No solid mass was detected as far as it can be observed within the limits of unenhanced CT.\n\nImpression:\nMild emphysematous changes in both lung parenchyma, diffuse mild ectasia and peribronchial thickness increases observed more prominently in the central in bilateral bronchial structures (evaluated in favor of sequelae change).  A few millimetric nodules in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5557/train_5557_a/train_5557_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Viral pneumonias (covid19 pneumonia) are considered in the etiology of the findings. When examined in the lung parenchyma window; In both lungs, areas of increase in density consistent with indeterminate limited consolidation, showing a tendency to multilobar confluence, were observed.\n<pleura>: Minimal pericardial effusion and minimal left pleural effusion were observed.\n<mediastinum>: Calibration of mediastinal vascular structures is natural. In the mediastinum, fusiform lymph nodes with a short diameter of 13 mm were observed at the subcarinal level. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Heart contour and size are normal. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: There is a sliding type hiatal hernia in the lower extremity. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There is right-facing scoliosis in the thoracic vertebral column. No lytic-destructive was observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Minimal pericardial and left pleural effusion.  Fusiform lymph nodes with a short diameter greater than 1 cm in the mediastinum.  Right-facing scoliosis in the thoracic vertebral column."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5562/train_5562_a/train_5562_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Reticulonodular density increases are observed in the peribronchial area.\n<lung>: When examined in the lung parenchyma window; 40 mm-sized effusion with air densities in the right hemithorax and compression atelectasis adjacent to the effusion (empyema? secondary to the intervention?) Atelectasis in the fluid and suspicious nodular soft tissue densities that cannot be distinguished from the lung segment are observed. There are bilateral emphysematous findings.\n<pleura>: In bilateral lungs, thickening of the interlobular septa and subpleural striations are seen, more prominently on the right.\n<mediastinum>: Calcific atheroma plaques and coronary stents are seen in the aorta and coronary arteries. Lymph nodes with a short axis reaching 15 mm are observed in the mediastinum.\n<heart>: The heart is larger than normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. Changes related to sternotomy are observed.\n<abdomen>: A 43 mm cystic appearance is observed in the anterior part of the left kidney (exophytic renal cyst?). Upper abdominal sections show the appearance of subtalar gastrectomy. Calcific atheroma plaques and coronary stents are seen in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly.  Sternotomy.  Aortic and coronary artery atherosclerosis, coronary stents, pacemaker and port catheter.  Complicated collection containing right pleural air (empyema? secondary to intervention?), suspicious nodular soft tissue densities in the collection.  Appearances of pulmonary edema and reticulonodular densities in both lungs.  Mediastinal lymph nodes.  Post-surgical changes in the stomach, left renal exophytitis cyst?  Right thyroid nodule."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5564/train_5564_a/train_5564_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: A nonspecific millimetric nodule with a diameter of 2 mm is observed in the superior segment of the lower lobe of the right lung. No pneumonia was detected. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: There was no finding compatible with pleural effusion in both lungs.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Thymic tissue with trigonal configuration is observed in the anterior mediastinum, which does not show any mass effect and partially undergoes fatty involution. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area. There is a heterogeneous hypodense nodular appearance with a diameter of approximately 9 mm in the vertebral body, which may be compatible with a hemangioma at the mid-dorsal level.\n<abdomen>: Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5567/train_5567_a/train_5567_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. Minimal bronchiectasis and structural distortion and volume loss are observed in a small area in the peripheral area of the right lung lower lobe superior segment. The described appearance was also present in the previous examination of the patient and no difference was detected. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. It was learned that the patient had undergone right lower lobectomy for lung cancer.\n<pleura>: There is no pleural effusion on the left. There is pleural effusion on the right.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: No pericardial effusion or thickening was detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nOperated lung ca.  Millimetric nodules in both lungs.  Emphysematous changes in both lungs.  Findings evaluated primarily in favor of sequelae change in the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5568/train_5568_b/train_5568_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13137",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. The largest of these lymphadenopathies is observed in the neighborhood of the right main bronchus and is approximately 25x18 mm in size. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: These findings were primarily evaluated in favor of infective pathology. There are lymphadenopathies in the mediastinum and in the right hilar region. It was understood that the patient had a right lower lobectomy. These nodules appear to have just appeared. In the posterior segment of the upper lobe of the right lung and in the middle lobe, there are centriacinar nodules, some of which have the appearance of budding trees. There are emphysematous changes and local atelectasis in both lungs. No mass was detected in both lungs.\n<pleura>: There is no pleural effusion and bilateral pleural thickening on the left. There is minimal pleural effusion on the right.\n<mediastinum>: There are lymphadenopathies in the mediastinum and in the right hilar region. The widths of the mediastinal main vascular structures are normal. Almost all of these lymph nodes are round in shape. Mediastinal structures could not be evaluated optimally because no contrast agent was given. Others are followed millimetrically in the previous examination and have reached pathological dimensions in this examination. Atheroma plaques were observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be seen; Heart contour and size are normal. Atheroma plaques were observed in the aorta and coronary arteries.\n<esophagus>: There is an occlusive hiatal hernia at the lower end of the esophagus. Therefore, they were considered to be metastatic. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques were observed in the aorta and coronary arteries.\n\nImpression:\nLymphadenopathies thought to be primarily metastatic in the operated lung ca, mediastinum and right hilar region in the follow-up  Findings evaluated primarily in favor of infective pathology in the right lung  Right pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5568/train_5568_c/train_5568_c_1.npy"
        ]
    },
    {
        "id": "report_generation_13143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Scattered and peripherally located ground-glass-style density increases are observed in both lungs and were evaluated as compatible with Covid pneumonia. There is a mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?) Upper abdominal organs included in the sections show a decrease in density consistent with mild steatosis in the liver. If necessary, post-treatment evaluation is recommended. Apart from this, smaller millimetric nodular views are also available.\n<mediastinum>: CTO is at the maximal physiological limit. It is wider than normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. The aortic arch calibration is 30 mm. Calibration of other mediastinal major vascular structures is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: There is a mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?) Upper abdominal organs included in the sections show a decrease in density consistent with mild steatosis in the liver. CTO is at the maximal physiological limit. It is wider than normal. The aortic arch calibration is 30 mm. In the left adrenal genus, there is a hypodense lesion consistent with an adenoma with a diameter of approximately 7 mm and a negative HU density value.\n\nImpression:\nScattered and peripherally located ground-glass-style density increases in both lungs were evaluated as compatible with Covid pneumonia. Millimetric nodules in both lungs, post-treatment evaluation is recommended if necessary.  Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?) . Millimetric sized adenoma in left adrenal"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5570/train_5570_a/train_5570_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A nonspecific nodular lesion with a diameter of 6.5 mm was observed in the left major fissure. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There is atelectasis parenchyma adjacent to the fissure in the linguloinferior segment of the left lung upper lobe.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. The short axis of the largest measured 14 mm. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Calcified atheroma plaques in the LAD and valve calcification in the aortic valve are observed. Pericardial effusion was not detected. Evaluation with sonography is recommended. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<breast>: At level 2 and level 1 localization in the right axilla, ovoid configurations are preserved, but there are nonspecific lymph nodes showing a slight increase in diameter.\n<bone>: No lymph node was observed in the supraclavicular fossa and left axilla in pathological size and appearance. Degenerative changes and osteoporosis are present. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nPneumonic infiltration is not detected in the lung parenchyma. It is recommended to evaluate lymph nodes located at level 1 and 2 in the right axilla by USG.  Calcified atheromatous plaques in LAD . Solitary pulmonary nodule in left lung . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5573/train_5573_a/train_5573_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: Clinical and laboratory correlation is recommended. When both lung parenchyma windows are evaluated; Emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in both lungs. Fibroatelectatic changes were observed in the lower lobes of both lungs, the largest in the middle lobe of the right lung. Some calcified nonspecific parenchymal nodules were observed in both lungs. The outlook is consistent with possible findings for Covid-19 pneumonia. Parenchymal fibrosis with calcification causing structural distortion in the left lung inferior lingular segment and parascastriial bronchiectatic changes were observed.\n<pleura>: Ground glass density increases were observed in the lower lobes of both lungs in the peripheral subpleural area, and focal ground glass density increases were observed in the peripheral subpleural area in the anterior segment of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal upper-lower paratracheal lymph nodes measuring 8mm in the short axis of the larger than prevascular forehead were observed.\n<heart>: Pericardial minimal effusion was observed. As far as can be observed: Calcified atherosclerotic changes and densities of stent material were observed in the wall of the coronary artery. Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Further review is recommended. In the descending colon at the level of the splenic flexure in the examination area, suspicious wall thickness increase in the colon, contamination in the pericolonic fatty plane and millimetric lymph nodes were observed. Thoracic aorta diameter is normal. Subcapsular parenchymal calcification with a diameter of 7 mm was observed in the posterior right lobe of the liver. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 7 mm was observed in the posterior neighborhood of the spleen.\n\nImpression:\nEmphysematous changes in both lungs.  Sequelae changes in both lungs and paracastricial bronchiectasis in the left lung.  Nonspecific parenchymal nodules, some calcified in both lungs. Possible findings for Covid-19 pneumonia, Clinical and laboratory correlation recommended.  Suspected increase in wall thickness at the level of the splenic flexure-descending colon, contaminations in the pericolonic fatty plane, and millimetric lymph nodes. Further investigation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5577/train_5577_a/train_5577_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: A calcific atheroma plaque was observed in the LAD artery. The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: The esophagus was evaluated as normal.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCalcific atheroma plaque in LAD artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5579/train_5579_a/train_5579_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Emphysematous appearance is present in both lungs and is stable. Although there was a minimal increase in ground glass in the posterior upper lobe of the right lung, no significant difference was found apart from this.\n<pleura>: There are subpleural ground-glass infiltrates in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, lymph nodes whose short axes do not exceed 10 mm are stable.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<abdomen>: Thoracic aorta diameter is normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5584/train_5584_c/train_5584_c_1.npy"
        ]
    },
    {
        "id": "report_generation_13187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and central consolidations, more prominent in the lower lobes, and ground-glass appearances accompanying the consolidation are observed in both lungs. There is an inverted halo sign in the superior segment of the lower lobe of the right lung. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5585/train_5585_a/train_5585_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13202",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal and their lumens are clear.\n<lung>: Just above it, there is another nodule with a diameter of 3 mm. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: A subpleural 2 mm diameter nodule is observed at the lower lobe laterobasal level in the left lung. In the right lung, a 5x3 mm nodule is observed in the lower lobe superior segment, adjacent to the interlobar fissure in the lateral subpleural area.\n<mediastinum>: In the anterior mediastinum, thymic tissue with nodular contours but no significant mass effect is observed in places. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. There is a fat-protected parenchyma area adjacent to the gallbladder. In the upper abdominal organs, including sections; A decrease in density consistent with mild steatosis is observed in the liver.\n\nImpression:\n1-2 nonspecific nodules in both lungs, the largest of which is 5 mm in size.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5593/train_5593_a/train_5593_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Again, in the middle lobe, there is a mild degree of bud branch view. In the left lung, there are thickening of the peribronchial sheath at the posterobasal level of the lower lobe, changes in pleuroparenchymal sequelae, and fine reticulonodular density increases. On this background, there are accompanying bud branches in the upper lobe posterior segment of the right lung. No pathological size and configuration of lymph nodes were detected at both hilar levels. It is recommended to evaluate the case with clinical and laboratory findings in terms of viral pneumonias, including Covid. There are ground-glass-like density increases in both lungs, which are scattered and most prominently observed in the upper lobe segments of the left lung. There are sequelae changes at the posterobasal level in the lower lobe of the right lung, and a mild branch view with buds.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: The calinbration of the aortic arch is 31 mm. CTO is within the normal range. It is slightly wider than normal. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the aortic arch, ascending and descending aorta, and coronary arteries. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, ascending and descending aorta, and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. There are findings that are considered compatible with DISH.\n<abdomen>: The calinbration of the aortic arch is 31 mm. In the sections passing through the upper abdomen, there is a decrease in density consistent with steatosis in the liver. Other upper abdominal organs included in the sections are normal. CTO is within the normal range. It is slightly wider than normal. Left adrenal lateral crus is full. Calcific atheroma plaques are observed in the aortic arch, ascending and descending aorta, and coronary arteries. Nodular density, which may be compatible with the accessory spleen, is observed in the caudal neighborhood of the spleen.\n\nImpression:\nIt is recommended to evaluate the case together with clinical and laboratory findings in terms of focal ground-glass-like density increases in both lungs, sometimes accompanying reticulonodular densities, viral pneumonia.  Hepatosteatosis.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5601/train_5601_a/train_5601_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland has increased and several millimetric hypodense nodules are observed in it.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: First of all, it was evaluated in favor of sequela-benign pathologies. There is a nodular lesion with coarse calcification in the upper lobe of the left lung, peribronchovascular area, approximately 2x2 cm in size, and a nodular appearance in the anterolateral neighborhood of approximately 6x12 mm in partial calcified soft tissue density. There are bulla-bleb formations in both lungs. In both lungs, there are more prominent ground glass areas and interlobular septal thickness increases in places in the right lung upper lobe posterior segment. Several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the upper paratracheal area. There is compression atelectasis adjacent to the effusion.\n<pleura>: Pleural effusion with a thickness of 4 cm in the right hemithorax and 2.5 cm in the left hemithorax is observed.\n<mediastinum>: The diameter of the ascending aorta was 37 mm, the diameter of the aortic arch was 35 mm, and the diameter of the descending aorta was 33 mm and increased. Several lymph nodes with a diameter of 8 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the upper paratracheal area. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The diameter of the ascending aorta was 37 mm, the diameter of the aortic arch was 35 mm, and the diameter of the descending aorta was 33 mm and increased. Minimal pericardial effusion is observed. The cardiothoracic ratio increased in favor of the heart.\n<bone>: There are bridging osteophytes in the corners of the thoracic vertebra corpus. There is a compression fracture in the L1 vertebral body that causes about 50% loss of height. No lytic-destructive lesions were observed in the bone structures.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; there is a low-density hypodense lesion with a diameter of 2 cm in the left kidney (cyst?). The diameter of the ascending aorta was 37 mm, the diameter of the aortic arch was 35 mm, and the diameter of the descending aorta was 33 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. It is recommended to be evaluated together with previous examinations, if any.\n\nImpression:\nBilateral pleural and minimal pericardial effusion, compression atelectasis adjacent to the effusion in both lungs.  Ground glass areas in both lungs, interlobular septal thickness increase in places; appearance is nonspecific. It is recommended to be evaluated together with clinical and physical examination findings in terms of infectious pathologies.  Two nodular appearances, mostly calcified, in the upper lobe of the left lung, in the peribronchovascular area; firstly, it was evaluated in favor of sequela-benign pathologies. It is recommended to be evaluated together with previous examinations, if any.  Cardiomegaly, dilatation of the aorta.  Increase in thyroid gland size, a few millimetric hypodense nodules in the parenchyma.  Hypodense lesion (cyst?) in the left kidney.  A compression fracture in the L1 vertebral corpus that causes approximately 50% loss of height."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5603/train_5603_a/train_5603_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13230",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5604/train_5604_a/train_5604_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5613/train_5613_a/train_5613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is open and there are hypodense appearances of mucus plugs in both main bronchi.\n<lung>: In the lower lobes of both lungs, there are areas of increase in density consistent with consolidation in which air bronchograms are also observed, which is evaluated primarily in favor of aspiration pneumonia. There are minimal emphysematous changes in localized sequela parenchymal changes in both lungs. Total obstruction secondary to hypodense mucus plugs is observed in both lung lower lobe bronchi.\n<pleura>: In the left pleural space, there is an effusion measuring approximately 50 mm in the deepest part, in the form of ankylosing in places. Diffuse mild thickness increase is observed in the pleura. In the right pleural space, there is an effusion of approximately 20 mm in depth in which air densities are also observed, which is considered secondary to the interventional process. A drainage catheter applied to the right pleural space is observed.\n<mediastinum>: Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: Pericardial effusion was not detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. As far as can be observed: Heart contour, its size is natural.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are common degenerative changes.\n<abdomen>: No features were detected within the borders of non-contrast CT in the upper abdomen sections within the image. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nCalcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Hypodense appearances consistent with the secretion causing obstruction in both main bronchi and lower lobe bronchi of both lungs, and areas of increased density in both lung lower lobes consistent with consolidation evaluated in favor of aspiration pneumonia.  Drainage catheter in the right pleural space and an anchy effusion in both pleural spaces on the left.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5619/train_5619_a/train_5619_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Hypodense mucus plugs are observed in the lower lobe bronchi of both lungs. There are atelectasis appearances distal to the described levels, volume loss in the lower lobe of the right lung. In the lower lobes of both lungs, there are patchy consolidated atelectatic areas and patchy ground glass densities, which are consistent with the consolidation observed in air bronchograms evaluated primarily in favor of aspiration pneumonia. Emphysematous changes are observed in both lungs. There is a space-occupying lesion measuring 80x62 in the axial sections extending to the anterior of the left lobe of the liver and 61 mm in the craniocaudal axis distal to the level where the mucus plugs extend in the right lung, where total obstruction is observed and volume losses are detected.\n<pleura>: In the left pleural space, there is an effusion measuring up to 52 mm in thickness. In the previous examination of the right hemithorax, there are significant thickenings in the pleural leaves at the level where the drainage catheter extends.\n<mediastinum>: There are calcific atheroma plaques in the coronary arteries and aorta.\n<bone>: There are widespread degenerative changes in bone structures. Thoracic kyphosis has increased.\n<abdomen>: There are calcific atheroma plaques in the coronary arteries and aorta.\n\nImpression:\nSecretions causing obstruction in both main bronchi and lower lobe bronchi of both lungs, significant volume loss in the lower lobe of the right lung.  Findings evaluated in favor of aspiration pneumonia in the lower lobe of both lungs.  The drainage catheter, which was observed in the right pleural space in the previous examination, was not detected in the current examination. Anky effusions in both pleural spaces, more prominent on the left.  Air densities in the right pleural space.  Diffuse degenerative changes in bone structures.  Increase in thoracic kyphosis.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5619/train_5619_b/train_5619_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Focal nodular thickness increases are observed in the right lung major fissure. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. It is millimetric and nonspecific. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, a decrease in liver parenchyma density is observed, consistent with advanced hepatosteatosis.\n\nImpression:\nFocal millimetric nodular non-specific thickness increases in the major fissure of the right lung.  Advanced hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5624/train_5624_a/train_5624_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13280",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5627/train_5627_a/train_5627_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: Mild emphysematous changes are present in both lungs. Pleuroparachymal sequelae density increases were observed in both lungs apical. When both lung parenchyma windows are evaluated; An air cyst with a diameter of 15 mm was observed in the upper lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Diffuse calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Diffuse calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections that entered the examination area, 6 mm diameter calculi were observed in the right kidney midzone. Diffuse calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nSequelae changes in both lungs, mild emphysematous changes. Air cyst in the right lung.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5629/train_5629_a/train_5629_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13288",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The findings described in Covid-19 pneumonia are also frequently observed. There are also round consolidations and ground glass areas in the right lung, especially in the peripheral areas. Peripheral and central consolidations and ground glass areas are observed in the upper and lower lobes of the left lung. No mass was detected in both lungs. The described findings suggest a primary infective pathology.\n<pleura>: Bilateral pleural effusion, more prominent on the right, was observed. The thickest part of the pleural effusion on the right was 54 mm.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. There are diffuse atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The bile ducts have an airborne appearance. Aorta diameter is normal. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There are diffuse atheromatous plaques in the aorta and coronary arteries. In addition, a stent extending to the duodenum was observed in the bile ducts.\n\nImpression:\nCommon findings that may be consistent with Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5630/train_5630_a/train_5630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13292",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, there are several nodules, the largest of which is 3 mm in the posterobasal right lower lobe. When examined in the lung parenchyma window; Minimal sequela fibrotic changes are observed in the lungs.\n<pleura>: Mild irregularly circumscribed nonspecific nodular densities were observed adjacent to the minor fissure in the middle lobe of the right lung and with a subpleural diameter of 5 mm in the posterobasal region of the left lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules in both lungs  Nodular densities with irregular borders in the middle lobe of the right lung and the lingula of the left lung. Sequelae or infiltration distinction cannot be made clearly at this stage. It could be the start of infection. Control review is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5632/train_5632_a/train_5632_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No significant consolidation was detected in the bilateral lung parenchyma. When the described findings are evaluated together with the clinic, they suggest viral pneumonia in the first place.\n<pleura>: When examined in the lung parenchyma window; In both lungs, multilobar, peripheral subpleural ground-glass-like density increases and accompanying interlobular septal thickening were observed in the middle lobes and lower lobes.\n<mediastinum>: Minimal calcified atherosclerotic plaque was observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis smaller than 7 mm were observed in the mediastinal, upper-lower paratracheal, aorticopulmonary window, and subcarinal area.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Minimal calcified atherosclerotic plaque was observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThe appearance suggestive of viral pneumonia in the bilateral lung parenchyma is recommended to be evaluated together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5634/train_5634_a/train_5634_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No infiltrative lesion was detected in both lung parenchyma. There is a 5 mm nodule in the anterior basal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; In both lungs, ground-glass-like density increases with a peripheral distribution in all zones and a tendency to converge from place to place, and areas of consolidation, and clearly parenchymal linear sequelae changes and band atelectasis are observed.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The aortic arch calibration is 32 mm and wider than normal. Lymph nodes are observed in the mediastinum in the upper-lower paratracheal, prevascular, aorticopulmonary window, and subcarinal area, with the largest measuring 13 mm in the subcarinal area and its short axis. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. Calibration of other major vascular structures is normal. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: There is mild hepatosteatosis compatible appearance in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. The aortic arch calibration is 32 mm and wider than normal.\n\nImpression:\nIt has been evaluated depending on the course of the disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5634/train_5634_b/train_5634_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: In the current examination, there are newly emerged nodules in the anterior segment of the right lung upper lobe and in the posterobasal subsegment of the left lung upper lobe apicoposterior segment, adjacent to the fissure. Emphysematous appearance was observed in both lungs. A few smaller parenchymal nodules were observed in the lower lobe anterobasal segment of the right lung, close to the diaphragm, and close to the hilum in the lower lobe anterobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A nodule measuring 10x5.6 mm (8x3.8 in the previous examination) was observed in the right lung lower lobe laterobasal segment. Segmental-subsegmental peribronchial thickening is observed in both lungs, and tubular bronchiectasis is evident in the center. When examined in the lung parenchyma window; A subsegmental atelectatic change was observed in the left lung inferior lingular segment.\n<pleura>: Sequelae thickening was observed in both hemithorax and posterior costal pleura.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcification was observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nAortic valve calcification.  Bronchiectasis changes that are evident in the center in both lungs, peribronchial thickening, subsegmental atelectasis changes, emphysematous appearance in both lungs, stable parenchymal nodules in both lungs.  Subpleural nodule showing increased size in the lower lobe of the right lung  Millimetric nodules newly emerged in the current examination in the right lung upper lobe anterior and left lung upper lobe posterior segment; follow-up is recommended.  Sequela thickening of posterior costal pleura in both hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5634/train_5634_d/train_5634_d_1.npy"
        ]
    },
    {
        "id": "report_generation_13309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A mild atelectatic change is observed in the inferior lingula of the left lung lower lobe. There is a millimetric nodule that does not show significant dimensional difference in series 2 image 140 in the superior lower lobe of the left lung. When examined in the lung parenchyma window; In the lower lobe of the right lung, a nodular formation with a size of 5 mm, which continues in the same direction with the vascular structure, is observed in series 2 image 164, which was also observed in the previous examination.\n<pleura>: Subpleural irregularity is present. In the lateral segment of the lower lobe of the left lung, there is a subpleural 2 mm nodule in series 2 image 156, which was not observed in the previous examination. In the left lung upper lobe anterior, there is a millimetric nonspecific nodule that does not differ significantly in series 2 image 70. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. (short segment aneurysmal dilatation in pulmonary arterial structure?, small nonspecific nodule?). Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. No space-occupying lesion was detected in other organs. Upper abdominal organs included in the sections are normal. There is an appearance in favor of steatosis in the liver parenchyma entering the section area.\n\nImpression:\nNodular formation (short segment aneurysmal dilatation in the pulmonary arterial structure?, small nonspecific nodule? evaluated in its favour.  Subpleural new small nodule in series 2 image 156 in the lower lobe of the left lung  A few millimetric nonspecific nodules in both lungs without significant difference"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5634/train_5634_e/train_5634_e_1.npy"
        ]
    },
    {
        "id": "report_generation_13319",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical lab correlation is recommended due to the current pandemic. When examined in the lung parenchyma window; Consolidated atelectatic changes are observed extending from the right hilar region to the posterobasal area, including air bronchograms. The findings were primarily evaluated in favor of lobar pneumonia.\n<mediastinum>: There are calcific lymph nodes measuring up to 10 mm in the mediastinum and hilar region. Thoracic aorta diameter is normal. Several lymph nodes are observed in the paratracheal area at the carina level, with the largest one measuring 9 mm in the short axis and 13 mm in the long axis. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction and osteophrenic appearance are present in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. A few cortical, up to 21 mm, hypodense findings in both kidneys that were evaluated as suboptimal within the limits of the examination were evaluated in favor of cysts.\n\nImpression:\nAtherosclerosis . Consolidated atelectatic changes extending to the posterobasal level of the lower lobe of the right lung were primarily evaluated in favor of lobe pneumonia. Clinical lab correlation and follow-up are recommended due to the current pandemic.  Thinning of cortical structures in the lower pole of the left kidney.  Osteophrenic appearance, degenerative changes in bone structures . Calcific-noncalcific small lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5639/train_5639_a/train_5639_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Consolidation was observed in the medial segment of the right lung middle lobe. Considering the clinical information together, this appearance was primarily thought to be pneumonic infiltration. There are sometimes linear atelectasis in both lungs. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nAppearance evaluated primarily in favor of pneumonic infiltration in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5643/train_5643_a/train_5643_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It was evaluated in favor of infectious processes in the first plan.\n<pleura>: When examined in the lung parenchyma window; There is an increase in density in the upper lobe of the left lung, located subpleural in the superior and inferior lingula, around which radial recessions are also observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe increase in density described in the left lung upper lobe inferior lingula, subpleural, around which radial recessions are also observed, was initially evaluated in favor of sequelae changes. Infectious processes are also in the differential diagnosis. Follow-up is recommended in case of doubt after the elimination of infectious processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5650/train_5650_a/train_5650_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Multiple pulmonary nodules measuring 7 mm in diameter are observed in both lungs, the largest of which is in the posterobasal segment of the left lung lower lobe. When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs. However, it is a new finding in the anterior segment of the upper lobe of the right lung. Interlobular septal thickenings were observed in its vicinity. A calcified nonspecific pulmonary nodule with a diameter of 2.5 mm is observed in the apical segment of the right lung.\n<pleura>: In the upper lobe anterior segment of the right lung, a nodular consolidation area in which air bronchograms are observed, with a size of approximately 2.9x1.9 cm, in which density increases in the form of ground glass are observed in the periphery of the pleura adjacent to the mediastinum.\n<mediastinum>: Diffuse calcific atherosclerotic changes are observed in the thoracic aorta, coronary artery wall and abdominal aorta. Mediastinal, upper-lower paratracheal, prevascular, subcarinal lymph nodes with a short axis smaller than 1 cm are observed. No lymph nodes were detected in mediastinal hilar and bilateral axillary pathological dimensions and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed in the distal esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: A relatively well circumscribed hypodense nodular lesion of 8x4mm (10x7mm in the previous technique) is observed in the areola superolateral localization in the outer quadrant of the right breast (lymph node?).\n<bone>: There are bridging osteophyte formations in the right anterolateral of the thoracic vertebra. No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Diffuse calcific atherosclerotic changes are observed in the thoracic aorta, coronary artery wall and abdominal aorta. The liver is normal in the upper abdominal sections included in the examination area. The parenchyma thickness is thinned from place to place. Bilateral adrenal gland is normal. Both kidneys are reduced in size.\n\nImpression:\nRegressed collection area at the level of the right costosternal joint. Multiple pulmonary nodules in both lungs. A nodular consolidation area sitting on the mediastinal pleura in the anterior segment of the left lung upper lobe is a novel finding. Bilateral atrophic kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5651/train_5651_a/train_5651_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripherally located millimetric sequela calcific nodules are observed in both lungs. The differential diagnosis also includes Covid-19 pneumonia. No active infiltration, consolidation or space-occupying lesion was detected. First of all, the sequelae were interpreted in favor of the change. Pleuroparenchymal linear density in the lateral lingular segment of the left lung and a barely distinguishable ground-glass opacity are observed in this area.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nodules with sequelae in both lungs. Pleuroparenchymal linear density in the lateral lingular segment of the left lung and the barely distinguishable ground glass opacity in this area have been interpreted primarily in favor of a change in sequelae. The differential diagnosis also includes Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5661/train_5661_a/train_5661_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread patchy ground glass areas and areas of consolidation are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. Liver density in the cross-sectional area decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nTypical-probable Covid-19 pneumonia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5673/train_5673_a/train_5673_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Hypodense nodules measuring 18 mm in diameter, the largest on the right, were observed in both thyroid lobes.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Again, a pulmonary nodule with a diameter of 8.5 mm was observed in the upper lobe of the right lung. Subsegmentary atelectasis areas were observed in the posterior segment of the upper lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; Widespread free pleural effusion reaching 8 cm in its widest part is observed between the pleural leaves on the left, and the lower lobe of the left lung is collapsed except for the superior segment.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mild calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Multiple calcified lymph nodes measuring 13x8 mm in the upper-lower paratracheal, prevascular, subcarinal, and both hilar localizations were observed and were evaluated as secondary to post treatment.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Mild calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural. No dilatation was detected in the thoracic aorta. At the level of the celiac trunk and lesser curvature, the sizes of the lymph nodes observed in the previous examination have decreased in the current examination.\n\nImpression:\nSize of intra-abdominal lymph nodes decreased in current examination.  Mediastinal multiple calcified lymph nodes.  Newly revealed pulmonary nodule in upper lobe of right lung on current examination.  Sequelae changes and atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5674/train_5674_a/train_5674_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13402",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: However, in the presence of primary disease, the diagnosis of metastasis cannot be excluded. There are 4-5 nodules in the posterobasal segment of the lower lobe of the right lung, the posterior segment of the upper lobe of the right lung, and the anteromediobasal segment of the lower lobe of the left lung. Apart from these, there are nodules in both lungs, which can be observed in the previous examination of the patient and whose size and appearance do not differ. The described lesions could not be clearly characterized due to their size. No mass or infiltrative lesion was detected in both lungs. The largest of the nodules described is observed in the posterobasal segment (series 2 section 258) of the lower lobe of the right lung and measured 6.3 mm in diameter. The largest of the nodules described is observed in the posterobasal segment of the lower lobe of the right lung and measured approximately 4.5 mm in diameter. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment.\n<pleura>: Minimal volume loss and density increases are observed in the peripheral subpleural areas in the right lung upper lobe anterior segment and middle lobe anterior segment, which is evaluated in favor of treatment-related changes. No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in both axillae, bilateral retropectoral regions and internal mammary artery traces. The widths of the mediastinal main vascular structures are normal.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<breast>: In addition, there is an increase in asymmetric density in the lower half of the middle part of the breast. Postoperative changes were evaluated in favor. The described appearances can also be observed in the previous examination of the patient, and no difference was detected. Nonspecific density increases and surgical suture materials are observed in the middle part of the right breast, adjacent to the pectoral muscles.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nBreast Ca in the follow-up, findings in favor of postoperative changes in the right breast . Millimetric nodules in both lungs that are found to be newly appeared in this examination (metastasis diagnosis cannot be excluded in the presence of primary disease) . Stable millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5678/train_5678_a/train_5678_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild sequela changes are observed in both lungs from place to place. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease? small airway disease?).\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: CTO is normal. Calibration at the level of the aortic arch is 30 mm, slightly above normal. Mediastinal and hilar pathological size and configuration of lymph nodes were not detected. It is natural at other levels.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: In the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver. CTO is normal. Calibration at the level of the aortic arch is 30 mm, slightly above normal.\n\nImpression:\nMosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5681/train_5681_a/train_5681_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; The bronchial walls are thickened in both lungs. Trachea, both main bronchi are open.\n<lung>: Especially in the lower lobes of the lungs, increases in interseptal thickness are observed more clearly. It is appropriate to evaluate it together with clinical and examination findings in terms of Covid-19 pneumonia. Viral pneumonias are also included in the differential diagnosis due to ground glass opacities. Ground-glass opacities, interlobar and interlobular septal thickness increases are observed, especially in the central parts of both lungs. These appearances were thought to be especially secondary to pulmonary edema.\n<pleura>: There is a pleural effusion reaching approximately 2 cm in the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures appear natural within the limits of the unenhanced examination. Calcific atheroma plaques are observed in the aorta and coronary arteries. Lymph nodes with short axes not exceeding 1 cm are observed in the mediastinal area.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild scoliosis with a left-facing opening is observed in the thoracic region in the bone structures entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCalcific atheroma plaques in the aorta and coronary arteries.  Centrally located ground glass opacities, interlobar interlobular septal thickness increases, and pleural effusion in the right lung, which are primarily evaluated in favor of pulmonary edema in both lungs; It is also in the differential diagnosis of Covid-19 pneumonia due to ground glass opacities. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5684/train_5684_a/train_5684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Correlation with clinical and laboratory is recommended for small air-vascular diseases. Passive atelectatic changes were observed in the medial segment of the middle lobe of the right lung, the inferior lingular segment of the left lung, and the anteromediobasal segment of the lower lobe of the left lung. Mosaic attenuation pattern was observed in both lungs as far as it can be observed secondary to motion artifacts.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: Pulmonary artery calibrations are natural. As far as can be seen; The diameter of the ascending aorta was 42 mm, and the descending aorta was 31 mm in diameter, which was larger than normal. Calcified atheroma plaques were observed in the coronary arteries and the wall of the thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The mediastinum could not be evaluated optimally in the examination without contrast agent.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries and the wall of the thoracic aorta.\n<esophagus>: Sliding type 1 hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the vertebrae. Vertebral corpus heights are normal.\n<abdomen>: Liver, gallbladder, spleen, both adrenal glands and pancreas are normal as far as can be seen on non-contrast images. As far as can be seen; The diameter of the ascending aorta was 42 mm, and the descending aorta was 31 mm in diameter, which was larger than normal. A 1.5 cm diameter hypodense cortical lesion extending to the perirenal area was observed in the upper pole anterior of the left kidney (cyst?). No stones were observed in both kidneys within the sections. Calcified atheroma plaques were observed in the coronary arteries and the wall of the thoracic aorta.\n\nImpression:\n- Thoracic aortic aneurysm, cardiomegaly Cortical hypodense lesion (cyst?) extending to the perirenal area.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5688/train_5688_a/train_5688_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Ventilation of both lung parenchyma is normal.\n<pleura>: When examined in the lung parenchyma window; Sequelae fibrotic changes in the lingular segment of the left lung and minimal sequelae thickening in the pleura towards the lateral lower lobe are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Examination of mediastinal and soft tissues is suboptimal because the examination is without contrast and low dose.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Anterior osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5690/train_5690_a/train_5690_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: More diffuse linear-band atelectatic changes were observed in the lower lobes of both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. The described findings are consistent with pulmonary overload findings secondary to heart failure. Parenchymal nodules with a diameter of 7 mm were observed in both lungs, the largest of which was in the superior segment of the lower lobe of the right lung. It is recommended to be evaluated together with previous examinations, if any. When examined in the lung parenchyma window; Peribronchial cuffing and mosaic attenuation pattern were observed in both lungs (small airway disease? small vessel disease?). available.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. The diameters of the pulmonary trunk, right and left pulmonary arteries increased by 40 mm, 32 mm, and 29 mm, respectively. Prevascular, right upper-bilateral lower paratracheal, subcarinal, bilateral hilar lymph nodes that did not reach pathological dimensions measuring 10 mm on the short axis of the larger were observed. Calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are above normal. There is a prosthesis in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Liver, both adrenal glands, spleen and pancreas are normal as far as can be seen in the sections. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. A hypodense nodular lesion with a diameter of 4 cm was observed in the middle part of the left kidney (cyst?). Calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, increased pulmonary artery diameters, cardiomegaly, aortic valve prosthesis, diffuse calcific atheroma plaques in the thoracic aorta, coronary arteries and abdominal aorta . Bilateral minimal pleural effusion, peribronchial cuffing; consistent with pulmonary overload findings. Mosaic attenuation pattern in both lungs (small airway disease? ?) . Degenerative changes in bone structures . Diffuse calcific atheroma plaques in the abdominal aorta and visceral branches"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5693/train_5693_a/train_5693_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are band atelectasis and mosaic density differences in both lung parenchyma. There are consolidations with air bronchogram in the right upper lobe and lower lobe, with the right upper lobe and lower lobe prominent. When examined in the lung parenchyma window; Paracardiac level atelectasis is observed in both lung parenchyma. Bilateral thickenings are observed in the interlobular septa in places.\n<mediastinum>: Other mediastinal major vascular structures are normal. Calcific plaques are observed in the aorta and its branches in the upper abdominal sections. The pulmonary artery is 39 mm, the right pulmonary artery is 29 mm, and the left pulmonary artery is 30 mm and is ectatic. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are extensive calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. There are changes related to valvuloplasty at the level of the aortic valve. The ascending aorta is 40 mm and is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteoporotic density losses are observed in bone structures. 6-7-8 on the left. Thoracic kyphosis has increased. Chronic fractures are observed in the posterolateral ribs. There are 50% or more height losses in the T4 and L1 corpuscles entering the section.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aorta and its branches in the upper abdominal sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are extensive calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, vascular ectasia, aortic and coronary artery atherosclerosis.  Sequelae changes in the lungs, mosaic densities, signs of pulmonary edema, consolidations in the right upper lobe and lower lobe extending to the peribronchial pleura.  Osteoporosis, height loss in T4-L1 vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5693/train_5693_c/train_5693_c_1.npy"
        ]
    },
    {
        "id": "report_generation_13449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Several lymph nodes are observed in both hilum, the largest on the right and measuring 15x10 mm. In the case, there is a decrease in density compatible with emphysema. Thickening of the interlobular septa is observed on this background. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Linear densities consistent with pleuroparenchymal sequelae are observed in the right lung lower lobe laterobasal segment. There are ground-glass-like density increases in both lungs, predominantly peripherally located and more prominently confluent on the right.\n<pleura>: In both lungs, some partially calcified nodular- in places plaque-like pleural thickenings are observed. Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: It is wider than normal. Calibration of mediastinal major vascular structures at other levels is natural. It is slightly larger than normal. Millimetric calcific atheroma plaques are observed in the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum. Pulmonary trunk calibration is natural. The aortic arch calibration is 31 mm.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is slightly larger than normal. Upper abdominal organs included in the sections are normal. Millimetric calcific atheroma plaques are observed in the aortic arch. The aortic arch calibration is 31 mm.\n\nImpression:\nIt is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia.  Decreased density compatible with emphysema  Pleural thickenings, locally calcific and plaque-like, in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5695/train_5695_a/train_5695_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The left thyroid parenchyma has a hypertrophic appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A space-occupying lesion is observed in the upper lobe of the right lung, adjacent to the mediastinum, with a size of 51x38 mm in axial sections and up to 66 mm in the craniocaudal axis. When examined in the lung parenchyma window; Mosaic attenuation patterns, cobblestone appearances, and density increases in crazy paving pattern are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes in the mediastinum, which were measured up to 21 mm at the carina level, which were also observed in the previous examination, showing increased dimensionality. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The left adrenal glands were normal and no space-occupying lesion was detected. There is a thickening in the right adrenal gland, which was evaluated in favor of previously known metastasis, no significant difference was found. Thoracic aorta diameter is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo significant dimensional and structural difference was detected in the space-occupying lesion described in the upper lobe of the right lung.  Hypertrophic appearance in the left thyroid parenchyma.  There is a thickening in the right adrenal gland, which was evaluated in favor of previously known metastasis, no significant difference was detected.  Lymph nodes measuring up to 27 mm in the mediastinum, especially at the level of the carina, which did not show significant difference in the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5701/train_5701_a/train_5701_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A mass is observed in the medial of the apical segment of the left lung upper lobe. However, immune pneumonitis indicated in the clinical preliminary diagnosis may cause a similar appearance. The described appearance is non-specific. It is understood that the described mass is the primary mass of the patient. In both lungs, interlobular septal and interstitial thickenings, ground glass appearances and microcystic areas were observed, more prominently in the lower lobes and peripheral regions.\n<pleura>: No significant pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary artery. The widths of the mediastinal main vascular structures are normal. The largest of the described lymph nodes is observed in the subcarinal region and its short diameter is 15 mm. There are lymph nodes in the mediastinum and hilar regions. When the previous examination of the patient was examined, it was understood that some of these were metastatic lymph nodes. However, in this examination, it is understood that cavitation has occurred in the mass.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: has. No upper abdominal free fluid-collection was detected in the sections. There are atheromatous plaques in the aorta and coronary artery. The longest diameter of the mass was 55 mm at its widest point.\n\nImpression:\nIn the follow-up, lung ca, mass in the right lung upper lobe, mediastinal and hilar lymph nodes, nodular lesion in the right adrenal gland corpus  Interlobular septal and interstitial thickenings, ground glass appearances and microcystic areas in both lungs (This appearance may be compatible with immune pneumonitis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5701/train_5701_b/train_5701_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up are recommended. Findings can be seen in Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed mostly at the lower lobe basal levels and posteriorly.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground glass densities in the lower lobe basal levels and posterior in both lungs, findings can be seen in Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5709/train_5709_a/train_5709_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The distributions and appearances of the described lesions are in the same way that is frequently observed in Covid-19 pneumonia. The described manifestations were evaluated primarily in favor of viral pneumonia. There are sometimes linear atelectasis in both lungs. There is no mass in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there are millimetric stones in the gallbladder as far as can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. It is recommended that the patient be evaluated together with previous examinations, if any. There are hypodense lesions in the left kidney that cannot be characterized because contrast agent is not given.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5713/train_5713_a/train_5713_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook can be seen in Covid-19 pneumonia. However, it is not specific. Dependent is mostly evaluated in favor of density increases.\n<pleura>: When examined in the lung parenchyma window; subpleural focal nonspecific ground glass density was observed in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Clinic-lab correlation is recommended. In the upper abdominal sections included in the examination area, liver parenchyma density was diffusely decreased in line with adiposity.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5723/train_5723_a/train_5723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground glass appearances are observed around some of the nodules. Many pathologies can cause these appearances. There was no appearance that could be evaluated in favor of a mass or pneumonic infiltration in both lungs. There are nodules in both lungs, the larger of which is in the lower lobe, measuring approximately 10 mm in diameter.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: The views described are not specific. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nNodules in both lungs, some with areas of ground glass around them."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5730/train_5730_a/train_5730_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are thickenings of the peribronchial sheath.\n<lung>: There is a parenchymal band at the posterobasal level of the lower lobe of the right lung. A calcific nodule with a diameter of 4 mm is observed in the middle lobe of the right lung. Branch bud landscapes and accompanying ground-glass-like density increments are observed in the lower lobe of both lungs. Again, bud branch views are observed in the perihilar area in the right lung, in the middle lobe, in the left lung at the perihilar level in the upper lobe, and in the lower lobe superior segment at laterobasal and posterobasal levels. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). Prominence in interlobular septa and fluid appearance at the level of fissures are observed.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there is pleural effusion reaching 40 mm on the right and 25 mm on the left in its thickest part.\n<mediastinum>: It is wider than normal. Calcific atheroma plaques are observed in the ascending aorta, aortic arch, descending aorta, and coronary arteries. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the subcarinal level, the largest of which is in the subcarinal area, measuring approximately 19x12 mm. The aortic arch calibration is 33 mm. Pulmonary trunk calibration is natural.\n<heart>: Cardiac pacemaker is observed at the left pectoral level, and its catheters are observed at the right atrium and right ventricular epicardium level. CTO increased in favor of the heart. Calcific atheroma plaques are observed in the ascending aorta, aortic arch, descending aorta, and coronary arteries.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: It is wider than normal. In the sections passing through the upper abdomen, there is a mild hepatosteatosis appearance in the liver. Calcific atheroma plaques are observed in the ascending aorta, aortic arch, descending aorta, and coronary arteries. Both adrenals are natural. Both kidneys are slightly atrophic. There is a hypodense lesion of approximately 15 mm in diameter in the posterolateral aspect of the right kidney (cortical cyst?). The aortic arch calibration is 33 mm.\n\nImpression:\nFindings compatible with cardiac stasis . In this background, bud branch views are observed in both lungs, and evaluation together with clinical and laboratory findings in terms of infective processes is recommended. No typical findings for Covid pneumonia have been identified.  Bilateral pleural effusion . Hypodense lesion (cortical cyst?) in the posterolateral right kidney.  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5732/train_5732_a/train_5732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; In both lungs, ground glass density increases were observed in the peripheral subpleural area and the peribronchovascular area, which tended to coalesce from place to place.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calibration of other mediastinal major vascular structures is natural. As far as can be seen; The diameter of the main pulmonary artery was 30 mm and showed minimal dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is metallic suture material belonging to sternotomy on the anterior thorax wall. Left-facing scoliosis was observed in the thoracic vertebrae.\n<abdomen>: The spleen was not observed, and a few soft tissue lesions measuring 19 mm in diameter were observed in the spleen lodge (splenosis?). Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal dilatation of the pulmonary artery.  There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended.  The spleen was not observed, and a few soft tissue lesions, the largest of which was 19 mm in diameter, were observed in the spleen lodge (splenosis?).  Mild scoliosis with left-facing opening in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5738/train_5738_a/train_5738_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in both lungs. The described ground glass areas are more prominent in the lower lobe of the lung and in the peripheral regions. When evaluated together with the patient's clinical knowledge, the described manifestations were primarily evaluated in favor of viral pneumonia (Covid 19 pneumonia). There are enlarged vascular structures within the ground glass area. Some of the frosted glass areas are round shaped and some are wedge shaped. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5744/train_5744_a/train_5744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Two millimetrically sized nonspecific parenchymal nodules are observed in both lungs. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Soft tissue density of the remnant thymus tissue was observed in the anterior mediastinum. A few lymph nodes with a short axis smaller than 7 mm were observed in the mediastinal upper-lower paratracheal, prevascular area.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetrically sized nonspecific parenchymal nodules in both lungs. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5752/train_5752_a/train_5752_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The findings described are consistent with Covid-19 pneumonia. When examined in the lung parenchyma window; Wide patchy ground glass consolidations with irregular borders forming a multilobar- multisegmental crazy paving pattern are observed in both lungs and are accompanied by widespread linear subsegmental atelectatic changes. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Spleen size increased. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nHiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Mosaic attenuation pattern in the lung parenchyma (small airway disease? small vessel disease?).  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5753/train_5753_a/train_5753_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Perilobular septal thickening and honeycomb lung appearance were observed in both lungs. No new appearance of infiltration was detected in the current examination. There are bronchiectasis in both lungs, lower lobe mediobasal segment, right lung middle lobe and left lung lingular segment. No mass-infiltration was detected in both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. The diameter of the main pulmonary artery was 34 mm and showed slight dilation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.\n<heart>: There are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected. Heart contour size is natural. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are partial compressions that cause approximately 70-75% loss of height in T7 vertebrae and 45-50% in L2 vertebrae.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5755/train_5755_a/train_5755_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; A peripheral 2 mm diameter nonspecific nodule is observed in the posterior segment of the right lung upper lobe. A mosaic attenuation pattern is observed at basal levels in both lungs (small vessel disease? small airway disease?).\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Calibration of mediastinal major vascular structures is generally normal. However, the aortic arch calibration is 32 mm, slightly above normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: There is nodular formation in the anterior neighborhood of the spleen, which may be compatible with an accessory spleen with a diameter of approximately 15 mm. Thoracic aorta diameter is normal. Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, there is a decrease in density consistent with mild hepatosteatosis in the liver. The gallbladder is natural, both surrenal. However, the aortic arch calibration is 32 mm, slightly above normal.\n\nImpression:\nMosaic attenuation pattern at basal levels in both lungs (small vessel disease? small airway disease?).  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5760/train_5760_a/train_5760_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Tubular bronchiectasis areas were observed in both lungs. Subsegmental atelectasis areas were observed in the middle lobe of the right lung. No mass nodule-infiltration was detected in both lung parenchyma. An air cyst with a diameter of 13 mm was observed in the lower lobe of the right lung.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Multiple millimetric lymph nodes were observed in the mediastinal upper-lower paratracheal, subcarinal, precarinal and aorticopulmonary windows. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. Mixed type hiatal hernia was observed.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nMediastinal millimetric lymph nodes . Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery . Mixed type hiatal hernia . Areas of subsegmental atelectasis in the right lung . Bronchiectatic changes and peribronchial thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5763/train_5763_a/train_5763_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13602",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5764/train_5764_a/train_5764_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse, rather patchy, ground-glass densities in both lungs, mild vascular expansion and bronchiectasis at the described levels are observed. No nodular lesions were detected in both lung parenchyma. The findings were evaluated in favor of Covid-19 viral pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. A few small lymph nodes measuring 4 mm in short axis are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes and decrease in density in the bone structures in the study area. Hypertrophic osteophytic tapering and bridging tendencies are observed in the anterior end plates of the vertebral corpuscles.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause a similar appearance. Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5770/train_5770_a/train_5770_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; A 5x3 mm nodule is observed in the middle lobe of the right lung and there are sequelae changes at this level. There is a 3x2 mm nodule superposed on the interlobar fissure on the right. Densities compatible with pleuroparenchymal sequelae are observed in the lingular segment of the left lung. There is a 5x3 mm nodule in the superior segment of the lower lobe. There was no finding compatible with pneumonia in the case. There are 4 mm diameter nodules and parenchymal sequelae changes in the posterobasal segment of the lower lobe. A superposed 4 mm diameter nodule is observed on the left interlobar fissure.\n<pleura>: Pleural effusion or pneumothorax is not observed.\n<mediastinum>: It is wider than normal. Calibration of other major vascular structures is natural. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. The aortic arch calibration is 34 mm. A millimetric-sized calcific atheroma plaque is observed in the aortic arch.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: It is wider than normal. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. Calibration of other major vascular structures is natural. The aortic arch calibration is 34 mm. A millimetric-sized calcific atheroma plaque is observed in the aortic arch.\n\nImpression:\nNo finding compatible with pneumonia was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5780/train_5780_a/train_5780_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13638",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Heterogeneity and nodular appearance are observed in the thyroid gland parenchyma density. Sizes are natural.\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: There are wall calcifications in the abdominal aorta and thoracic aorta. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Calibration of mediastinal major vascular structures is natural. No increase in diameter was detected.\n<heart>: There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There are wall calcifications in the abdominal aorta and thoracic aorta. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. Hyperdense foci that may belong to biliary sludge or calculus are observed in the gallbladder lumen. No increase in diameter was detected. Contour, size, localization, parenchyma thickness of both kidneys are normal. No renal solid or cystic mass was detected. There is axis rotation anomaly in the right kidney.\n\nImpression:\nCalcified atheroma plaques in the coronary arteries, pneumonic infiltration in the lung parenchyma were not detected.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5781/train_5781_b/train_5781_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The distributions and appearances of the described findings are in the style frequently observed in Covid 19 pneumonia. Consolidation and ground glass areas, most of which are peripherally located, are observed in the upper and lower lobes of the left lung, and the lower lobe and middle lobe of the right lung. These findings were primarily evaluated in favor of viral pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are enlarged vascular structures within the described appearances. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5795/train_5795_a/train_5795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are linear atelectasis in the left lung upper lobe lingular segment and both lung al lobes. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Pulmonary artery diameter is normal. The diameter of the descending aorta is normal. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: The heart is larger than normal.\n<esophagus>: A large hiatal hernia is observed at the lower end of the esophagus.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No pathologically enlarged lymph nodes were observed. The diameter of the descending aorta is normal. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs. Atelectasis in both lungs. Millimetric nonspecific nodules in both lungs. Atherosclerotic changes in the aorta and coronary arteries. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5797/train_5797_a/train_5797_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13688",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Diffuse nodular ground glass density increases were observed in the middle and lower lobes of both lungs. The outlook was primarily evaluated in favor of viral pneumonia. Clinical and laboratory correlation is recommended.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5801/train_5801_a/train_5801_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: No infiltrative lesion was observed in the lung parenchyma. Pleuroparenchymal fibrotic sequelae bands were observed in both lung apex. There are mild bronchiectatic enlargements in both lung centers.\n<pleura>: No pleural or pericardial effusion or thickening was detected. There is focal thickening of the pleura in the posterior lower lobe of the right lung. Apart from this, there are a few nonspecific pulmonary nodules in both lungs, the largest of which is a subpleural localized nodule with a diameter of 4 mm in the lower lobe of the right lung.\n<mediastinum>: As far as can be observed: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The aortic arch is located on the right and is variable. The diameters of the ascending and descending aortas were measured as 30 mm and were observed wider than normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Thoracic vertebral corpus heights, alignments and densities are normal. There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: The aortic arch is located on the right and is variable. The diameters of the ascending and descending aortas were measured as 30 mm and were observed wider than normal. No upper abdominal free fluid-collection was observed in the sections. In the upper abdominal organs within the sections, there is a 2 cm diameter hypodense lesion (simple cyst?) in the left kidney as far as can be observed within the limits of CT without contrast.\n\nImpression:\nHiatal hernia . Dilatation of the right aortic arch and thoracic aorta . Sequelae change in both lung apexes . Mild bronchiectatic enlargements in the center of both lungs.  Nonspecific pulmonary nodules in both lungs; stable. Focal pleural thickening in the lower lobe of the right lung; stable.  Left nodular hypodense lesion (simple cyst?).  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5806/train_5806_b/train_5806_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are millimetric nodules in both lungs. In addition, there are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. Bronchiectasis and minimal peribronchial thickening were observed in the lower lobe of the left lung.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The main pulmonary artery diameter was 30 mm and wider than normal. The aortic arch is elongated. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: The heart is larger than normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: It is recommended that the patient be evaluated with the previous examination and further examination. There is dilatation in both kidney collecting systems. The aortic arch is elongated. No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atheroslerotic changes in the aorta and coronary arteries, minimal fusiform aneurysmatic dilatation in the ascending aorta, increase in pulmonary artery diameters  Hiatal hernia  Bronchiectasis in the lower lobe of the left lung  Emphysematous changes in both lungs  Atelectasis in both lungs and pleuroparenchymal sequelae in both lungs. nodules  Dilatation in both kidney collecting systems"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5810/train_5810_a/train_5810_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The appearances described during the pandemic process were evaluated in favor of viral pneumonia. Their ground-glass appearance is accompanied by minimal interlobular septal thickening. Diffuse ground glass appearances and consolidations are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5823/train_5823_a/train_5823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: It is recommended to be evaluated for interstitial lung disease. A 8.3x4 mm nodular lesion was observed at the fissure level in the superior segment of the left lung lower lobe (intrapulmonary lymph node?, nodule?). There are diffuse emphysematous changes prominent in the upper lobes of both lungs and large bullae formations measuring 95 mm in diameter on the apical, the largest on the right. In the upper lobe anterior segment of both lungs, soft tissue densities including cystic areas in the central part causing significant parenchymal structural distortion and volume loss were observed on the left.\n<pleura>: Subpleural striations, contour irregularities in the pleura, interlobular septal thickenings, peribronchial thickenings-bronchiectasis changes and mild honeycomb appearance in the lower lobes were observed in the left lung lingular segment and lower lobes of both lungs in bilateral upper lobes of the lung.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes in the mediastinal, prevascular upper-lower paratracheal, aorticopulmonary window, bilateral hilar region and subcarinal localization, some of which measure 26x12 mm in size, with echogenic fatty hilus. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophageal calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: There is no lytic-destructive lesion in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDiffuse emphysematous changes in both lungs and bulla formations at the apex . Soft tissue densities consistent with fibrosis in the primary plane causing structural distortion and volume loss in the upper lobes of both lungs. Evaluation and follow-up with old radiographs, if any, are recommended.  Nodular lesion at fissure level in the lower lobe of the left lung (intrapulmonary lymph node?, nodule?).  Findings compatible with bilateral interstitial lung disease . Mediastinal and bilateral hilar lymph nodes . Sliding type hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5826/train_5826_a/train_5826_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Multilobar, multisegmental ground glass and density increase areas consistent with consolidation were observed in both lungs, and viral pneumonias (Covid-19 pneumonia) were considered in the etiology of the findings. No mass was detected in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. In the mediastinum, there are lymph nodes in the bilateral hilar region, the largest of which is at the right lower paratracheal level, with a short diameter of approximately 11 mm, with a fusiform configuration and a fatty hilus.\n<heart>: As far as can be observed, the calibration of the vascular structures and the size of the heart contour are natural. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa. No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs  Multiple lymph nodes in the mediastinum with a short diameter of more than 1 cm and a fatty hilus of fusiform configuration"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5831/train_5831_a/train_5831_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Consolidation or mass distinction cannot be made clearly. In the lung parenchyma adjacent to the bronchiectasis, a suspicious nodular density of approximately 15 mm with slightly irregular borders is observed. There are minimal mosaic density differences in the lungs. There are minimal fibrotic densities in the lung parenchyma adjacent to the herniated fundus. Left lung upper lobe anterior sequelae fibrotic changes and minimal traction bronchiectasis are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Hiatal hernia is observed and gastric fundus herniates towards mediastinum. Mediastinal main vascular structures, heart contour, size are normal. There is a soft tissue density of 19 mm in the form of a band containing calcifications in the anterior mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebrae are degenerative.\n<abdomen>: Thoracic aorta diameter is normal. There are increases in density in the perirenal fatty tissue. Hiatal hernia is observed and gastric fundus herniates towards mediastinum. In the upper abdominal organs, including sections; The spleen is slightly lobulated and contoured.\n\nImpression:\nBand-shaped soft tissue density with calcifications in the anterior mediastinum  Bronchiectasis and reticular densities in the anterior upper lobe of the left lung, suspicious nodular density of approximately 15 mm in the lung parenchyma adjacent to the bronchiectasis, with slightly irregular borders  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5833/train_5833_a/train_5833_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When the lung parenchyma is examined in the window: The calibrations of the trachea and main bronchi are normal and their lumens are clear.\n<lung>: Mild sequelae changes are observed at the apical level. Mild emphysematous changes are observed in both lungs. There is no finding compatible with significant pneumonia. There is a small air cyst in the posterior segment of the upper lobe of the right lung.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Thoracic aorta diameter is normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes in the mediastinum, the largest of which is in the lower paratracheal area and 7 mm in size.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Gallbladder was not observed in the lodge. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Right adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. In the spleen hilum, 2 nodular densities compatible with the accessory spleen are observed. Surrounding soft tissue plans are natural. Left adrenal genus is slightly full.\n\nImpression:\nFindings consistent with mild emphysema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5835/train_5835_a/train_5835_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is minimal emphysematous appearance in the upper lobes of both lungs. Millimetric, nonspecific nodules, larger than 3 mm in diameter, are observed in both lungs. Minimal mosaic density differences are observed in the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis reaching 10 mm were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; gallbladder is operated.\n\nImpression:\nMediastinal millimetric lymph nodes.  Minimal emphysema in both lungs.  Millimetric, nonspecific nodules in both lungs.  Minimal mosaic density differences in the lower lobes of both lungs (small airway disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5835/train_5835_b/train_5835_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Widespread consolidation-ground glass densities are observed in both lungs with subpleural location.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5849/train_5849_a/train_5849_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Cylindrical and cystic bronchiectasis are observed in the lower lobe of the right lung. As of the current study, the CT uptake index was evaluated as 64%.\n<pleura>: In both lungs, especially on the right, patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Diffuse osteoporosis was observed in the vertebrae, and degenerative osteophytes were observed in the vertebral corpus corners. The medulla densities in the vertebral corpuscles are widely heterogeneous. Old rib fractures are observed on the right.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. As of the current study, the CT uptake index was evaluated as 64%. Bronchiectasis Atherosclerosis Degenerative bone changes, osteoporosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5851/train_5851_c/train_5851_c_1.npy"
        ]
    },
    {
        "id": "report_generation_13813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: When evaluated together with the patient's clinical knowledge, these appearances were thought to be sequelae changes. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Emphysematous changes in both lungs and band-like density increases in both lungs, especially in the subpleural areas, are observed parallel to the pleura. In the middle lobe of the right lung, there is an appearance that may belong to a subpleural nodule-lymph node measuring 9x8 mm in the subpleural area. No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs, parenchymal bands in subpleural areas in both lungs (these appearances were evaluated in favor of sequelae changes.)  The appearance that may belong to subpleural nodule-intrapulmonary lymph node in the right lung middle lobe.  Hiatal hernia . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5852/train_5852_a/train_5852_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13815",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The appearance described during the pandemic process was primarily evaluated in favor of Covid-19 pneumonia. In both lungs, some round-shaped consolidations and minimal ground-glass appearances are observed, which are more prominent in the lower lobes and peripheral regions. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5853/train_5853_a/train_5853_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. In the upper lobe of the left lung, nonspecific ground-glass density increases were observed. Mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Between the bilateral pleural leaves, there is a free pleural effusion with a thickness of 35 mm on the right and 41 mm on the left, extending to the fissure on the left, and diffuse atelectatic changes in the lung parenchyma on the left.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). The diameter of the ascending aorta was 41 mm and showed fusiform dilatation. Calcifications were observed in the aortic valve. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse degenerative changes were observed in bone structures.\n<abdomen>: The liver contours are irregular in the upper abdominal sections in the examination area. Spleen size increased (splenomegaly). Portal vein calibration is increased. It is recommended to be evaluated for liver parenchymal disease. The left lobe of the liver was observed as mildly hypertrophied. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nPleural effusion extending to the left fissure in both lungs and diffuse atelectatic changes in the left upper lobe of the left lung . Consolidation area in the left lung residual lower lobe . Mosaic attenuation areas in both lungs and large ground-glass densities in the left upper lobe of the left lung . Some calcified nonspecific parenchymal in both lungs nodules, emphysematous changes in both lungs, minimal peribronchial thickenings"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5855/train_5855_a/train_5855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13827",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A space-occupying nodular lesion with lobulated contours of 10 mm in size is observed at the junction level of the right lung middle lobe medial and upper lobe anterior segment (series 2, image 99).\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5857/train_5857_a/train_5857_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13847",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; right lung middle lobe is nearly total atelectasis. Mild volume loss is observed in the lower lobe of the right lung. Interlobular septa are prominent. There are more prominent centriacinar and paraseptal emphysema areas at the apex of both lungs. It forms an air bronchogram inside.\n<pleura>: Pleural effusions entering the bilateral right fissure, measuring approximately 2.7 cm in the thickest part of the right hemithorax and 1 cm in the thickest part of the left hemithorax, are observed.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal, aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed. Calcific plaques are observed in the aortic arch, ascending and descending aorta, coronary arteries and abdominal aorta.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Calcific plaques are observed in the aortic arch, ascending and descending aorta, coronary arteries and abdominal aorta.\n\nImpression:\nNear total atelectasis in the middle lobe of the right lung and air brocograms in the atelectasis lung parenchyma, pleural effusion entering the fissure in the right hemithorax,  Placing pleural effusion in the left hemithorax, paraseptal emphysemato areas in both lungs.  Secretion in right lung intermediate bronchus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5867/train_5867_a/train_5867_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5869/train_5869_a/train_5869_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to evaluate and follow-up together with previous examinations, if any. More extensive sequelae of fibroatelectasis with irregular borders on the left were observed in the apex of both lungs. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. In the first place, Covid-19 pneumonia was considered. The outlook is compatible with viral pneumonias. When examined in the lung parenchyma window; In both lungs, nodular ground glass densities and consolidation areas with air bronchograms were observed in the lower and middle lobes of the lower and middle lobes. A 7.5 mm diameter nodule was observed in the anterior segment of the right lung upper lobe.\n<pleura>: Minimal thickening was observed in the bilateral costal pleura.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Heart size increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A sliding hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver, gall bladder, spleen, pancreas, both adrenal glands, and both kidneys are normal as far as can be observed in the non-contrast examination.\n\nImpression:\nCardiomegaly . Hiatal hernia . More diffuse peripheral, nodular, dense consolidations in the lower lobes of both lungs, some with ground glass and some with air bronchograms, the appearance is compatible with viral pneumonia and it was thought that it may be compatible with Covid-19 pneumonia in the first place. Together with the clinic and laboratory Evaluation is recommended. Well-circumscribed parenchymal nodule in the anterior segment of the upper lobe of the right lung. It is recommended to evaluate and follow-up together with previous examinations, if any.  Increases in atelectasis density with irregular borders, which is thought to be compatible with sequelae in the upper lobes of both lungs . Minimal thickening of the sequelae in the posterior costal pleura at the bases of both hemithoraxes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5870/train_5870_a/train_5870_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, more prominent in the mid-lower zones, peripherally arranged, partly amorphous and partly round-like ground-glass-like density increases in almost all segments and parenchymal bands in the baselles are observed.\n<pleura>: Bilateral pleural effusion or pneumothorax was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings were evaluated as compatible with COVID-19 pneumonia. Other viral pneumonias are included in the differential diagnosis, and clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5871/train_5871_a/train_5871_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In the right lung upper lobe posterior segment, 2 nonspecific parenchymal nodules, the largest of which were 4.6 mm in diameter, adjacent to each other were observed. A nonspecific ground glass density increase was observed in the left lung inferior lingular segment. Subsegmental atelectatic changes are observed in the left lung inferior lingular segment. When examined in the lung parenchyma window; No mass infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nNonspecific ground glass density increase is observed in the left lung inferior lingular segment. Clinical and laboratory correlation is recommended. Nonspecific parenchymal nodules in the right lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5875/train_5875_a/train_5875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: However, it is understood that a few soft tissue densities nodular lesions with a diameter of 9.5 mm in the left lung lower lobe superior segment and the largest in the posterior segment have newly appeared. Multiple lymphadenopathies with a diameter of 15 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area. In the previous examination of the patient, the appearance in the soft tissue density observed in the superior segment of the left lung lower lobe was regressed. In the paracentral area of the right lung, the borders of the soft tissue mass narrowing the bronchus cannot be clearly distinguished in unenhanced CT. There are more prominent interlobular septal thickness increases in the upper lobe lingular segment and lower lobes in the left lung, and an area of atelectasis in the left lung upper lobe lingular segment (lymphangitic carcinomatosis?). In the lower lobe of the right lung, there are predominantly peribronchial extensions of soft tissue density and accompanying increases in interlobular septal thickness. However, the right lung parenchymal aeration is markedly decreased, and there are consolidation areas in the upper and middle lobes, which are more prominent, in which cystic structures associated with the bronchus are observed, and accompanying ground glass areas.\n<pleura>: In the lateral segment of the left lung lower lobe, the appearance is stable in soft tissue density accompanied by pleural retraction in the peribronchial area, interlobular and septal thickness increases and ground glasses. Pleural coarse calcific plaques are observed in the left hemithorax. Bilateral minimal pleural effusion is observed and the amount of effusion observed on the right has decreased.\n<mediastinum>: Multiple lymphadenopathies with a diameter of 15 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. No pericardial effusion or thickening was detected.\n<bone>: In the lateral part of the right 4th rib, the fracture line and millimetric metallic densities are observed in the vicinity of the rib at this level. No lytic-destructive lesions were observed in the bone structures within the sections. In the left 3rd-8th ribs, callus formation is observed due to the old fracture line.\n<abdomen>: Nodular thickness increase observed in both adrenal glands is stable within the limits of unenhanced CT. There are two low-density hypodense lesions (cyst?) in the right kidney, the largest of which is 15 mm in diameter in the middle zone. There is a nasogastric tube that ends in the stomach. It is stable.\n\nImpression:\nLung Ca at follow-up; soft tissue mass narrowing the bronchus in the right lung central area; findings are progressive.  Appearances in soft tissue density and increased interlobular septal thickness in the lower lobes of both lungs (lymphangitic carcinomatosis?); some nodular densities in the lower lobe of the left lung have just emerged in the interval.  Bilateral minimal pleural effusion.  Mediastinal lymphadenopathies; No significant difference was found in the number and size.  Nodular thickness increase observed in both adrenal glands; is stable.  Several hypodense lesions (cysts?) in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5882/train_5882_a/train_5882_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In the lower lobe of the right lung, millimetric centriacinar nodules and minimal ground glass appearance are observed in small areas. Linear atelectasis was observed in the lower lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: The widths of the mediastinal main vascular are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No filling defect compatible with embolism was detected in the pulmonary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is a decrease in liver parenchyma density consistent with moderate to severe adiposity.\n\nImpression:\nAtelectasis in the lower lobe of the right lung, millimetric centriacinar nodules in small areas in the lower lobe of the right lung, and minimal ground glass appearances (it is understood that the findings observed in the previous examination of the patient regressed almost completely).  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5883/train_5883_b/train_5883_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear atelectasis is observed in the left lung upper lobe lingular segment. There are several more nonspecific pulmonary nodules in both lungs.\n<pleura>: A subpleural pulmonary nodule is observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: In both axillae there are several lymph nodes with reactive fatty hiluses that can be distinguished. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fractures, lytic or sclerotic lesions were detected in the bone structures included in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The largest diameters were measured as 4-5 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific pulmonary nodules in both lungs.  Linear subsegmental atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5885/train_5885_a/train_5885_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; patchy-nodular ground-glass consolidations are observed in both lungs, located centrally and peripherally, with crazy paving pattern and vascular enlargement. No mass lesion with distinguishable borders was detected in both lungs. The findings described are consistent with Covid-19 pneumonia.\n<pleura>: Consolidations in the lower lobe basal segments are accompanied by linear subsegmentary atelectatic changes and subpleural striations.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Osteodegenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diverticulum is observed in the colon and the peridiverticular fatty planes are clear. In the upper abdominal organs, including sections; hypodense well-circumscribed nodular lesion areas with a diameter of 21 mm were observed in segment 3 of the liver in both lobes (cyst?).\n\nImpression:\nMixed type hiatal hernia at the lower end of the esophagus  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Hypodense nodular lesions consistent with cyst in segment 3 of the liver in both lobes.  Osteodegenerative changes in bone structures.  Diverticulosis coli."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5890/train_5890_a/train_5890_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up are recommended for early infectious processes. When examined in the lung parenchyma window; In the lower lobe of the right lung, budded tree images and bronchiectasis around the bronchial structures in the posterior, peribronchial thickenings and ground-glass densities are observed in the apicoposterior of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A change in favor of steatosis is observed in the liver parenchyma entering the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass densities in the apicopostreior of the upper lobe of the right lung and the areas of peribronchial sheathing, bronchiectasis and budding tree images in the posterior lower lobe of the right lung were initially evaluated in favor of atypical viral pneumonias. Covid-19 is in the differential diagnosis of viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5891/train_5891_a/train_5891_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Several scattered pulmonary nodules are observed in both lungs, the largest of which is 4 mm in diameter in the left lung laterobasal segment.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sequelae calcifications are observed in segment 8 of the liver in the upper abdominal organs included in the sections.\n\nImpression:\nSeveral pulmonary nodules scattered in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5896/train_5896_a/train_5896_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13913",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Central-peripheral, patchy-partially nodular ground-glass opacities and accompanying linear atelectasis were observed in the lower lobe basal segments of both lungs, the right lung upper lobe posterior segment, and the left lung lingular segment. Passive atelectatic changes were observed in the paracardiac areas of the left lung inferior lingular segment. No mass lesion with discernible borders was detected in the lung. When examined in the lung parenchyma window; A band atelectatic change was observed in the upper lobe of the right lung.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Both adrenal glands, both kidneys, spleen and pancreas are normal. Thoracic aorta diameter is normal. As far as can be observed in the sections, the liver parenchyma density decreased secondary to hepatosteatosis.\n\nImpression:\nHiatal hernia . Band-passive atelectatic changes in both lungs . High suspicious findings in terms of Covid-19 pneumonia in the right lung upper lobe posterior, left lung lingular and both lung lower lobes; it is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5900/train_5900_a/train_5900_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several millimetric nonspecific nodules in both lungs, some of which are calcific. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with discernible borders as far as can be observed in this examination. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs . Linear atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5902/train_5902_a/train_5902_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13919",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<breast>: Implants are observed in both breasts.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5902/train_5902_b/train_5902_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13931",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5906/train_5906_a/train_5906_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13942",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Mosaic attenuation is present in both lungs (small airway disease? small vessel disease?).\n<pleura>: In the evaluation of both lung parenchyma; Calcified pleural plaques are observed in the upper lobe apicoposterior and lower lobe superior segments in the right hemithorax. Right lung lower lobe posterobasal segment 4 and 3 mm, right lung middle lobe, one of which is 4 mm in diameter subpleural, left lung lower lobe superior segment 4.3 mm in diameter subpleural located, right lung upper lobe posterior, right lung lower lobe 5.7 mm in laterobasal segment nonspecific nodules are observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal millimetric lymph node is observed.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPlaques, some of which are calcified in the right hemithorax.  Nonspecific nodules in both lungs, mostly subpleural, with a larger diameter of 5.7 mm.  Soft tissue density of 2x1.2 cm in the left aorticopulmonary window, contrast-enhanced examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5912/train_5912_a/train_5912_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are thickenings of interlobular septa in both lungs. In his current examination, there is a moderate bilateral effusion on the right and a moderate effusion on the left. Space-occupying lesions measuring up to 110 mm in axial sections, lymph nodes? is monitored.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n\nImpression:\nSeveral nodules in both lungs.  Moderate on the right, small amount of effusion on the left, atelectatic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5915/train_5915_c/train_5915_c_1.npy"
        ]
    },
    {
        "id": "report_generation_13964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are ground-glass density increases with diffuse septal thickening that tends to coalesce in the upper and lower lobes of both lungs. Clinical and laboratory correlation is recommended. There are frequently reported imaging features of Covid-19 pneumonia.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial minimal effusion was observed.\n<esophagus>: Sliding type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hiatal hernia.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5919/train_5919_a/train_5919_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described manifestations were evaluated primarily in favor of viral pneumonia. In frosted glass areas, linear density increases are sometimes accompanied. Ground glass areas are observed in the peripheral and central parts of both lungs. These appearances can be observed frequently in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5926/train_5926_a/train_5926_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, millimetric-sized sequela-calcified parenchymal nodules and nonspecific parenchymal nodules of 5 mm in diameter are observed in the apical right lung adjacent to fibrosis. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A calcified parenchymal nodule of 6 mm and 2 mm in diameter is observed in the middle lobe of the right lung. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. No mass-infiltration was detected in both lung parenchyma. Parenchymal fibrosis and paracicatricial bronchiectatic changes are observed in the upper lobe of the right lung, causing structural distortion and volume loss. Wide areas of atelectasis are noted in the lower lobe of the left lung and in the inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures. Minimal height loss is observed in the upper end plate of the T6 vertebra.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the medial crus of the left adrenal gland, a well-circumscribed hypodense lesion with a size of 23x18 mm with an average HU of 9 is observed (adenoma?). Liver parenchyma density decreased diffusely in the abdominal sections that entered the study area, in line with fatty deposits.\n\nImpression:\nMild emphysematous changes in both lungs. Parenchymal fibrosis and traction bronchiectasis in the right lung upper lobe causing structural distortion and volume loss.  Nonspecific parenchymal nodules, some calcified in the right lung. Atelectatic changes in the left lung.  Hepatosteatosis. Hypodense lesion (adenoma?) in the left adrenal gland.  Minimal height loss of T6 vertebra upper end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5929/train_5929_a/train_5929_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are emphysema in the upper lobe of the right lung, fibrosis causing volume loss leading to parenchymal distortion, and traction bronchiectasis. Wide atelectasis are observed in the left lower lobe and lingula. Basilar calcific nodules are observed in both lungs. Minimal emphysema is observed in the left upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal height losses are observed in T6 and T12, L1 vertebral corpuscles in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Stable nodular lesion is observed in the left adrenal gland genus. On the right, the adrenal glands were normal, and no space-occupying lesion was detected.\n\nImpression:\nEmphysematous changes in both lungs.  Fibrotic densities and traction bronchiectasis leading to volume loss and distortion in the right upper lobe.  Bilateral some calcific nodules.  Stable nodular lesion (adenoma?) in the left adrenal gland.  Minimal height losses in T6 and T12, L1 vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5929/train_5929_b/train_5929_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density compatible with advanced adiposity.\n\nImpression:\nAtheromatous plaques in the aorta and coronary arteries. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5930/train_5930_a/train_5930_a_1.npy"
        ]
    },
    {
        "id": "report_generation_13989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Bronchiectasis observed at the posterobasal levels of the lower lobe of the right lung are also not observed in the current examination. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: It does not differ significantly. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Small lymph nodes with multiple dimensions up to 5.5 mm are observed in the mediastinal and hilar regions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures, degenerative changes in the end plates of the vertebral corpuscles are present. There are hypertrophic-osteophytic taperings in the end plates of the dorsal vertebral corpuscles.\n<abdomen>: It was evaluated in favor of cortical cyst. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBronchiectasis at the posterobasal levels of the lower lobe of the right lung . It was evaluated in favor of cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5931/train_5931_b/train_5931_b_1.npy"
        ]
    },
    {
        "id": "report_generation_13998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The gland was observed as homogeneous. The dimensions of the thyroid gland filled in the examination area are normal.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Multiple nonspecific nodules are observed in both lungs, the largest (5 mm) in the upper lobe of the right lung. When examined in the lung parenchyma window; There is paraseptal emphysema, more prominent in the right lung apical. In the lower lobe of the left lung, atelectasis extending to the fissure in the posterobasal and laterobasal segments is observed. In addition, there are pleuroparenchymal sequelae changes in both lung apicals, more prominent on the right.\n<pleura>: A subpleural nodule of 8 mm in diameter is observed in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. There are multiple metallic suture materials due to the operation in the upper mediastinum. Preparatracheal, preaortal, and infracranial lymph nodes with a short diameter of up to 8 mm that have preserved their multiple oval form are observed. Calcific plaque formations are observed in the wall of the descending aorta in the aortic arch, and in the walls of the coronary artery.\n<heart>: Calcific plaque formations are observed in the wall of the descending aorta in the aortic arch, and in the walls of the coronary artery. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration is normal. No significant increase in wall thickness was detected in the esophagus.\n<bone>: Sternal multiple intact metallic cerclages are available. Bone structures in the study area; No lytic-destructive lesion was detected.\n<abdomen>: No free or loculated fluid is observed in the upper abdomen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdomen organs included in the study area; No space occupying lesion was detected in the liver. The size, contour and parenchymal thickness of the bilateral kidneys are normal. Sliding type diaphragmatic hernia is observed. Calcific plaque formations are observed in the wall of the descending aorta in the aortic arch, and in the walls of the coronary artery. Gallbladder, spleen and pancreas are natural.\n\nImpression:\nParaseptal emphysema and pleuroparenchymal sequelae changes, more prominent in the right apex, atelectatic appearance extending to the fissure in the posterobasal and laterobasal segments of the left lung lower lobe. Subpleural nodule in the right lung laterobasal segment.  Calcific plaque formations in the coronary artery wall in the aortic arch."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5935/train_5935_a/train_5935_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5936/train_5936_a/train_5936_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in both lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was detected in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5943/train_5943_a/train_5943_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Boundary cystic lesion and active infiltration were not detected in both lungs. In the left lung parenchyma adjacent to the aortic arch and the descending aorta showing aneurysmatic dilatation, there is an area of increase in density, which is considered secondary to compressive atelectasis, which is consistent with the consolidation observed in air bronchograms. There are paraseptal emphysematous changes, more prominent in the upper lobe apical segment, in both lungs. Locally, sequela parenchymal changes are observed in both lungs. In the right lung upper lobe posterior segment, there is an area of increase in density consistent with consolidation in which air bronchograms are also observed. First of all, it was evaluated in favor of atelectasis.\n<pleura>: Minimal effusion was observed in the bilateral pleural space.\n<mediastinum>: An endovascular stent extending from the aortic arch to the abdominal aorta was applied. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. In the left lung parenchyma adjacent to the aortic arch and the descending aorta showing aneurysmatic dilatation, there is an area of increase in density, which is considered secondary to compressive atelectasis, which is consistent with the consolidation observed in air bronchograms. In addition, the diameter of the aortic arch is 80 mm, the diameter of the descending aorta is 75 mm, and it shows aneurysmatic dilatation.\n<heart>: The ascending aorta is 42 mm in diameter and shows aneurysmatic dilatation.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Surgical suture materials secondary to the operation were observed in the sternum.\n<abdomen>: An endovascular stent extending from the aortic arch to the abdominal aorta was applied. Lesions measuring 28x19 mm on the left and 19x16 mm on the right, in which fat densities were observed, were observed in both adrenal gland corpuscles. In addition, the diameter of the aortic arch is 80 mm, the diameter of the descending aorta is 75 mm, and it shows aneurysmatic dilatation. Measured 20 mm at its deepest point on the left. In the left lung parenchyma adjacent to the aortic arch and the descending aorta showing aneurysmatic dilatation, there is an area of increase in density, which is considered secondary to compressive atelectasis, which is consistent with the consolidation observed in air bronchograms. Intraabdominal free liqu- ulated collection is not observed. There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis in the upper abdominal sections within the image. First of all, it was evaluated in favor of adenoma.\n\nImpression:\nAneurysmatic dilation of the aortic arch, ascending aorta, descending aorta, and abdominal aorta and endovascular stent applied at the level of the aortic arch-abdominal aorta.  Density increase areas consistent with consolidation, emphysematous changes in both lungs evaluated in favor of atelectasis; There was no finding in favor of pneumonic infiltration in both lungs.  Hepatosteatosis.  Nodular lesions with millimetric fat densities in both adrenal gland corpuscles; adenoma?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5945/train_5945_a/train_5945_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A few millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs. Mild degenerative changes in bone structures . No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5948/train_5948_a/train_5948_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Sequelae fibrotic changes are seen in both lungs. At this level, there is minimal atelectasis and fibrotic changes in the parenchyma. When examined in the lung parenchyma window; On the left, nodular soft tissue density, which does not differ significantly, has a peribronchial AP diameter reaching 14 mm at its widest point, starting from the hilar region and extending to the upper lobe. Millimetric nonspecific nodules were observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with short axes reaching 7 mm, which do not differ significantly, are observed in the mediastinum, especially in the prevascular area.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative appearance is observed in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. There is a cortical hypodense lesion in the right kidney. In the upper abdomen sections, there is a millimetric stone density in the gallbladder.\n\nImpression:\nPatient with a history of ovarian malignant neoplasm.  Nodular appearance in both thyroid glands. Enlargement of the left thyroid gland towards the mediastinum.  Millimetric stable lymph nodes in the mediastinum.  Changes in soft tissue density, atelectasis and sequelae extending along the paramediastinal area from the hilar region to the anterior of the upper lobe on the left.  Sequela fibrotic changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Cholelithiasis.  Right subhepatic collection with increased size. Collection in the inferior spleen on the left.  Right renal cyst.  Degenerative appearance in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5955/train_5955_a/train_5955_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Linear subsegmental atelectatic changes were observed in the left lung upper lobe lingular and lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. The findings described are highly suspicious for Covid-19 pneumonia. In the left lung upper lobe anterior and lower lobe superior segments, peripheral nodular ground glass consolidations with faint borders were observed.\n<pleura>: When examined in the lung parenchyma window; Patchy ground glass consolidations, which formed a more widespread peripheral subpleural crazy paving pattern, were observed in the lateral parts of the right lung upper, middle and lower lobe superior segment.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other major mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Heart contour, size is normal.\n<esophagus>: A sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the bone structures in the study area, syndesmophytes bridging each other at the mid-thoracic level were observed.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. An accessory spleen with a diameter of 10 mm was observed in the superior splenic hilus. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAneurysmatic dilatation in the ascending aorta, diffuse atherosclerotic wall calcifications in the aortic arch and coronary arteries . Hiatal hernia . High suspicious findings for Covid-19 pneumonia, more common in both lungs; right lung; it is recommended to be evaluated together with clinical and laboratory. Linear subsegmentary atelectasis in the left lung changes . Syndesmorphites bridging each other on the anterior surfaces of the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5958/train_5958_a/train_5958_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Nodules with a diameter of 3 mm were observed in both lung parenchyma. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with short axes reaching 8 mm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric lymph nodes in the mediastinum.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5959/train_5959_a/train_5959_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. A calcified well-circumscribed nodule with a size of 5 millimeters in the lateral segment of the right lung middle lobe is observed. There are calcified irregularly bordered nodules of 14 millimeters and 10 millimeters in the anterior of the left lung upper lobe. A mosaic attenuation pattern is noted in both lung parenchyma (small vessel disease? Small airway disease? ) No pathology was detected in the sections passing through the upper part of the abdomen.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n\nImpression:\nMosaic attenuation pattern in both lungs, calcified nodules and sequelae changes in left lung upper lobe anterior and right lung middle lobe lateral segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5963/train_5963_a/train_5963_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a tracheal diverticulum on the right posterolateral aspect of the thoracic inlet.\n<lung>: There are mild sequelae changes in the middle lobe and anterior segment caudal of the upper lobe. A calcific nodule with a diameter of 3 mm is observed at the posterobasal level of the lower lobe of the right lung. Pleuroparenchymal sequelae changes are observed in the middle lobe. There are findings consistent with emphysema in both lungs. There are faint nonspecific diffuse ground-glass-like density increments at baseline in both lungs. In the evaluation of the lung parenchyma window; Sequelae changes are observed at the apical level. A nodule with a diameter of 3 mm is observed in the anterior segment caudal of the right lung upper lobe.\n<pleura>: No lateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Millimetric calcification is observed in the proximal descending aorta. CTO is normal. It is slightly above normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. The aortic arch calibration is 30 mm. Calibration of other mediastinal major vascular structures is normal.\n<heart>: Millimetric calcific atheroma plaque is observed in LAD.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. The case has an appearance compatible with DISH.\n<abdomen>: Millimetric calcification is observed in the proximal descending aorta. Nodularity is observed in the spleen hilum, which may be compatible with the millimetric accessory spleen. CTO is normal. In the sections passing through the upper abdomen, there is a decrease in density compatible with mild fat in the liver. It is slightly above normal. Surrounding soft tissue plans are natural. The aortic arch calibration is 30 mm.\n\nImpression:\nSlight nonspecific diffuse ground-glass-like density increments at baseline in both lungs. Mild sequelae changes in both lungs and formation of a few millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5970/train_5970_a/train_5970_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14089",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Calcific nodules were observed in both thyroid lobes. US control is recommended. The size of the thyroid gland has increased and the parenchyma has a heterogeneous appearance.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Linear pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segments of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of other mediastinal vascular structures is natural. Left supraclavicular, prevascular, bilateral upper-lower paratracheal, aortopulmonary, subcarinal lymph nodes reaching pathological dimensions, 28x20 mm in size, were observed at the right lower paratracheal level. On the right, the port chamber on the anterior chest wall and the anterior surface of the pectoral muscle and the image of the catheter extending to the superior distal vena cava were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, larger than normal.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space. There is a stent placed in the RCA.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 3.5 cm diameter hypodense nodular lesion was observed in the upper pole of the right kidney (cyst?). Upper abdominal organs included in the sections are normal. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, larger than normal.\n\nImpression:\nLeft supraclavicular and mediastinal pathologically sized lymph nodes . Thyromegaly, calcific nodules in the parenchyma; US control is recommended.  Fusiform aneurysmatic dilatation in the thoracic aorta, calcific atheromatous plaques in the thoracic aorta and coronary arteries. Cardiomegaly, smearing pericardial effusion . Hiatal hernia . Pleuroparenchymal fibrotic density increases in the right lung middle lobe, left lung inferior lingular segments . Right kidney nodular hypodensity lesion ?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5971/train_5971_a/train_5971_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are areas of linear atelectasis in both lungs. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). There are several lymph nodes, some of them calcific, in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in diameter in the right paratracheal area. No mass or infiltrative lesion was observed in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: There are several lymph nodes, some of them calcific, in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in diameter in the right paratracheal area. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 38 mm, the diameter of the pulmonary trunk was 34 mm, the right main pulmonary artery was 30 mm, and the left main pulmonary artery diameter was 33 mm and increased. No enlarged lymph node was detected in pathological size and appearance.\n<heart>: The cardiothoracic ratio increased massively in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are bridging osteophytes in the corners of the corpus of the thoracic vertebrae, sclerotic changes in the bone surfaces adjacent to the discs, and vacuum phenomena secondary to degeneration in the disc distances. No lytic-destructive lesions were observed in the bone structures within the sections. In the thoracic region, left-facing scoliosis is observed.\n<abdomen>: The gallbladder was not observed (operated). The diameter of the ascending aorta was 38 mm, the diameter of the pulmonary trunk was 34 mm, the right main pulmonary artery was 30 mm, and the left main pulmonary artery diameter was 33 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nMassive cardiomegaly, dilatation of the ascending aorta and pulmonary arteries.  Calcific atheroma plaques in the aorta and coronary arteries.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Linear areas of atelectasis in both lungs.  Mediastinal millimetric lymph nodes.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5972/train_5972_a/train_5972_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild nodular patchy ground glass densities are observed in both lung lower lobe basal segments. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a small hiatal hernia.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Changes in favor of steatosis are observed in the liver parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nAppearances compatible with Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended.  Hepatosteatosis.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5986/train_5986_a/train_5986_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is sequela fibrotic density in the right lung middle lobe medial.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequela fibrotic density in right lung middle lobe medial"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5988/train_5988_a/train_5988_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild thickening of the peribronchial sheath is observed. Calibration of trachea and main bronchi calibrations is clear.\n<lung>: In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. In both lungs, nonspecific, ground-glass-like density increases are observed in the lower lobe segments from place to place. No pathological size and configuration of lymph nodes were detected at both hilar levels. Density decreases in both lungs compatible with emphysema. Densities compatible with pleuroparenchymal sequelae are observed in the left lingular segment.\n<pleura>: Pneumothorax, pleural effusion were not observed.\n<mediastinum>: Calibration of the main vascular structures in the mediastinum is normal. Millimetric lymph nodes are observed in the mediastinum.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The anterior-posterior size of the spleen was 130 mm, slightly above normal. A decrease in density consistent with steatosis is observed in the liver. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. There is a fat-protected parenchyma area adjacent to the gallbladder.\n\nImpression:\nDensity reduction in both lungs consistent with mild emphysema and faint nonspecific ground-glass-like density increases in the lower lobes.  Hepatosteatosis.  Mild splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5989/train_5989_a/train_5989_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Nonspecific nodules of 2-3 mm in diameter are observed at the apex (IMA:49) in the anterior segment of the upper lobe of the right lung (IMA:77, IMA:33). Pleurooparanchymal sequelae in the anterior segment of the right lung upper lobe and minimal bronchiectasis in a focal area in this localization are observed. Mosaic perfusion is observed in both lung parenchyma. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nA few nodules 2-3 mm in diameter in the right lung with a nonspecific appearance. Pleuraloparanchymal sequelae in the anterior segment of the right lung upper lobe and focal ectasia in several bronchi. Mosaic perfusion in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5993/train_5993_a/train_5993_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Covid19 is significant in terms of pneumonia. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; Bilateral basal and peripheral weighted ground-glass-like density increments and sometimes consolidative areas are observed. There is a lymph node with a short axis of 9 mm at the right hilar level. Other viral pneumonias and organizing pneumonia can be considered in the differential diagnosis.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum, the largest of which is in the subcarinal area with a short axis of 9 mm. CTO is normal. The aortic arch calibration is 29 mm. It is at the maximal physiological limit.\n<esophagus>: Hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: CTO is normal. It is at the maximal physiological limit. The aortic arch calibration is 29 mm. There are two nonspecific hypodense lesions in the liver, the largest of which is 13 mm in diameter and located in the left lobe medial segment caudal (subsegment 4b). There are densities compatible with millimetric sized calculus in the gallbladder. In the evaluation of the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nFindings that were considered compatible with Covid19 pneumonia in the first place, other viral pneumonias and organizing pneumonia are included in the differential diagnosis. Two nonspecific hypodense lesions in the liver . Cholelithiasis . Mild hiatal hernia . Hypodense cystic nonspecific formation at the level of the D6 vertebra right lamina"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_5995/train_5995_a/train_5995_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are nodules in both lungs, the largest of which is in the middle lobe of the right lung (series 2, section 147), and the longest diameter is approximately 6 mm. The appearance of the nodules is nonspecific. It may belong to infective pathology. Apart from this, no mass was detected in both lungs. A slightly irregularly circumscribed mass measuring approximately 30x25 mm in anteroposterior and transverse diameter at its widest point is observed in the posterior subsegment of the left lung upper lobe apicoposterior segment. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). There are ground glass areas and millimetric centriacinar nodules in the peribronchovascular area in the middle lobe of the right lung, especially in the central part. The described appearance is not specific.\n<pleura>: Bilateral minimal pleural effusion is observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed. There are atheromatous plaques in the aorta and coronary arteries. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebra corpus corners.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. No mass was detected in either adrenal gland.\n\nImpression:\nMass in the apicoposterior segment of the upper lobe of the right lung (tissue diagnosis recommended).  Nodules in both lungs. Ground glass areas and centriacinar nodules (infective pathology?) in the middle lobe of the right lung. Mosaic attenuation pattern in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6002/train_6002_a/train_6002_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Linear atelectatic changes are observed in the posterobasal segments of both lung lower lobes.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the TH6 vertebral corpus, an islet of 7 mm in size, which does not differ significantly, is observed. Fixation materials are observed at the junction level of the thoracolumbar vertebrae.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nFluid localization in the left axillary region, 56 mm in size, which was not observed in the previous study, which was not observed in the previous eccentric PET CT.  Height loss in the Th3 vertebral body, secondary to metastasis? It does not differ significantly, and clinical correlation is recommended due to the patient's known primary. Linear atelectatic changes in the basal segments of the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6017/train_6017_a/train_6017_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. At this level, subsegmentary atelectatic changes are observed.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: According to the previous examination, a loculated collection of approximately 47 mm in diameter was observed in the left axillary region (abscess?).\n<bone>: Densities of posterior fixation screws were observed in T11-T12 vertebrae and lower thoracic sections that were not included in the examination area. Lytic metastatic lesions causing height loss were observed in L3 and L1 vertebrae. There is also a lytic lesion compatible with metastasis at the level of the manubrium sterni.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6017/train_6017_c/train_6017_c_1.npy"
        ]
    },
    {
        "id": "report_generation_14194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with typical-probable covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Patchy ground-glass opacities are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, a hypodense nodular lesion with a diameter of 6 mm is observed at the level of segment 7 in the liver. (cyst?). The spleen was not observed in the study area.\n\nImpression:\nTypical-probable covid-19 pneumonia. It is recommended to be evaluated together with clinical laboratory. It is included in other viral pneumonias in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6017/train_6017_d/train_6017_d_1.npy"
        ]
    },
    {
        "id": "report_generation_14196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal linear atelectatic changes are observed in the anterior upper lobe of the left lung. In the axillary region, there is a finding that was evaluated in favor of the cyst, which was measured as 54x45 mm in the previous examination and 48x43 mm in the current examination, which is also known to be a wig collection treatment in previous examinations. The findings described in the lung parenchyma in the previous examination were not detected in the current examination.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the TH6 vertebral corpus, a hyperdense finding that did not show significant dimensional and structural differences (bone islet? Sclerotic change?), which was also observed in the previous examination, was observed. There are fixation materials and screws at the junction level of the lumbar vertebral corpuscles.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nCystic finding with mild dimensional regression in the left axillary region . Degenerative changes in bone structures, fixation materials screwing in the vertebral corpuscles. Compression fracture in the L1 vertebral corpus.  Previous in the TH6 vertebral corpus Hyperdense finding that did not show significant dimensional and structural differences (bone islet? Sclerotic change?), which was also observed in the examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6017/train_6017_e/train_6017_e_1.npy"
        ]
    },
    {
        "id": "report_generation_14222",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The described lesion was also present in the previous examination of the patient, and no difference was found in its dimensions and appearance. There is minimal bronchiectasis in the central parts of both lungs. In the left lung lower lobe superior segment, adjacent to the fissure, a soft tissue density lesion causing minimal structural distortion is observed. The lesion measured approximately 16x8 mm (series 2 section 123) at its widest point. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. Round atelectasis-pneumonia was considered less likely in the differential diagnosis.\n<pleura>: No pleural or pericardial effusion was detected. In the right hemithorax, there are calcified pleural plaques adjacent to the anterior segment of the upper lobe of the lung.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph node was detected. There are millimetric lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological size and appearance were observed in both axillae.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<breast>: No mass with discernible borders was detected in this examination in the mastectomy site and right breast. The left breast is not observed (operated).\n<bone>: There is a sclerotic bone lesion medially in the right humeral head. No lytic-destructive lesions were detected in the bone structures within the sections. In the presence of primary disease, the described appearance was thought to belong to metastasis. The described appearance was also present in the patient's previous examination, and no difference was found in its dimensions and appearance.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. In the previous examination of the patient, hypodense lesions observed in the localization of the diaphragmatic dome approximately in the right lobe of the liver and posteriorly in the lower pole of the spleen could not be observed because contrast material was not given in this examination.\n\nImpression:\nOperated breast ca. on follow-up. Appearance of irregularly circumscribed soft tissue density (metastasis ?, round atelectasis-pneumonia ?) in the left lung lower lobe superior segment causing minimal structural distortion around it.  Stable sclerotic bone lesion in the right humeral head."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6029/train_6029_a/train_6029_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, mediastinum and heart are deviated to the right. No occlusive pathology was detected on the trachea and both main bronchi.\n<lung>: In the current examination, soft tissue density and consolidation areas, which continue until the middle lobe and lower lobe bronchi bifurcation levels, around the right intermediate bronchus in the inferior right intermediate bronchus, in the peribronchial areas of the right lung upper lobe bronchus, show a significant increase in the current examination. When examined in the lung parenchyma window; A nodule with irregular borders measuring up to 28 mm, which causes shrinkage and distortion in the fissure in the left lung upper lobe lingular segment, was measured 27 mm in the previous examination. No significant difference was found in the posterior-positioned nodule measuring 7.5 mm, which was also observed in the previous examination of the left upper lobe of the lung. The current dimensions of the two nodules observed in the previous thorax CT in the superior segment of the left lung lower lobe do not differ significantly. There was no significant difference in the atelectasis areas observed adjacent to the fissure in the anterobasal segment of the lower lobe of the left lung. In the described finding, changes due to post RT are observed. Diffuse emphysematous changes are observed in both lungs.\n<pleura>: There is no significant difference in a few pleural millimetric nodular lesions in the left lung upper lobe superior.\n<mediastinum>: Trachea, mediastinum and heart are deviated to the right. Thoracic aorta diameter is normal. No significant difference was found in multiple lymph nodes, the largest of which was measured up to 20 mm in size in the upper and lower paratracheal, aortopulmonary and subcarinal areas. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Trachea, mediastinum and heart are deviated to the right. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in bone structures. It does not differ significantly. Height losses are observed in the vertebral corpuscles.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThromboembolism, which was observed in the previous examination, was evaluated as suboptimal since the current examination was without contrast.  The contours of the spiculated lesion in the left lung upper lobe posterior segment adjacent to the fissure do not differ significantly (metastasis?). The described lesion extends inferiorly along the fissure. It does not differ significantly.  Left upper lobe lingular segment metastatic nodule that does not differ significantly from previous examination.  At the level of the right lung upper lobe bronchial bifurcation, soft tissue density and consolidation areas increase in the peribronchial area, which continues to the middle lobe and lower lobe bronchi levels, around the right intermediate bronchus in the inferior.  New small amount of pleural effusion in the right hemithorax.  Volume losses in the lower lobe of the right lung.  Diffuse emphysematous changes in both lungs.  No significant difference was found in the lymph nodes observed in the mediastinum.  Nodule that does not differ significantly in the posterior segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6035/train_6035_b/train_6035_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14247",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Minimal emphysematous changes were observed in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are sequelae parenchymal changes in the posterobasal segment of the lower lobe of the right lung and the inferior lingular segment of the upper lobe of the left lung.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in both axillary regions and mediastinum. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: As far as other organs can be observed, no solid mass was detected. There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis within the borders of unenhanced CT in the upper abdominal sections within the image.\n\nImpression:\nA few millimetric nodules in both lungs, minimal emphysematous changes, sequela parenchymal changes in the left lung upper lobe inferior lingular segment, right lung lower lobe posterobasal segment.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6040/train_6040_a/train_6040_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be evaluated; Trachea, both main bronchi are open.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There are minimal atelectasis and mosaic density differences in the left lingula level and lower lobe anterobasal.\n<pleura>: When examined in the lung parenchyma window; Peripheral predominantly subpleural striations, sequelae in the form of fibrotic bands, interlobular septal thickenings are observed in both lung parenchyma.\n<mediastinum>: Mediastinal examination is suboptimal due to lack of contrast. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequela fibrotic changes in both lungs, interlobular septal thickening, subpleural streaks.  Atelectasis and mosaic density differences in the left lower lobe anterior and upper lobe lingula.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6042/train_6042_a/train_6042_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right inferior paratracheal lymph nodes reaching 1 cm in diameter were observed. In the evaluation of both lung parenchyma; There are reticular density increases (fibroatelectasis) in the left lung apex that cause parenchymal recessions.\n<pleura>: There are prominent pleural thickenings in the basal sections of both hemithorax.\n<mediastinum>: Calcific atheroma plaques are observed in the main vascular structures.\n<heart>: The heart is in natural appearance.\n<bone>: Degenerative irregularities, osteophytes and schmorl nodules were observed in the vertebral plateaus.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Stone? US is recommended. An epiphrenic 10 x 6 mm lymph node was observed. Millimetric hyperdensities are observed in the gallbladder. Calcific atheroma plaques are observed in the main vascular structures. In bilateral kidneys, appearances thought to belong to cortical hypodense (6 HU) cortical cysts were observed.\n\nImpression:\nAtherosclerosis Fibroatelectasis in left lung apex Cortical cysts in bilateral kidneys Stone in gallbladder? US is recommended. There are degenerative changes in the bones"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6043/train_6043_a/train_6043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window, the calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Sequelae changes are observed in the middle lobe of the right lung. Pleuroparenchymal sequelae changes are observed in the lingular segment of the left lung. A faint nodule with a diameter of approximately 2 mm is observed in the anterior-apicoposterior segment transition of the left lung upper lobe. No active infiltration or mass lesion was observed.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. There are no lymph nodes in the mediastinum in pathological size and appearance.\n<heart>: CTO is within the normal range.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: In the sections passing through the upper abdomen, there is a 14 mm diameter spleen at the level of the splenic hilum and a nodular lesion in isodense appearance, which is considered compatible with the accessory spleen.\n\nImpression:\nMild sequelae changes in both lungs and degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6044/train_6044_a/train_6044_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Air bronchograms are monitored. It is accompanied by mild bronchial dilatation.\n<lung>: No mass space-occupying lesion was observed in the lung parenchyma. Parenchymal infiltration areas are observed mainly in the form of ground glass density and consolidation areas around the upper lobe segment bronchi. The involvement pattern is similar to the lung parenchyma involvement of Covid infection. It is recommended to be evaluated from this point of view.\n<pleura>: In lung parenchyma evaluation; There are patchy areas of consolidation in the right lung lower lobe superior segment and subpleural areas in the upper lobe.\n<mediastinum>: Radiological findings were evaluated in favor of atypical pneumonic infiltration of the infectious process with mediastinal lymph nodes. Calibrations of mediastinal major vascular structures are natural. There are mediastinal lymph nodes less than 1 cm in diameter located in the right upper paratracheal and lower paratracheal and right peribronchial mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nParenchymal findings evaluated in favor of atypical pneumonic infiltration area in the right lung lower lobe superior segment and upper lobe. The radiological pattern is similar to the lung involvement of Covid infection. There are lymph nodes that are thought to be primarily reactive in the mediastinum. It is recommended to be examined in this respect."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6044/train_6044_b/train_6044_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<mediastinum>: No newly emerged infiltration area was detected in the current examination. As far as can be observed: There are mediastinal lymph nodes less than 1 cm in diameter located in the right upper paratracheal and lower paratracheal and right peribronchial mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6044/train_6044_c/train_6044_c_1.npy"
        ]
    },
    {
        "id": "report_generation_14268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric nonspecific nodules are observed in both lungs. There is minimal emphysematous appearance in the upper lobes of both lung parenchyma. There are minimal ground glass densities in the posterobasal region of the lower lobe of the left lung.\n<pleura>: Subpleural sequela fibrotic densities are seen in the medial side of the middle lobe of the right lung and the lower lobe of the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes that do not reach pathological size and appearance are seen in the axilla and mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Ossification is observed between the 7th and 8th ribs on the right.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules, sequelae changes in both lungs,  Minimal ground glass density in the lower lobe of the left lung; regressed pneumonia focus?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6047/train_6047_b/train_6047_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases with diffuse septal thickening in both lung parenchyma, tending to merge in the upper and lower lobes, and areas of consolidation in the lower lobes were observed. Mild emphysematous changes are present in both lungs. A few millimetric stable nonspecific parenchymal nodules were observed in both lungs. Consolidation areas observed in the lower lobes were found to be newly developed in the current examination. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; A catheter image extending superiorly to the vena cava was observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. There are stable size and number of lymph nodes in paraaortic, aortokaval, interaortocaval localization and retocrural localization according to previous examination. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures. There are heterogeneous increases in density in all bone structures in the study area.\n<abdomen>: In the upper abdominal sections entering the examination area, a stable nodular lesion, which was also observed in the previous examination, was observed in the left adrenal gland corpus. There are stable size and number of lymph nodes in paraaortic, aortokaval, interaortocaval localization and retocrural localization according to previous examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6047/train_6047_d/train_6047_d_1.npy"
        ]
    },
    {
        "id": "report_generation_14283",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass nodule was detected in both lungs. In the evaluation of both lung parenchyma; Peripheral and peribronchial patch-like consolidations and ground glass densities are observed in all segments of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper-lower paratracheal, aorticopulmonary lymph nodes smaller than 1 cm are observed.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Bilateral adrenal glands appear natural. In sections passing through the upper abdomen, liver parenchyma density decreased in line with hepatosteatosis.\n\nImpression:\nCardiomegaly . Peripheral and peribronchial patch-like consolidations and ground glass densities in all segments of both lungs. They are typical findings of Covid-19 pneumonia.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6052/train_6052_a/train_6052_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. The largest of these nodules is observed in the apical subsegment of the left lung upper lobe apicoposterior segment and measures approximately 9mm in diameter. Findings are more prominent in peripheral areas and are more in the form of consolidation. The described findings are of the type frequently observed in Covid-19 pneumonia. There are millimetric nodules in both lungs. Peripheral and centrally located ground glass areas, occasional consolidations and minimal interlobular septal thickening are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. It is recommended to follow. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The aortic arch is elongated.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta. The aortic arch is elongated.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6065/train_6065_a/train_6065_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, millimetric calcification is observed in the right lobe of the liver.\n\nImpression:\nThoracic CT examination within normal limits.  Millimetric calcification in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6073/train_6073_a/train_6073_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14338",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are normal.\n<lung>: In the posterobasal segment of the lower lobe of the right lung, a ground-glass density area with bud-like appearance was noted in an area of approximately 15 mm, and its evaluation and follow-up in terms of infective pathologies is recommended. There are minimal emphysematous changes in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are calcific atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: As far as it can be observed within the limits of unenhanced CT, no mass with distinguishable borders was detected in the upper abdominal organs within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were detected in the upper abdomen within the sections. There are calcific atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Occasional atelectasis in both lungs. A ground glass density area with bud-like tree appearance in the posterobasal segment of the lower lobe of the right lung has been noted in an area of approximately 15 mm, and it may belong to signs above the early period infiltration. Follow-up is recommended.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6077/train_6077_a/train_6077_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A finding evaluated in favor of a nodule measuring up to 21 mm in size is observed in the right thyroid lobe.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Centriacinar millimetric ground glass densities are present in the upper lobes. When examined in the lung parenchyma window; Mild patchy ground-glass densities are observed, more prominently in the basal segments of both lung lower lobes. Dependent atelectasis accompanies the described findings.\n<pleura>: There are pleural thickenings at the level of the inferior lingula of the left lung upper lobe.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. There are calcific atheromatous plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction is observed in bone structures.\n<abdomen>: There was no finding evaluated in favor of a significant infectious process. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nSlight patchy ground-glass densities (depending atelectasis?) in the lower lobe basal segments of both lungs, more prominent on the left. Pleural thickenings in the inferior lingula of the left lung upper lobe.  Diffuse centriacinar millimetric ground glass densities observed in both lungs, mostly in the upper lobes. Although there is no obvious finding in terms of an infectious process, it is recommended to follow up for the onset of an early infectious process due to the current pandemic.  Atherosclerosis.  Nodule whose borders cannot be measured clearly in the right thyroid lobe. Clinical, laboratory and USG correlation is recommended.  A few millimetric lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6080/train_6080_a/train_6080_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation and ground glass areas are observed in peripheral areas in both lung lower lobes, more prominently on the right. These findings are frequently encountered in Covid-19 pneumonia. The described manifestations were evaluated in favor of viral pneumonia. Minimal pleuroparenchymal sequelae changes are observed in both lung apex. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6082/train_6082_a/train_6082_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Examination is suboptimal because of motion artifacts.\n<lung>: Thickening is observed in bilateral lower lobe posterobasal segments of the lung and interlobar septa. There are several nodules smaller than 5 mm in both lungs. There are focal consolidations in the lower lobes of the bilateral lung, the upper and middle lobes of the right lung, and occasionally in the air bronchograms. There are right lower paratracheal and right hilar calcified lymph nodes. There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. There is focal consolidation observed in cavitation in the anterior upper lobe of the left lung (findings that may be compatible with infection in the first plan. Clinical evaluation and radiological follow-up are recommended).\n<pleura>: When examined in the lung parenchyma window; There are bilateral minimal-moderate pleural effusions extending into the fissure on the right and passive atelectasis in the adjacent lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. There are several aortopulmonary lymph nodes, the largest of which is 19x6 mm in size. Mediastinal main vascular structures are normal. The diameter of the pulmonary conus is 34 mm and it has a dilated appearance. There are wall calcifications in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The bone structure in the examination area has a porotic appearance and there are widespread degenerative changes.\n<abdomen>: The gallbladder was not observed (operated). Thoracic aorta diameter is normal. In the sections passing through the upper part of the west; Free air images are observed in the intrahepatic bile ducts. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nWall calcifications in the aorta and coronary arteries, cardiothoracic index increased in favor of the heart (cardiomegaly), the diameter of the pulmonary conus is 34 mm and it has a dilated appearance. A few lymph nodes, the largest of which is 19x6 mm in size.  Right lower paratracheal, right hilar calcified lymph nodes. Bilateral minimal-to-moderate pleural effusion extending into the right fissure and passive atelectasis in the adjacent lung parenchyma. Bilateral lung lower lobe posterobasal segments, interlobar septa thickening. Focal consolidations observed in bilateral lung lower lobes, right lung upper and middle lobes, occasionally in air bronchograms, focal consolidation observed in cavitation in left lung upper lobe anterior (infection in the first place) findings that may be compatible with clinical evaluation and radiological follow-up are recommended). Subsegmentary atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. A few nodules smaller than 5 mm in both lungs.  Free air images in the intrahepatic bile ducts, no gall bladder was observed (operated).  The bone structure in the examination area is porotic and diffuse degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6086/train_6086_a/train_6086_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Diffuse emphysematous changes were observed in both lungs. Both lungs have millimetric nodules, some of which are calcific. In addition, there are sometimes linear atelectasis and minimal pleuroparenchymal sequelae changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. The effusion measured 50 mm on the right at its widest point. Atelectasis was observed adjacent to the effusion in the lower lobes of both lungs.\n<pleura>: Bilateral pleural effusion is observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The shortest diameter of the largest of these lymph nodes was 14 mm. The diameter of the descending aorta is normal. There are lymph nodes in the mediastinum and hilar regions. The aortic arch is elongated. Diffuse atheroma plaques were observed in the aorta and coronary arteries.\n<heart>: No significant pericardial effusion was detected. As far as can be observed: The heart is larger than normal. The anterior-posterior diameter of the ascending aorta is 48 mm at its widest point and is wider than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are narrowed. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: The diameter of the descending aorta is normal. Diffuse atheroma plaques were observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections. The aortic arch is elongated.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, cardiomegaly.  Bilateral pleural effusion.  Mediastinal and hilar lymph nodes.  Emphysematous changes in both lungs.  Atelectasis and pleuroparenchymal sequelae changes in both lungs.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6088/train_6088_a/train_6088_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A nonspecific parenchymal nodule with a diameter of 3.5 mm was observed in the posterior of the right lung upper lobe, which was stable according to the previous examination. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and the wall of the coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and the wall of the coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Hiatal hernia was observed.2 mm on the short axis of the largest, were observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and the wall of the coronary artery. Upper abdominal sections entering the examination area were evaluated in detail in MRI examination. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Atherosclerotic changes.  Millimetric calcified nonspecific parenchymal nodule in the right lung.  Mediastinal stable lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6098/train_6098_a/train_6098_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdominal organs included in sections; An oval finding in fluid attenuation of 16 mm at the level of segment 5 in the right lobe of the liver was evaluated in favor of cyst.\n\nImpression:\nCalcific atheromatous plaques in coronary arteries.  Several millimetric nonspecific nodules in both lungs.  Cyst in the liver  Cortical cyst in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6108/train_6108_a/train_6108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Outlook includes possible findings for Covid-19 pneumonia, but is not specific. Clinical-laboratory calibration is recommended.\n<pleura>: When examined in the lung parenchyma window; In the middle lobe of the right lung, in the inferior lingular segment of the left lung and in the lower lobes of both lungs, peripheral subpleural-like ground-glass density increases, and areas consistent with subsegmental atelectasis were observed in the consolidations showing a tendency to coalesce in the lower lobes of both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nAreas consistent with subsegmental atelectasis in consolidations that tend to converge in the lower lobes of both lungs, appearance includes possible findings for Covid-19 pneumonia, but is not specific. Clinical-laboratory calibration is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6118/train_6118_a/train_6118_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are millimetric atheromatous plaques in the coronary arteries and aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are millimetric atheromatous plaques in the coronary arteries and aorta. There is a stone with a diameter of 4 mm in the middle part of the right kidney.\n\nImpression:\nMosaic attenuation pattern in both lungs.  Millimetric atheroma plaques in the aorta and coronary arteries.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6135/train_6135_a/train_6135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14476",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Heart dimensions and compartments appear natural.\n<bone>: Old rib fractures are observed in the left 4-5-6-7-8 and 9th ribs. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\n? Examination within normal limits, old rib fractures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6136/train_6136_a/train_6136_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Multiple parenchymal calcifications in the parenchyma and mild heterogeneity in the parenchyma are observed. In the thyroid gland, both lobes are more prominent than normal. If necessary, US examination is recommended.\n<lung>: There are also sequelae changes in the basal and lingular segments of the left lung. There was no finding in favor of pneumonia. When examined in the lung parenchyma window; Sequelae changes and emphysema appearances are observed at the apical level.\n<mediastinum>: In the aortic arch, millimetric calcifications are observed at the level of the ascending aorta. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar levels. Calibration of mediastinal major vascular structures is natural.\n<bone>: There are findings compatible with DISH. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Hepatosteatosis is present in the liver. In the aortic arch, millimetric calcifications are observed at the level of the ascending aorta.\n\nImpression:\nNo findings compatible with pneumonia were detected.  Mild sequelae changes in both lungs and findings consistent with emphysema in the upper lobes . Degenerative changes in bone structure . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6137/train_6137_a/train_6137_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: A superposed millimetric nodular lesion area was observed on the minor fissure on the left (intrapulmonary lymph node?). It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; Multilobar, multisegmental, central-peripheral nodular ground glass opacities forming crazy paving pattern were observed in both lungs, and the appearance is compatible with covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings in lung parenchyma consistent with Covid-19 pneumonia. Superposed millimetric intrapulmonary lymph node over minor fissure on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6138/train_6138_a/train_6138_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A slight patchy ground-glass density is observed in the superior lower lobe of the right lung. There are atelectatic changes at basal levels in both lung lower lobes. Findings: small vessel disease, small airway disease? It is recommended to follow-up in terms of the other beginning of the infectious process. When examined in the lung parenchyma window; Mosaic attenuation patterns and thickening of interlobular septa are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: A small amount of remnant thymus tissue is observed in the anterior mediastinum. Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary lymph nodes of 11 mm in size are observed.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. A crescentic-like density increase is observed, which may be compatible with the aortic valve replacement material.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are multiple millimetric calcifications in the spleen.\n\nImpression:\nSmall vessel disease?, small airway disease? Clinical laboratory correlation is recommended for the onset of suspected infectious processes accompanied by  Prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary lymph nodes of 11 mm in size are observed.  Thickening of interlobular septa, mild pulmonary edema secondary to cardiac stasis?.  More than one millimetric calcific foci in the spleen.  A small amount of remnant thymus tissue in the anterior mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6139/train_6139_a/train_6139_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal focal ground glass density increase was observed in the right lung lower lobe mediobasal segment, which is thought to be related to spur compression. No mass-infiltration was detected in both lung parenchyma. A few millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Subsegmental atelectasis areas were observed in the lower lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Spur formations showing a tendency to merge on the right anterolateral side of the thoracic vertebrae are observed in the bone structures. It is recommended to be evaluated in terms of DISH disease.\n<abdomen>: In the upper abdominal sections that entered the examination area, prominent cortical cysts were observed in both kidneys on the left. Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calcules measuring 9.5 mm in diameter were observed in the left upper pole of both kidneys.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Hiatal hernia. Subsegmental atelectasis in both lungs. Millimetric-sized nonspecific parenchymal nodules in both lungs. Bilateral renal cysts and bilateral nephrolithiasis.  It is recommended to be evaluated in terms of DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6147/train_6147_a/train_6147_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 27 mm diameter nodule was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There are multiple number and diameter parenchymal nodules in the lung parenchyma. When examined in the lung parenchyma window; 16x14 mm parenchymal nodule was observed in the posterior segment of the right lung upper lobe. In addition, a parenchymal nodule with 10x6 mm dimensions with irregular borders was observed in its vicinity, and a dense ground glass appearance was observed around it.\n<pleura>: Bilateral pleural effusion is present and revealed in the current review.\n<mediastinum>: Calcified atheroma plaques were observed in the mediastinal main vascular structures.\n<heart>: No pericardial effusion or thickening was detected. Calcifications were observed in the coronary arteries and heart valves. There is cardiomegaly. The ascending aorta measures 43 mm and has a dilated appearance.\n<esophagus>: Type I hiatal hernia was observed in the distal esophagogastric junction. The thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Vertebral corpus heights are preserved.\n<abdomen>: In the medial crus of the left adrenal gland, a lesion with a size of 18x20 mm is observed, which is compatible with a hypodense adenoma containing areas of fat density. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Type I hiatal hernia was observed in the distal esophagogastric junction. Its thickness reaches about 1 cm.\n\nImpression:\nIrregularly circumscribed nodule in the right lung upper lobe posterior segment, one adjacent to each other and one with ground glass densities around each other. Multiple parenchymal nodules in both lungs . Both lungs basal Atelectasis accompanying newly emerged pleural fluid and consolidations in the adjacent lung . Hypodense lesion compatible with adenoma in the left adrenal medial crus . Dilatation and cardiomegaly in the ascending aorta . Nodule in the left thyroid lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6154/train_6154_a/train_6154_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques in the coronary arteries, calcific atheroma plaques in the aortic arch and coronary arteries are observed. Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques in the coronary arteries, calcific atheroma plaques in the aortic arch and coronary arteries are observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: On the right side, the ribs are partially entering the images inferiorly. There is diffuse density reduction in bone structures. No obvious fracture line was detected in the visible ribs. Hypertrophic osteophytic taperings are observed in the anteriors of the vertebral corpus endplates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Calcific atheroma plaques in the coronary arteries, calcific atheroma plaques in the aortic arch and coronary arteries are observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. The finding observed in fluid attenuation with a partial size of 26 mm in the right kidney was evaluated in favor of a cyst.\n\nImpression:\nNo significant fracture or dislocation was detected in the partially observed ribs.  Partial cyst in the right kidney.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6157/train_6157_a/train_6157_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. When examined in the lung parenchyma window; Patchy ground glass-consolidation areas are observed in different localizations in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6158/train_6158_a/train_6158_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both bronchi are open.\n<lung>: A ground-glass nodule with a diameter of 4 mm is observed in the posterobasal region of the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; In both lungs, centrally located bronchiectasis areas, which are more prominent in the upper lobes, and sequela fibrotic density increases extending from these areas to the peripheral area pleura are observed.\n<mediastinum>: In the mediastinum, several enlarged lymph nodes up to 1 cm in diameter are observed, the largest of which is adjacent to the conus of the pulmonary artery. Coarse calcifications are observed in the aortic arch and coronary arteries. Evaluation of mediastinal structures is suboptimal because the examination is unenhanced.\n<heart>: Coarse calcifications are observed in the aortic arch and coronary arteries. Heart size and contour are natural. No significant pathology was detected in other main vascular structures.\n<abdomen>: When the upper abdominal organs in the examination area are evaluated; liver contours are irregular and microlobulated. Coarse calcifications are observed in the aortic arch and coronary arteries. A few gallstones with a size of 7 mm are observed in the gallbladder. It may be compatible with chronic liver disease.\n\nImpression:\nCentrally located bronchiectasis areas and sequela fibrotic linear density increases are observed in both lungs. It is recommended to evaluate chronic liver disease together with clinical and laboratory.  Cholelithiasis . Calcific atheromatous plaques in the coronary arteries . Nonspecific ground-glass nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6160/train_6160_a/train_6160_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both bronchi are open.\n<lung>: A ground-glass nodule with a diameter of 4 mm is observed in the posterobasal region of the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; In both lungs, centrally located bronchiectasis areas, which are more prominent in the upper lobes, and sequela fibrotic density increases extending from these areas to the peripheral area pleura are observed.\n<mediastinum>: In the mediastinum, several enlarged lymph nodes up to 1 cm in diameter are observed, the largest of which is adjacent to the conus of the pulmonary artery. Coarse calcifications are observed in the aortic arch and coronary arteries. Evaluation of mediastinal structures is suboptimal because the examination is unenhanced.\n<heart>: Coarse calcifications are observed in the aortic arch and coronary arteries. Heart size and contour are natural. No significant pathology was detected in other main vascular structures.\n<abdomen>: When the upper abdominal organs in the examination area are evaluated; liver contours are irregular and microlobulated. Coarse calcifications are observed in the aortic arch and coronary arteries. A few gallstones with a size of 7 mm are observed in the gallbladder. It may be compatible with chronic liver disease.\n\nImpression:\nCentrally located bronchiectasis areas and sequela fibrotic linear density increases are observed in both lungs.  Calcific atheroma plaques in the coronary arteries . Nonspecific ground-glass density nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6160/train_6160_b/train_6160_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are also millimetric nodules in these localizations. These appearances may be consistent with pleparanchymal sequelae changes and/or interstitial lung disease. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. The described findings can also be observed in the patient's previous examination, and no difference was found. In addition, interlobular septal thickening and ground-glass appearance, linear density increases, structural distortion and volume loss are observed, more prominently in the upper lobes of both lungs and the lower lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. The shortest diameter of the largest of these lymph nodes was 10 mm.\n<heart>: A stent appearance was observed in the left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nFindings that may be consistent with operated RCC, sequelae changes in both lungs, and/or interstitial lung disease on follow-up.  Minimal emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Mediastinal and hilar stable lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6160/train_6160_c/train_6160_c_1.npy"
        ]
    },
    {
        "id": "report_generation_14560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper, bilateral lower paratracheal lymphadenomegaly with a narrow diameter of the right hilar greater than 1 cm and a narrow right hilar diameter of 13 mm is observed. There are crazy paving appearances created by interlobular septal thickening in ground glass consolidations. Peripheral patch-like consolidations are observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric calcific plaque is observed in the aortic arch and coronary arteries.\n<heart>: Millimetric calcific plaque is observed in the aortic arch and coronary arteries.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Millimetric calcific plaque is observed in the aortic arch and coronary arteries. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nTypical consolidations for Covid-19 in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6169/train_6169_a/train_6169_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14567",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation into both lungs is normal, and no mass or infiltrative lesion is observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are three stones measuring 4 mm in diameter in the upper pole and middle part of the left kidney. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. In addition, a 2 mm stone was observed in the middle part of the right kidney.\n\nImpression:\nBilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6173/train_6173_a/train_6173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14573",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae accompanied by traction bronchiectasis were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\n· Pleuroparenchymal fibroatelectasis sequelae accompanied by traction bronchiectasis in right lung middle lobe medial, left lung upper lobe inferior lingular segment. · Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6176/train_6176_a/train_6176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14589",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Slight ground glass densities are observed in both lung lower lobe basal segments. When examined in the lung parenchyma window; thickening of interlobular septa in both lungs.\n<pleura>: There is a small amount of pleural effusion measuring up to 18 mm in bilateral thickness.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The findings were primarily evaluated in favor of cardiac stasis. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There is atherosclerosis and stent appearance in coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a slight decrease in density in the visible bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A change in favor of steatosis is observed in the liver parenchyma. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings in the lung parenchyma were primarily evaluated in favor of cardiac stasis and are included in the differential diagnosis of suspected accompanying infectious process. Due to the current pandemic, clinical laboratory correlation is recommended for better differential diagnosis.  Bilateral 18 mm thick pleural effusion.  Atherosclerosis and stenting in coronary arteries. Mild hepatosteatosis.  There is a slight decrease in density in the visible bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6184/train_6184_a/train_6184_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are multiple lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area and measuring 10 mm in size. In both lungs, there are consolidations with peripheral weight, mostly in the lower lobe of the right lung, linear areas of atelectasis in the lower lobes and accompanied by air bronchograms.\n<pleura>: There are coarse calcifications in the consolidative area in the subpleural area in the anterior segment of the left lung upper lobe. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: There are multiple lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area and measuring 10 mm in size. The widths of the mediastinal main vascular structures are normal.\n<heart>: The left atrium is dilated. The cardiothoracic ratio is in the upper physiological limits.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: There are bridging osteophytes in the anterior corners of the corpus of the thoracic vertebrae within the sections. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nWidespread consolidative areas in the lower lobes of both lungs, in which air bronchograms are observed, and sometimes accompanied by linear atelectasis  Mediastinal lymph nodes  Minimal hiatal hernia  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6194/train_6194_a/train_6194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Atelectatic changes are observed in the left lung upper lobe inferior lingula.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectatic changes in left lung upper lobe inferior lingula"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6199/train_6199_a/train_6199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; A few nonspecific millimetric nodules were observed in the right lung.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. As far as can be observed: the anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. In the mediastinum, lymph nodes with short slings below 1 cm that did not reach pathological dimensions were observed. The descending aorta is elongated and has the appearance of tortiosity.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The descending aorta is elongated and has the appearance of tortiosity. Liver, gallbladder, spleen, pancreas, right adrenal gland, both kidneys are normal as far as can be observed within the sections. As far as can be observed: the anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Diffuse thickening was observed in the left adrenal gland.\n\nImpression:\nTortious-elongated appearance of the thoracic aorta, fusiform aneurysmatic dilatation. Hiatal hernia.  Several nonspecific millimetric nodules in the right lung.  Diffuse thickening of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6201/train_6201_b/train_6201_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; There are more prominent peripheral patch-like ground glass densities in the lower lobes of both lungs and on the right, and appearances that may be compatible with Covid-19 pneumonia in the possible subacute period accompanied by pleural bands in the lower lobes.\n<mediastinum>: Right upper, bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the sections of the other horse. In the localization of the upper pole of the spleen, in the localization of the hilus of the spleen, there are nodular structures with a diameter of approximately 1.5 cm, which are compatible with the accessory spleen at the same density as the spleen parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMore prominent peripheral patch-like ground glass densities in the lower lobes and on the right in both lungs, appearances that may be compatible with Covid-19 pneumonia in the possible subacute period accompanied by pleural bands in the lower lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6204/train_6204_a/train_6204_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Subsegmental band atelectrasia is observed in the right lung middle lobe lateral and left lung inferior lingular segment. Millimetric nodules are observed in the middle lobe and lower lobe of the right lung, and in the lower lobe of the left lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; gallbladder is operated.\n\nImpression:\nSubsegmentary atelectasis and millimetric nodules in both lungs. Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6207/train_6207_a/train_6207_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Central bronchial walls are thickened in both lungs. Trachea, both main bronchi are open.\n<lung>: Emphysematous appearance is present in both lungs, more prominent in the upper lobes. No significant parenchymal pneumonic infiltration was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Stent-like appearances are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Thoracic vertebrae in the bone structures in the study area have a degenerate appearance.\n<abdomen>: There is a percutaneous biliary drainage catheter inserted into the liver from segment 6. Both adrenal glands are slightly thick. Transplanted liver is observed in the upper abdominal organs included in the sections.\n\nImpression:\nCoronary stents  Extensive emphysema in both lungs  Transplanted liver and biliary drainage catheter  Thickening of both adrenal glands  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6213/train_6213_a/train_6213_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are thickenings of interlobular septa in both lungs. The finding was initially evaluated in favor of lobar bronchopneumonia. There are slight patchy ground glass densities in the middle lobe of the right lung. When examined in the lung parenchyma window; In the lower lobe of the left lung, a large consolidation area with a halo sign is observed around it.\n<mediastinum>: Calibration of other mediastinal major vascular structures is natural. There are multiple small lymph nodes in the mediastinum measuring 10 mm in the short axis and 15 mm in the long axis. Crescent calcific atheroma plaques are observed in the aortic arch.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Density reduction and degenerative changes are observed in the bone structures in the study area. There are hypertrophic osteophytic taperings on the end plates.\n<abdomen>: Crescent calcific atheroma plaques are observed in the aortic arch. In the upper abdominal organs, including sections; There are multiple, partial cortical cysts measuring up to 48 mm in both kidneys.\n\nImpression:\nFindings evaluated in favor of lobar bronchopneumonia accompanied by cardiac stasis; clinical laboratory correlation and follow-up is recommended.  Multiple lymph nodes in the mediastinum.  Atherosclerotic changes.  Increase in heart size.  Small-to-moderate effusions in both lungs, more on the right.  Bilateral cortical renal cysts.  Decreased density in bone structures, degenerative changes, hypertrophic osteophytic tapering in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6217/train_6217_a/train_6217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the right lung, significant volume losses in the upper and lower lobes, atelectatic changes, consolidation areas indistinguishable from effusion and an area containing an air bronchogram sign are observed. When examined in the lung parenchyma window; In both hemithorax, effusion is observed with a thickness of 48 mm on the right and up to 26 mm in thickness on the left. There are mild atelectatic changes in the lower lobe of the left lung.\n<mediastinum>: Diffuse crescentic calcific atheroma plaques are observed in the thoracic aorta. Heart valve replacement material or stent is observed in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes and osteopenic appearance are present in bone structures.\n<abdomen>: Diffuse crescentic calcific atheroma plaques are observed in the thoracic aorta. It cannot be clearly distinguished within the limits of the study. Other upper abdominal organs included in the sections are normal. The upper abdomen is partially included in the images and the liver dimensions have increased. Heart valve replacement material or stent is observed in the aortic arch. It is observed that there is contamination in the effusion or oily planes.\n\nImpression:\nIncrease in heart size.  Diffuse calcific atheroma plaques in coronary arteries, aortic arch.  Finding consistent with a stent or heart valve replacement material in the aortic arch.  Moderate effusion on the right and a small amount on the left in both lungs  Atherosclerotic changes.  Significant volume loss in the lower and upper lobes of the right lung, consolidated area with air bronchogram sign in the lower lobe of the right lung, clinical laboratory correlation in terms of infectious process, follow-up is recommended.  Diffuse degenerative changes in bone structures and osteopenic appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6219/train_6219_a/train_6219_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14694",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass nodule-infiltration was detected in both lung parenchyma. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nBilateral minimal peribronchial thickenings. Calcified atherosclerotic changes in the coronary artery wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6228/train_6228_a/train_6228_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: At this level, ectasia is observed in the bronchial structures. Trachea, both main bronchi are open and there is no occlusive pathology. However, the presence of the underlying mass cannot be excluded.\n<lung>: Mild emphysematous changes are observed in both lungs. The described appearance was primarily evaluated as secondary to infective pathology. In the examination made in the lung parenchyma window; There is a significant decrease in the large consolidation area observed in the right lung in the previous CT examination. There is no active infiltration or mass lesion in the left lung, and linear sequelae fibroatelectatic changes are present in the lower lobe posterobasal and inferior lingular segments. Follow-up is recommended. However, in the right lung, there is a consolidation area in the lower lobe superior and posterobasal segment in the lower lobe superiorly and in the lower lobe posterobasal segment, in which it is observed in air bronchograms, accompanied by an indistinctly limited ground glass density around it.\n<pleura>: Subcentimetric pleural effusion is present in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: The mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal. In mediastinal lymph node stations, pathologically sized and unappearing lymph nodes with fusiform configuration, the largest of which is 6mm in diameter in the right lower paratracheal area, are observed.\n<heart>: No pericardial effusion or thickening was detected. The mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: No discernible mass was detected in the upper abdominal organs within the image as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nOther findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6240/train_6240_a/train_6240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14723",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Right upper-lower paratracheal lymph nodes in millimetric size are observed. In addition, there are pleuroparenchymal sequelae densities selected in the previous examination in the left lung inferior lingular segment. In the evaluation of both lung parenchyma; In the localization of the pneumonic consolidation areas, which regressed significantly in previous examinations, minimal ground glass appearances in the right lung lower lobe laterobasal and anterobasal segments, pleuroparenchymal sequelae densities, and mild ectasia in several bronchi are observed.\n<pleura>: Plaque-like pleural calcification is observed in the left hemithorax and was also present in the previous examination.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: Fluid is present in the superior paracardiac recess. The heart and mediastinal vascular structures have a natural appearance.\n<bone>: In the middle dorsal localization, there is an appearance compatible with DISH disease in the anterior of the vertebral corpus.\n<abdomen>: No significant pathology was distinguished in the sections passing through the upper part of the abdomen.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6240/train_6240_b/train_6240_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen.\n<lung>: Two subplevbral nonspecific parenchymal nodules, the largest of which was 5.8 mm in diameter, were observed in the laterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Millimetric nonspecific calcific nodules were observed in the left lung apex and right lung upper lobe posterior segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Stent was observed in LAD. Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 38 mm diameter hypodense nodular lesion was observed in the upper pole posteromedial of the left kidney (cyst?). Upper abdominal organs included in the sections are normal. Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries.\n\nImpression:\nCalcific atheroma plaques in arcus aorta and coronary arteries, stent in LAD . Hiatal hernia . Millimetric nonspecific calcific nodule in upper lobe of both lungs . Millimetric subpleural nodules in left lung lower lobe laterobasal segment; it is nonspecific.  Hypodense nodular lesion (cyst?) in the upper pole of the left kidney. Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6253/train_6253_a/train_6253_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14759",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal millimetric lymph node is observed. In the evaluation of both lung parenchyma; In the posterobasal segment of the lower lobe of the right lung, an area of consolidation that may be compatible with atelectasis-pneumonia observed in previous examinations is observed.\n<pleura>: Pleural effusion entering the fissure in the right hemithorax is observed.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: There is no lytic destructive lesion in bone structures.\n<abdomen>: The right lobe/left lobe ratio seems to have increased in favor of the left lobe. There is significant acid in the abdomen. The splenic vein is enlarged. In the sections passing through the upper part of the abdomen, the liver contours show significant lobulation. Although the examination is without contrast, collateral vascular structures are observed in the paraesophageal and left gastric localization, and in the spleen hilus localization. Splenomegaly is present.\n\nImpression:\nChronic liver parenchymal disease, ascites in the abdomen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6258/train_6258_a/train_6258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Presence of pneumonia could not be evaluated due to the presence of pulmonary edema. Imaging findings were primarily evaluated in favor of pulmonary congestion. When examined in the lung parenchyma window; There is more pronounced parenchymal ground-glass opacity and interlobular septal thickening in the lower lobes and dependent parts of both lungs. Repetition of CT examination of the case after treatment Covid pneumonia? It is recommended for evaluation.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. It is evident in LAD. Calcified atheroma plaques are observed in the coronary arteries. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a siliding type hiatal hernia.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are cortical cysts in the atrophic kidney. When the upper abdominal organs included in the sections were evaluated; Bilateral atrophic kidney is observed.\n\nImpression:\nFindings consistent with pulmonary edema, follow-up imaging is recommended for the evaluation of post-treatment pneumonia. Diffuse atherosclerotic plaques in coronary arteries.  Bilateral atrophic kidney, cortical cysts in both kidneys. Siliding type hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6262/train_6262_a/train_6262_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14772",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Position-dependent atelectasis is observed, with the posterobasal segments of both lungs being more prominent in the lower lobes. When examined in the lung parenchyma window; Patchy ground glass densities are observed in the apicoposterior of the upper lobe of the right lung. Centrilobular paraseptal emphysema is present at the apical levels of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the coronary arteries in the ascending and descending aorta in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the ascending and descending aorta in the aortic arch. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a decrease in density in the bone structures in the study area, and degenerative changes are observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. When the upper abdominal organs included in the sections were evaluated; In both kidneys, there is a cortical cyst measuring up to 33 mm in size, being large on the right. Calcific atheroma plaques are observed in the coronary arteries in the ascending and descending aorta in the aortic arch.\n\nImpression:\nClinical laboratory correlation and follow-up for early viral pneumonia of patchy ground-glass densities described above in the right lung posterior is recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6262/train_6262_b/train_6262_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes, linear atelectasis and sequelae changes in both lungs. There are millimetric nodules in both lungs. There is minimal interlobular septal thickening in both lungs, more prominent in the lower lobe of the right lung. Ground glass appearances are observed in the lower lobe of the right lung. These views are nonspecific. No mass was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion. It is understood that the pleural effusion is loculated especially in the neighborhood of the medial upper lobe of the right lung.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Atheroma plaques are present in the aorta and coronary arteries. Pericardial effusion was not detected. As far as can be observed: The heart is larger than normal. It is understood that the patient underwent mitral valve replacement and coronary by-pass surgery. This appearance may be due to cardiac pathology.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are present in the aorta and coronary arteries. There is a hypodense lesion measuring 83x75 mm in the widest part of the right lobe of the liver. There is minimal free fluid in the perihepatic region. In addition, there are views in both kidneys, the largest on the left and measuring 55 mm in length at the widest part. There are hyperdense appearances in the gallbladder that may be compatible with biliary sludge and/or millimetric stones. These appearances could not be characterized as no contrast agent was given.\n\nImpression:\nMitral valve and coronary by-pass surgery, cardiomegaly, atherosclerotic changes in the aorta and coronary arteries.  Bilateral pleural effusion.  Emphysematous changes in both lungs.  Occasional atelectasis and pleuroparenchymal sequelae changes in both lungs.  Minimally uniform interlobular septal thickening in both lungs (due to cardiac pathology?).  Millimetric nonspecific nodules in both lungs.  Nonspecific ground-glass views in the lower lobe of the right lung.  Perihepatic free fluid.  Hypodense lesions in the liver and kidney (these appearances could not be characterized clearly because the contrast agent was not given. It is recommended that the patient be evaluated together with previous examinations, if any).  Appearance that may be compatible with millimetric stones and-or biliary sludge in the gallbladder."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6276/train_6276_a/train_6276_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Atelectasis changes are observed, more prominently in the lower lobe basal segments in both lungs, and consolidated density increases are observed more prominently in the left lingula in the upper lobe inferior of both lungs. Clinical and laboratory correlation of findings in terms of early viral pneumonia onset is recommended.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. A small amount of pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectasis changes in both lungs, consolidated density increases in the left lingula on the left side of the upper lobe inferior of both lungs, clinical laboratory correlation and follow-up are recommended for early viral pneumonia. Small amount of pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6277/train_6277_a/train_6277_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Pleuroparenchymal linear density increases are observed in the lower lobe basal segments. There are areas of nodular consolidation in places. Radiological findings were evaluated as compatible with covid infection with lung parenchyma involvement.\n<pleura>: In the evaluation of lung parenchyma; Peribronchial and subpleural ground-glass nodules are observed in both lungs.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. Bilateral lower paratracheal and paraaortic milimetric mediastinal lymph nodes are observed.\n<heart>: Heart size increased. Pericardial effusion was not detected. Left ventricular diameter increased.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nIncreased heart size. Findings consistent with Covid infection parenchymal involvement in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6282/train_6282_a/train_6282_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; There are widespread ground glass densities showing a tendency to merge in the subpleural area in both lung parenchyma. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. On upper abdominal sections, the spleen is 153 mm and larger than normal.\n\nImpression:\nFindings consistent with viral pneumonia.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6286/train_6286_a/train_6286_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland increased, and hypodense nodules with a diameter of 14 mm were observed on the right. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. Subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. As far as it can be observed secondary to motion artifacts: Centriacinar emphysematous changes were observed in the upper lobes of both lungs.\n<pleura>: Sequelae thickening was observed in the bilateral posterior costal pleura.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The anterior-posterior diameter of the ascending aorta was 35 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. As far as can be observed: surgical suture materials secondary to previous bypass surgery were observed in the anterior mediastinum of the sternum. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The anterior-posterior diameter of the ascending aorta was 35 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. A nodular lesion with 5.5 cm diameter and fluid density was observed in the upper pole of the left kidney (cyst?). In the gallbladder dependence, an increase in density was observed in the plastering style, and it was evaluated together with US in terms of sludge-calculus. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, fusiform aneurysmatic dilation in the descending aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary artery. Hiatal hernia.  Centriacinar emphysematous changes, segmentary atelectatic changes in the upper lobes of both lungs. Cortical hypodense lesion (cyst?) in the upper pole of the left kidney. Increased density in the form of plastering in the gallbladder dependant (it is recommended to be evaluated together with Us in terms of sludge-calculus)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6291/train_6291_a/train_6291_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Mosaic attenuation is present in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: Degenerative changes are observed in the vertebrae. There is no lytic-destructive lesion in bone structures.\n<abdomen>: No significant pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nSlight increase in cardiothoracic index . Mosaic attenuation in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6296/train_6296_a/train_6296_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Passive atelectatic changes were observed in the lingular segment of the left lung. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. The outlook raises high suspicion for Covid-19. Other viral pneumonia was considered in the differential diagnosis. In addition, a mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). When examined in the lung parenchyma window; Focal consolidation areas with ground glass densities were observed in the upper lobes of both lungs, more common bilaterally peripherally located.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. Vertebral corpus heights are preserved.\n<abdomen>: No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. As far as can be seen in non-contrast sections, the liver parenchyma density decreased minimally in line with fatty deposits. Gallbladder, spleen, pancreas, both adrenal glands are normal.\n\nImpression:\nMore prominent bilateral peripheral nodular focal ground-glass densities in the upper lobes of both lungs, the appearance is highly suspicious for Covid-19. Other viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with the clinic and laboratory.  Mosaic attenuation pattern in both lungs (small airway disease) ?, small vessel disease?). It is recommended to be evaluated together with clinical and laboratory.  Passive atelectasis changes in the left lung inferior lingular segment . Hepatosteatosis . Increase in thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6300/train_6300_a/train_6300_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14868",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Nodules with a diameter of 6.5 and 5 mm are observed in the fissure localization in the middle lobe of the right lung. In the evaluation of both lung parenchyma; mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?). In addition, depandant density increases are observed in the posterior segment of both lung lower lobes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMosaic attenuation pattern in both lungs, depandant density increases in the posterobasal segment of the lower lobe of both lungs. Nodules of 6.5 and 5 mm in diameter adjacent to the fissure in the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6307/train_6307_a/train_6307_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There are mild atelectatic changes in the inferior lingula in the left upper lobe of the lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Mild hepatosteatosis is observed in the liver parenchyma.\n\nImpression:\nHepatosteatosis.  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6308/train_6308_a/train_6308_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Densities that can hardly be distinguished from the parenchyma are observed in both lungs, especially in the middle lobe of the right lung, in a patchy manner of nodules. The findings were evaluated in favor of the early infectious process. Clinical laboratory correlation and close follow-up are recommended for better differential diagnosis.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings described in the lung parenchyma were evaluated for early suspected covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6315/train_6315_a/train_6315_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14915",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are sequelae changes in both lungs. When both lungs are evaluated in the parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Follow-up is recommended. Two well-circumscribed parenchymal nodules, 6 mm in diameter, adjacent to each other, were observed in the anterior segment of the upper lobe of the right lung.\n<pleura>: There is a pleural effusion measuring 16 mm at its widest point on the left between the pleural leaves. No pleural thickening-effusion was detected on the right.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the coronary artery in the thoracic aorta. Millimetric sized lymph nodes were observed in mediastinal upper-lower paratracheal and subcarinal localization. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; Soft tissue densities, which were evaluated in favor of postoperative changes, were observed in the first plan, which did not create a significant mass effect in the anterior mediastinum.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the thoracic vertebrae, bridging spur formations were observed in the right anterolateral. Degenerative changes were observed in bone structures. It is recommended to evaluate for DISH disease. There are metallic strut metals belonging to sternotomy on the anterior thorax wall.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the coronary artery in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSoft tissue densities, which are evaluated primarily in favor of postoperative changes in the anterior mediastinum, are recommended to be evaluated and followed up together with previous examinations, if any.  Cardiomegaly Atherosclerotic changes  Sliding type Hiatal hernia  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Fibroatelectasis changes in both lungs  Two parenchymal nodules adjacent to each other in the right lung  Pleural effusion on the left  It is recommended to be evaluated for DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6328/train_6328_a/train_6328_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14935",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Depandant densities are observed in the posterior parts of both lungs. A few millimetric nonspecific nodules were observed in both lungs. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally in terms of focal lesion. No mass or infiltrative lesion was detected in both lungs. In particular, the basal segments of the lower lobes of both lungs could not be evaluated clearly. Emphysematous changes are observed in both lungs.\n<pleura>: No pleural effusion or thickening was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The main pulmonary artery diameter was 30mm and wider than normal.\n<heart>: The anterior-posterior diameter of the ascending aorta is 40mm and wider than normal. Pericardial thickening was not detected. There is minimal pericardial effusion. It is understood that the patient underwent coronary by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. Calcific atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected within the sections. No pathologically enlarged lymph node was observed.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion, minimal fusiform aneurysmatic dilation of the ascending aorta. Mediastinal and hilar lymph nodes.  Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6335/train_6335_a/train_6335_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14936",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the anterior segment of the left lung upper lobe, 2 adjacent nodules with irregular borders were observed in the peripheral area. The longest diameters of these nodules were 13 mm and approximately 9 mm, respectively. When the previous examination of the patient was examined, it was understood that there was a nodule with the longest diameter of 24 mm in this localization and that it shrunk and fragmented after radiotherapy. No mass or infiltrative lesion was detected in both lungs. There are emphysematous changes in both lungs, more prominent in the upper lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be seen; Heart contour and size are normal. The anterior-posterior diameter of the ascending aorta was 40 mm and was at the upper limit of normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOn follow-up, pulmonary ca, fragmented nodules in the left upper lobe of the lung after treatment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6335/train_6335_b/train_6335_b_1.npy"
        ]
    },
    {
        "id": "report_generation_14955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A millimetric nonspecific nodule was observed in the upper lobe of the left lung. When examined in the lung parenchyma window; In both lungs, the bronchial walls are thickened at the central level.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques and appearances of coronary stents are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed at the distal esophageal level.\n<bone>: Degenerative changes are observed in the vertebrae.\n<abdomen>: In the upper abdominal sections, a parapelvic-located cortical hypodense lesion was observed in the upper pole of the right kidney (cyst?). Thoracic aorta diameter is normal. Calcific atheroma plaques and appearances of coronary stents are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis, coronary stents.  Minimal bronchiectasis at the central level in both lungs.  Minimal sequelae of fibrotic changes in both lungs.  Millimetric nonspecific nodule in the upper lobe of the left lung.  Hypodense lesion (cyst?) in the upper pole of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6342/train_6342_a/train_6342_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14958",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, a few millimetric nonspecific parenchymal nodules were observed in both lungs. Sequelae of reticular fibrotic density increases in the apex of both lungs and areas of paraseptal emphysema in the vicinity were observed. It is compatible with sequel. When examined in the lung parenchyma window; Peripherally located millimetric focal ground glass opacities were observed in the anterior and posterior segments of the left lung upper lobe. The outlook is suspicious for Covid-19 pneumonia. Left lung upper millimetric calcific nodules were observed. Minimal passive atelectasis changes were observed in right lung middle lobe medial and left lung inferior lingular segments.\n<pleura>: There was minimal thickening of the posterior pleura in both hemithorax and an entrapped effusion reaching a thickness of 6 mm in the left major fissure.\n<mediastinum>: Other mediastinal vascular structures are natural. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: the anterior-posterior diameter of the ascending aorta is 38 mm, which is wider than normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density decreased in line with the fatty deposits.\n\nImpression:\nEctasia in the ascending aorta, calcific atheromatous plaques in the coronary arteries . Hiatal hernia . Right lung upper lobe peripheral focal nodular ground glass densities: the appearance is suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Reticular density in both lung upper lobe apex increases and accompanying paraseptal emphysematous changes, sequelae thickening in bilateral posterior pleura . Calcific nonspecific parenchymal nodules in both lungs . Hepatosteatosis . . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6344/train_6344_a/train_6344_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of changes secondary to Covid-19 viral pneumonia. When examined in the lung parenchyma window; Diffuse air bronchogram signs and patchy ground glass densities are observed in both lungs. Close monitoring of clinical laboratory correlation is recommended.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes in the mediastinum with a short axis measuring up to 4 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are infectious processes with diffuse ARDS appearance in the lung parenchyma and close follow-up of clinical laboratory correlation is recommended.  Small lymph nodes with a short axis measuring up to 4 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6345/train_6345_a/train_6345_a_1.npy"
        ]
    },
    {
        "id": "report_generation_14971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid parenchyma has a hypertrophic appearance and multiple calcific nodules are observed in it.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: At the basal levels of the lower lobes of both lungs, atelectasis changes, volume losses, and patchy ground glass densities, which may be compatible with consolidation on the right, are observed. When examined in the lung parenchyma window; Thickening of interlobular septa at basal levels of lower lobes of both lungs, mosaic attenuation patterns are observed in both lungs.\n<mediastinum>: There are small lymph nodes in the mediastinum, in the aorticopulmonary window, in both hilar regions. The main pulmonary artery measures 32 mm, wider than normal. Mediastinal main vascular structures were measured as ascending aorta 40 mm aortic arch 28 mm descending aorta 27 mm.\n<heart>: 1Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; liver size increased. Mediastinal main vascular structures were measured as ascending aorta 40 mm aortic arch 28 mm descending aorta 27 mm.\n\nImpression:\nFindings consistent with thyroiditis, extension into the intrathoracic cavity, calcific nodules in both thyroid parenchyma.  A small amount of bilateral effusion.  Small vessel disease, infectious processes accompanied by small airway disease.  Cardiomegaly, atherosclerosis. Dilatations in the ascending aorta and pulmonary arteries.  Small lymph nodes in the mediastinum and both hilar regions, aorticopulmonary window, carina.  Hepatomegaly. Irregularities in the contours of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6350/train_6350_a/train_6350_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear subsegmental atelectasis areas and fibrotic linear densities are observed in the right lung middle lobe medial segment and left lung lateral lingular segment.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A few nodular opacities were observed in the transverse colon lumen included in the examination and no identification could be made. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. It is appropriate to evaluate the patient together with the clinic.\n\nImpression:\nAtelectasis, sequela fibrotic densities. Unidentified predense nodular appearances within the transverse colon lumen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6367/train_6367_a/train_6367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Minimal central tubular bronchiectasis is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. There are areas of linear atelectasis in both lungs. (infectious process?). A nonspecific ground glass area is observed in the medial part of the right lung lower lobe superior segment. There is a 15x16 mm nodule in the medial segment of the lower lobe of the right lung, in the paraaortic area, accompanied by peripheral fibrotic recessions. In the posterior segment of the lower lobe of the right lung, there are centriacinar nodular density increases, accompanied by linear atelectasis, ground glass areas and interlobular septal thickness increases, giving the appearance of a budding tree view. More prominent minimal emphysematous changes, blebs and occasionally millimetric air cysts are observed in the apical regions of both lungs. It has just emerged.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. The diameter of the ascending aorta was 38 mm, and the diameter of the descending aorta was 37 mm and increased. Millimetric calcific atheroma plaques are observed in the aorta and anterior descending coronary artery. It is stable.\n<heart>: Heart contour and size are normal. Minimal pericardial effusion is observed.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. There are osteophytes bridging in the anterior corners of the thoracic vertebra corpus within the sections.\n<abdomen>: As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. The diameter of the ascending aorta was 38 mm, and the diameter of the descending aorta was 37 mm and increased. Millimetric calcific atheroma plaques are observed in the aorta and anterior descending coronary artery. There is a millimetric diverticulum at the level of the descending colon. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. Millimetric hyperdense stone is observed in the gallbladder lumen. It is stable.\n\nImpression:\nMinimal pericardial effusion, dilatation of the aorta and millimetric calcific atheroma plaques.  Centriacinar nodular density increases and accompanying linear atelectasis, characterized by a budding tree view in the lower lobe of the right lung, occasional ground glass areas; appeared in the interval. Evaluation and follow-up in terms of infectious processes is recommended.  Minimal emphysematous changes in both lungs, central tubular bronchiectasis.  Minimal hiatal hernia.  Cholelithiasis.  Millimetric diverticulum in the descending colon.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6369/train_6369_a/train_6369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral honeycomb appearance, thickening of interlobular septa, emphysematous changes are observed in both lungs. The findings were evaluated in favor of interstitial fibrosis.\n<pleura>: Diffuse minimal recessions are observed in the pleural structures. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes measuring up to 11 mm on the short axis of the largest in the articopulmonary window and in the hilar regions, around more than one preparatoracheal vascular structures in the mediastinum. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in the bone structures in the study area, hypertrophic osteophytic taperings in the vertebral corpus end plates, and a tendency to coalesce were observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with interstitial fibrosis  Emphysematous changes in both lungs  Increased heart size  Atherosclerotic changes  Multiple small lymph nodes in the mediastinum  Diffuse density reduction in bone structures, hypertrophic osteophytic taperings in vertebral corpus endplates, tendency to coalesce"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6375/train_6375_a/train_6375_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: When examined in the lung parenchyma window; Multiple nonspecific parenchymal nodules with a diameter of 7.4 mm were observed, predominantly in the lower lobes of both lungs, predominantly located in the subpleural segment of the left lung lower lobe laterobasal segment. Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Hemangioma was observed in T4 vertebra. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMultiple, predominantly subpleural parenchymal nodules in both lungs, prominent in the left lung lower lobe.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6376/train_6376_a/train_6376_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; In the left lung upper lobe lingula inferior segment, linear atelectasis and suspicious parenchymal ground glass density area are observed. It was evaluated suspiciously in favor of pneumonic infiltration. There are scattered nodular consolidation areas in both lung lower lobe basal segments.\n<mediastinum>: There are mediastinal lymph nodes that cannot be characterized in this examination, which is located bilaterally in the upper and lower paratracheal area, the largest of which is short in diameter, measured 14 mm in the left upper paratracheal area.\n<heart>: Pericardial effusion was not observed. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Evaluation is suboptimal due to motion artifact. No features were detected in the upper abdominal sections.\n\nImpression:\nSuspected ground-glass density area adjacent to the atelectasis parenchyma in the left lung upper lobe lingula inferior segment, areas of nodular consolidation (pneumonic infiltration?) in the basal segments of the lower lobes of both lungs. The evaluation is suboptimal due to the apparent motion artifact. A repeat examination will be appropriate if necessary."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6393/train_6393_a/train_6393_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No mass lesion was observed in both lungs. There are areas of increase in density consistent with linear-subsegmental atelectasis in both lung lower lobe posterobasal segment, left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.\n<pleura>: When examined in the lung parenchyma window; In both lungs, multilobar, mostly peripheral subpleural areas of consolidation and density increase in ground glass density were observed. No effusion was detected in either pleural space.\n<mediastinum>: There are calcified atheromatous plaques in the wall of the aortic arch. In the mediastinum, there are lymph nodes with a fusiform configuration, with a short diameter of less than 1 cm, which are not pathological in size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: Minimal pericardial effusion was observed. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa. Degenerative changes are observed in bone structures.\n<abdomen>: There are calcified atheromatous plaques in the wall of the aortic arch. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; There are hyperdense stones of millimeter size in the gallbladder lumen. Hepatosteatosis in liver parenchyma density.\n\nImpression:\nIt is recommended to be evaluated together with clinical and laboratory findings in terms of local sequela parenchymal changes in both lungs and findings compatible with viral pneumonia in both lungs (Covid-19 pneumonia).  Minimal pericardial effusion, calcified atheroma plaques in the wall of the aortic arch.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Cholelithiasis.  Hepatosteatosis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6397/train_6397_a/train_6397_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No obstructive pathology was detected.\n<pleura>: There is minimal pleural effusion in the lower lobes of both lungs. When examined in the lung parenchyma window; Atelectasis are observed in the posterior subpleural areas in the upper lobes of both lungs, in the middle lobe of the right lung, and in the posterior subpleural area of the left lung lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, there are reactive lymph nodes with short axes not reaching 1 cm.\n<heart>: Pericardial effusion-thickening was not observed. The precardiac fat pad appears normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: An increase in nodular thickness, which is evaluated primarily in favor of adenoma, is observed at the corpus level in the left adrenal gland. Skin and subcutaneous structures have a natural appearance. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFirstly, appearances evaluated in favor of postoperative atelectasis are observed in both lungs.  There is minimal pleural effusion in both lungs.  Calcific atheroma plaques are observed in the aorta and coronary arteries.  Nodular thickness increase in the left adrenal gland, which is primarily evaluated in favor of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6403/train_6403_a/train_6403_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; There are posterior weighted subpleural minimal ground glass densities in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degeneration and anterior osteophytes in the vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNewly developed ground glass densities in both lungs (consistent with Covid pneumonia)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6406/train_6406_a/train_6406_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland dimensions are markedly reduced.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The left hemidiaphragm is elevated. No mass lesion with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; sequela thickening was observed in the posterior-lateral costal pleura in bilateral hemithorax. Nodular patchy ground-glass consolidations accompanied by linear atelectasis and subpleural streaks with peripheral crazy paving pattern and vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia in the resolution period.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like effusion was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nDecrease in thyroid gland size.  Pericardial smear effusion  Findings consistent with Covid-19 pneumonia in the resolution period in the lung parenchyma.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6414/train_6414_a/train_6414_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15113",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: On the right are old rib fractures showing callus formation.\n<abdomen>: Liver parenchyma density is decreased. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6415/train_6415_a/train_6415_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: When examined in the lung parenchyma window; In the posterobasal segment of the lower lobe of the left lung, a lesion-consolidation is observed in the soft tissue density with a ground glass area around it. It is understood that the patient underwent lobectomy. There are nodules in both lungs. As far as can be seen; The left upper lobe of the lung was not observed.\n<pleura>: Bilateral pleural effusion was not detected. In the left posterior hemithorax, pleural thickening was observed and it was also present in the previous examination of the patient.\n<mediastinum>: The heart and mediastinum are deviated to the left. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. The longest diameter of the described view measured approximately 33 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The port catheter terminates in the superior distal portion of the vena cava.\n<heart>: Pericardial effusion-thickening was not detected. Heart contour and size are normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The heart and mediastinum are deviated to the left.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: The described bone lesion was also present in the previous examination of the patient and no difference was detected. Apart from this, no appearance that can be evaluated in favor of metastasis was observed in the bone structures within the sections. A metastatic bone lesion is observed in the left half of the T12 vertebra corpus. No mass extending into the spinal canal was detected. Metastasis caused minimal height loss in the vertebral bodies.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. There was no significant difference in size and appearance. The current soft tissue density of the patient is also present in the previous examination of the patient.\n\nImpression:\nOperated lung Ca in follow-up, nodules showing millimetric increase in size in both lungs. Lesion-consolidation area in soft tissue density in the posterobasal segment in the lower lobe of the left lung (stable)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6419/train_6419_a/train_6419_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15127",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: A few millimetric nonspecific parenchymao nodules were observed in both lungs. Focal nonspecific ground glass densities were observed in both lungs from place to place. When examined in the lung parenchyma window; A smear-like effusion was observed in both hemithorax. Diffuse interlobular-intralobar septal thickening and peribronchial cuffing were observed in both lungs.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed in the mediastinum and both hilum. A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. The described findings were evaluated in favor of cardiac stasis.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae. In the case with multiple myeloma, lytic bone lesions were observed in the bone structures. A pathological fracture was observed in the L1 vertebra causing more than 50% height loss.\n<abdomen>: Millimetric calculus was observed in the gallbladder lumen. Periportal edema was observed (signs of overload secondary to heart failure). In the liver, the inferior valve cava and hepatic veins appear dilated. A cortical cyst of 5.7 cm in diameter was observed in the left kidney.\n\nImpression:\nCardiac stasis in the lung and accompanying minimal pleural effusion  A few millimetric nonspecific pulmonary nodules in both lungs  Congestion findings in the liver  Cholelithiasis  Simple cortical cyst in the left kidney  Locally lytic bone metastases in the bone structures in the case with multiple myeloma, more than 50% in the L1vertebra pathological fracture causing excessive height loss"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6420/train_6420_a/train_6420_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A nonspecific calcified parenchymal nodule with a diameter of 3 mm was observed in the posterior segment of the right lung upper lobe.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal millimetric lymph nodes were observed.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric calcified nonspecific parenchymal nodule in the right lung.  Bilateral peribronchial thickenings.  Mediastinal millimetric sized nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6426/train_6426_a/train_6426_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; sequela fibrotic density increases and traction bronchiectasis are observed in the right upper and lower lobe medial segment of the right lung adjacent to the heart.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the axilla and hilar area. Artifacts of the operation material, which may be compatible with valve replacement, are observed at the exit point of the thoracic aorta. As far as can be observed, calcific atheroma plaques are observed in the aorta. Evaluation of mediastinal structures is suboptimal because the examination is unenhanced. Several lymph nodes are observed in the pretracheal area, the short axis of which is 7 mm. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<heart>: Heart size increased. Heart contours are regular. No pericardial effusion or pericardial wall thickness increase was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 50mm cyst is observed in the upper pole of the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Artifacts of the operation material, which may be compatible with valve replacement, are observed at the exit point of the thoracic aorta. As far as can be observed, calcific atheroma plaques are observed in the aorta. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nCardiomegaly Calicific atheroma plaques Cyst in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6430/train_6430_a/train_6430_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: In terms of Covid-19 pneumonia, evaluation together with clinical and laboratory findings is recommended.\n<pleura>: When examined in the lung parenchyma window; Peripheral subpleural ground-glass density areas are observed in the left lung lower lobe superior-lower lobe lateral segment, right lung middle lobe lateral segment and lower lobe superior-posterobasal segments, and viral pneumonias are considered in the etiology of the findings. No pericardial or pleural effusion was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nPeripheral ground glass density areas located in the right lung middle lobe lateral segment and lower lobe, subpleural localized in the left lung lower lobe; viral pneumonias are considered in the etiology of the findings. In terms of Covid-19 pneumonia, evaluation together with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6432/train_6432_a/train_6432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are bronchiectatic changes in both lungs. Atelectasis was observed in the lingular segment of the left lung and the middle lobe of the right lung. In addition, there are subsegmental atelectasis in the lower lobes of both lungs. Infiltration areas and density increases in ground glass density were observed in the right lung upper lobe anterior segment, left lung lower lobe posterobasal segment, and right lung laterobasal segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Minimal effusion was observed in the pericardial area. The ascending aorta is dilated with a diameter of 40 mm. Left heart dimensions have increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIncrease in left heart dimensions, dilatation in the ascending aorta.  Infiltration areas in the right lung upper lobe anterior segment, right lung lower lobe laterobasal segment, left lung lower lobe posterobasal segment. Bronchiectatic changes in both lungs. Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6437/train_6437_a/train_6437_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the evaluation of the parenchymal window of both lungs; Focal ground-glass-like density increase is observed in the anterior segment paramediastinal area in the upper lobe of the right lung, and it is also observed in the previous examination. It may be partially secondary to RT. However, the changes identified in the baselines became evident according to his previous review.\n<pleura>: A 4 mm diameter subpleural nodule is observed in the anterior subpleural area in the upper lobe. A 2 mm diameter nodule is observed in the dorsal subpleural area in the upper lobe posterior segment of the right lung. No significant pleural effusion pneumothorax was observed in both lungs. Mild irregularity in the pleura is observed in the upper lobe segments of the right lung, continuing until the baseline and thickening of the subpleural interstitial tissue is observed.\n<mediastinum>: No pathological size and configuration lymph nodes were detected at mediastinal and both hilar levels. CTO is normal. Calibration of the aortic arch is measured as 35 mm and is wider than normal. There is a catheter appearance extending from the level of the right subclavian artery to the right atrium. Calibration of other major vascular structures in the mediastinum is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected.\n<breast>: The right breast was not observed.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: There is thickening and mild effusion in the pararenal fatty planes and geratofascia. Control is recommended. CTO is normal. The gallbladder bed is prominent. Both adrenals are normal. Calibration of the aortic arch is measured as 35 mm and is wider than normal. The spleen is full. The renal parenchyma is mildly edematous, and the proximal ureter is calibrated at the level of the examination area. The identified changes are not tracked in the previous review. Liver contours show microlobulation in sections passing through the upper abdomen. Control for chronic liver parenchymal disease is recommended. Grade 1 pelvicalyceal ectasia is observed in the right kidney. Contamination is observed in the central mesentery.\n\nImpression:\nHowever, pleural irregularity and subpleural density increases in the lower lobe segments of the right lung are additional findings.  Moderate microlobulation in liver contours and prominence in the bile bed. It is recommended to control the patient in terms of liver parenchyma disease.  Grade 1 ectasia in the right kidney collecting system, ectasia in the ureter, edematous appearance in the kidney, contamination in the perirenal fatty planes, thickening of the gerato fascia, mild effusion, and changes described were not detected in the previous examination, and it is recommended to be evaluated in terms of obstructive pathology."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6438/train_6438_a/train_6438_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: According to the previous examination, multiple nodules consistent with metastasis were observed in both lung parenchyma, with a stable size and number. In addition, masses of 4 cm in diameter were observed in the upper lobe anterior segment and at the level of the major fissure in the right lung, and there was no significant change in their size. Irregular interlobular septal thickenings were observed in the lower lobe of the right lung and were also observed in the previous examination.\n<pleura>: On the right, there is a free pleural effusion measuring 56 mm at its widest point between the pleural leaves. No pleural effusion was detected on the left.\n<mediastinum>: Port chamber and catheter image extending superiorly to the vena cava were observed on the left anterior chest wall.\n<abdomen>: In the abdominal sections that entered the study area, diffuse free fluid was observed in the abdomen. A soft tissue lesion of 1 cm in diameter, with irregular borders, was observed between the stomach and the spleen.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6438/train_6438_b/train_6438_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Central-peripheral localized, crazy paving pattern and vascular expansion in both lungs, more patchy nodular consolidation areas were observed in the lower lobes. Consolidations are sometimes accompanied by linear subsegmentary atelectatic changes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6444/train_6444_a/train_6444_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and follow-up of the findings in terms of viral pneumonia Covid-19 onset is recommended. When examined in the lung parenchyma window; mild bronchiectasis in the superior lower lobe of the left lung and a small consolidation area are observed on the ground of patchy ground glass densities.\n<pleura>: There are fibrotic changes at both apical levels and mild recessions in the pleura.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia.\n<bone>: There is a decrease in density in the bone structures in the examination area and degenerative changes in the end plates of the vertebral corpuscles.\n<abdomen>: Hiatal hernia is observed. The gallbladder was not observed (operated). Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, a millimetric calcific focus is observed within the left kidney lower pole pelvicalyceal structures. Calcific atheroma plaques are observed in the aorta.\n\nImpression:\nLeft nephrolithiasis . Density increases accompanied by bronchiectatic changes described in the left lung lower lobe superior segment, Pneumonia? Early viral pneumonia? Clinical laboratory correlation and follow-up are recommended for more differential diagnosis.  Calcific atheromatous plaques in the aorta, hiatal hernia. Osteopenic appearance in bone structures, degenerative changes in the end plates of the vertebral corpuscles. Hiatal hernia is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6461/train_6461_a/train_6461_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; There are multilobar, peripheral-central weighted nodular patchy ground glass consolidations in both lungs. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Ground glass consolidations are accompanied by signs of vascular enlargement and crazy paving pattern. The outlook is suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal vascular structures is natural. In the mediastinum, lymph nodes with short axis not reaching pathological dimensions below 1 cm were observed.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Calcific atheroma plaques were observed in the coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. Degenerative changes were observed in the bone structure in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta . Calcific atheromatous plaques in the coronary arteries . Suspicious appearance in the lung parenchyma for Covid-19; it is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6464/train_6464_a/train_6464_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of the first plan (small airway disease? Small vessel disease?). There are thickenings of the interlobular septa, especially centriacinar ground glass densities at the apical levels. Clinical laboratory correlation is recommended for differential diagnosis of suspected infectious processes. There are atelectatic changes at the basal level of the lower lobe of the right lung. When examined in the lung parenchyma window; Mild mosaic attenuation patterns are observed in both lungs, especially in the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. More than one lymph node in the mediastinum, the largest of which is 10 mm in short axis, is observed in the aorticopulmonary window. There is a fuller appearance at the level of the renal hiluses, in the paraaortic area, and in soft tissue density, which enters the images partially. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Both kidneys are atrophic. Conglomerate lymph node or space-occupying lesion? Horseshoe kidney? discrimination cannot be made within the limits of the non-contrast examination. Thoracic aorta diameter is normal. There is a fuller appearance at the level of the renal hiluses, in the paraaortic area, and in soft tissue density, which enters the images partially. There are free fluid in the perihepatic and perisplenic areas in the upper abdomen, mild edematous appearances in the fatty planes, and millimetric nodular formations. There is a partially observed Double J catheter in the left kidney. In case of doubt, further examination, upper abdomen CT or MRI is recommended.\n\nImpression:\nThere is a full appearance at the level of the renal hilus, paraaortic area, soft tissue density, which is partially included in the images. Conglomerate lymph node or space-occupying lesion? Horseshoe kidney? discrimination cannot be made within the limits of the non-contrast examination. In case of doubt, further examination, upper abdomen CT or MRI is recommended.  There are atelectatic changes at the basal level of the lower lobe of the right lung. Clinical laboratory correlation is recommended for the differential diagnosis of the onset of suspected infectious processes.  There is a small amount of free fluid in the upper abdomen, edematous appearances in fatty planes, millimetric mesenteric nodules formations.  Small lymph nodes in the mediastinum.  Small airway disease? Small vessel disease? favorable findings.  Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6470/train_6470_a/train_6470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15261",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: Viral pneumonias can be considered in the differential diagnosis. The outlook can be traced in Covid-19 pneumonia. When both lung parenchyma windows are evaluated; Focal ground glass density increases were observed in both lungs with septal thickenings in the upper and lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFocal ground-glass density increases with occasional septal thickening in the upper-lower lobes of both lungs can be observed in Covid-19 pneumonia. Viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6476/train_6476_a/train_6476_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe interior lingular and both lung lower lobe basal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; An increase in wall thickness, which causes luminal narrowing, was observed in the lower lobe segment bronchi in both lungs. There is a mosaic attenuation pattern at this level, and mosaic attenuation was thought to be secondary to small airway obstruction. Interlobular septal thickenings accompanied by ground glass densities were observed in both lungs.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Anteroposterior diameter of the descending aorta was 30 mm, and the diameter of the ascending aorta was 38 mm, which was wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; There are changes in the sternum and anterior mediastinum secondary to previous bypass surgery.\n<heart>: All the described findings were evaluated in favor of cardiac stasis. Pericardial effusion-thickening was not observed. Heart sizes are slightly increased.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: As far as can be seen; There are changes in the sternum and anterior mediastinum secondary to previous bypass surgery. Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Anteroposterior diameter of the descending aorta was 30 mm, and the diameter of the ascending aorta was 38 mm, which was wider than normal. The left lobe of the liver and the caudate lobe are prominent. It is recommended to evaluate for possible parenchymal disease. Thickening was observed in both adrenal glands.\n\nImpression:\nBilateral gynecomastia  Changes in the sternum and anterior mediastinum secondary to previous bypass surgery, atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries, cardiomegaly, fusiform ectasia in the thoracic aorta  Hiatal hernia  Cardiac findings in the lung parenchyma, compatible with linear subleartic stasis. no findings in favor of pneumonia-mass were detected in the parenchyma  Prominence in the left lobe of the liver and caudate lobe; It is recommended to evaluate for parenchymal disease  Thickening in both adrenal glands  Diffuse degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6479/train_6479_a/train_6479_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are nonspecific nodules in millimeter sizes, the largest of which is 5 mm in the lateral segment of the right lung middle lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6482/train_6482_a/train_6482_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; There are areas of diffuse ground glass density in all segments of both lungs, and viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. There are areas of increased density consistent with sequelae linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.\n<pleura>: Pericardial, pleural effusion is not observed.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: There are widespread degenerative changes in bone structures within the image. There are widespread osteophytic degenerative changes in the vertebral corpus corners, which tend to merge in the right anterolateral. No lytic-destructive lesion is observed.\n<abdomen>: No intraabdominal free fluid or loculated collection was detected. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; In both kidneys, hypodense lesions of 32 mm diameter and fluid density are observed, the largest of which is located cortical in the right kidney route zone. It cannot be clearly characterized (cyst?) within the limits of unenhanced CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6486/train_6486_a/train_6486_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15290",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Right lung volume decreased. Atelectatic changes were observed in the middle and lower lobes of the right lung. A few millimetric nonspecific parenchymal nodules were observed in both lungs. There was no finding in favor of pneumonic infiltration in the lung parenchyma.\n<pleura>: Free air was observed in the right pleural space adjacent to the upper lobe anterior and middle lobe anterior segments. Between the pleural leaves on the right; An effusion measuring 44 mm in its widest part was observed in the major fissure and adjacent to the superior segment of the lower lobe. A free effusion measuring 28 mm was observed in the thickest part of the left hemithorax between the leaves of the pleura. Free air was observed between the left pleural leaves, which was barely distinguishable and reached a thickness of 2 mm.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Effusion reaching 11 mm in thickness was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver right lobe was not observed secondary to the operation. An external drainage catheter placed at the subdiaphragmatic level is observed from the right 6-7th intercostal space. Left lobe contours are natural.\n\nImpression:\nLeft hydropnomothorax; new to current review.  Pericardial effusion  Atelectatic changes in the middle and lower lobe of the right lung.  Millimetric parenchymal nodules in both lungs.  External drainage catheter placed at the right subdiaphragmatic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6488/train_6488_b/train_6488_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15295",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Millimetric sized nonspecific nodules were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetrically sized nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6490/train_6490_a/train_6490_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: The outlook was evaluated as consistent with the frequently reported imaging features of Covid-19 pneumonia. When both lung parenchyma windows are evaluated; In the upper and lower lobes of both lungs, diffuse, septal thickenings with a tendency to merge in the lower lobes were observed, and ground-glass density increases were observed, and consolidative changes were observed in the lower lobes. Clinical and laboratory correlation is recommended.\n<mediastinum>: Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<abdomen>: Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Liver parenchyma density in the cross-sectional area has decreased diffusely in line with fatty deposits. There was no significant change in other findings in the current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6491/train_6491_c/train_6491_c_1.npy"
        ]
    },
    {
        "id": "report_generation_15315",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequelae changes are observed at the apical level of both lungs. When examined in the lung parenchyma window; scattered frosted glass-like density increments are observed in all segments on the left. There are consolidative changes and sequelae findings in the upper lobe anterior segment peribronchial area in the right lung. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia during the pandemic process. Sequelae changes in the middle lobe, sequela changes are observed in the lower lobe laterobasal level.\n<pleura>: Bilateral pleural effusion hemithorax was not detected. A subpleural 3 mm diameter calcific nodule is observed in the upper lobe apicoposterior segment lateral in the left lung.\n<mediastinum>: There are lymph nodes in the mediastinum in the lower right paratracheal area, with a calcific appearance and 11x5 mm in size. No enlarged lymph nodes in pathological dimensions were detected. Calibration of mediastinal major vascular structures is natural. Apart from this, no pathological size and configuration lymph nodes were detected in the mediastinum and at both hilar levels.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. In the spleen hilum, a nodular formation is observed, which is isodense with the spleen and is approximately 20 mm in size, which is considered compatible with the accessory spleen. The surrounding soft tissues within the image are natural.\n\nImpression:\nScattered ground-glass-like density increases are observed in all segments on the left lung. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia during the pandemic process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6498/train_6498_a/train_6498_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15317",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is minimal luminal narrowing in the described bronchus. However, this appearance could not be characterized. In this localization, an appearance of soft tissue density is observed around the upper lobe anterior segment bronchus. No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are open.\n<lung>: Bronchiectasis is observed in the anterior segment of the right lung upper lobe. There are several millimetric nonspecific nodules in both lungs. Further investigation is recommended. No mass that can be evaluated in favor of pneumonic infiltration in both lungs or with distinguishable margins was detected. Pleuroparenchymal sequelae changes were observed at the apex of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No intraabdominal free fluid-collection or pathologically enlarged lymph nodes were detected.\n\nImpression:\nAtelectasis in the anterior segment of the upper lobe of the right lung and the appearance of soft tissue density around the anterior segment bronchus in this localization."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6498/train_6498_b/train_6498_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: There is a thickening in the lower part of the fissure on the left. There are patchy ground glass infiltrates in both upper lobes.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, consolidations at bases in both lungs; subpleural bands and structural distortions were observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6506/train_6506_a/train_6506_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15338",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It has been evaluated in the direction of viral pneumonia and close follow-up is recommended. No nodular lesions were detected in either parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIt was evaluated in the direction of viral pneumonia, and close follow-up of clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6506/train_6506_b/train_6506_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15343",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearances were evaluated in favor of infective pathology. These views are not specific. Peripheral and central consolidations, minimal ground-glass appearances and centracinar nodules are observed in the upper lobe of the left lung. No mass in both lungs and infiltrative lesion in the right lung were detected.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in the left upper lobe of the lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6509/train_6509_a/train_6509_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: On the left, an increase in the size of both thyroid glands and a heterogeneous appearance are observed. Evaluation with USG examination is recommended.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are sequela parenchymal changes in bilateral apex, upper lobe posterior, left upper lobe inferior lingular segment and right middle lobe medial segment. When examined in the lung parenchyma window; Centracinar emphysematous changes are observed in both lungs. Follow-up is recommended. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. In the axial sections of both lung parenchyma, the largest of which is observed in the right lung lower lobe superior segment, long axis nodules measuring 8 mm in diameter are observed.\n<pleura>: No pericardial pleural effusion or thickening was detected. Peripheral subpleural areas of minimal ground glass density are observed in the right lung lower lobe lateral segment and middle lobe medial segment, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: There are calcified atheromatous plaques in the wall of the aortic arch. The mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures is natural. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures is natural. Heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: There are calcified atheromatous plaques in the wall of the aortic arch. In the upper abdominal sections within the image, 14x10 mm low-density, nodular thickness increase in which fat densities are observed in the lateral crus of the left adrenal gland is observed, and it was evaluated primarily in favor of adenoma.\n\nImpression:\nCentracinar emphysematous changes in both lungs. Sequelae changes in bilateral lung parenchyma.  Minimal ground glass density areas located peripheral subpleural in the right lung lower lobe lateral segment and middle lobe medial segment; clinical and laboratory evaluation is recommended for Covid-19 pneumonia.  Nodules in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6514/train_6514_a/train_6514_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is one millimetric nonspecific nodule in the middle lobe of the right lung and one each in the anterior segment of the upper lobe. The ground glass area observed in the left lung superior segment and laterobasal segment in the previous examination of the patient is not observed in this examination. There is linear atelectasis in the inferior subsegment in the left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. Ventilation of both lungs is normal.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: As far as can be observed within the limits of non-contrast CT, there is no mass with discernible borders in the upper abdominal organs within the sections. No upper abdominal free fluid-collection was observed within the sections. Stones were observed in the gallbladder.\n\nImpression:\nMillimetric nonspecific nodules in the right lung. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6518/train_6518_a/train_6518_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There are several nodules smaller than 5 mm in both lungs. There are several nodules smaller than 5 mm in both lung major fissures (lymph node?). There is one calcified nodule in the posterior upper lobe of the right lung. There are subsegmental atelectasis in the middle lobe of the right lung and the upper lobe lingula of the left lung.\n<pleura>: Pleural effusion-thickening was not detected. There are millimetric focal consolidations in the upper lobe of the right lung, adjacent to the paramediastinal area, in the posterior upper lobe and bilateral lower lobes of the lung, located subpleural.\n<mediastinum>: There are several lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, paraesophageal, the largest 14x6.5 mm in size. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There are metallic sutures in the sternum and anterior mediastinum, possibly secondary to previous surgery. An image of a possible port catheter, with its distal end terminating in the superior vena cava, is observed. There are several right parasternal and right anterior diaphragmatic lymph nodes, the largest of which is 8 mm in diameter. There are wall calcifications in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There are free air images in the right lateral neck, adjacent to the port catheter, within the fatty tissues.\n<bone>: Bone structures in the study area are natural. There are metallic sutures in the sternum and anterior mediastinum, possibly secondary to previous surgery. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nFree air images in the right lateral neck, adjacent to the port catheter, in fatty tissues. Wall calcifications in the aorta and coronary arteries.  Several lymph nodes, upper, lower paratracheal, aortopulmonary, subcarinal, paraesophageal, the largest 14x6.5 mm in size.  Several lymph nodes, right parasternal and right anterior diaphragmatic, the largest 8 mm in diameter.  Bilateral lung upper lobe apicoposterior segments, pleuroparenchymal sequelae densities. Right lung middle lobe and left lung upper lobe lingula, subsegmental atelectasis.  A few nodules smaller than 5 mm in both lungs. One calcified nodule in the posterior upper lobe of the right lung.  A few nodules (lymph nodes ?) smaller than 5 mm in both lungs in major fissures. In the right lung upper lobe, adjacent to the paramediastinal area, in the upper lobe posterior and bilateral lung lower lobes, subpleural localized, millimetric focal consolidations. Free air images observed between the fatty planes on the right lateral of the neck, adjacent to the probable port catheter, have recently developed. Apart from these, no significant difference was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6521/train_6521_a/train_6521_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lungs, ground glass densities in acinar pattern were observed in the central parts of both lungs.\n<pleura>: Pneumonic infiltration? Passive atelectasis due to pleural effusion was observed in the right lung base. A 3 cm thick pleural effusion was observed on the right.\n<mediastinum>: Paratracheal, prevascular lymph nodes, the largest of which is 22 x 9 mm, are observed in the mediastinum. Heart and mediastinal vascular structures have a natural appearance.\n<heart>: Heart and mediastinal vascular structures have a natural appearance. Coronary arteries have appearances of stents.\n<breast>: If no evaluation has been made within the last year, it would be appropriate to evaluate it with mammography and ultrasonography. Millimetric nodular opacities were observed at the outer mid-axis areola edge in the left breast that entered the imaging field.\n<bone>: Chronic pancreatitis? Degenerative osteophytes are observed in the vertebral plateaus.\n<abdomen>: Atrophy is observed in the pancreas and there are calcifications in the parenchyma. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPneumonic infiltration? Parapneumonic effusion on the right? Mediastinal lymph nodes Chronic pancreatitis? Changes identified in the left breast, mammography and ultrasonography are recommended. Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6526/train_6526_a/train_6526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Dependent atelectasis are present in the lung parenchyma. No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Peripherally located subplebral light ground glass densities are observed in both lungs. Clinical laboratory correlation of findings in terms of early viral pneumonia is recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripheral localized subpleural light ground glass densities in both lungs, dependent atelectasis in lung parenchyma. Clinical laboratory correlation of findings in terms of early viral pneumonia is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6533/train_6533_a/train_6533_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration or mass lesion was detected in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. In both lungs, there are nonspecific nodules measuring 5.8 mm in size in the left upper lobe inferior lingular segment and 4 mm in the right upper lobe posterior segment.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures are normal. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: There is an increase in heart size. Minimal pericardial effusion is observed. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: Sliding type mild hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area, and the vertebral corpus heights were preserved.\n<abdomen>: Solid mass is not observed. In the upper abdominal sections included in the sections, no free fluid-loculated collection was detected within the borders of non-contrast CT.\n\nImpression:\nSlight increase in heart size, minimal pericardial effusion. Sliding type mild hiatal hernia at the lower end of the esophagus.  There are no signs in favor of pneumonic infiltration in both lungs, and there are millimetrically sized nonspecific nodules. If present, it is recommended to be evaluated or followed up with previous CT examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6544/train_6544_a/train_6544_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Secretion is observed in the right lateral part of the trachea. Both main bronchi are open.\n<lung>: There are several calcified nodules in both lungs. Centrilobular nodules are present in the upper lobes of each lung. There are tubulovaricoid bronchiectasis in the lower lobes of both lungs, prominent on the left. Subsegmental atelectasis is observed in the middle lobe of the right lung and the upper lobe lingula of the left lung. In the lower lobes of both lungs, areas of air trapping are observed. When examined in the lung parenchyma window; There are several nodules smaller than 5 mm in both lungs.\n<mediastinum>: In the anterior mediastinum, there is a triangular shaped structure with no clear contour and soft tissue density (thymic remnant?). Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. S-shaped scoliosis is present.\n<abdomen>: Thoracic aorta diameter is normal. In the sections passing through the upper part of the west; There is a 35 mm diameter, cortical, nodular, hypodense lesion in the upper pole of the right kidney ( cyst ?).\n\nImpression:\nTriangle shaped structure in anterior mediastinum, which does not give clear contours, with soft tissue density (thymic remnant?). Secretion in the right lateral part of the trachea.  Few nodules smaller than 5 mm in both lungs. Prominent on the left, tubulovaricoid bronchiectasis in the lower lobes of both lungs. Areas of air trapping, in the lower lobes of both lungs. In both lungs, several, calcified nodules. Each lung in upper lobes, centrilobular nodules. Right lung in middle lobe and left lung in upper lobe lingula, subsegmental atelectasis.  Right kidney, upper pole, 35 mm diameter, cortical, nodular, hypodense lesion ( cyst ?).  S-shaped scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6554/train_6554_a/train_6554_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Linear atelectatic sequelae changes were observed in the basal segments of the lower lobes of both lungs. When examined in the lung parenchyma window; as far as secondary can be observed in motion artifacts; dependably nonspecific ground-glass appearances were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. There are increases in pleuroparenchymal sequelae density in both lung apexes.\n<pleura>: Bilateral pleural effusion was not observed. Sequelae thickening was observed in the costal pleura bilaterally posteriorly.\n<mediastinum>: The descending aorta is ectatic with a diameter of 29 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The diameter of the ascending aorta was 44 mm wider than normal. Pericardial effusion-thickening was not observed. Heart contour size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: At the thoracic level, left-facing scoliosis and degenerative changes were observed. Vertebral corpus heights are normal. An increase in trabeculation consistent with osteopenia was observed in the vertebrae.\n<abdomen>: As far as can be observed in the non-contrast examination; Multiple hypodense lesion areas of 35x30 mm were observed in segment 2 of the liver in both lobes (cyst?). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Gallbladder, spleen, both adrenal glands, pancreas and both kidneys are normal. The descending aorta is ectatic with a diameter of 29 mm.\n\nImpression:\nAneurysmatic dilatation of the thoracic aorta . Hiatal hernia.  Nonspecific ground-glass densities depending on both lungs. Linear fibroatalectasis sequelae changes in lower lobe basal segments of both lungs.  Hypodense lesion areas (cysts?) of the liver in both lobes. Mild scoliosis and degenerative changes at the thoracic level with left-facing opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6556/train_6556_a/train_6556_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. No mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. As far as can be observed: Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nBilateral peribronchial thickenings"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6566/train_6566_a/train_6566_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15497",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Mild thickenings are observed in the bronchial wall, more prominently in the central part. Focal bronchiectasis, thickening of the bronchial wall and subsegmental atelectasis are observed in the middle lobe on the right.\n<lung>: There is subsegmentary atelectasis in the lingular segment on the left. There are some calcific millimetric nonspecific nodules in the bilateral lungs. There are mosaic density differences in the lower lobes. When examined in the lung parenchyma window; emphysematous appearance is present in the lungs, especially in the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes that did not reach the pathological dimension and appearance were observed in the mediastinum and hilar level. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are osteophytes with an anterior fusion tendency in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections in the examination area, there are hypodense lesions located in the parapelvic of the bilateral kidneys and cortical in the lower pole of the left kidney.\n\nImpression:\nFindings in favor of emphysema and chronic bronchitis in both lungs.  Sequelae of fibrotic changes, nonspecific nodules and subsegmental atelectasis.  Bilateral renal parapelvic and left cortical cystic lesions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6572/train_6572_a/train_6572_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15499",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Clinical laboratory correlation and close follow-up of the findings in terms of viral pneumonia (Covid-19?) is recommended.\n<pleura>: When examined in the lung parenchyma window; There are small ground-glass densities in peripherally located subpleural patchy style, more prominent in the right upper lobe and middle lobe in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hypertrophic osteophytic taperings are observed in the end plates of the vertebral corpuscles. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; Small calcific foci are observed in the liver parenchyma.\n\nImpression:\nIn both lungs, there are small ground-glass densities located in the peripheral subpleural patch, more prominent in the right upper lobe and middle lobe. Clinical laboratory correlation and close follow-up of the findings in terms of viral pneumonia (Covid-19?) is recommended.  Millimetric calcific foci in the liver. Osteopenic appearance in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6573/train_6573_a/train_6573_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are atelectatic changes in the left upper lobe inferior lingu, a few millimetric nodules.\n<pleura>: There is a non-specific millimetric subpleural nodule in the middle lobe of the right lung in series 3 image 277. There is mild pleural thickening at the basal level of the lower lobe of the left lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nAtelectatic changes in the left upper lobe inferior lingu. Slight pleural thickening at the basal level of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6583/train_6583_a/train_6583_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15524",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: In the supraclavicular fossa, no lymph node was observed in the axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: No pathological increase in diameter is observed in the esophagus.\n<bone>: There is irregularity in the joint contours at the level of the sternomanibral joint, sclerosis on the bone surfaces adjacent to the joint, and a slight increase in density in the adjacent fatty planes. No lytic-destructive lesions were detected in bone structures. Sternomanibral attachment was evaluated in favor of degenerative arthritis.\n<abdomen>: Paramchymal millimetric coarse calcification focus is observed. In the upper abdomen sections, a decrease in liver parenchymal density is observed, consistent with mild hepatosteatosis.\n\nImpression:\nOsteoarthritis degenerative changes in the sternomanibral joint, mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6584/train_6584_a/train_6584_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are sometimes linear atelectesis in both lungs. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal cannot be evaluated as suboptimal since no contrast material is given.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral alignments are normal. The neural foramina are narrowed. Vertebral corpus heights within the sections are normal. Intervertebral disc distances are narrowed. There are low density compatible with osteopenia in the bone structures within the sections, and osteophytes in the vertebral corpus corners within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nMinimal emphysematous changes in both lungs  Millimetric nodules in both lungs  Atheromatous plaques in the aorta  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6587/train_6587_a/train_6587_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A millimetric calcified nonspecific parenchymal nodule was observed in the lower lobe of the right lung. When examined in the lung parenchyma window; No mass infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. As far as can be observed: Soft tissue density of remmant thymus tissue was observed in the anterior mediastinum. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCalcified nonspecific parenchymal nodule in the right lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6591/train_6591_a/train_6591_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are prominent bronchial wall thickenings in the central parts of both lungs.\n<lung>: When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. There are multiple calcified nodules in both lungs. Tubulovarocoid bronchiectasis is observed in the lower lobe of the left lung. There are several nodules smaller than 5 mm in both lungs.\n<pleura>: There are two nodules with a diameter of 5.3 mm located subpleural in the anterolateral part of the lower lobe of the right lung and 5.1 mm in diameter located subpleural in the posterobasal segment of the lower lobe of the left lung. In the bilateral lung parenchyma, there are more prominent, diffuse ground-glass areas in the subpleural areas, thickening of the interstitial elements, and multiple air cysts (interstitial lung disease?). The pleural fatty tissues in both lungs are locally hypertrophied.\n<mediastinum>: Thoracic aorta diameter is normal. There are multiple lymph nodes, upper, lower paratracheal, aortopulmonary, bilateral hilar, subcarinal, the largest being 20x9 mm in size. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There are increases in soft tissue density in both breasts in the retroareolar area, which may be compatible with gynecomastia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is one coarse calcification in the anterior superior of the liver right lobe. In the sections passing through the upper part of the west; liver is observed in diffuse fatty appearance.\n\nImpression:\nDensity increases in soft tissue density in both breasts retroareolar areas that may be compatible with gynecomastia.  Multiple lymph nodes, upper, lower paratracheal, aortopulmonary, bilateral hilar, subcarinal, the largest 20x9 mm in size.  Pleuroparenchymal sequelae densities in bilateral lung upper lobe apicoposterior segments. In bilateral lung parenchyma, more prominent, diffuse ground-glass density areas in subpleural areas, thickening of interstitial elements, and multiple air cysts (interstitial lung disease?).  Tubulovarocoid bronchiectasis in the lower lobe of the left lung. Significant bronchial wall thickening in the central parts of both lungs.  Two nodules with a diameter of 5.3 mm located subpleural in the anterolateral part of the lower lobe of the right lung and a diameter of 5.1 mm located subpleural in the posterobasal segment of the lower lobe of the left lung.  Multiple calcified nodules in both lungs.  A few nodules smaller than 5 mm in both lungs. Pleural fatty tissues in both lungs appear hypertrophied in places.  Liver with diffuse fatty appearance, one coarse calcification in liver right lobe anterior superior."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6594/train_6594_a/train_6594_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is also volume loss in this localization. There are millimetric nonspecific nodules in both lungs. There is a consolidated lung segment in the lower lobe of the left lung, especially in the anteromediobasal segment. Therefore, although the presence of pneumonic infiltration cannot be completely excluded, it was primarily evaluated in favor of atelectasis. A large mass with indistinguishable borders was observed in the left upper quadrant. No mass was detected in both lungs.\n<pleura>: There is no pleural effusion on the right. There is minimal pleural effusion on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. It is recommended that the patient be evaluated together with their medical history. Pericardial effusion was not detected. However, the described appearance was not characterized because contrast agent was not given. The port catheter terminates in the right atrium.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No metastatic lesions were detected in the bone structures within the sections.\n\nImpression:\nEwing sarcoma on follow-up.  Left pleural effusion.  Appearances evaluated primarily in favor of atelectasis in the lower lobe of the left lung.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6604/train_6604_d/train_6604_d_1.npy"
        ]
    },
    {
        "id": "report_generation_15574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6605/train_6605_a/train_6605_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. There are subsegmental atelectatic changes in the lower lobes of both lungs. Bilateral peribronchial thickenings were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Minimal calcified atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCalcified atherosclerotic changes in the wall of the abdominal aorta and coronary artery. Subsegmental areas of atelectasis in both lungs, peribronchial thickenings. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6606/train_6606_a/train_6606_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15611",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: In both lung lower lobes and left lung upper lobe superior-inferior lingular segment, there is an area of increase in density consistent with the consolidation observed in air bronchograms, adjacent to the effusion. Apart from this, the left lung lower lobe aeration has almost completely disappeared. In the evaluation made in the lung parenchyma window: There is aeration in a small area in the left lung lower lobe superior and anterior. First of all, it was evaluated in favor of compressive atelectasis, and the underlying pneumonic infiltration cannot be excluded. No mass lesions were detected in both lungs.\n<pleura>: Free effusion is observed in both pleural spaces with a depth of 45 mm on the left and up to a depth of 10 mm on the right.\n<mediastinum>: In the mediastinum, lymph nodes that were not in pathological size and appearance were observed in both axillary regions. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. As far as can be observed, the ascending aorta diameter is 42 mm, the diameter of the pulmonary trunk is 34 mm, the diameter of the right pulmonary artery is 29 mm, and the diameter of the left pulmonary artery is 28 mm, which is wider than normal.\n<heart>: An increase in heart size is observed. There is pericardial effusion.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdominal sections within the image, the gallbladder appears distended. Intraabdominal free liqu- ulated collection is not observed. No pathology is observed in the intra-abdominal parenchymal organs. As far as can be observed, the ascending aorta diameter is 42 mm, the diameter of the pulmonary trunk is 34 mm, the diameter of the right pulmonary artery is 29 mm, and the diameter of the left pulmonary artery is 28 mm, which is wider than normal. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nIncreased calibration of the ascending aorta, pulmonary trunk, and both pulmonary arteries.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Pericardial and bilateral pleural effusion.  Areas of increase in density consistent with consolidation observed in air bronchograms adjacent to pleural effusion, in both lower lobes of both lungs and in the left lung lingular segment; Compressive atelectasis is primarily considered in its etiology, but underlying pneumonic infiltration cannot be excluded; Evaluation together with clinical and laboratory findings is recommended.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Distant appearance in the gallbladder."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6619/train_6619_a/train_6619_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, there are nodules with irregular contours and areas of linear atelectasis, especially in the perivertebral area of the lower lobe of the left lung. When examined in the lung parenchyma window; Especially in the left lung, there is an irregularly contoured consolidation area at the hilus level. Apart from this, there are fibrotic densities that are more prominent in the lower lobe of the left lung and are also observed in the upper lobe of the left lung. These were primarily thought to be compatible with the sequelae change. In this area, bronchiectatic changes with nodular appearances are observed, more prominently in the lower lobe bronchi of the left lung. There is a 5 mm diameter nodule evaluated in favor of the intraparenchymal lymph node at the level of the minor fissure in the right lung.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymphadenopathy was detected in the mediastinal region in pathological size and appearance. In the examination of mediastinal vascular structures and solid organs, it could be evaluated as suboptimal due to its lack of contrast. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Calibrations of major vascular structures were naturally evaluated within the limits of the non-contrast scan. Heart sizes are normal and no pericardial effusion or increased thickness was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nDecreased size of both kidneys.  Appearances evaluated in favor of a more prominent sequelae change in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6623/train_6623_a/train_6623_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. However, viral pneumonia cannot be excluded. It may be compatible with an infectious process. When examined in the lung parenchyma window; In the left lung upper lobe lingular segment, consolidation areas with air bronchogram and accompanying ground glass density increases were observed. Appearance is nonspecific.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Millimetric-sized calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural. It is recommended to be evaluated together with clinical and laboratory data. Millimetric-sized calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n\nImpression:\nConsolidation areas including air bronchogram in the left lung upper lobe lingular segment and accompanying ground glass density increases; the appearance is nonspecific. It may be compatible with an infectious process. However, viral pneumonias cannot be excluded. It is recommended to evaluate together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6630/train_6630_a/train_6630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Right breast not observed (operated) Trachea and both main bronchus lumen are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Diffuse atelectatic changes were observed in the middle lobe of the right lung, the lower lobes of both lungs, and the inferior lingular segment of the left lung. However, it is not typical. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). The outlook can be observed in Covid-1 pneumonia.\n<pleura>: In the right lung middle lobe, peripheral and focal ground-glass density increase was observed in the subpleural area. On the right, a free pleural effusion measuring 1 cm in thickness is observed. A free pleural effusion measuring 15 mm in thickness is observed between the pleural leaves on the left.\n<mediastinum>: The diameter of the main pulmonary artery was 32 mm and showed fusiform dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No lymph node was detected in mediastinal and hilar pathological size and appearance.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Sclerotic lesions and lytic lesions in different localizations were followed in T12 and L1 vertebrae. Metallic suture materials of sternotomy were observed on the anterior thorax wall.\n<abdomen>: Aerial images of the choledochal and intrahepatic bile ducts were observed (secondary to instrumentation?). There are mass lesions in both lobes of the liver, which are evaluated in favor of metastasis in the first plan. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Liver contours are irregular. Contours of both kidneys show lobulation. It is recommended to be evaluated for liver parenchymal disease. Aerial images of the liver were observed in the posterior part of the right lobe, which were evaluated postoperatively. Diffuse free fluid was observed in the perihepatic and perisplenic areas. In the upper abdominal sections in the study area; Accessory spleen with a diameter of 1 cm was observed adjacent to the upper pole of the spleen.\n\nImpression:\nCardiomegaly.  Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Peripheral, subpleural nonspecific ground glass density increase in the right lung, appearance can be seen in Covid-19 pneumonia. However, it is not typical. Clinical-laboratory correlation is recommended.  Diffuse atelectatic changes in both lungs.  Bilateral mild pleural effusion.  Multiple metastatic lesions in the liver.  Pneumobilia.  Lobulation in the contours of both kidneys.  Widespread free fluid in the abdomen.  Lytic-sclerotic lesions in bone structure, metastasis?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6632/train_6632_a/train_6632_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: Sequelae changes are observed in the inferior lingular segment. Band appearances consistent with parenchymal sequelae are observed in the middle lobe of the right lung.\n<pleura>: No pneumonia, pleural effusion or pneumothorax was detected. There is a subpleural bleb in the right lung lower lobe superior segment.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. CTO is normal. It is wider than normal. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. The aortic arch calibration is 33 mm.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta calibration is 43 mm.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. The aortic arch calibration is 33 mm.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6633/train_6633_a/train_6633_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In case of clinical doubt, contrast-enhanced examination is recommended. The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: Although the imaging findings are non-specific, laboratory exclusion of viral pneumonias is recommended in the patient who was examined with a clinical preliminary diagnosis of pneumonia. No suspicious mass or nodular space-occupying lesion was detected in the aerated lung parenchyma. Compression atelectasis is observed in the right lung lower lobe basal segment adjacent to the effusion. Non-specific ground glass densities are observed around the segment bronchi in the left lung upper lobe posterior segment and lower lobe superior segment.\n<pleura>: There is a pleural effusion with a diameter of 5 cm between the leaves of the right pleura and 1.5 cm between the leaves of the left pleura. Pleural space-occupying mass lesion distinguishable from effusion was not detected in this examination.\n<mediastinum>: No mediastinal lymph node reaching distinguishable pathological dimensions was detected in this examination. Evaluation of mediastinal lymph nodes is suboptimal because no contrast agent is given. Diffuse wall calcification is observed in the aortic arch and thoracic aorta.\n<heart>: Heart sizes are of normal width. Calcific atherosclerotic plaques are present in the coronary arteries. Pericardial effusion was not detected.\n<breast>: Right breast-conserving surgery was performed. The increase in thickness of the right breast skin and the increase in reticular density in the subcutaneous parenchyma were evaluated in favor of a change secondary to treatment. There was no significant difference in the localization of the suture lines on the skin in the right breast and the dimensions of the chronic collection area.\n<bone>: Calcifications are observed at costochondral junctions. In thoracic vertebrae, slight height loss compatible with insufficiency fracture is observed in the upper end plateaus. Retropulsion of the bone structure in the middle column into the spinal canal is observed. In both axillae, no lymph node in pathological size and appearance was observed in the supraclavicular fossa within the section. Rib fractures were observed in the right 2-3-4-6-7 and 9th ribs. No lytic-destructive space-occupying lesion that can be distinguished by CT was detected in bone structures. Cementum is placed in the T12 vertebral body. There is a pronounced osteoporotic appearance in bone structures.\n<abdomen>: In the upper abdomen sections, a 13 mm diameter calculus was observed in the gallbladder lumen. Diffuse wall calcification is observed in the aortic arch and thoracic aorta.\n\nImpression:\nRight BCS, chronic collection area at the suture lines, and treatment-related changes in the right breast parenchyma.  Significant right bilateral pleural effusion.  Areas of atelectasis parenchyma in both lungs.  Parenchymal ground glass densities in the left lung upper lobe posterior and lower lobe superior segment; Although the findings are non-specific in the patient who was examined for pneumonia, laboratory examination is recommended for the exclusion of viral pneumonia.  Calcific plaques in coronary arteries.  Advanced osteoporosis and osteoporosis-related insufficiency fractures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6634/train_6634_a/train_6634_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When the described appearances were evaluated together with the clinical information of the patient, they were first evaluated in favor of viral pneumonia. In addition, linear density increases are observed in the peripheral areas of the right lung. There are millimetric nonspecific nodules in both lungs. The manifestations of the described findings are in the style frequently observed in Covid-19 pneumonia. Peripheral ground glass areas are observed in the upper and lower lobes of the right lung, middle lobe and anterior segment of the left lung upper lobe, and minimal interlobular septal thickenings are observed in these localizations. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no enlarged lymph nodes in mediastinal and hilar pathological size and appearance. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be seen; Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are stones in the gallbladder. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs, more prominent on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6648/train_6648_a/train_6648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are prominent bronchovascular structures in both hilar regions.\n<lung>: The finding was initially evaluated in favor of bronchopneumonia.\n<pleura>: When examined in the lung parenchyma window; In the upper lobe of the left lung, a consolidation area with a size of up to 54x37 mm and a bronchogram sign with patchy ground glass densities is observed around the subpleural in the apicoposterior. Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Due to the current pandemic, follow-up is recommended. Remnant thymus tissue is observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Other organs are natural. Thoracic aorta diameter is normal. Hepatosteatosis is present in the liver parenchyma of the upper abdominal organs included in the sections.\n\nImpression:\nThere are prominent bronchovascular structures in both hilar regions and a fuller appearance is present.  There are findings evaluated in favor of bronchopneumonia in the first plan in the left upper lobe of the lung. Kilink laboratory correlation monitoring is recommended.  Hepatosteatosis  Small hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6653/train_6653_a/train_6653_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Bilateral hilar-axillary lymph node enlarged in pathological dimensions was not detected. In both lungs, diffuse ground-glass densities are observed, mostly peripherally located in a patchy manner.\n<mediastinum>: Small lymph nodes measuring 13 mm in more than one short axis are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed in the coronary arteries and aortic arch. The left kidney is mid-level posteriorly, with the same parenchymal density as the oval kidney measuring 18 mm in size (condensed cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the middle level of the right kidney, the finding of 22 mm oval-shaped fluid attenuation was evaluated in favor of a simple cortical cyst.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause similar appearance. Close follow-up of clinical laboratory correlation is recommended.  Simple cortical cyst in the right kidney, dense content in the left kidney cyst?.  Millimetric calcific atheroma plaques in coronary arteries and aortic arch.  Small hiatal hernia . Small mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6655/train_6655_a/train_6655_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal, aortopulmonary, prevascular, millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Mild hip-hyperdensities are observed in the cortex in the lateral part. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In addition, effusion in the form of perirenal fringing is observed. Although the left kidney partially enters the examination area in the sections passing through the upper part of the abdomen, lobulation is observed in its contours.\n\nImpression:\nMosaic attenuation in both lungs (small airway disease? small vessel disease?).  Heterogeneity in the cortex, hypo-hyperdense areas and perirenal fringing effusion in the left kidney that partially penetrated the examination area. Clinical evaluation can be evaluated with sonography or cross-sectional examination if necessary."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6663/train_6663_a/train_6663_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15709",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Nodular ground glass densities are observed in the upper and lower lobes of both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections, there is diffuse density loss in the liver. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCovid pneumonia-consistent findings. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6664/train_6664_a/train_6664_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A calcific nodule with a diameter of 3 mm is observed in the anterior segment of the left lung upper lobe. In the evaluation of both lungs in the parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?). A superposed 3 mm diameter nodule is observed on the minor fissure on the right. A 5 mm diameter nodule is observed in the posterior segment of the right lung upper lobe.\n<pleura>: Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: It is wider than normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The descending and ascending aorta calibration is natural. Although both hilar levels can be evaluated as suboptimal in the non-contrast examination, there are lymph nodes on the left, the largest of which are approximately 18x14 mm in size. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, and the largest is measured in the aorticopulmonary window and measures approximately 20x16 mm. The aortic arch calibration is 33 mm. Pulmonary trunk calibration is 38 mm, right pulmonary artery is 33 mm, left pulmonary artery is 31 mm.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is right-facing scoliosis in the dorsal region. Degenerative changes are observed in the bone structure.\n<abdomen>: It is wider than normal. In the sections passing through the upper abdomen, increases in density are observed on the perinephrtic oily planes on the left. There is a hiatal hernia. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The descending and ascending aorta calibration is natural. The aortic arch calibration is 33 mm. Diverticulum appearance is observed in the ascending and descending colon.\n\nImpression:\nCardiomegaly, increased calibration of mediastinal main vascular structures. Mediastinal and hilar lymph nodes.  Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  A few nonspecific millimetric nodules . Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6675/train_6675_a/train_6675_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: An 8 mm nodule is observed in the anterior upper lobe of the right lung. In the anterior lower lobe of the right lung, a suspicious focal ground-glass density with no clear border is observed adjacent to the major fissure. When examined in the lung parenchyma window; Respiratory artifacts are observed in both lung parenchyma.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: There is an appearance compatible with bilateral gynecomastia.\n<bone>: Millimetric Schmorl nodules were observed in the vertebrae within the sections.\n<abdomen>: In the upper abdominal organs included in the sections, millimetric accessory spleen was observed adjacent to the lower pole of the spleen.\n\nImpression:\nBilateral gynecomastia . Pulmonary parenchyma with respiratory artifact and suspected nonspecific focal ground-glass density adjacent to major fissure in the lower lobe of the right lung . Nonspecific nodule in the anterior upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6685/train_6685_a/train_6685_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In the right lung, millimetric-sized nonspecific parenchymal nodules, some of which are calcified, are observed. Subsegmental atelectatic changes were observed in the lower lobe of the left lung and in the lingular segment. Mosaic attenuation pattern is observed in the lower lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Postoperative materials were observed in the aortic root.\n<heart>: There are calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Thoracic kyphosis has increased.\n<abdomen>: There are calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Postoperative materials were observed in the aortic root.\n\nImpression:\nRight aortic acro anomaly, left atresia pulmonary artery. Atelectatic changes in left lung. Mosaic attenuation in the lower lobes of both lungs.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6688/train_6688_a/train_6688_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is crazy paving appearance followed by interlobular septal thickenings in ground glass densities. No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Bilateral diffuse, ground-glass density consolidation areas involving the peripheral lung parenchyma and extending to the subpleural distance are observed.\n<mediastinum>: Calcific plaques are observed in the aortic arch, descending and abdominal aorta, and coronary arteries. Right upper-bilateral lower paratracheal, aortopulmonary narrow lymph nodes with diameters less than 1 cm are observed. No pathological LAP was detected in the mediastinum.\n<esophagus>: Paraesophageal hiatal hernia is observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Calcific plaques are observed in the aortic arch, descending and abdominal aorta, and coronary arteries. Optimum evaluation cannot be made in non-contrast examination. In the sections passing through the upper part of the abdomen, significant heterogeneity is observed in the central part of the liver parenchyma.\n\nImpression:\nBilateral diffuse, involving the peripheral lung parenchyma, consolidation areas of ground glass density extending to the subpleural distance, crazy paving appearance followed by interlobular septal thickenings in ground glass densities are compatible with viral pneumonia. Evaluation together with clinical and laboratory examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6695/train_6695_a/train_6695_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15824",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of both main bronchi and segmental bronchi.\n<lung>: Pleuroparenchymal fibroatelectasis sequelae changes were observed in the upper and middle lobes of the right lung, the lingular segment of the left lung, and the basal segments of the lower lobes of both lungs. When examined in the lung parenchyma window; Peribronchial thickening and luminal narrowing are present in segmental-subsegmental bronchi in both lungs. Mosaic attenuation has been found to be secondary to small airway disease. No mass lesion-active infiltration was detected in both lungs. Mosaic attenuation pattern is observed in both lungs. Atelectasis changes caused volume loss in the right lung middle lobe. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in the left hemithorax.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, abdominal aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. The diameters of the pulmonary trunk and both pulmonary arteries have increased. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed.\n<heart>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, abdominal aorta and coronary arteries. Heart size increased. As far as can be seen; The ascending aorta is ectatic with an anterior-posterior diameter of 38 mm. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are extensive osteodegenerative changes in bone structures. Left-facing scoliosis was observed at the torcal level.\n<abdomen>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches, abdominal aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetrically sized hypodense nodule in the right thyroid lobe  Appearance compatible with tracheobronchopathia osteochondroplastica in both main bronchi and segmental bronchi  Physuform ectasia in the ascending aorta, increased pulmonary artery diameters, cardiomegaly, diffuse atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries.  Sequela thickening of posterior costal pleura in left hemithorax.  Pleuroparenchymal fibroatelectasis sequelae that also cause volume loss in the right lung middle lobe.  Mosaic attenuation pattern secondary to small airway disease in both lungs.  Left-facing scoliosis at the thoracic level, diffuse osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6709/train_6709_a/train_6709_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ventilation of both lung parenchyma is normal. A sequela calcific nodule is observed adjacent to the minor fissure on the right.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae of calcific pulmonary nodule."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6712/train_6712_a/train_6712_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Except for metastatic lesions, the mosaic attenuation pattern accompanying the increase in bronchial wall thickness in segment bronchi in the lung parenchyma was thought to develop secondary to small airway involvement.\n<lung>: Except for metastatic lesions, the mosaic attenuation pattern accompanying the increase in bronchial wall thickness in segment bronchi in the lung parenchyma was thought to develop secondary to small airway involvement. In the current examination, no significant difference was found in the dimensions of metastatic lesions in both lungs. The lesion in the left lung lingula superior segment shows cavitation on current examination. No new lesion was observed. There was no significant difference in their dimensions.\n<pleura>: There is pleural effusion reaching 7 cm between the left pleural leaves and 2 cm between the right pleural leaves. There are two subpleural localized lesions in the posterior segment of the lobe and metastatic mass lesions located in the pleura in the upper lobe anterior segment. The largest size is the lesion sitting on the pleura in the anterior segment of the right lung upper lobe, measuring 11 mm in size. In the case with a known primary malignancy (history of pancreatic Ca), two in the posterior segment of the left lung upper lobe, one subpleural located in the same segment, one millimetric-sized one in the left lung upper lobe lingula superior segment, one in the apical segment of the right lung upper lobe, two in the upper lobe apical segment of the right lung, and one in the upper lobe of the left lung.\n<mediastinum>: There are wall calcifications in the aortic arch and thoracic aorta. Numerous millimetrically sized retroperitoneal lymph nodes are observed in the preaortic and left aortic areas. The head part is expanded.\n<heart>: No difference was detected. More prominent calcified atheroma plaques are observed in the LAD and circumflex LAD. Its diameter was measured as 6 mm, adjacent to the left atrium at its most prominent location. Heart size increased. Dilatation in the left atrium and left ventricle is more pronounced. Mild pericardial effusion is observed in the form of smearing.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the section, no lymph node was observed in pathological size and appearance in both supraclavicular fossae. There are degenerative changes in bone structures.\n<abdomen>: There are wall calcifications in the aortic arch and thoracic aorta. Contamination is observed in all mesenteric fatty planes. It is recommended to evaluate with clinical findings in terms of peritonitis carcinomatosis and omental metastasis. There is a parapelvic cyst in the left kidney. There is a hypodense lesion in favor of metastatic involvement in the liver segment 2 localization. The pancreatic body is atrophic. The head part is expanded. Periportal edema is observed. Numerous millimetrically sized retroperitoneal lymph nodes are observed in the preaortic and left aortic areas. A hypodense appearance is observed in the spleen, which may belong to infarction. There is a soft tissue lesion in the tail of the pancreas with an irregular margin of expansion. Omental thickness increased and nodular thickness increases in the omentum were thought to be related to omental metastases. In the evaluation of the upper abdominal sections entering the image area, free fluid is evident in the abdomen. There are many calculi and distension in the gallbladder lumen. Air images in the intrahepatic biliary tract are secondary to the stent material applied to the common bile duct.\n\nImpression:\nIncrease in heart dimensions, left ventricular left atrium diameter, calcified atheroma plaques in coronary arteries, bilateral pleural effusion, mild smear-like pericardial effusion . Findings related to primary malignancy in the abdomen are described in detail in the report."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6713/train_6713_a/train_6713_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: During the pandemic process, it was thought that the findings might be compatible with Covid-19 pneumonia. Peripheral and centrally located ground-glass appearances, microcystic appearances and interlobular septal thickenings are observed in the upper and lower lobes of both lungs.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6721/train_6721_b/train_6721_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are milimetric parenchymal nodules in miliary pattern in both lungs. Some of the nodules show calcifications. When examined in the lung parenchyma window; In the upper and middle zones of both lungs, frosted glass appearances containing intense air bronchograms, peribronchial thickenings, bud-tree appearances, interobular septal prominence were observed, especially in the upper and middle zones. However, infection could not be ruled out.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. In the current examination, lymphadenopathies with an increase in size and number were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area and bilateral hilar region, with a short diameter reaching 15 mm in diameter. Thoracic aorta diameter is normal. In the previous examination, its short diameter reaches 8.5 mm. The port chamber is observed in the right hemithorax and the port catheter terminates in the superior vena cava.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: (metastasis?). No lymph node reaching pathological size was detected in the bilateral supraclavicular region. Similarly, multiple mass nodule lesions are present in several hypodense sternum as well as in other vertebrae. Multiple sclerotic lesions are present in the bone structures within the study area. In addition, a lesion causing hypodense vertebral collapse was observed in the T3 vertebral body.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. However, it did not enter the field of view clearly. Upper abdominal organs included in the sections are normal. Multiple hypodense lesions were observed in the liver entering the cross-sectional area, and gastric greater curvature wall thickening was observed. In the patient with gastric ca diagnosis, the appearances were primarily evaluated as lymphangitic spread.\n\nImpression:\nIn a patient with a prediagnosis of Gastric Ca; . Ground glass appearances, interlobular septal clarifications, bud branch appearances in both lungs in the current examination (the appearance was primarily considered as lymphangitic spread and infection could not be excluded) . Parenchymal nodules in miliary pattern in both lungs. lymphadenopathies.  Hypodense lesions (metastases) in the liver. Metastatic bone disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6732/train_6732_a/train_6732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15877",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings were primarily evaluated as pulmonary edema. When examined in the lung parenchyma window; Diffuse peribronchial ground-glass densities, diffuse thickening of interlobular septa, and thickening of the bronchial wall are observed in both lung parenchyma, predominantly in the lower lobe and posterior.\n<pleura>: In the bilateral hemithorax, pleural effusions reaching a diameter of 13 mm on the right and 6 mm on the left are followed at their widest point.\n<mediastinum>: There is an appearance of stent graft at the level of the aortic root. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Coronary stents are observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Corner osteophytes tending to merge anteriorly are seen in the thoracic vertebrae (DISH). There are changes related to sternotomy.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is an appearance of stent graft at the level of the aortic root. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nChanges of sternotomy.  Aortic and coronary artery atherosclerosis.  Aortic root stent graft appearance, coronary stents.  Pulmonary edema changes and pleural effusions in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6735/train_6735_a/train_6735_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Atelectasis, volume loss and structural distortion were observed in the basal left lung lower lobe adjacent to the effusion. Passive atelectatic changes were observed in the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung upper lobe. Segmental-subsegmental peribronchial thickening and mosaic attenuation pattern were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Linear atelectasis was also observed in the upper lobe of the left lung. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; A slightly thick-walled pleural effusion measuring 29 mm in the deepest part of the left hemithorax was observed.\n<mediastinum>: Calcific atheroma plaques were observed in the abdominal aorta. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Lymph nodes that did not reach the pathological dimensions, measuring 6.6 mm in the short axis of the right upper paratracheal region, were observed in the mediastinum and hilar region.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. The aortic valve is calcified.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. An occlusive hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the abdominal aorta. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal. No intra-abdominal free fluid-loculated collection was observed. Thickening was observed in both adrenal glands.\n\nImpression:\nCardiomegaly, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries, aortic valve calcification.  Hiatal hernia.  Thick-walled pleural effusion on the left, atelectasis causing volume loss and structural distortion in the left lung  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Millimetric nonspecific parenchymal nodules in both lungs.  Diffuse thickening of both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6751/train_6751_a/train_6751_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi.\n<lung>: Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Linear subsegmental atelectatic changes were observed in each lung. Atelectasis causing volume loss and structural distortion was observed in the basal left lung lower lobe adjacent to the effusion. Segmental-subsegmental peribronchial thickening and mosaic attenuation pattern were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; A slightly thick-walled pleural effusion measuring 33 mm in the deepest part of the left hemithorax was observed.\n<mediastinum>: The described findings were evaluated in favor of early post-op changes. Calcific atheroma plaques were observed in the abdominal aorta. Lymph nodes reaching pathological dimensions, measuring 9 mm in the short axis of the right upper paratracheal region, were observed in the mediastinum and hilar regions. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the calibration of the mediastinal main vascular structures is natural. Free air image was also observed in the mediastinum.\n<heart>: Heart size increased. Surgical suture materials secondary to valvuloplasty were observed in the aortic valve. A smear-like effusion was observed in the pericardial space.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Spur formations bridging with each other were observed in the right anterolateral corners of the thoracic vertebrae. At the posterior surface of the sternum and the interface of the pericardium (anteroposteriorxtransversxcraniocaudal) a collection of 18.5x40x51 mm in which air images were observed was observed. Vertebral corpus heights are preserved. Suture materials secondary to surgery were observed in the sternum. On the anterior surface of the sternum, there is a skin defect on the anterior wall of the thorax and there is a drainage catheter placed at this level.\n<abdomen>: Calcific atheroma plaques were observed in the abdominal aorta. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. Diffuse thickening was observed in both adrenal glands in the upper abdominal organs included in the sections.\n\nImpression:\nA collection of suture materials secondary to surgery in the sternum, a skin defect in the anterior and a drainage catheter placed in the defect, air images in the posterior and pericardial interface of the sternum.  Pericardial effusion, aortic valvuloplasty.  Hiatal hernia.  Left thick-walled pleural effusion, left lung volume loss and atelectasis causing structural distortion.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Millimetric nonspecific parenchymal nodules in both lungs.  Diffuse thickening of both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6751/train_6751_b/train_6751_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15928",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; more common and consolidated form in the lower lobes of both lungs, crazy paving pattern was formed in the upper lobes; butterfly-like consolidations were observed. The parenchyma is partially ventilated in the upper lobes. The appearance of the case, which was learned to have Covid-19 pneumonia, was evaluated in favor of ARDS.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. Other bone structures in the study area are natural.\n<abdomen>: Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is larger than normal in the upper abdominal organs as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\n· Findings compatible with ARDS in the case learned to have Covid-19 pneumonia · Splenomegaly. Well-defined benign-looking sclerotic focus in the left half of the T1 vertebra corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6757/train_6757_a/train_6757_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are nonspecific nodules reaching 4.5 mm in diameter, the largest of which is located in the right lower lobe laterobasal segment in both lungs.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; mosaic density differences, sequelae changes, bronchiectasis and subpleural reticular densities are seen in both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Views of coronary stents are available. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia was observed.\n<bone>: Vertebrae have a degenerative appearance.\n<abdomen>: A lipoma of 11 mm in size was observed in the lateral leg of the left adrenal gland. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal. In the upper abdominal sections, the right kidney only enters the upper pole section, the calyx is dilated and contrast leveling is seen. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis, coronary stents.  Mosaic densities in both lungs, sequela fibrotic changes, minimal bronchiectasis (sequelae of previous pneumonia?, small airway disease?).  Millimetric nonspecific nodules in both lungs.  Caliectasia and contrast material leveling in the upper pole of the right kidney.  Left adrenal lipoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6759/train_6759_a/train_6759_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15950",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ground glass densities and consolidations with reverse halo sign are observed in all segments of both lungs, dominant in the peripheral lung tissue, some in ground glass density, some more consolidated and located in the lower lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper-lower paratracheal, aortapulmonary, prevascular millimetric lymph nodes are observed. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCommonly reported imaging findings of Covid 19 pneumonia due to pandemic in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6768/train_6768_a/train_6768_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: However, it cannot be ruled out. The outlook is not typical for those with Covid-19 pneumonia. No mass was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Ground glass density increases were observed in the subpleural consolidation area and adjacent to it in the basal segments of the left lung lower lobe.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were considered suboptimal when the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Millimetric calculus was observed in the middle zone of the left kidney. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nGround-glass density increases in the subpleural consolidation area and its vicinity in the basal segments of the left lung lower lobe. The appearance is not typical for Covid-19 pneumonia. However, it cannot be excluded. Other viral infectious-non-infectious pathologies can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Left nephrolithiasis . hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6771/train_6771_a/train_6771_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Diffuse subpleural weighted ground glass densities are present in both lung parenchyma.\n<mediastinum>: A few lymph nodes with a short axis of 7 mm were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are observed in the aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Nodular lesions in the left adrenal gland partially enter the section, and mildly suspicious increase in millimetric size is observed, especially in the lesion at the genu level. In the upper abdominal sections included in the examination, there is a nodular lesion in the right adrenal gland and it partially enters the section. Calcific plaques are observed in the aortic arch.\n\nImpression:\nNewly developed infiltrates compatible with viral pneumonia in both lungs  Mediastinal millimetric lymph nodes  Nodular lesion in the right adrenal gland, nodular lesion with suspicious increase in size in the left adrenal gland, optimal evaluation cannot be made because the adrenal glands partially enter the section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6775/train_6775_e/train_6775_e_1.npy"
        ]
    },
    {
        "id": "report_generation_15973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Endotracheal tube was observed. Centrilobular emphysematous appearance and diffuse thickening of the bronchial wall are observed in the remaining lung parenchyma.\n<lung>: When examined in the lung parenchyma window; Effusions reaching approximately 30 mm in diameter in the bilateral hemithorax and prominent atelectasis in the lower lobes are observed. Lower lobe aeration was markedly reduced. It may be secondary to interference. There are consolidation and ground glass densities adjacent to atelectasis.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are present in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There are minimal air densities in vascular structures. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse osteophytes with a tendency to merge anteriorly and scoliosis with left-facing scoliosis are observed in the thoracic vertebrae. Chronic fractures, some of which are fused, are observed on the 7th, 8th, 9th, and 10th ribs on the right.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are present in the aorta and coronary arteries. The NG probe extending into the stomach is seen.\n\nImpression:\nEndotracheal tube.  Consolidation and ground-glass densities in the lower lobes, emphysematous appearance in both lungs, diffuse thickening of the bronchial wall.  Thoracic spondylosis.  Chronic rib fractures on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6776/train_6776_a/train_6776_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Emphysematous changes are observed in both lungs. The lung parenchyma could not be evaluated optimally in terms of focal lesion, as the patient did not breathe properly during the examination. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in both lungs, more prominent on the left.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The described appearance is consistent with the multiple myeloma diagnosis stated in the clinical preliminary diagnosis. Lytic bone lesions are observed in the vertebral corpuscles within the sections. In addition, height loss and vertebral sclerosis are observed in the T12 vertebral body, most prominently in the central part.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMultiple myeloma on follow-up, bone lesions consistent with multiple myeloma on vertebrae within sections. Emphysematous changes in both lungs. Atelectasis in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6779/train_6779_b/train_6779_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. Since the patient does not breathe properly during the examination, the lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. No mass or infiltrative lesion was detected in both lungs. Minimal emphysematous changes and locally linear atelectasis were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Lytic bone lesions are observed in the vertebrae within the sections. The height loss is almost complete in the central section. There is height loss in the T12 vertebra. In addition, sclerosis was observed in T12 vertebrae and visible parts of L2 vertebrae.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMultiple myeloma on follow-up, bone lesions consistent with multiple myeloma in the vertebrae  Emphysematous changes in both lungs  Atelectasis in both lungs  Millimetric nodules in both lungs  Minimal atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6779/train_6779_c/train_6779_c_1.npy"
        ]
    },
    {
        "id": "report_generation_15992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchus is natural.\n<lung>: No significant pathological lymph nodes were detected at both hilar levels. In addition, there are scattered focal hyperdense increases that may be compatible with infiltration in other areas as well. In both lungs, ground-glass-like density increases and centriacinar densities are observed in the upper lobes of the lower lobe superior segments, consistent with widespread and locally consolidative pneumonic infiltration, in areas extending towards the base.\n<pleura>: In both lungs, there is a pleural effusion reaching 35 mm on the right and 28 mm on the left, where it is thickest, extending from the basal to the apex.\n<mediastinum>: CTO is at the maximal physiological limit. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. Pulmonary conus calibration is approximately 26 mm. The aortic arch was calibrated to 33 mm and was wider than normal. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the prevascular level, in the aorticopulmonary window and in the subcarinal area, the largest of which was measured in the subcarinal area and measuring approximately 15x11 mm.\n<heart>: Calibration of the ascending aorta is natural. A stent appearance is observed in the left descending coronary artery.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The wall thickness is slightly edematous and prominent. CTO is at the maximal physiological limit. In the sections passing through the upper abdomen, biliary sludge and millimetric-sized multiple calculus are observed at the level of the gallbladder corpus. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. A calculus with a diameter of 3 mm in the superior pole of the left kidney and a hypodense cortical cyst with a diameter of 22 mm in the lateral part of the middle part are observed. It is recommended to evaluate with sonography for cholecystitis. Surrounding soft tissue plans are natural. The aortic arch was calibrated to 33 mm and was wider than normal.\n\nImpression:\nDensity increases in both lungs compatible with diffuse pneumonic infiltration . Lymph nodes in the mediastinum . Bilateral pleural effusion . Left nephrolithiasis and left renal cortical cyst . Bile sludge-multiple microcalculus, prominent on the wall and edematous appearance; US examination is recommended for the exclusion of stony cholecystitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6780/train_6780_a/train_6780_a_1.npy"
        ]
    },
    {
        "id": "report_generation_15994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is also minimal volume loss in the vicinity of the pathologies described. Ground glass appearance and minimal interlobular septal thickening and consolidation are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung, especially in the central parts. No mass was detected in both lungs.\n<pleura>: Peripheral subpleural areas are observed to be relatively normal.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes. The widths of the mediastinal main vascular structures are normal. There are calcific atheromatous plaques in the aorta and coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There is a stone in the gallbladder. There are calcific atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, bilateral minimal pleural effusion. Ground-glass appearance in both lungs, especially in the central parts, minimal interlobular septal thickening and consolidations, and minimal volume loss in the vicinity of pathologies (non-specific interstitial pneumonia?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6780/train_6780_b/train_6780_b_1.npy"
        ]
    },
    {
        "id": "report_generation_15996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No mass was detected in both lungs.\n<pleura>: Pericardial, bilateral pleural effusion is not observed.\n<mediastinum>: In the mediastinum, there are no lymph nodes in pathological size and appearance in the bilateral axillary region and supraclavicular area. There are calcified atheroma plaques on the walls of the aortic arch, descending aorta and coronary vascular structures. No lymph node was observed in pathology, size and appearance. However, there is continuity. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given.\n<heart>: Pericardial effusion-thickening was not observed. Calibration of vascular structures, heart contour and size are normal. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are natural. Disc distances are preserved.\n<abdomen>: No free fluid or collection was detected in the upper abdominal regions included in the sections. In addition, a 3.5 mm stone is observed in the lower pole of the left kidney, and a 29x24 mm nodular lesion of hypodense fluid density is observed in the middle zone (cyst). There are calcified atheroma plaques on the walls of the aortic arch, descending aorta and coronary vascular structures. There is a 11.5 mm stone in the gallbladder lumen.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries . Consolidation and ground glass densities identified in the previous CT examination in both lungs show significant regression.  Cholelithiasis . Left nephrolithiasis, left renal simple cortical cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6780/train_6780_c/train_6780_c_1.npy"
        ]
    },
    {
        "id": "report_generation_16008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There is an air cyst in the basal segment of the lower lobe of the right lung. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. In the basal segment, areas of atelectasis are observed in the dependent parts.\n<mediastinum>: Calibrations of the main mediastinal vascular structures are normal. No pathological lymph node is observed in the supraclavicular fossa, axilla and mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nNormal range, non-contrast CT of the thorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6785/train_6785_a/train_6785_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Soft tissue densities projected into the lumen are observed in the posterior and left lateral wall of the trachea (mucus impactions?). There are thickenings in the peribronchial sheath and tractional bronchiectasis in the lingular segment. In the evaluation of both lungs in the parenchyma window; There is a tracheal diverticulum on the right posterolateral side of the trachea at the level of the thoracic inlet.\n<lung>: There is slight regression. Sequelae changes are observed bilaterally at the apical level. Branches with buds seen at the basal levels of the lower lobe prominent on the left in the previous examination are not observed in the current examination. In the lower lobe on the right, pleuroparenchymal density increases consistent with band atelectasis-sequelae changes at the posterobasal level and accompanying faint ground-glass-like density increases are observed. There is minimal regression in the smear-like effusion observed in the left lung. In the evaluation of both lungs in the parenchyma window; There is a tracheal diverticulum on the right posterolateral side of the trachea at the level of the thoracic inlet. In the anterior-posterior segment of the upper lobe of the right lung, there are branches with buds that are partially observed in the previous examination. Emphysematous changes are present in both lungs. There are pleuroparenchymal density increases consistent with band atelectasis or sequelae changes in the lingular segment. Sequelae changes are observed at the posterobasal level of the left lung lower lobe. There are millimetric-coarse calcifications at the same level on the left.\n<pleura>: Coarse calcifications are observed in the diaphragmatic pleura in the lower lobe of the right lung. There are also pleural thickenings with millimetric-plaque-like calcifications in both lungs.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits. Calcific atheroma plaque is observed in the left coronary artery.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nPleural thickenings accompanied by millimetric-plaque style calcifications in both lungs, sequelae changes in both lungs and the appearance of emphysema are stable.  Branches with buds landscapes, which were evaluated in favor of infection in the upper lobe of the right lung, regressed. In the previous examination, bud branch views and ground-glass densities observed in the basals were not detected in the current examination. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6798/train_6798_b/train_6798_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. Millimetric sequela calcific nodules were observed in both lungs.\n<pleura>: Subpleural reticular densities are observed in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary artery and aorta. Widespread calcific atheroma plaques are observed in the branches of the abdominal aorta. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Mediastinal main vascular structures are normal.\n<heart>: The heart is larger than normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Sternotomy is observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In upper abdominal sections; The right kidney is atrophic and calcifications are observed in the cortex of the upper pole. Calcific atheroma plaques are observed in the coronary artery and aorta. Upper abdominal organs included in the sections are normal. Widespread calcific atheroma plaques are observed in the branches of the abdominal aorta.\n\nImpression:\nCardiomegaly, coronary artery and aortic atherosclerosis.  Millimetric lymph nodes in the mediastinum.  Emphysematous appearance in both lungs.  Subpleural reticular densities in bilateral lungs (early interstitial lung disease?).  Millimetric nonspecific nodules in bilateral lungs.  Right renal atrophy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6799/train_6799_a/train_6799_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16038",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; central bronchovascular structures are evident. In both lung parenchyma, there are ground-glass densities with a tendency to centrally weighted peribronchovascular union, more common on the right.\n<pleura>: Subpleural fine reticular densities and millimetric nonspecific nodules are seen in both lungs. A pleural effusion of 15 mm on the right and 5 mm on the left was observed in the bilateral hemithorax.\n<mediastinum>: The pulmonary trunk and the right and left pulmonary arteries are 37 mm, 31 mm, and 32 mm, respectively, and are ectatic. Aortic and coronary artery atherosclerosis is observed. Diffuse calcified plaques are seen in the thoracic aorta, abdominal aorta and its branches. There are lymph nodes in the mediastinum, the largest of which reaches 23x18 mm in diameter.\n<heart>: The heart size has increased. Aortic and coronary artery atherosclerosis is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. There are surgical changes in the sternum.\n<abdomen>: Aortic and coronary artery atherosclerosis is observed. Diffuse calcified plaques are seen in the thoracic aorta, abdominal aorta and its branches.\n\nImpression:\nCardiomegaly  Surgical changes of bypass  Pulmonary artery ectasia  Aortic and coronary artery atherosclerosis  Mediastinal lymphadenomegaly  Bilateral pleural effusion  Peribronchial central ground-glass densities in both lungs, more common and prominent on the right, findings primarily acute pulmonary edema and related hemorrhage were evaluated in accordance with their focus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6799/train_6799_b/train_6799_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16044",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Millimetric nodules were observed in both lungs. However, COVID 19 pneumonia, which is stated in the clinical preliminary diagnosis of the patient, may cause this appearance. There are linear atelectasis in both lungs. In addition, findings evaluated in favor of sequelae changes in both lungs were also observed. In both lungs, there are atelectasis in the lower lobes, more prominently adjacent to the effusion. There are ground-glass appearances in the central and peripheral parts of both lungs, more prominent on the left. Ground glass appearances are not specific. No mass was detected in both lungs.\n<pleura>: The pleural effusion is more prominent at the level of the lower lung lobes and measures 40 mm at its thickest point. Bilateral pleural effusion was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The main pulmonary artery diameter was 34 mm and wider than normal.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. No pericardial effusion or thickening was detected. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No enlarged lymph nodes in pathological dimensions were observed. The diameters of the aortic arch and descending aorta are normal. Liver contours are irregular. The left lobe of the liver is hypertrophied. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. It is recommended that the patient be evaluated for liver parenchymal disease.\n\nImpression:\nCOVID 19 pneumonia at follow-up, nonspecific ground-glass appearances in both lungs.  Atelectasis and pleuroparenchymal sequelae changes in both lungs.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters, cardiomegaly.  Pleural effusion.  Findings consistent with liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6802/train_6802_a/train_6802_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In both thyroid lobes, there are hypodense nodules, the largest of which is 3 cm in diameter in the left lobe, and coarse calcification is observed in the larger one.\n<trachea_and_bronchie>: Bilateral peribronchial thickness increase is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are nodular-nodular consolidations with peripheral halos in the upper lobe of the right lung. There are emphysematous changes and areas of subsegmental atelectasis in both lungs. In the vicinity of the effusion, there are areas of consolidation in which air bronchograms are observed, accompanying ground glass areas and interlobular septal thickness increases in the posterior segments of both lung lower lobes and occasionally in the upper lobes.\n<mediastinum>: In the mediastinum and bilateral hilar regions, calcific lymph nodes, the largest of which are 8 mm in diameter, are observed in the aortopulmonary window. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 41 mm, and the diameter of the pulmonary trunk was 33 mm, and it was wider than normal.\n<heart>: Pericardial effusion was not detected. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: There is a sliding type hiatal hernia in the esophagus.\n<bone>: There is a vacuum phenomenon consistent with degeneration in the intervertebral disc distances. There are bridging osteophytes in the corners of the corpus of the thoracic vertebrae within the sections. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: As far as it can be evaluated within the non-contrast CT limits; There is a nodular increase in thickness in the left adrenal gland corpus. The left lobe of the liver has a hypertrophic appearance and microlobulation is observed in its contours. The diameter of the ascending aorta was 41 mm, and the diameter of the pulmonary trunk was 33 mm, and it was wider than normal. A 1.5 mm diameter hyperdense stone is observed in the left kidney. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nViral pneumonia at follow-up; bilateral pleural effusion, consolidation areas in both lungs with air bronchograms, accompanying ground glass areas and interlobular septal thickness increases; its prevalence has increased.  Nodule-nodular consolidations with peripheral halo in the upper lobe of the right lung; has just emerged.  Mediastinal lymph nodes; is stable.  Hiatal hernia.  Hypertrophy in the left lobe of the liver, microlobulation in its contours (chronic liver parenchyma disease?).  Nodular increase in thickness in the left adrenal gland corpus.  Left nephrolithiasis.  Cardiomegaly, dilatation of the ascending aorta and pulmonary artery.  Hypodense nodules in both thyroid lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6802/train_6802_b/train_6802_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs.\n<pleura>: In the area adjacent to the mediastinum in the anterior of the left lung upper lobe, a millimetrically benign plaque-like calcified thickness increase was observed in the pleura. Pericardial, pleural effusion was not detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular fossae, in both axillary regions, and in the mediastinum. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: Calibration of vascular structures as far as can be observed, heart contour size is natural. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: Both adrenal glands are normal. No lymph node was detected in intraabdominal free fluid, loculated collection, pathological size and appearance. In the upper abdominal sections within the image, millimeter-sized hyperdense stones were observed in the gallbladder lumen.\n\nImpression:\nSequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment, and calcified thickness increase in millimeters in the form of plaque in the pleura in the area adjacent to the mediastinum in the anterior left lung upper lobe  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6809/train_6809_a/train_6809_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to evaluate it together with clinical and laboratory findings in terms of covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, multilobar, peripheral, subpleural, dorsal consolidation and areas of increased density in ground glass density, which are thought to be viral pneumonia in the etiology, are observed. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6813/train_6813_a/train_6813_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A slight increase in the sizes of both thyroid glands was noted, and there is a hypodense solid lesion measuring 16 mm in diameter in the middle zone of the right thyroid gland. Evaluation with USG examination is recommended.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: If available, it is recommended to evaluate or follow-up by comparing it with previous CT examinations. No active infiltration or mass lesion was detected in both lung parenchyma. A mosaic atteniation pattern is observed in both lungs (small airway disease? small vessel disease?). There are increases in density consistent with linear atelectasis accompanied by structural distortion and volume loss in the lower lobes of both lungs.\n<pleura>: In addition, several nodules measuring 12x10 mm in size are observed in the right lung parenchyma, the largest of which is in the posterobasal segment of the lower lobe and located in the peripheral subpleural. No pericardial pleural effusion or thickening was detected. In the posterobasal segment of the lower lobe of the left lung, a peripheral, subpleural localized nodular structure measuring approximately 12x13 mm is observed adjacent to sequela atelectasis, and the appearance was primarily evaluated in favor of fibrotic nodular formation.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. There are minimally calcified atheromatous plaques in the wall of the aortic arch. In mediastinal lymph node stations, there are lymph nodes of fusiform configuration, the largest of which is at the right lower paratracheal level, with a short diameter of 11 mm and a fatty hilum.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of the ascending aorta is 41 mm wider than normal. A slight increase in heart size is observed.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lymph nodes were detected in pathological size and appearance in both axillary regions and subraclavicular foss. No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image. There are minimally calcified atheromatous plaques in the wall of the aortic arch.\n\nImpression:\nBilateral increase in thyroid gland dimensions and hypodense solid lesion in the right thyroid gland in the middle zone, it is recommended to be evaluated by USG. Slight increase in ascending aorta calibration, minimal increase in heart size. Mosaic atteniation pattern in both lungs (small airway disease? small vessel disease?).  Density increase areas, pleuroparenchymal sequelae bands, fibrotic changes consistent with sequela linear atelectasis in the lower lobes of both lungs. On this background, nodular lesion whose borders cannot be clearly distinguished from areas of increase in density consistent with linear atelectasis in the left lung lower lobe posterobasal segment; evaluated in favor of fibrotic nodular structuring.  Several well-circumscribed nodules in the right lung parenchyma, the largest of which is in the posterobasal segment of the lower lobe; It is recommended to evaluate or follow-up the described nodular lesions and lung parenchyma findings together with old-dated CT examinations, if any."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6818/train_6818_a/train_6818_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16093",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected. When examined in the lung parenchyma window; There are mild emphysematous changes in both lungs, minimal thickness increase in the peribronchial area at the central level and slight enlargement of the bronchial structures are observed.\n<lung>: When examined in the lung parenchyma window; There are mild emphysematous changes in both lungs, minimal thickness increase in the peribronchial area at the central level and slight enlargement of the bronchial structures are observed.\n<pleura>: A 6x3 mm sized pleural-based subpleural nodule is observed in the left lung upper lobe apicoposterior segment.\n<mediastinum>: The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the heart contour and size are natural. No lymph node was detected in the mediastinal area in pathological size and appearance.\n<heart>: Minimal effusion is observed in the pericardial area (measured as 8 mm at its deepest point). The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the heart contour and size are natural. Calibrations of vascular structures are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. There is a slight hiatal hernia at the lower end.\n<bone>: Degenerative changes are observed in the bone structures within the image.\n<abdomen>: There is a 2.5 mm hyperdense stone in the middle pole of the right kidney. In the abdominal sections within the image, millimeter-sized parenchymal calcifications are observed in the posterior segment of the liver right lobe, and a hyperdense nodular lesion with calcified foci in the periphery and central of 18 mm is observed at the level of segment 8. USG verification is recommended.\n\nImpression:\nMild emphysematous change in both lungs, significant increase in peribronchial thickness at the central level, mild ectasia in bronchial structures; sequelae were evaluated in favor of change. Millimetric-sized nodule located subpleural in the apicoposterior segment of the left lung.  Minimal pericardial effusion .  Hyperdense nodular lesion with parenchymal calcification in the posterior segment of the right lobe of the liver and calcified foci within segment 8 level . USG verification is recommended.  Right nephrolithiasis. Degenerative changes in bone structures within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6820/train_6820_a/train_6820_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16099",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described findings are the findings frequently observed in Covid-19 pneumonia. There are minimal interlobular septal thickenings and appearances of enlarged vascular structures on the described ground glass. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are atheromatous plaques in the aorta and left coronary artery.\n<heart>: There are atheromatous plaques in the aorta and left coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are atheromatous plaques in the aorta and left coronary artery. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6823/train_6823_a/train_6823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: Peripheral nonspecific focal ground glass density was observed in the anterior segment of the left lung upper lobe. The appearance may be of focal consolidation or a mass, if any, it is recommended to be evaluated together with old radiographs. The examination cannot be characterized as it lacks contrast. There are common ground-glass-like density increases in both lungs. When both lung parenchyma windows are evaluated; Subsegmental atelectasis areas are observed in both lungs. Appearance is nonspecific. There are atelectatic changes in the adjacent lung parenchyma. No nodules were detected in both lung parenchyma.\n<pleura>: A minimal pleural effusion measuring 35mm in thickness on the right and 10mm in the left was observed between the pleural leaves. In the middle lobe of the right lung, a peripheral, subpleural localized 31x17mm soft tissue density with irregular borders was observed.\n<mediastinum>: In the upper-lower paratracheal area, multiple short axis lymph nodes measuring 9 mm in prevascular localization were observed. Mediastinal structures were considered suboptimal when the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). As far as can be seen, the diameter of the ascending aorta was 41mm, showing mild fusiform dilatation. Density of valve replacement was observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesions were detected in bone structures. There are metallic suture materials belonging to sternotomy in the sternum.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space occupying lesion was detected in the liver. In the upper abdominal sections that entered the examination area, 11mm diameter calculus was observed in the gallbladder lumen.\n\nImpression:\nCardiomegaly, fusiform, mild dilatation of the ascending aorta. Ground-glass-like density increases in both lungs.  Peripheral subpleural localized soft tissue density in the middle lobe of the right lung. The appearance is nonspecific. The examination cannot be characterized because it lacks contrast. The appearance may belong to focal consolidation or a mass, if any, it is recommended to be evaluated together with old radiographs.  Significant pleural effusion and atelectatic changes on the right bilateral side.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6824/train_6824_a/train_6824_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Millimetric calcifications are observed around the bronchial wall. Trachea and main bronchi are open. Obstructions in the bronchi are newly developed.\n<lung>: In the evaluation of both lung parenchyma; Right lung lower lobe superior, anterobasal and laterobasal segment bronchi are obliterated. There are interlobular septal thickenings in both lungs. It is evident from previous review. Secondary to radiotherapy?. Near the effusion, soft tissue densities are observed in the lung parenchyma and peribronchial, which cannot be clearly differentiated from atelectasis.\n<pleura>: Bilateral pleural effusions measuring 4 cm in the thickest part of the right hemithorax and entering the fissure and measuring 1.2 cm in the left hemithorax are observed.\n<heart>: Pericardial effusion in the form of thin smears is observed.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNewly developed mediastinal multiple lymphadenopathies according to previous examination, newly developed pleural effusion entering the right fissure.  Obliteration in the right lung lower lobe superior and anterobasal segment bronchi, soft tissue densities in the right lung middle lobe and lower lobe superior anterobasal segments that cannot be clearly differentiated from atelectasis.  Bronchiectasis in the left lung apex, lower lobe laterobasal segment, and middle lobe Changes secondary to RT or bronchiectasis, peribronchial wall thickenings that may be consistent with RT pneumonia; evident from the previous review.  Newly developed liver metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6828/train_6828_a/train_6828_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There is no upper abdominal free-liquid-collection within the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nLinear atelectasis in the inferior subsegment of the left lung upper lobe lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6834/train_6834_a/train_6834_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Atypical pneumonia, the involvement pattern is compatible with covid pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there are pneumonic consolidation areas in the form of consolidation areas and septal thickenings, which are predominantly subpleural located in the lower lobes, with more prominent ground glass opacity.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are present in LAD. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPneumonic infiltrates consistent with covid parenchyma involvement in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6837/train_6837_a/train_6837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16149",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). In the right lung upper lobe anterior, left lung lower lobe posterobasal segment, and upper lobe inferior lingular segment, peripherally located areas of increased density consistent with ground glass-consolidation with indistinct borders were observed. Viral pneumonias are considered in the etiology of the findings.\n<pleura>: No pleural, pericardial, effusion or thickness increase was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and there is an increase in the size of the heart as far as can be observed. The diameter of the pulmonary trunk was 33 mm and wider than normal. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and there is an increase in the size of the heart as far as can be observed.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Increase in pulmonary trunk calibration and heart size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6842/train_6842_a/train_6842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. No mass, nodule-infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Consolidation is observed in the posterobasal segment of the lower lobe of the left lung, which creates crazy paving in which interlobular septal thickening is observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the wall of the coronary artery in the aortic arch.\n<heart>: Calcific plaques are observed in the wall of the coronary artery in the aortic arch.\n<bone>: Degenerative changes are observed in the vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific plaques are observed in the wall of the coronary artery in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nConsolidation that creates crazy paving in the posterobasal segment of the left lung lower lobe, in which interlobular septal thickening is observed. Although it is unilateral, it may be compatible with Covid-19 pneumonia due to the pandemic. Clinical and laboratory evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6848/train_6848_a/train_6848_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. It contains air bronchograms.\n<lung>: When examined in the lung parenchyma window; In the previous examination, there is a reduction in the size of the area observed in the upper lobe of the left lung, which has frosted glass densities and budding tree appearances around it, which is considered to be compatible with the pneumonic infiltration area in the first place, and there is a decrease in the appearance of the budding tree observed in the periphery. However, an opacity area, 42x39 mm in diameter with irregular borders, appeared to be more compact in the actual examination in the center.\n<pleura>: It caused pleural retraction in the periphery of the lesion. Pleural effusion was not observed in both hemithorax.\n<mediastinum>: Heart sizes have increased and prominent calcific plaque formations are observed in the aortic arch, descending aortic wall and coronary artery walls. No mediastinal, pre-paratracheal lymph nodes were observed in pathological size or appearance. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes have increased and prominent calcific plaque formations are observed in the aortic arch, descending aortic wall and coronary artery walls. Pericardial effusion was not detected.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are multiple intact cerclages in the sternum. A significant increase was observed in thoracic kyphosis, and right-weighted syndesmophytes are observed in the thoracic vertebrae. When the bone was examined in the window, no lytic-destructive lesion was detected in the bone structures within the examination area.\n<abdomen>: Bilateral adrenal glands appear natural. Heart sizes have increased and prominent calcific plaque formations are observed in the aortic arch, descending aortic wall and coronary artery walls. The pancreas is natural. In the upper abdominal organs included in the study area; Millimetric stones are observed in the right kidney.\n\nImpression:\nIt is centrally located in the upper lobe of the left lung, compaction and reduction in size in the appearance of the consolidation area, where ground glass densities and budding tree appearances are observed in the periphery. It is recommended to follow up in terms of the presence of an underlying mass.  Cardiomegaly.  Atherosclerotic changes in the descending aorta and coronary artery walls in the aortic arch."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6851/train_6851_b/train_6851_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6854/train_6854_b/train_6854_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are thickenings in the interlobular septa. When examined in the lung parenchyma window; In the area starting from the apical level of the upper lobe of the right lung and extending to the inferior middle lobe, there is a large consolidation area containing large areas of cavitation, air bronchograms, irregular contours, and patchy ground glass densities around it.\n<pleura>: Peripherally located milimetric subpleural nonspecific miliary nodules are observed in both lungs.\n<mediastinum>: There are lymph nodes in both hilar regions, more prominent on the right, in the paratracheal area at the level of the carina, and in the aorticopulmonary window, including calcifications with multiple dimensions up to 26 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the study area. Degenerative changes are observed.\n<abdomen>: In the upper abdominal organs included in the sections, thinning of cortical structures, pelvicalyceal structures and calcific foci are observed in both kidneys.\n\nImpression:\nThe findings described in the right lung parenchyma and mediastinum were primarily evaluated in favor of sarcoidosis; the differential diagnosis of the described cavitation includes a massive necrotic lesion. Clinical and laboratory correlation and close follow-up are recommended in terms of ruling out a carcinomatous process after treatment.  Described mediastinal and hilar lymph It is in the differential diagnosis of lymphoproliferative disease because of its nodes, clinical lab. blind. recommended.  Thinning of the cortical structures of the kidneys, pelvicalyceal calcific foci, bilateral nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6867/train_6867_a/train_6867_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16216",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections that entered the examination area, 3 mm diameter calculus was observed in the lower pole of the left kidney.\n\nImpression:\nLeft nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6873/train_6873_a/train_6873_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNon-contrast thoracic CT findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6875/train_6875_a/train_6875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is subsegmental atelectasis in the form of a band in the anterior lower lobe of the right lung. Apart from this, there are ground glass densities in both lung lower lobes, which tend to merge with minimal borders, being more prominent on the left.\n<pleura>: A millimetric subpleural calcific nodule was observed in the posterobasal region of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific plaques are observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCoronary atherosclerosis  Millimetric nonspecific nodule in the right lung and subsegmental atelectasis in the anterior right lower lobe  Nonspecific minimal ground-glass densities thought to be pneumonic in the lower lobes of both lungs (not typical for Covid pneumonia. However, lab. correlation is recommended)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6884/train_6884_a/train_6884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16259",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are diffuse patchy ground glass densities in both lungs, mostly in the upper lobes, budding tree images in the right lung middle lobe, consultative area with air bronchogram signs in the right lung middle lobe, and millimetric nodular ground glass densities. Due to the known primary disease of the patient, follow-up is recommended after exclusion of infection. A few nodules observed in the previous PET CT examination cannot be differentiated secondary to the findings described in the current examination. Atelectic changes are observed in the basal segments of the lower lobes of both lungs. Findings are not observed in the previous PET CT examination. Findings were initially evaluated in favor of a process in the presence of a current pandemic, and clinical laboratory correlation follow-up is recommended.\n<pleura>: In the visible parenchyma, there is a 6 mm nodule in the lateral right lung lower lobe (series: 2 images: 25) subpleural, which did not show any significant difference in the previous examination.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinum, there are several small lymph nodes with a central hypodense short axis measuring up to 2 mm, which do not show significant dimensional differences. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A nasogastric tube is available.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections were partially entered and were evaluated as suboptimal. The spleen was measured 130 mm in the K.C axis and was larger than the upper limit of normal. There are small hypodense findings that may be compatible with a few cysts in the liver.\n\nImpression:\nConsultative appearances accompanied by budding tree images, endobronchial spread and bronchiectasis in the middle lobe of the right lung (not typical for covid-19 viral pneumonia. Findings were evaluated in favor of other infective processes). Due to clinical laboratory correlation and close follow-up of the patient's known primary, follow-up is recommended after exclusion of infection.  Small lymph nodes that do not show significant dimensional differences in the mediastinum  A few small cystic findings in the liver, which was initially evaluated as suboptimal within the limits of the examination  The spleen size increased."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6895/train_6895_a/train_6895_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: There was no finding in favor of infection-mass in the lung parenchyma. Nonspecific parenchymal nodules with a diameter of 5.7 mm were observed in both lungs, the largest of which was in the middle lobe of the right lung. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). Subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular and both lung lower lobe basal segments.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in the right hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerosis was observed in the abdominal aorta and its visceral branches.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Diffuse atherosclerosis was observed in the abdominal aorta and its visceral branches. An accessory spleen with a diameter of 15 mm was observed inferior to the splenic hilus.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, calcific atheromatous plaques in the coronary arteries, cardiomegaly. Hiatal hernia.  Left pleural effusion, sequelae thickening of posterior costal pleura in right hemithorax . Mosaic attenuation pattern in both lungs, subsegmental atelectatic changes.  No findings in favor of pneumonia-mass were detected in the lung parenchyma. Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6915/train_6915_a/train_6915_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16320",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 5 mm in diameter in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance were detected. Linear atelectasis areas are observed in the left lung upper lobe lingular segment, lower lobe lateral segment and right lung middle lobe medial segment. No mass or infiltrative lesion was detected in both lungs. There is a 1.5 mm diameter nodule in the right lung middle lobe medial segment.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Millimetric calcific atheroma plaques are observed in the aortic arch. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 5 mm in diameter in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: In the right adrenal gland, there is a hypodense lesion measuring 25x30 mm in which fat density is observed (adenoma?). Millimetric calcific atheroma plaques are observed in the aortic arch. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; liver parenchyma density decreased in favor of steatosis (mean 31 HU).\n\nImpression:\nLinear areas of atelectasis in both lungs, millimetric nonspecific nodule in the right lung.  Hiatal hernia.  Millimetric calcific atheroma plaques in the aorta.  Hypodenes lesion (adenoma?) with fat density in the right adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6916/train_6916_a/train_6916_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The differential diagnosis includes Covid. The appearance may be secondary to the infective process.\n<pleura>: When examined in the lung parenchyma window; subpleural ground glass opacities in the left lung upper lobe lateral segment and nodular areas in ground glass opacity are observed.\n<mediastinum>: In coronary arteries, calcific atheroma plaques are observed in the aorta. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is appropriate to evaluate the patient together with clinical and laboratory. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. In coronary arteries, calcific atheroma plaques are observed in the aorta.\n\nImpression:\nThere are ground glass opacities that may be compatible with active infiltration in the lateral segment of the left lung upper lobe, Covid in the differential diagnosis. It is recommended to evaluate the patient together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6917/train_6917_a/train_6917_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16346",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. Ventilation of both lungs is natural. When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Calibration of mediastinal vascular structures, heart contour and size are natural. No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: A diffuse decrease in liver parenchymal density secondary to hepatosteatosis was observed as far as can be observed within the borders of unenhanced CT in the upper abdominal sections within the image. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance.\n\nImpression:\nNo active infiltration or mass lesion was observed in both lungs. There are nonspecific nodules in millimeter sizes.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6929/train_6929_a/train_6929_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mucus materials are observed in the lumen of the trachea and left main bronchus.\n<lung>: When examined in the lung parenchyma window; In both lungs, bronchi filled with secretions are observed from place to place. There are centriacinar nodules and areas of ground glass density at the level of the posterobasal segment of the left lung lower lobe (Infection? Clinical evaluation and radiological follow-up are recommended).\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. In the anterior mediastinum, there is a triangular shaped soft tissue structure that does not give a clear contour (thymic remnant?). Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTriangular shaped soft tissue density structure (thymic remnant?) in the anterior mediastinum (thymic remnant?). Mucus materials in the lumen of the trachea and left main bronchus.  In both lungs, bronchi filled with secretions, centriacinar nodules and areas of ground glass density at the level of the posterobasal segment of the left lung lower lobe (Infection? Clinical evaluation and radiological follow-up are recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6930/train_6930_a/train_6930_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; A subpleural millimetric non-specific nodule is observed in the middle lobe of the right lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are changes in favor of steatosis in the liver parenchyma.\n\nImpression:\nHepatosteatosis.  Millimetric subpleural nodule in the middle lobe of the right lung.  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6940/train_6940_b/train_6940_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is operated. Millimetric accessory spleen is observed adjacent to the spleen.\n\nImpression:\nMillimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6947/train_6947_a/train_6947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Mild scoliosis with left opening was observed at the thoracic level. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . A few millimetric nonspecific parenchymal nodules in both lungs . Mild scoliosis with left-facing thoracic opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6961/train_6961_a/train_6961_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16421",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed.\n<lung>: No mass or infiltration was detected in both lung parenchyma. A few nonspecific pulmonary nodules measuring 5 mm in diameter, most of them calcified, were observed in both lung parenchyma. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. When both lung parenchyma windows are evaluated; Mosaic attenuation areas were observed in both lung parenchyma (small airway disease? small vessel disease?).\n<mediastinum>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were considered suboptimal when the examination was unenhanced. The diameter of the main pulmonary artery was 30mm and it shows dilatation.\n<heart>: Heart contour and size are normal. As far as can be seen; The diameter of the ascending aorta was 41mm and it shows dilatation. Pericardial effusion-thickening is not observed.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was found within the limits of non-contrast examination. Minimal sliding type hiatal hernia was observed.\n<bone>: Bridging spur formations were observed in the right anterolateral of the thoracic vertebra. Degenerative changes are observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the examination area are normal.\n\nImpression:\nSequelae changes in both lungs.  Dilatation of the thoracic aorta and pulmonary arteries, areas of mosaic attenuation in both lungs (small airway disease? small vessel disease?). Most calcified nonspecific pulmonary nodules in both lungs. Bilateral peribronchial thickenings.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6965/train_6965_a/train_6965_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Correlation with USG is recommended. Both thyroid lobes are heterogeneous and hypodense nodules are observed. Both thyroid lobes and isthmus are increased in size.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: In both lungs, completely homogeneous solid nodules with lobulated contours were observed, the largest of which was 9.6x7.1mm in the superior segment of the right lung lower lobe. Band atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Both lungs are emphysematous. When examined in the lung parenchyma window; Both lungs are emphysematous.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques that did not cause significant stenosis were observed in the coronary arteries and aortic arch. As far as can be seen; The diameter of the ascending aorta was 37mm, and the diameter of the descending aorta was 27mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart dimensions were slightly increased. Calcified atheroma plaques that did not cause significant stenosis were observed in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Vertebral corpus heights are preserved. Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen reaching 2 cm in diameter was observed in the inferior of the splenic hilus. Evaluation and close follow-up are recommended together with previous examinations, if any. Multiple lobulated contoured cortical cysts were observed in both kidneys, the largest of which was 5.4 cm in diameter in the upper pole of the left kidney, with mild calcifications on the wall. The pancreas is normal. Calcified atheroma plaques that did not cause significant stenosis were observed in the coronary arteries and aortic arch. Liver, gallbladder and spleen are normal as far as can be seen on non-contrast images. As far as can be seen; The diameter of the ascending aorta was 37mm, and the diameter of the descending aorta was 27mm.\n\nImpression:\nIncrease in both thyroid lobes and isthmus thickness and heterogeneous appearance, hypodense nodules. Correlation with USG is recommended.  Mild cardiomegaly.  Sliding hiatal hernia at the lower end of the esophagus. Emphysematous appearance and band atelectatic changes in both lungs.  Homogeneous solid nodules with lobulated contours in both lungs, the largest of which is in the right lung lower lobe superior segment; if any, it is recommended to be evaluated together with previous examinations and followed closely. Accessory spleen in the inferior of the spleen hilus.  Multiple lobulated contoured cortical cysts in both kidneys, some with mild wall calcification. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6966/train_6966_a/train_6966_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16439",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are bilateral thickenings of the peribronchial sheath.\n<lung>: There was no finding compatible with pneumonia. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Sequelae changes are observed at the posterobasal level of the lower lobe. There is a basal smear-like effusion in both lungs.\n<pleura>: A subpleural 3 mm diameter nodule is observed in the middle lobe of the left lung.\n<mediastinum>: The pulmonary trunk is slightly wider than normal with a calibration of 33. Calibration of other main vascular structures in the mediastinum is normal: Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. CTO is normal. The aortic arch calibration is 31 mm wider than normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. An appearance compatible with elastofibroma dorsi is observed at the level of the scapula, slightly more prominent on the left.\n<abdomen>: CTO is normal. There is a hypodense appearance that may be compatible with a parapelvic cyst in the middle part of the left kidney. Air appearance is observed in the upper abdominal organs, including the sections, in the liver, in the intrahepatic bile ducts and in the common bile duct. Irregularities in the parenchyma in the left kidney were evaluated as compatible with sequelae changes. The pulmonary trunk is slightly wider than normal with a calibration of 33. Calibration of other main vascular structures in the mediastinum is normal: Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. The aortic arch calibration is 31 mm wider than normal.\n\nImpression:\nNo findings compatible with pneumonia were detected.  Mild smear-like pleural effusion and findings compatible with mild emphysema . Air appearance in the liver, intrahepatic bile ducts and common bile duct . Significant degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6971/train_6971_a/train_6971_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There is minimal bronchiectasis in the central part of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: No pathologically enlarged lymph nodes or masses with distinguishable borders were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6976/train_6976_a/train_6976_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum.\n<heart>: Pericardial effusion is observed in the form of smearing.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\n- No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6980/train_6980_a/train_6980_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There is one millimetric nodule in the upper lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodule in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6984/train_6984_a/train_6984_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; Patchy ground glass densities are observed in the lower lobe basal segments of both lungs, being more prominent on the left.\n<mediastinum>: There are small lymph nodes measuring up to 7 mm in more than one short axis in the mediastinum.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMultiple small lymph nodes are observed in the mediastinum.  Findings consistent with Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6990/train_6990_a/train_6990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph node was detected in pathological size and appearance. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Calibration of vascular structures, heart contour and size are natural. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No free or loculated collections were observed. When the upper abdominal organs included in the sections were evaluated; there is diffuse density decrease secondary to hepatosteatosis in liver parenchyma density. No solid mass was detected.\n\nImpression:\nNo active infiltration was detected in both lung parenchyma.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6992/train_6992_a/train_6992_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_6997/train_6997_a/train_6997_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 4 mm. The number and dimensions are stable. No mass or infiltrative lesion was detected in both lungs. Several nonspecific nodules, some of them calcific, were observed in both lungs, the largest of which was in the superior segment of the left lung lower lobe and measuring 4 mm in diameter.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 4 mm. The widths of the mediastinal main vascular structures are normal.\n<heart>: Minimal pericardial effusion is observed. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections. In places, milimetric osteophytes are observed in the corners of the thoracic vertebra corpus.\n<abdomen>: As far as can be observed within the borders of unenhanced CT in the upper abdominal organs within the sections: 13x15 mm in the right adrenal gland lateral crus, 6x8 mm in the left adrenal gland corpus, there are hypodense lesions with fat density (adenoma?). No upper abdominal free fluid-collection was detected in the sections. Sliding type hiatal hernia is observed at the esophagogastric junction. Its dimensions are stable.\n\nImpression:\nCardiomegaly, minimal pericardial effusion.  Several stable millimetric, some calcific nodules in both lungs.  Hypodense stable lesions with fat density in both adrenal glands (adenoma?).  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7005/train_7005_a/train_7005_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16506",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are sequela millimetric calcific nodules in both lungs. Minimal emphysema is seen in the upper lobes of the lung. No new findings were detected.\n<heart>: Minimal pericardial effusion is present and stable.\n<abdomen>: Nodular lesions present in both adrenal glands on upper abdominal sections are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7005/train_7005_b/train_7005_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a view of the tracheostomy cannula.\n<lung>: A minimal area of normal aere lung parenchyma remained in both lungs apically.\n<pleura>: Contour irregularities were observed in both pleura, being prominent in the upper lobes.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7006/train_7006_b/train_7006_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchus is natural. Lumens are clear.\n<lung>: Mild emphysematous changes are observed in both lungs. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Sequelae changes are observed in the lingular segment on the left.\n<pleura>: No pneumonia, pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of mediastinal major vascular structures is normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Calcific lymph node with a short axis of 4 mm in diameter is observed in the paraesophageal area.\n<bone>: Thickening and calcification are also observed in the interspinous ligaments. Dorsal kyphosis configuration slightly increased. In the patient with ankylosing spondylitis anamnesis in the bone structure, squaring in the vertebrae, thickening and calcification are observed especially in the anterior longutneal ligaments.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver. No space occupying lesion was detected.\n\nImpression:\nFindings in the bone structure consistent with the anamnesis in a case with ankylosing spondylitis anamnesis.  Mild emphysema appearance in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7024/train_7024_a/train_7024_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16572",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There are sometimes linear atelectasis in both lungs. Minial emphysematous changes were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtelectasis in both lungs. Minimal emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7033/train_7033_a/train_7033_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16585",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with distinguishable borders was observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; A crazy paving pattern accompanied by multilobar, multisegmental, central-peripheral, linear subsegmentary atelectasis changes and subpleural striations and patchy ground glass consolidations showing vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Findings consistent with diffuse idiopathic bone hyperostosis were observed at the mid-thoracic level.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Apart from this, the upper abdominal organs are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen inside the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheromatous plaques in the aortic arch and coronary arteries. Hiatal hernia.  Findings in lung parenchyma consistent with Covid-19 pneumonia. Hepatosteatosis.  Findings consistent with diffuse idiopathic bone hyperostosis at the mid-thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7037/train_7037_a/train_7037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral tubular bronchiectasis is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings are consistent with pulmonary interstitial fibrosis. There are emphysematous changes in both lungs and more prominent bulla-bleb formations in the upper lobe of the left lung. In both lungs, there is a honeycomb appearance accompanied by more prominent interlobular septal thickness increases in the lower lobe of the right lung. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are several nodules with a diameter of 6.5 mm in both lungs, the largest of which is in the lateral segment of the right lung middle lobe. There are areas of subsegmental atelectasis in both lungs. No mass or infiltrative lesion was observed in both lungs. Possible changes secondary to the operation are observed in the upper lobe bronchus of the right lung.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. At this level, as far as it can be evaluated within the limits of CT without contrast, there is no mass with selectable borders. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Minimal pericardial effusion is observed.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions or posttraumatic fractures were observed in the bone structures within the sections.\n<abdomen>: There are no discernible masses in the upper abdominal organs. Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the non-contrast CT limits; liver parenchyma density decreased in favor of fat.\n\nImpression:\nPostoperative view of the upper lobe bronchus of the right lung; As far as it can be evaluated within the limits of non-contrast CT, there is no mass with distinguishable borders in this localization.  Emphysematous changes in both lungs  More prominent honeycomb appearance in the lower lobes of both lungs; findings are consistent with pulmonary interstitial fibrosis.  Bilateral tubular bronchiectasis.  Several nodules in both lungs; It is recommended to be evaluated together with previous examinations, if any.  Calcific atheromatous plaques in the coronary arteries and aorta.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7044/train_7044_a/train_7044_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumens of both main bronchi, lobar and segmental bronchi are open.\n<lung>: In both lung lower lobes, bronchial wall thickness increase in segmental bronchi walls and aeration differences in lung parenchyma are observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No space-occupying lesions were detected in bone structures that can be distinguished by CT.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nBronchial wall thickness increase and parenchymal aeration differences in both lung lower lobe segment bronchi."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7047/train_7047_b/train_7047_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Central peribronchovascular structures were prominent.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; Peripheral predominantly subpleural fibrotic reticular densities are observed in both lungs.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other mediastinal main vascular structures included in the examination are normal.\n<heart>: Pericardial effusion-thickening was not observed. Especially the left heart is larger than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly (left-weighted), aortic and coronary artery atherosclerosis.  Prominence in peribronchovascular structures.  Subpleural predominantly reticular and fibrotic densities in both lungs (interstitial lung disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7052/train_7052_a/train_7052_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. There is a 3 mm diameter nodule at the level of the minor fissure. In the posterobasal segment of the lower lobe of the left lung, there are bud branches and accompanying ground glass density increases. Density consistent with focal consolidation is observed in the right lung upper lobe anterior segment paramediastinal area. In the left lung, there is a ground-glass-like density increase in the apicoposterior segment adjacent to the fissure.\n<pleura>: A 3 mm diameter subpleural nodule is observed in the lingular segment of the left lung. No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: In the mediastinum, there are several lymph nodes in the upper-lower paratracheal area, prevascular area and subcarinal area, the largest of which is at the right lower paratracheal level and with a short axis of 9 mm. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Sonographic examination is recommended. In the sections passing through the upper abdomen, a density of approximately 19 mm in diameter with a light dense content is observed in the middle part of the left kidney. It may be compatible with a parapelvic cyst.\n\nImpression:\nThe findings are partially significant in terms of Covid-19 pneumonia. However, other viral-bacterial pneumonias are included in the differential diagnosis. Evaluation together with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7075/train_7075_a/train_7075_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the current examination, air bronchograms in the right lung upper lobe anterior segment, posterior segment, right lung lower lobe anterobasal, right lung lower lobe mediobasal segment, left lung upper lobe apicoposterior segment and lower lobe mediobasal segment within focal in the current examination. It has evolved in the process. In the evaluation of both lung parenchyma; In the previous examination, ground glass densities and areas of consolidation were observed. It is observed that subsegmental atelectasis including In addition, minimal ground glass appearances are observed in the left lung upper lobe lingular segment and lower lobe anterobasal segment fissure neighborhoods, which are not observed in previous examinations.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal prevascular narrow lend nodes less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Degenerative changes are observed in the vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nAtelectasis with air bronchograms in the current examination have developed in the location of the ground glass densities and consolidations observed in the previous examinations. In addition, the ground glass densities observed in the left lung upper lobe lingular segment and lower lobe anterobasal segment developed during the process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7075/train_7075_b/train_7075_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16688",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-lower paratracheal, aortopulmonary millimetric lymph node is observed. In the evaluation of both lung parenchyma; In both lung parenchyma, peripheral lung parenchyma and peribronchial ground glass densities-patchy consolidations are observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atherosclerotic plaques are observed in the aortic arch, descending and abdominal aorta. No pathological LAP was detected in the mediastinum.\n<heart>: Increased in favor of cardiothoracic heart.\n<bone>: Degenerative changes are observed in the vertebrae. Posterior longitudinal ligament ossifications are observed in the middle dorsal localization (DISH disease). No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atherosclerotic plaques are observed in the aortic arch, descending and abdominal aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly . Ectasia in the descending aorta . In both lung parenchyma, peripheral lung parenchyma and peribronchial ground-glass densities-patchy consolidations, typical findings for Covid-19 pneumonia . Appearance compatible with DISH disease on the right in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7076/train_7076_a/train_7076_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is nodular in appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Central level bronchiectasis are observed in both lungs. There are ground-glass densities with faint borders in the upper lobes and bronchial area of both lungs. Millimetric nonspecific nodules are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Subpleural air cysts and minimal emphysema are observed in the upper lobes of both lungs. Subpleural reticular densities and linear fibrotic densities are observed in both lungs. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 44 mm and ectatic. Calcific plaques are present in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebrae have a degenerative appearance.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal sections, there is a millimetric stone density in the gallbladder.\n\nImpression:\nAscending aortic ectasia, coronary atherosclerosis.  Millimetric nonspecific nodules, sequelae fibrotic changes, central bronchiectasis in both lungs,  Minimal ground glass densities (sequelae of pneumonia?) in the upper lobes of both lungs.  Nodular appearance in the thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7079/train_7079_a/train_7079_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: However, in both lungs, especially in the lower lobes of both lungs, in the posterobasal and mediobasal segments, including the right laterobasal segment, as well as in the right upper lobe and the middle lobes and the left lingular segments, newly emerged infiltration areas with air bronchograms were formed.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area.\n\nImpression:\nAt the same time, pericardial minimal effusion occurred. Other findings were stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7100/train_7100_a/train_7100_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are band-like sequela fibrotic density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung. Linear subsegmental atelectasis areas were observed in both lung lower lobe posterobasal segments, prominent on the right. When both lungs are evaluated in the parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral minimal pleural effusion and calcified pleural thickening on the right were observed.\n<mediastinum>: In the mediastinal upper-lower paratracheal prevascular subcarinal localization, multiple lymph nodes measuring 8 mm in the short axis of the largest are observed. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 39 mm, the diameter of the right pulmonary artery was 34 mm, and the diameter of the left pulmonary artery was 29 mm, showing fusiform dilatation.\n<heart>: The diameter of the ascending aorta is 43 mm and shows fusiform dilatation. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Densities of common stent material were observed in the coronary arteries. There is hyperdensity at the level of the mitral valve. Heart size has increased (cardiomegaly).\n<bone>: Diffuse degenerative changes are observed in bone structures. Metallic suture materials of sternotomy are observed on the anterior thorax wall.\n<abdomen>: Bilateral kidney sizes were decreased in the upper abdominal sections included in the examination area. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Spleen size increased (splenomegaly).\n\nImpression:\nCardiomegaly. Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary arteries and operating materials in the coronary arteries.  Diffuse dilatation of the thoracic aorta and pulmonary artery. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Bilateral pleural effusion and calcified pleural thickening on the right. Subsegmental areas of atelectasis and sequelae changes in both lungs. Splenomegaly. Decreased size of both kidneys.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7107/train_7107_a/train_7107_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the lingular segment, there are increases in density consistent with pleuroparenchymal sequelae. Parenchymal bands are observed in the lingular segment and basal level in the left lung. In the right lung, parenchymal band appearances are observed at the lower lobe basal level. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There is a diffuse mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?). There are also sequelae changes and focal consolidation appearance in the middle lobe.\n<pleura>: On the right, there are prominence in the pleura from the basal to the middle zone, and millimetric calcifications are present.\n<mediastinum>: Although multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the prevascular level, and in the aorticopulmonary window, their short axes do not exceed 1 cm. Dense calcifications are observed in the abdominal aorta and its main branches. There are calcific atheroma plaques in the aortic arch, descending and ascending aorta, and coronary arteries. It is wider than normal. Arch aortic calibration is 30mm. Pulmonary trunk calibration is 37 mm.\n<heart>: There are calcific atheroma plaques in the aortic arch, descending and ascending aorta, and coronary arteries. CTO increased in favor of the heart. Dense calcification is observed in the mitral valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure.\n<abdomen>: Dense calcifications are observed in the abdominal aorta and its main branches. There are calcific atheroma plaques in the aortic arch, descending and ascending aorta, and coronary arteries. It is wider than normal. Arch aortic calibration is 30mm. In the evaluation of upper abdominal organs including sections; The spleen is slightly enlarged.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease? small airway disease?).  Sequelae changes in both lungs.  Cardiomegaly, increased calibration of mediastinal main vascular structures, atherosclerotic changes . Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7107/train_7107_b/train_7107_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In both lungs, segmental-subsegmental thickening of the bronchial walls and secondary minimal luminal narrowing were observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; In the right lung upper lobe, lower lobe posterobasal, left lung lingular and upper lobe posterior segments, peripherally located crazy paving pattern and patchy-nodular ground glass consolidations showing vascular expansion were observed, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with delineated borders was detected in both lungs.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. 1 cm diameter calculus was observed in the neck of the gallbladder.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7108/train_7108_a/train_7108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Nonspecific parenchymal nodules with a diameter of 7.5 mm were observed in both lungs, the largest of which was in the apex of the right lung. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, above normal. A prosthesis was observed in the aortic valve. Effusion reaching a thickness of 16 mm was observed in the pericardial space. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Metallic sutures secondary to surgery were observed in the sternum. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPost-op surgical suture materials in the sternum, prosthesis in the aortic valve . Fusiform aneurysmatic dilation in the ascending aorta . Pericardial effusion . Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7109/train_7109_a/train_7109_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The bilateral thyroid gland tissue in the examination area is observed homogeneously and the thyroid gland dimensions are normal.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Bilateral hilar right weighted partial calcific lymph nodes are observed. There was no evidence of active infiltration in both lungs. When examined in the lung parenchyma window; A few nonspecific nodules measuring 5 mm are observed in both lungs, most prominently in the right lung and the largest in the posterior segment of the right upper lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. The aortic width at the aortic arch was 4.1 cm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There is significant kinking-elongation in the thoracic abdominal aorta. The width of the descending aorta also increased by 3.6 cm.\n<heart>: Pericardial effusion-thickening was not observed. The anterior-posterior diameter of the ascending aorta has increased by 4.8 cm. Mediastinal main vascular structures, heart contour, size are normal. Significant calcific plaque formations are observed on the walls of the coronary artery.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the evaluation of bone structures in the study area; Multisegmental degenerative changes are observed in the thoracic vertebral column and there is a significant increase in thoracic kyphosis. Significant osteophytic tapering is observed in the anterior and posterior parts of the vertebral bodies. No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax.\n<abdomen>: There are several stones in the left kidney lower calyceal, the largest of which is 1 cm. Thoracic aorta diameter is normal. The aortic width at the aortic arch was 4.1 cm. There is significant kinking-elongation in the thoracic abdominal aorta. The width of the descending aorta also increased by 3.6 cm. In the evaluation of upper abdominal organs including sections; liver, gall bladder, spleen, bilateral adrenal glands are normal.\n\nImpression:\nMultiple nonspecific nodules in both lungs, the largest in the posterior segment of the right lung upper lobe . Peripheral calcified lymph nodes in the periphery of the right hilar and segmental bronchi signs of thoracic spondylosis, osteopenia . Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7113/train_7113_a/train_7113_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy is observed in the patient. Tracheostomy cannula ends 4.5 cm proximal to the carina. Trachea, both main bronchi are open and no obstructive pathology is detected.\n<lung>: No mass lesions were detected in both lungs. When examined in the lung parenchyma window; There is an area of increase in density consistent with linear atelectasis in both lung lower lobes, and there is an area of increase in density in the posterobasal segment of the left lung lower lobe, where air bronchograms are also observed, and atelectasis consolidation cannot be differentiated clearly.\n<pleura>: Minimal effusion is observed in the bilateral pleural space, reaching 10 mm in the deepest part on the left.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<bone>: Vertebral corpus heights were preserved. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. No intraabdominal free liqu- ulated collection was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lymph node was observed in pathological size and appearance.\n\nImpression:\nBilateral minimal pleural effusion.  Density increase areas consistent with linear atelectasis in both lung lower lobes and atelectasis consolidation in the left lung lower lobe posterobasal segment cannot be clearly differentiated; It is recommended to be evaluated together with clinical and laboratory findings in terms of underlying pneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7118/train_7118_a/train_7118_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lungs, mostly peripherally located, patchy-style crazy pattern ground glass densities are observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Influenza pneumonia, organizing pneumonia, drug toxicity, and other diseases compatible with connective tissue damage may cause a similar appearance. Clinical laboratory correlation follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7121/train_7121_a/train_7121_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16795",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The appearance of a nodule in the isthmus of the thyroid is observed.\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Pneumonic infiltration? Minimal bronchiectasis is observed at the bases of both lungs. The described appearance was first evaluated in favor of pleuroparenchymal sequela fibrotic change-fibroatelectasis. No significant changes were considered at follow-up. There are minimal emphysematous changes in both lungs. Linear density increases, structural distortion and volume loss are observed in the right lung middle lobe, especially in the medial segment. There is linear atelectasis in the lingular segment of the left lung upper lobe. In the evaluation of both lung parenchyma; Ground glass densities and centrilobular nodular appearances were observed in the posterior segment of the right lung upper lobe. This view is not available in the old BT. There are increases in density in the depanding parts of both lungs, which are thought to belong to transient atelectasis.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Heart and mediastinal vascular structures appear natural. The largest of the described lymph nodes is observed in the paratracheal region and its short diameter is 13 mm. There are lymph nodes in the paratracheal region, subcarinal and both hilar regions.\n<heart>: Heart and mediastinal vascular structures appear natural. Calcific atheroma plaques were observed in major vascular structures and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Lytic appearances to degenerative osteophytes were observed in the vertebra corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Parenchymal calcification was observed in the liver.\n\nImpression:\nNodule in thyroid Mediastinel lymph nodes Atherosclerosis Focal ground glass densities and centrilobular nodular appearances in right lung, pneumonic infiltration? Control is recommended after treatment. Bronchiectasis, emphysema Sequelae fibrotic change in middle lobe of right lung-fibroatelectasis? Transient atelectasis in the depanding parts of both lungs Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7122/train_7122_a/train_7122_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The appearance of a nodule in the isthmus of the thyroid is observed.\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No significant changes were considered at follow-up. The described appearance was first evaluated in favor of pleuroparenchymal sequela fibrotic change-fibroatelectasis. There are minimal emphysematous changes in both lungs. Linear density increases, structural distortion and volume loss are observed in the right lung middle lobe, especially in the medial segment. There is linear atelectasis in the lingular segment of the left lung upper lobe. In the evaluation of both lung parenchyma; Focal ground glass densities and centrilobular nodular appearances described in the right lung in the previous examination are not observed in the current examination. Minimal bronchiectasis is observed at the bases of both lungs. There are increases in density in the depanding parts of both lungs, which are thought to belong to transient atelectasis.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Heart and mediastinal vascular structures appear natural. The largest of the described lymph nodes is observed in the paratracheal region and its short diameter is 13 mm. There are lymph nodes in the paratracheal region, subcarinal and both hilar regions.\n<heart>: Heart and mediastinal vascular structures appear natural. Calcific atheroma plaques were observed in major vascular structures and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Lytic appearances to degenerative osteophytes were observed in the vertebra corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Parenchymal calcification was observed in the liver.\n\nImpression:\nNodule in the thyroid . Mediastinal lymph nodes that do not differ significantly . Atherosclerosis . Focal ground glass densities and centrilobular nodular appearances described in the right lung in the previous examination are not observed in the current examination.  Bronchiectasis, emphysema . The ascending aorta is measured 40mm.  Sequelae fibrotic change-fibroatelectasis in the middle lobe of the right lung? . Transient atelectasis in the depanding parts of both lungs . Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7122/train_7122_b/train_7122_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, more prominent in the upper lobes and on the right, ground glass densities, which tend to merge with widespread peripheral weight, consolidation and crazy paving pattern are observed in places.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, there is diffuse density loss in the liver.\n\nImpression:\nFindings consistent with Covid pneumonia in bilateral lung parenchyma. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7125/train_7125_a/train_7125_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16805",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No newly developed pneumonia focus was observed.\n<pleura>: When examined in the lung parenchyma window; Diffuse subpleural ground-glass density and consolidations tending to merge in both lung parenchyma are observed to be minimally regressed in places.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the patient followed up in favor of Covid pneumonia, there is minimal regression in the infiltrates present in the bilateral parenchyma.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7125/train_7125_b/train_7125_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation monitoring is recommended. The findings were initially evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; Peripherally located patchy ground glass densities are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes in the mediastinum with a short axis measuring up to 6 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground-glass densities located peripherally in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.  Small lymph nodes with a short axis measuring up to 6 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7127/train_7127_a/train_7127_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: More extensive deletion metastases are observed in the lower lobes of both lungs. In the evaluation of both lung parenchyma; Widespread ground glass opacities are observed in the upper lobes of both lungs and in the superior segment of the left lower lobe, leading to the appearance of crazy paving.\n<pleura>: Pleural effusions measuring 6 cm in the thickest part of the right hemithorax and 2 cm in the thickest part of the left hemithorax are observed.\n<mediastinum>: Calcific plaques are observed in the aortic arch. No pathological LAP was detected.\n<bone>: There are degenerative changes in the vertebrae in bone structures. No significant lytic-destructive lesion was observed.\n<abdomen>: Calcific plaques are observed in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No pathological LAP was detected.\n\nImpression:\nCrazy paving appearance in the upper lobes of both lungs, ARDS and bacterial pneumonias or pathologies such as pulmonary alveolar proteinosis, pulmonary edema may cause this."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7128/train_7128_b/train_7128_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation is recommended. findings may be related to regression pneumonia.\n<pleura>: When examined in the lung parenchyma window; Minimal bronchiectasis, peripheral subpleural weighted streaks, reticular densities, fibrotic densities in both lung parenchyma, and faintly circumscribed ground glass densities in peribronchial areas are observed. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is minimal hiatal hernia.\n<bone>: Bone structures have a degenerative appearance.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. The spleen is 152 mm and larger than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Coronary stents.  Bronchiectasis, subpleural streaks, fibrotic densities, ground glass densities with faint borders in both lungs; past viral pneumonia.  Hiatal hernia.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7134/train_7134_a/train_7134_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7138/train_7138_a/train_7138_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are nodular density increases in the paracardiac area in the anterior upper lobe of the left lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There are thickenings in the interlobular septa, more prominently in the lower lobe basal segments in both lungs. Clinical laboratory correlation of the findings in terms of early onset of viral pneumonia accompanied by mild edema is recommended.\n<pleura>: No pleural effusion-thickening was detected on the right side.\n<mediastinum>: Thoracic aorta diameter is normal. In the upper mediastinum, especially in the aorticopulmonary window, several small lymph nodes with a mutliple short axis measuring up to 8 mm are observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThickening of the interlobular septa, more prominent in the lower lobe basal segments of both lungs,. A small amount of effusion in the left hemithorax . Increases in nodular density in the paracardiac area in the left upper lobe anterior of the left lung. A clinical laboratory correlation of findings is recommended in terms of the onset of early viral pneumonia accompanied by mild edema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7139/train_7139_a/train_7139_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nHiatal hernia. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7140/train_7140_a/train_7140_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No mass lesion was detected in both lung parenchyma. In the left lung lower lobe superior, lower lobe anterobasal, mediobasal and laterobasal segments, peribronchial areas, consolidation in the appearance of a tree with buds and an increase in density in ground glass density were observed in the peribronchial areas, and pneumonic infiltration was considered in its etiology. There are emphysematous changes in both lung parenchyma. A thin-walled, 23x24 mm air cyst with smooth borders is observed in the superior segment of the left lung lower lobe.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Calcific atheroma plaques were observed on the walls of the coronary vascular structures. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nCalcific atheromatous plaques in the wall of pulmonary vascular structures.  Emphysematous changes in both lungs.  Thin-walled, well-circumscribed air cyst in the superior segment of the lower lobe of the left lung.  In the superior, anterobasal, laterobasal and mediobasal segments of the left lung lower lobe, in the peribronchial areas, indistinctly limited, ground glass in the appearance of a tree with buds and areas of increase in density consistent with consolidation; Pneumonic infiltration is considered in its etiology."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7145/train_7145_a/train_7145_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Linee fibroatelectasis sequelae were observed in the right lung middle lobe medial segment and left lung lower lobe anteromediobasal segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: A smooth surface thickening of the pleura was observed on the anterolateral face of the left lung upper lobe lingular segment (postoperative change?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed, mediastinal main vascular structures, heart contour and size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Syndesmophytes bridging each other at the mid-thoracic level are observed and are consistent with idiopathic diffuse bone hyperostosis. Vertebral corpus heights are preserved.\n<abdomen>: Millimetric calculus was observed in the middle part of the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in non-contrast sections; upper abdominal organs are normal. Stone densities were observed in the gallbladder lumen.\n\nImpression:\nHiatal hernia. Linear fibroatelectasis sequelae changes in the medial segment of the right lung middle lobe, and the basal segment of the left lung lower lobe.  Thickening of the left lung upper lobe lingular segment consistent with anterolateral pleura sequelae. Cholelithiasis.  Right nephrolithiasis. Idiopathic diffuse bone hyperostosis at the mid-thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7148/train_7148_a/train_7148_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No significant difference was detected. Multilobar, multisegmental central-peripheral irregular bordered nodular-patchy ground glass consolidations were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. It was evaluated in favor of changes secondary to post-radiotherapy. Linear subsegmental atelectasis was observed in both lungs. When examined in the lung parenchyma window; There is a cystic-necrotic mass lesion in the posterior segment of the upper lobe of the right lung, located in the suprahilar region, with smooth borders, localized in the paramediastinum, the fatty planes between the mediastinum and the mediastinum have been erased, and the free air images are observed in the posterolateral, measured up to approximately 40 mm, surrounding the right upper lobe bronchus. However, the image of free air was observed in the mass. A stable millimetric calcific nodule is observed in the middle lobe of the right lung.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in the right hemithorax. In the upper lobe of the right lung, diffuse atelectatic changes accompanied by traction bronchiectasis extending from the central to the periphery along the peribronchial area, irregularity in the pleura, and an area of consolidation accompanied by ground glass densities are observed. Bilateral pleural effusion was not observed.\n<mediastinum>: Diffuse calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with short axes measuring less than 1 cm are observed in the mediastinum. It is also present in the patient's previous examination. The mediastinum could not be evaluated optimally in the non-contrast examination.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A small sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries. Upper abdominal organs are normal within the sections.\n\nImpression:\nHighly suspicious findings for Covid-19 pneumonia in the lung parenchyma. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7149/train_7149_a/train_7149_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16876",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The outlook includes typical-likely findings for Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: When examined in the lung parenchyma window; Ground-glass density increases and nodular consolidations were observed in both lungs with prominent peribronchovascular and peripheral subpleural septal thickenings in the upper lobes.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Clinical laboratory correlation is recommended. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nTypical-probable findings for Covid-19 pneumonia in both lung parenchyma, other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7152/train_7152_a/train_7152_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peripherally located faint ground glass opacities observed in the left lung raise suspicion in terms of Covid-19. No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; the left lung volume appears to be reduced, and peripherally located pleuroparenchymal linear opacities together with slightly limited ground glass opacities are observed in the lower lobe segments and the lingular segments of the upper lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripheral pleuroparenchymal band densities and faint ground glass opacity in the left lung are not typical for Covid-19 pneumonia, but they are suspicious. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7158/train_7158_a/train_7158_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Multilobar, peripherally weighted crazy paving pattern and patchy – nodular ground glass consolidations showing signs of vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. On the fissure in the posterior segment of the left lung upper lobe, an oval-shaped soft tissue density of 6x3 mm was observed (intrapulmonary lymph node?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour size is normal. Prevascular, subcarinal, bilateral hilar millimetric calcified lymph nodes were observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; mediastinal main vascular structures, heart contour size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma.  Oval-configured lesion area (intrapulmonary lymph node?) above the fissure on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7159/train_7159_a/train_7159_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. In addition, interseptal thickness increases are observed in the lower lobes of both lungs. It was first evaluated in favor of viral pneumonia.\n<pleura>: When examined in the lung parenchyma window; Widely patchy subpleural ground glass opacities and consolidation areas are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: Vertebral column alignment is normal. The neural foramina are open. No fractures, lytic or sclerotic lesions were detected in the bones.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen is observed in the spleen hilum. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7163/train_7163_a/train_7163_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Both lungs are emphysematous. Pleuroparenchymal fibroatelectasis sequelae accompanied by traction bronchiectasis were observed in the inferior lingular segment of the left lung upper lobe. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen is full. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nPathological lymphadenomegaly in both axillae  Emphysematous appearance in both lungs.  Nonspecific parenchymal nodules in both lungs.  Linear fibroatelectasis sequelae accompanied by traction bronchiectasis in the inferior lingular segment of the left lung upper lobe.  Hepatosteatosis.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7167/train_7167_a/train_7167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Pneumonic infiltration was considered in its etiology. In the current examination, in the right lung lower lobe superior, there are areas of density increase in ground glass density in the appearance of a peripherally located bud tree, accompanied by a newly developed peribronchial diffuse thickness increase in the current examination. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). There are interlobular septal thickness increases in both lungs, which are more evident in the newly developed lower lobes and on the right in the current examination. In both lungs, the patient has nonspecific nodules in millimetric sizes, which are stable in number and size, which were observed in the previous CT examination.\n<pleura>: On current examination, there is a newly developed bilateral minimal pleural effusion measuring approximately 7 mm on the right at its deepest point and extending into the major fissure on the right.\n<mediastinum>: Because the cardiac examination in mediastinal vascular structures was without IV contrast, it could not be evaluated optimally. In the current examination, lymph nodes, the largest of which were measured in the left axillary region with a short diameter of 13 mm, were measured as 30 mm in the previous CT examination. In the current examination, there is a significant decrease in the pathological size and the size of the lymph nodes in the appearance in both axillary regions observed in the previous CT examination. A central venous catheter inserted from the right is observed. There are lymph nodes in the mediastinum that are not in pathological size and appearance.\n<heart>: The superior vena cava extends to the junction of the right atrium. Pericardial effusion was not detected. Calibration of vascular structures as far as can be observed is natural. Heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nThere are lymph nodes in the mediastinum that are not in pathological size and appearance, but their size is increased in the current examination. Currently, there is a newly developed subcentimetric pleural effusion in both pleural spaces. It extends to the major fissure on the right. In the current examination, there are peribronchial diffuse mild thickness increases, which are more clearly observed in the newly developed lower lobes, and an increase in thickness in the interlobular septa in both lungs in the current examination, and in the current examination, areas of density increase in the newly developed right lung lower lobe superior segment are observed in the bud tree-like ground glass density. Pneumonic infiltration is considered in its etiology.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7167/train_7167_b/train_7167_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: In both lungs, 5-6 sharply circumscribed solid nodules with a diameter of 12 mm in the right middle lobe lateral segment and 9 mm in diameter in the left inferior lingular segment were observed. It was evaluated in favor of metastasis. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Apart from this, smaller nodules less than 5 mm in diameter were also observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques are observed in the abdominal aorta and visceral branches of the thoracic aorta and coronary arteries. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcified atheroma plaques are observed in the abdominal aorta and visceral branches of the thoracic aorta and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the anterior pericardial recess, lymph nodes with a size of 14x8 mm were observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Although the left humerus head and proximal diaphyseal level did not completely penetrate the sections, a lytic-destructive soft tissue mass measuring approximately 11x9.5x9.5 cm was observed (metastasis? Second primary?). Multiple metastatic nodules, the largest of which was 22x11 mm in size, were observed in the left supraclavicular region. No lytic-destructive lesion in favor of metastasis was observed in bone structures other than the humerus.\n<abdomen>: Calcified atheroma plaques are observed in the abdominal aorta and visceral branches of the thoracic aorta and coronary arteries. Liver contours are macrolobule. In the lateral segment of the left lobe of the liver, a 76x71 mm liver parenchyma with an exophytic appearance and an isodense mass lesion was observed, and it may be compatible with HCC, which was stated in the clinical preliminary diagnosis. Nodular mass lesions with a size of 44x40 mm were observed at the paraaortic level in the celiac ganglion, and it was thought to be compatible with a metastatic lymph node.\n\nImpression:\nMetastatic lymph nodes in the left supraclavicular region. Millimetric lymph nodes in the anterior pericardial recess. Calcified atheromatous plaques in the thoracic aorta, coronary arteries, abdominal aorta, and visceral branches. Metastatic nodules in both lungs.  Nonspecific millimetric nodules less than 5 mm in diameter in both lungs. Massive lesion in the primary patient with significant nodularity consistent with parenchymal disease in the liver and exophytic extension from the parenchyma in the left lobe and evaluated in favor of HCC.  Metastatic lymph nodes in the celiac trunk and paraaortic area. Lytic-destructive mass lesion (metastasis? Second primary?) extending from the humeral head to the mid-diaphysis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7168/train_7168_a/train_7168_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Linear density increases are observed in the areas extending to the periphery in the basal segment of the left lung lower lobe. Findings were primarily evaluated in favor of position-dependent atelectasis, and clinical laboratory correlation is recommended for the differential diagnosis of early Covid-19 viral pneumonia due to current epidemics.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A small amount of free fluid in the perisplenic area is seen at the described level, and hyperemia and edema are observed in fatty tissues in the series. Upper abdominal sections entering the examination area are natural. In case of doubt in the differential diagnosis of secondary to trauma and splenic laceration, further investigation and close follow-up are recommended. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nLinear density increases in the basal segment of the left lung lower lobe, clinical information of the patient is unknown. If the patient has a traumatic history, atelectasis secondary to trauma? If not, clinical and laboratory correlation is recommended for the differential diagnosis of early viral pneumonia (Covid-19) due to the current epidemic. The upper abdominal organs are partially included in the study, and there is a small amount of free fluid in the perisplenic area, and an appearance compatible with hyperemia and edema in the fatty tissues. Splenic laceration secondary to trauma? Further examination is recommended for better differential diagnosis following clinical correlation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7171/train_7171_a/train_7171_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Thickening of interlobular septa in both lungs and acinar nodular ground glass densities are observed in the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheromatous plaques in the coronary arteries, aortic arch, and descending aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheromatous plaques in the coronary arteries, aortic arch, and descending aorta. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia is observed.\n<bone>: There are diffuse degenerative changes in bone structures, and hypertrophic osteophytic tapering in the end plates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcific atheromatous plaques in the coronary arteries, aortic arch, and descending aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe nodular acinar ground glass densities described above in the lung parenchyma and thickenings of the interlobular septa; It was initially evaluated in favor of atypical viral pneumonias and can also be seen in Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up is recommended.  Calcific atheromatous plaques in coronary arteries, aortic arch, descending aorta.  Diffuse degenerative changes in bone structures, hypertrophic osteophytic tapering in end plates.  Hiatal hernia is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7178/train_7178_a/train_7178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Initially, it was thought to be compatible with sequelae, but due to the pandemic, ultra-early Covid-19 pneumonia should be considered in the differential diagnosis, albeit at low rates. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Focal consolidation area is observed in the left lung lingular segment, and the appearance is nonspecific. Nonspecific density increases were observed in both lungs dependent.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper pole of both kidneys, 1 calculi image on the right and 2 images on the left were observed. A simple cortical cyst was observed in the left kidney. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nReticulonodular sequelae increase in density at the apex of both lungs.  Focal consolidation in the lingular segment of the left lung with areas of ground glass around it; the appearance is nonspecific. Although it was initially evaluated in favor of sequelae, due to the pandemic, early Covid-19 pneumonia was considered with a low probability. It is recommended to be evaluated together with clinical and laboratory.  Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7181/train_7181_a/train_7181_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Diffuse wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi.\n<lung>: When examined in the lung parenchyma window; diffuse consolidation areas in which air bronchograms are observed are observed in both lung lower lobes posterobasal-both lower lobe superior and basal segments. Diffuse ground glass densities were observed in the ventilated segments of both lungs. The appearance was initially evaluated in favor of infective processes. Stable nonspecific pulmonary nodules were observed in both lung parenchyma.\n<pleura>: Effusion is observed in the bilateral pleural space, extending to the apex in the lying position, reaching a thickness of 37 mm in the deepest part on the right and 36 mm in the deepest part on the left.\n<mediastinum>: Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. In addition, lymph nodes with short axes not exceeding 1 cm in the mediastinum, which do not reach pathological dimensions, are observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Starting from the right lateral of the aortic arch and ascending aorta, it extends to the superior, and its borders cannot be distinguished from the aortic aortic wall, and a central hypodense-like soft tissue formation is observed. Calibration of mediastinal main vascular structures as far as can be observed is natural. It cannot be evaluated clearly in non-contrast examination (centrally necrotic lymph nodes superposed on each other? Pathology originating from vascular or tracheal wall?). It has also been observed in the patient's previous examinations, and his appearance and dimensions are stable.\n<heart>: Pericardial effusion-thickening was not observed. Diffuse calcifications were observed in the mitral valve. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in the bone structures within the image.\n<abdomen>: Diffuse calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Periportal edema is present. The pancreas is slightly atrophic. Starting from the right lateral of the aortic arch and ascending aorta, it extends to the superior, and its borders cannot be distinguished from the aortic aortic wall, and a central hypodense-like soft tissue formation is observed. Liver contours in the sections are irregular. It is recommended to be evaluated together with the clinic and laboratory in terms of possible parenchymal disease. Both adrenal glands are normal.\n\nImpression:\nBilateral pleural effusion, large areas of consolidation in the superior and basal segments of both lungs, lower lobes, and ground glass densities in aerated lungs were initially evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinic and laboratory. a soft tissue lesion with a central more hypodense appearance, indistinguishable from the trachea (necrotic LAP? pathology of vascular-tracheal wall origin?).  Mild irregularity and periportal edema in the liver contours within the sections; it is recommended to be evaluated together with the clinic and laboratory in terms of chronic parenchymal disease.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7186/train_7186_b/train_7186_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. In the apical segment of the upper lobe of the right lung, there is a nodular density increase measuring 13x5 mm in the peripheral area. There are linear density increases and minimal structural distortion and minimal volume loss around the described density increase. It is recommended that the patient be evaluated and followed up with previous examinations, if any. No mass or appearance compatible with pneumonic infiltrative was detected in both lungs. There are findings evaluated in favor of pleuroparenchymal sequela fibrotic change in the right lung apex. Millimetric nonspecific nodules were observed in both lungs. Therefore, first of all, sequelae were evaluated in favor of change. In addition, linear atelectasis were observed in both lungs, more prominently in the lower lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nNodular density increase (sequelae change?) in the upper lobe of the right lung with linear density increases around it, minimal structural distortion, and minimal volume loss.  Millimetric nonspecific nodules in both lungs.  Pleuroparenchymal sequelae changes in the right lung apex.  Linear atelectasis in both lungs.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7189/train_7189_a/train_7189_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: There are minimal emphysematous changes in both lungs. There are sequela parenchymal changes in both lung parenchyma, more prominent on the right. No newly developed pathology was detected. Structural distortion adjacent to the right lung upper lobe apical segment, and a stable lesion measuring approximately 13x10 mm in size and evaluated in favor of sequela fibrotic nodular formation accompanied by volume loss were observed. No active infiltration or mass lesion was detected in both lungs.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nSequelae parenchymal changes in both lungs, more prominent on the right, and lesion in the apical segment of the upper lobe of the right lung, the size and appearance of which was stable in the previous CT examination of the patient, and the sequela was evaluated in favor of fibrotic nodular formation.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7189/train_7189_b/train_7189_b_1.npy"
        ]
    },
    {
        "id": "report_generation_16985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Subsegmental atelectasis is observed in the left lung lingular segment and both lung lower lobes. In addition, there is amosaic attenuation in both lungs and lower lobes (small airway disease?, small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal few millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum.\n<heart>: Millimetric calcific plaques are observed in the ascending aorta. The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMosaic attenuation in the lower lobes of both lungs (small airway disease?, small vessel disease?).  No parenchymal finding in favor of Covid-19 pneumonia was observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7194/train_7194_a/train_7194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, patchy ground glass consolidations forming a crazy paving pattern were observed, accompanied by more diffuse, multilobar, multisegmentary, band-linear fibroatelectasis changes in the upper lobes, and the appearance is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density decreased in line with hepatosteatosis.\n\nImpression:\nHighly suspicious findings in terms of Covid-19 pneumonia in which intense atelectatic changes are observed in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7195/train_7195_a/train_7195_a_1.npy"
        ]
    },
    {
        "id": "report_generation_16989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Fibrotic density increases with band-like sequelae were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Pleural thickening - effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Mild degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcified calcification with a diameter of 5 mm was observed in the posterior right lobe of the liver. Liver parenchyma density decreased slightly in the upper abdominal sections in the study area, consistent with adiposity.\n\nImpression:\nSequelae changes in both lungs. No signs of pneumonia were detected. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7196/train_7196_a/train_7196_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Reticulo nodular consolidations, ground glass appearance and centrilobular nodules were observed in both lungs.\n<pleura>: Pleuroparenchymal bands and minimal pleural thickening at the bases on both sides were considered.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance.\n<heart>: Minimal pericardial effusion was observed (8.5 mm at its thickest point, adjacent to the left ventricle). The heart and mediastinal vascular structures have a natural appearance.\n<breast>: As far as can be observed in the left axilla, the fat planes are heterogeneous.\n<bone>: No significant pathology was detected in bone structures with CT criteria.\n<abdomen>: Pneumonic infiltration? Drug-induced reaction? Involvement of systemic disease? In sections passing through the upper part of the west; The gallbladder is operated, appearances of metallic sutures are observed in its lodge.\n\nImpression:\nIdentified mediastinal lymph nodes Minimal pericardial effusion Pneumonic infiltration in both lungs? Drug-induced reaction? Involvement of systemic disease? with cholecystectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7206/train_7206_a/train_7206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: On the right, it is observed that the effusion has entered the fissure. No infiltrative lesion was observed. No mass was detected in both lungs.\n<pleura>: Smooth interlobular septal and interstitial thickenings and a honeycomb appearance are observed in both lungs, especially in the lower lobes, especially in the peripheral subpleural areas. Bilateral minimal pleural effusion is observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: no pericardial effusion was detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of interstitial lung disease in both lungs. Bilateral minimal pleural effusion.  Atherosclerotic changes in the aorta and coronary arteries. Mediastinal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7207/train_7207_a/train_7207_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: No mass or infiltrative lesion was detected in both lungs. These appearances can also be observed in the previous examination of the patient, and improvement was observed in the findings in this examination.\n<pleura>: No pleural or pericardial effusion or thickening was observed. In both lungs, interlobular septal and interstitial thickenings and a honeycomb appearance are observed, more prominently in the lower lobes and peripheral subpleural areas.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7207/train_7207_b/train_7207_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are deviated to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The appearance was evaluated as secondary to pneumonic infiltration. When examined in the lung parenchyma window; focal patchy ground-glass densities, diffuse fibroatelectasis sequelae, centriacinar nodules and budding tree view are present in both lungs.\n<pleura>: A slightly more prominent pleural effusion was observed on the left in the bilateral smear style.\n<mediastinum>: In the examination performed without contrast, the mediastinum and optimal evaluation could not be made. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries.\n<esophagus>: Mixed type hiatal hernia was observed at the lower end of the esophagus.\n<breast>: In the inner-middle quadrant of the left breast, just to the left of the midline, a solid mass of soft tissue density, 4x1.7 cm in size, containing one or two well-defined calcifications in soft tissue density was observed. Benign coarse calcifications were observed in the bilateral breast.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Right-left and main portal vein are dilated. No space-occupying lesion was detected in the liver. Both kidneys are atrophic. The spleen and pancreas are normal. Contamination and diffuse density increases were observed in the mesentery and omentum. Perihepatic, perisplenic mild free fluid was observed as far as can be observed in non-contrast examinations.\n\nImpression:\nStable mass lesion in the inner middle quadrant of the left breast. Cardiomegaly, calcified atheromatous plaques in the coronary arteries.  Mixed hiatal hernia.  Bilateral smear-like effusion, focal patchy ground glass densities in both lungs, fibroatelectasis sequelae, centriacinar nodules and budding tree view; the appearance was evaluated in favor of pneumonic infiltration.  Increased intra-abdominal free fluid. Dilated appearance in right-left and main portal veins"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7208/train_7208_b/train_7208_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are deviated to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; focal patchy ground glass densities, diffuse fibroatelectasis sequelae, centriacinar nodules and budding tree view are present in both lungs.\n<pleura>: A slightly more prominent pleural effusion was observed on the left in the bilateral smear style.\n<mediastinum>: In the examination performed without contrast, the mediastinum and optimal evaluation could not be made. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries.\n<esophagus>: Mixed type hiatal hernia was observed at the lower end of the esophagus.\n<breast>: In the inner-middle quadrant of the left breast, just to the left of the midline, a solid mass of 4x1.7 cm in soft tissue density containing one or two calcifications with well-defined soft tissue density was observed. Benign coarse calcifications were observed in the bilateral breast.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Right-left and main portal vein are dilated. No space-occupying lesion was detected in the liver. Both kidneys are atrophic. The spleen and pancreas are normal. Perihepatic, perisplenic mild free fluid was observed as far as can be observed in non-contrast examinations. Contamination and diffuse density increases were observed in the mesentery and omentum. Bilateral atrophic kidneys are observed.\n\nImpression:\nStable mass lesion in the inner middle quadrant of the left breast. Cardiomegaly, calcified atheromatous plaques in the coronary arteries.  Mixed type hiatal hernia. Follow-up is recommended.  Free fluid with slight regression in the abdomen. Dilated appearance in the right-left and main portal veins"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7208/train_7208_c/train_7208_c_1.npy"
        ]
    },
    {
        "id": "report_generation_17023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7210/train_7210_a/train_7210_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17040",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In bilateral bronchial structures, there is diffuse mild ectasia, which is more prominent in the central.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Density increase areas compatible with atelectasis are observed in both lung lower lobe posterobasal segment and left lung upper lobe lingular segment.\n<pleura>: Bilateral pleural effusion is observed.\n<mediastinum>: As far as can be seen; Mediastinal major vascular structures are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Although the examination could not be evaluated optimally because of the lack of IV contrast, no lymph nodes in pathological size and appearance were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa.\n<heart>: Heart size increased. Calcified atheroma plaques are observed on the wall of the coronary vascular structures. Minimal pericardial effusion is observed and measured as 8 mm at its deepest point.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are osteophytic degenerative changes that tend to merge anteriorly in the vertebral corpus corners.\n<abdomen>: Bilateral renal pelvicalyceal system was evaluated as normal. There is lobulation in both kidney contours. In the upper abdominal organs included in the sections, millimeter-sized hyperdense stones are observed in the middle zone of the right kidney.\n\nImpression:\nIncrease in heart dimensions, calcified atheroma plaques on the wall of coronary vascular structures, minimal pericardial and bilateral pleural effusion . Increase in density in both lower lobe posterobasal segment and left lung upper lobe lingular segment in accordance with atelectasis . More prominently observed in the center in both bilateral bronchial structures diffuse mild ectasia . Left nephrolithiasis . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7215/train_7215_a/train_7215_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17062",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation monitoring is recommended. The findings were initially evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are ground-glass densities with a halo sign around it in a diffuse patchy style in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There is a hemangiomatous appearance in the TH11 vertebral body. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings of ground-glass densities with a diffuse patchy halo sign around both lungs were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7226/train_7226_a/train_7226_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There is an intubation tube extending to the trachea. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Diffuse interlobular septal thickening and ground-glass density increases are observed in both lungs. There are obvious common patchy consolidation areas and crazy paving appearance in the lower lobes.\n<pleura>: Bilateral pleural effusion and atelectatic changes in adjacent lung parenchyma are observed.\n<mediastinum>: In the upper-lower paratracheal, subcarinal, prevascular localization, multiple lymph nodes with a size of 15x9 mm are observed in the bilateral hilar area. Mediastinal main vascular structures, heart contour, size are normal. Paraaortic, aortocaval and paracaval lymphadenopathies are observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A catheter image is observed in the esophageal lumen.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Spleen size increased ( splenomegaly). Paraaortic, aortocaval and paracaval lymphadenopathies are observed. In the upper abdominal sections entering the examination area, free fluid is observed in the perihepatic area. Liver contours are irregular. Stent material is observed in the liver parenchyma. It is recommended to be evaluated for chronic liver disease.\n\nImpression:\nThickening of the diffuse interlobular septa in both lung parenchyma, accompanied by intense increases in density in the form of ground glass, and prominent areas of widespread patchy consolidation (crazy paving appearance) in the lower lobes were observed. ARDS, diffuse bacterial pneumonia, acute interstitial pneumonia can be considered in the differential diagnosis. recommended. Mediastinal, bilateral hilar, and intra-abdominal lymphadenopathies.  Bilateral pleural effusion and atelectatic changes. It is recommended to evaluate for liver parenchymal disease.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7233/train_7233_a/train_7233_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. Focal cystic areas accompanied by interlobular septal thickenings were observed in the posterior of the apex of both lungs, posterior to the right lung upper lobe and superior segment of the right lung lower lobe. It may be compatible with paraseptal emphysematous changes or viral pneumonia in the resolution phase. Apart from this, no active infiltration was detected in a mass lesion with distinguishable borders in both lungs. Appearance is nonspecific.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Irregularly circumscribed soft tissue densities consistent with gynecomastia were observed in the bilateral retromammarian area. US control is recommended.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearance compatible with gynecomastia in the bilateral retromammarian area; US Control is recommended.  Paraseptal emphysematous changes in both lungs or appearance that may be compatible with viral pneumonia in the resolution period; It is recommended that the patient be evaluated together with previous examinations and clinical and laboratory tests."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7240/train_7240_a/train_7240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are multiple loss of height in the cervicothoracic vertebrae, narrowing of the disc spaces, and irregularity and sclerosis in the end plateaus facing the discs. Left-facing scoliosis was observed at the upper thoracic level. The findings are compatible with juvenile rheumatoid arthritis, which is stated in the clinical preliminary diagnosis. Calcifications (entosopathy) in the anterior longitudinal ligament and degenerative osteophyte formations in the anterior and posterior corners of the vertebral corpus were observed.\n<abdomen>: No stones were observed in both kidneys. In the examination performed without contrast, the liver, spleen, both adrenal glands and pancreas are normal.\n\nImpression:\nLeft-facing scoliosis at the upper thoracic level, diffuse entosopathies compatible with juvenile rheumatoid arthritis in cervicothoracic vertebrae, narrowing of disc spaces, and multi-segmental height losses in vertebral corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7241/train_7241_a/train_7241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: In addition, there are a few millimetric nonspecific nodules in both lungs. There are emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. The nodule measured 24x12mm at its widest point (series 2 cross section 256) (this nodule has a volume of approximately 4500m³ and a maximum area of 393ml²).5ml³ in the second examination).\n<pleura>: A nodule with irregular borders was observed in the peripheral-subpleural area in the mediobasal segment of the lower lobe of the right lung. No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nIrregularly circumscribed nodule in the lower lobe of the right lung that increases in size when evaluated together with previous examinations (evaluation with the patient's medical history and tissue diagnosis is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7250/train_7250_b/train_7250_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The size of the nodule observed at the mediobasal level in the right lung was measured as 18x9.7 mm in the previous CT examination. Sequelae changes are observed in the inferior lingular segment of the left lung. A lobulated contoured nodule with partial air bronchogram is observed in the mediobasal segment in the mediobasal segment of the right lung lower lobe, and its axial plane dimensions were measured as 22x13. Pleuroparenchymal density increments, which are considered compatible with sequelae changes, are observed in the surrounding area and are also present in his previous examination. Density increases consistent with pleuroparenchymal sequelae are observed in the middle lobe of the right lung. In the evaluation of both lungs in the parenchyma window; Sequelae changes are observed at the apical level.\n<pleura>: There was no significant pleural effusion or pneumothorax appearance in both lungs.\n<mediastinum>: CTO is within normal limits. It is wider than normal. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. A few lymph nodes are observed in the prevascular area and in the subaorticopulmonary window, with the largest measuring approximately 15x7 mm in the aorticopulmonary window. Calibration of the pulmonary trunk and other major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum. The aortic arch calibration was measured as 26 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. Upper abdominal organs included in the sections are normal. The aortic arch calibration was measured as 26 mm.\n\nImpression:\nSeveral nodule formations in both lungs with old margins did not differ significantly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7250/train_7250_c/train_7250_c_1.npy"
        ]
    },
    {
        "id": "report_generation_17120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, there is a mass-configured soft tissue lesion in the lower lobe mediobasal segment of the right lung with a long axis of 22 mm in the previous examination and 39 mm in the current examination. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Prominent interlobular septa were observed in the lower lobes of both lungs, prominent on the right. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Sequelae changes were observed in the left lung inferior lingular segment. Apart from this, 4-5 newly emerged parenchymal nodules were observed in the current examination, the larger one measuring 8 mm in diameter in the right lung lower lobe superior and posterobasal segment.\n<pleura>: A newly emerged parenchymal nodule was observed in the medial segment of the middle lobe of the right lung, 13 mm in diameter, located subpleural. When both lungs are evaluated in the parenchyma window: A free pleural effusion measuring 12 mm in thickness is observed between the pleural leaves on the right.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: A minimal effusion measuring 4.5 mm in its widest part was observed in the pericardial area. Heart contour size is natural. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In addition, a newly emerged soft tissue lesion (lymphadenopathy?) was observed in the current examination measuring 13x7 mm in the parasternal area at the level of the chondral junction of the right 4th rib. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n\nImpression:\nMultiple subpleural parenchymal nodules in the right lung increasing in size and number from previous examination.  Distinction in the lower lobes of both lungs, prominent interlobular septa on the right, newly developed pleural effusion on the right.  Right parasternal lymphadenopathy? ; has just emerged in the current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7250/train_7250_d/train_7250_d_1.npy"
        ]
    },
    {
        "id": "report_generation_17140",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In places, thickenings are observed in the interlobular septa on this floor. No pathological size and configuration of lymph nodes were detected at both hilar levels. Ventilation is markedly decreased in both lungs. When examined in the lung parenchyma window; There are ground-glass-like density increments in both lungs, which show widespread confluence and are partially consolidated. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected. Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Millimetric lymph nodes that do not reach the pathological size and configuration are observed in the mediastinum. Calibration of the main mediastinal vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. In the upper abdominal organs, including sections; A slight decrease in density, consistent with steatosis, is observed in the liver. The spleen is observed to be enlarged, and there is a centrally located, nonspecific hypodense lesion measuring 15x16 mm in the last sections in the examination area.\n\nImpression:\nThere are diffuse, partially consolidated, ground-glass-like density increases in the parenchyma that narrow the aeration significantly in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonic processes, including Covid.  Hepatosteatosis.  The spleen is engorged, and a centrally located, nonspecific hypodense lesion is observed in the last sections in the examination area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7255/train_7255_a/train_7255_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Pleuroparenchymal sequelae changes are observed in the lingular segment. There is a mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).\n<pleura>: No pneumonia, pleural effusion or pneumothorax was detected. When examined in the lung parenchyma window; A stable subpleural nodule of approximately 4 mm in diameter is observed in the superior segment of the lower lobe of the right lung.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. CTO is normal. It is wider than normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. The aortic arch calibration is 33 mm.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. Calibration of other major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Calcific density increases are observed in the rotator cuff muscles at the level of the right shoulder girdle.\n<abdomen>: An isodense lesion is observed in the exophytic parenchyma with a diameter of approximately 17 mm in the left kidney mid-section posterior. CTO is normal. It is wider than normal. A cortical cyst is observed in the middle part of the right kidney. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. It cannot be characterized in this review. The aortic arch calibration is 33 mm.\n\nImpression:\nNo finding compatible with pneumonia. Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Mild hepatosteatosis . An isodense lesion in the exophytic parenchyma with a diameter of approximately 17 mm in the left kidney mid-section posterior, which cannot be characterized in this examination. Further examination with MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7256/train_7256_b/train_7256_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: It is native to the upper abdominal organs within the sections. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7258/train_7258_a/train_7258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No infiltration was detected in both lung parenchyma. When examined in the lung parenchyma window; Fibrotic density increases with band-like sequelae were observed in the lower lobes of both lungs and in the middle lobe of the right lung.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; liver parenchyma density was significantly decreased in line with fatty deposits.\n\nImpression:\nAtelectasis-sequelae changes in both lungs; No sign of pneumonia was detected.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7262/train_7262_a/train_7262_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Areas of increase in density consistent with linear atelectasis were observed in the inferior lingular segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. Peribronchial diffuse thickness increase is observed in both lungs. No mass lesions were detected in both lungs. In addition, an area of increase in density consistent with linear atelectasis is observed in the anterior upper lobe of the right lung.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image; There is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Areas of increase in density consistent with linear atelectasis in the right lung upper lobe anterior and left lung upper lobe inferior lingular segment.  Peribronchial diffuse thickness increase in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7265/train_7265_a/train_7265_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes and atelectasis were observed in both lungs. There are millimetric nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There is an appearance compatible with surgical material and/or calcifications at the level of pulmonary artery origin. Left aortic arch is observed. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The right brachiocephalic trunk, left common carotid artery, and left subclavian artery originate from the aortic arch. Mediastinal structures could not be evaluated optimally because no contrast agent was given.\n<heart>: There are electrodes that terminate at the base of the right ventricle. It was learned that the patient had been operated for great vessel transposition. In addition, there is an appearance compatible with surgical materials and/or calcifications at the level of the interventricular septum. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The right brachiocephalic trunk, left common carotid artery, and left subclavian artery originate from the aortic arch. Left aortic arch is observed. There is a heterogeneous appearance in the lobulation and parenchyma of the liver contours.\n\nImpression:\nMillimetric nodules in both lungs.  Linear atelectasis and minimal emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Lobulation in liver contours and heterogeneous appearance in parenchyma (it is recommended to evaluate the patient for liver parenchymal disease)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7268/train_7268_a/train_7268_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; A ground-glass nodule, 3 mm in size, located in the posterior subpleural is observed in the superior left lung lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver entering the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There is a millimetric stone density in the upper pole calyx of the left kidney.\n\nImpression:\nNonspecific nodule in the superior lower lobe of the left lung.  Hepatosteatosis.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7271/train_7271_a/train_7271_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation patterns of both lungs were observed (small airway disease? small vessel disease?). There are band-like sequela fibrotic density increases in the middle lobe of the right lung, the lingular segment of the left lung, and the lower lobes of both lungs. There are mild emphysematous changes in the upper lobes of both lungs. Millimetric sized lymph nodes are observed in both hilar regions, and since the examination is not contracted, it cannot be clearly differentiated from vascular structures.\n<pleura>: Multiple noncalcified parenchymal nodules with smooth borders were observed in both lung parenchyma, the largest of which was 6.8 mm in diameter in the right lung lower lobe laterobasal segment, and 3.6 mm in diameter located subpleural in the lower lobe posterobasal segment in the left lung. There are plaque-like calcified pleural thickenings in the lower lobe of the right lung.\n<mediastinum>: There are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries. In the right upper-lower paratracheal prevascular, subcarinal, aorticopulmonary window, lymph nodes measuring 9 mm in the short axis of the largest were observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: There are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: As far as can be seen; There are metallic suture materials belonging to sternotomy on the anterior thorax wall. Degenerative changes were observed in bone structures. Thoracic kyphosis has increased.\n<abdomen>: There are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and postoperative changes in the coronary arteries. In the upper abdominal sections in the study area; There are calculi in the gallbladder lumen. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMediatinal and hilar lymph nodes.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Mild emphysematous changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  If there are multiple parenchymal nodules in both lungs, it is recommended to be evaluated together with previous examinations.  Sequelae changes in both lungs.  Calcified pleural plaque on the right.  Cholelithiasis.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7276/train_7276_a/train_7276_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma. No mass or nodular mass or nodular space-occupying lesion was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7277/train_7277_a/train_7277_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described appearances are in the style often observed in Covid-19 pneumonia. Widespread consolidations and ground glass areas are observed in both lungs. The described findings are sometimes accompanied by air bronchograms and enlarged vascular structures are observed in these lesions. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 12 mm in short diameter. The main pulmonary artery diameter was 34 mm and wider than normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Aorta diameter is normal. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7295/train_7295_a/train_7295_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17246",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: There was no detectable mass in both lungs.\n<pleura>: When examined in the lung parenchyma window; A crazy paving pattern accompanied by central-peripheral diffuse linear subsegmental atelectasis and subpleural streaks in both lungs and patchy ground glass consolidations showing vascular enlargement were observed, and the appearance is consistent with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen appears full, although it does not fully enter the examination area. Verification with US is recommended.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma. Fully appearance in the spleen, although not fully inserted into the sections. Verification with US is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7298/train_7298_a/train_7298_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal emphysema is observed in both lungs. In both lungs, consolidations including the airbronchogram adjacent to the major fissure in the right upper lobe posterior, a few segments in the right lower lobe, several segments in the left lower lobe, and the most prominently in the left upper lobe posterior to the major fissure, and densities in the form of ground glass around it are seen in both lungs. A few millimetric nonspecific nodules were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. The heart size is slightly increased than normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The right kidney in the section is atrophic and cortical millimetric hypodense lesion is observed in the upper pole. Thoracic aorta diameter is normal.\n\nImpression:\nPneumonic infiltrates in both lungs.  Minimal cardiomegaly.  Millimetric nonspecific nodules in both lungs.  Right renal atrophy, right renal cortical hypodense lesion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7304/train_7304_a/train_7304_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Focal ground glass density observed in the right lung lower lobe mediobasal segment in the previous CT examination was not detected in the current examination. Active infiltration or mass lesion is not observed in both lung parenchyma.\n<pleura>: Pericardial and pleural effusion-thickening was not observed.\n<mediastinum>: The diameter of the pulmonary conus was 33 mm and was wider than normal. In the mediastinum, bilateral axillary region and supracliavicular area, no lymph node is observed in pathological size and appearance. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<heart>: Heart contour and size are natural. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: There is no free fluid or collection in the upper abdominal region in the abdominal sections within the image. As far as it can be observed within the limits of unenhanced CT, no bordering mass was detected in the upper abdominal organs. Both kidneys are atrophic.\n\nImpression:\nLarger than normal appearance in the pulmonary conus.  Appearance compatible with atrophy in bilateral kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7310/train_7310_a/train_7310_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17280",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal.\n<lung>: In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of other major vascular structures in the mediastinum is natural. The pulmonary trunk is slightly wider than normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The aortic arch calibration is 34 mm. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: CTO is within normal limits. Calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. In the sections passing through the upper abdomen, both kidneys are atrophic as far as they enter the image. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The aortic arch calibration is 34 mm. Other upper abdominal organs are normal within the sections.\n\nImpression:\nNo finding compatible with pneumonia was detected.  Dolichoectasia in subcutaneous vascular structures at the level of the left hemithorax  Calcific atheroma plaques are observed in the aortic arch and coronary arteries.  Atrophic appearance in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7310/train_7310_b/train_7310_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17282",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are subsegmentary atelectatic changes in the inferior lingular segment of the left lung. When evaluated in the parenchyma window of both lungs: Mild emphysematous changes were observed in both lungs. There are bilateral peribronchial thickenings.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. As far as can be observed: Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are Schmorl nodules at multiple levels in the thoracic vertebrae and vacuum phenomena in the intervertebral discs at different levels. There are mild degenerative changes in bone structures. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be observed: Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There is an atrophic appearance in the left kidney, which partially enters the cross-sectional area. Other upper abdominal sections within the examination area are normal. The right kidney could not be evaluated because it did not enter the cross-sectional area. No dilatation was detected in the thoracic aorta.\n\nImpression:\nAtherosclerotic changes.  Subsegmental atelectasis in the left lung.  Bilateral minimal peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7310/train_7310_c/train_7310_c_1.npy"
        ]
    },
    {
        "id": "report_generation_17284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules of nonspecific millimetric size in both lungs. Paraseptal emphysematous changes in the apex of the lung bilaterally, ground glass densities evaluated secondary to the depandant effect in the posterior, mosaic attenuation pattern (small airway disease?), thin-walled air cyst with a diameter of 13 mm in the posterobasal segment of the right lung lower lobe were observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum. There are calcified atheroma plaques on the walls of the vascular structures.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions are detected in bone structures, and osteopenia and osteophytic degenerative changes are observed.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen. There are calcified atheroma plaques on the walls of the vascular structures.\n\nImpression:\nCalcified atheroma plaques on the wall of vascular structures . Nonspecific millimetric nodules in both lungs, paraseptal emphysematous changes in the apex of bilateral lungs, ground glass densities evaluated secondary to depandant effect in the posterior, mosaic attenuation pattern (small airway disease?), thin posterobases in the right lung segment walled air cyst was observed.  Osteopenia and osteophytic degenerative changes in bone structures ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7311/train_7311_a/train_7311_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are widespread ground glass densities showing a tendency to central and peripheral fusion in both lungs, and progression is observed.\n<mediastinum>: Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with bilaterally progressive Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7315/train_7315_b/train_7315_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7338/train_7338_a/train_7338_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17366",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7346/train_7346_a/train_7346_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described findings are common findings in Covid-19 pneumonia. Peripheral and central consolidations and ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Interlobular septal thickening and enlargement of vascular structures are observed within the ground glass areas. There are sometimes linear atelectasis in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheroma plaques in the left coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7355/train_7355_a/train_7355_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17390",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground-glass density increases were observed in both lungs, with septal thickenings and septal thickenings showing a common tendency to coalesce in the upper and lower lobes. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial minimal effusion was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical-laboratory correlation is recommended.  Pericardial minimal effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7357/train_7357_a/train_7357_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17396",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; In bilateral hemithorax, massive pleural effusion reaching 135 mm on the right and 101 mm on the left and atelectasis in the lower lobes due to these are observed. Peribronchial and subpleural irregularly circumscribed ground glass densities, interlobular septal thickenings, accompanying bronchiectasis are seen in the remaining lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Multiple lymph nodes are seen in the mediastinum, the larger of which reaches 15 mm in the short axis. Mediastinal main vascular structures are normal.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebrae have a degenerative appearance. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly.  Mediastinal lymph nodes.  Pacemaker in the anterior left chest wall.  Massive pleural effusion and atelectasis.  Peribronchial, subpleural irregular ground glass densities, fibrotic densities, subpleural streaks in lung parenchyma; findings may be related to pulmonary edema or pneumonic infiltration may be added due to some levels of nodular ground glass densities. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7360/train_7360_a/train_7360_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The right lung is almost completely atelectatic except for a small area in the upper lobe. No mass or infiltrative lesion was detected in both ventilated lungs. There are emphysematous changes in both aerated lungs.\n<pleura>: There is massive pleural effusion on the right. No significant pleural thickening was observed. No pleural effusion was detected on the left.\n<mediastinum>: The diameter of the pulmonary artery was 32 mm and wider than normal. The shortest diameter of the largest of the described lymphadenopathies measured 10 mm. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are lymph nodes in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. The left atrium is larger than normal. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are narrowed. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. Vertebral corpus heights and alignments within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMassive pleural effusion on the right  Almost complete loss of aeration in the right lung  Atherosclerotic changes in the aorta and coronary arteries, enlargement in the pulmonary arteries, enlargement in the left atrium"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7362/train_7362_a/train_7362_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lungs . Minimal hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7372/train_7372_a/train_7372_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral consolidations are observed in the lower lobes of both lungs, and ground glass areas located centrally and peripherally in the upper lobe of the left lung. The described findings were evaluated in favor of viral pneumonia. The appearance of the described findings is in the style frequently encountered in Covid-19 pneumonia. No mass was detected in both lungs. Millimetric nodules and areas of ground glass are observed in the middle lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with bilateral viral pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7379/train_7379_a/train_7379_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The bronchial walls are thickened and there are mucus secretion-plugs that level the bronchial lumens. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Focal atelectasis changes were observed in the left lung upper lobe inferior lingular segment. A nonspecific parenchymal nodule with a diameter of 5.3 mm was observed in the laterobasal segment of the lower lobe of the left lung. Nodular ground glass areas were observed in the right lung lower lobe superior and both lung lower lobe basal segments and were evaluated in favor of bronchopneumonia. The middle lobe of the right lung has a pronounced atelectasis appearance. More extensive reticulonodular sequelae of fibrotic density increases on the right were observed in the apex of both lungs. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; There are cylindrical bronchiectasis in the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. There are centriacinar nodular infiltrates in the peribronchial areas of the lower lobes of both lungs, and the appearance of a budded tree.\n<pleura>: A subpleural calcific nodule with a diameter of 3.7 mm was observed in the posterobasal segment of the left lung lower lobe.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a 15x10 mm subcapsular nonspecific hypodense lesion was observed anteriorly in segment 4B of the liver left lobe and could not be characterized in this examination.\n\nImpression:\nCylindrical bronchiectasis in the lung parenchyma, mucus secretion-plugs showing leveling in the lumen and bronchopneumonia developed on this background  Almost complete in the right lung middle lobe, focal atelectatic changes in the left lung upper lobe inferior lingues  Calcific-noncalcific millimetric nonspecific parenchymal nodules in the left lung lower lobe  Liver segment Peripheral subcapsular in 4B, nonspecific hypodense lesion that cannot be characterized in this examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7380/train_7380_a/train_7380_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17445",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7382/train_7382_a/train_7382_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are areas of linear atelectasis in the apical regions of both lungs. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. In both lungs, there are several millimetric nonspecific nodules with a diameter of 2 mm, the largest of which is in the apicoposterior segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. In the medial segment of the lower lobe of the right lung, adjacent to the vertebral osteophytes, there are areas of linear atelectasis accompanied by faint ground glass areas.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the anterior descending coronary artery.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Bridging osteophytes at the corners of the thoracic vertebral corpus within the sections and indentations of Schmorl's nodules on the end plateaus are observed. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is a hypodense lesion with a diameter of 8.5 mm in liver segment 5. There is a hypodense cystic lesion with a diameter of 4.5 cm located in the pelvis in the left kidney, which is partially included in the sections. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs.  Linear areas of atelectasis in both lungs.  Hiatal hernia.  Millimetric hypodense lesion in the right lobe of the liver.  Pelvic hypodense cystic lesion in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7383/train_7383_a/train_7383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Linear atelectatic changes are observed in the basal segments of the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the study and were evaluated as subopotimal.\n\nImpression:\nLinear atelectatic changes in the basal segments of the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7389/train_7389_a/train_7389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. The outlook is consistent with typical-probable Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; In both lungs, especially in the lower lobes, widespread patchy consolidation areas with air bronchograms located in the subpleural are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nConsolidation-weighted views consistent with typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7392/train_7392_a/train_7392_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook can be observed in advanced Covid-19 pneumonia. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Ground-glass density increases with diffuse septal thickening were observed in all lobes of both lungs, especially in the peripheral subpleural area.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Lymph nodes measuring 11 mm in the short axis of the largest were observed in the mediastinal upper-lower paratracheal, prevascular, and subcarinal areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: The ascending aorta measures 39 mm in diameter and shows slight dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart sizes are slightly increased (mild cardiomegaly). Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly.  Mediastinal lymph nodes.  Mild fusiform dilatation, atherosclerotic changes in the ascending aorta.  Ground-glass density increases with diffuse septal thickenings, which tend to coalesce from place to place in both lung parenchyma, are consistent with the frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7393/train_7393_a/train_7393_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). There is no mass or infiltrative lesion in both lungs. There are sometimes linear atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<abdomen>: There are no intra-abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7395/train_7395_d/train_7395_d_1.npy"
        ]
    },
    {
        "id": "report_generation_17479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are sometimes linear atelectasis in both lungs. In both lungs, there are areas of increase in density consistent with the newly developed consolidation in all lobes in the current examination, and viral pneumonia is considered in the etiology of the findings. (small airway disease?, small vessel disease?). Mosaic attenuation pattern is observed in both lungs. It is recommended to evaluate it together with clinical and laboratory findings in terms of Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No free fluid, loculated collection, or pathologically sized lymph nodes are observed in the upper abdominal sections within the image.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7395/train_7395_e/train_7395_e_1.npy"
        ]
    },
    {
        "id": "report_generation_17483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<pleura>: Pericardial-pleural effusion was not detected. In the evaluation made in the lung parenchyma window: In both lung parenchyma, areas of mulilobar mostly peripheral subpleural localization, indistinctly circumscribed ground glass and density increase compatible with consolidation are observed, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings.\n<mediastinum>: There are lymph nodes in the mediastinum with a short diameter less than 1 cm in fusiform configuration and without pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. In addition, no lymph nodes in pathological size and appearance are observed in both axillary regions and in the supraclavicular fossa.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7396/train_7396_a/train_7396_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; A linear fibroatelectasis sequela change was observed in the paracardiac area in the medial segment of the right lung middle lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Gallbladder, spleen, pancreas are normal. Liver sizes increased as can be seen on non-contrast sections. No intraabdominal free-loculated fluid was detected. The right adrenal gland locus is normal, and no space-occupying lesion was detected. No stones were observed in both kidneys within the sections. No lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance. Nodular thickening was observed in the left adrenal gland corpus and medial crus. Liver parenchyma density is diffusely decreased, consistent with adiposity. Fat-protected areas were observed in the right and left lobes of the liver, adjacent to the gallbladder and anterior to the portal vein.\n\nImpression:\nLinear passive atelectasis sequelae change in the medial segment of the middle lobe of the right lung. Hepatomegaly, hepatosteatosis.  Nodular thickening of left adrenal gland, medial crus and corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7405/train_7405_a/train_7405_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: nodules with a diameter of 5.5 mm on the left and 4 mm in diameter in the anterior segment of the left lung upper lobe are observed. In the evaluation of both lung parenchyma; Two large nodules with a diameter of 4 mm in the anterior segment of the upper lobe of the right lung, 4 mm in diameter in the posterior segment, 3-4 mm in diameter in the middle lobe of the right lung, 6 mm in diameter in the superior segment of the lower lobe of the right lung, and large nodules of ground glass density in the lower lobe basal segments of both lungs.\n<pleura>: Mild pleuroparenchymal density increases are observed in the subpleural distances at the apex of both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. There is calcific plaque on the wall of the patterned aorta. Right upper paratracheal, aortopulmonary, millimetric-sized 1-2 lymph nodes are observed.\n<heart>: Calcific plaque is observed on the walls of the coronary artery. Pericardial effusion is observed anteriorly in the form of minimal smearing. In the ascending aorta, the AP diameter is 4 cm.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. There is calcific plaque on the wall of the patterned aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMost nodules smaller than 5 mm in both lungs, the larger one in both lungs being 6 mm in diameter in the superior segment of the right lung lower lobe, and ground glass density.  Ectasia in the ascending aorta.  Mild pleuroparenchymal density increases are observed in the subpleural distances at the apex of both lungs.  No specific finding in favor of sarcoidosis was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7406/train_7406_a/train_7406_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the bilateral adrenal tracts. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Accessory spleen with a diameter of 2 cm was observed in the anteroinferior of the splenic hilus.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7407/train_7407_a/train_7407_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window, there is a nonspecific minimally borderless ground glass density in the lower lobes of both lungs. It is thought to be due to incomplete inspiration.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlargement or stenosis-occlusion was detected in the abdominal aorta. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are natural. Bone structures entering the cross-sectional area are natural.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an obstructive stone of 11 mm in the proximal ureter on the left. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. Contour, size, localization, parenchymal thickness, parenchymal staining of both kidneys are normal. Intra and extrahepatic bile ducts, gallbladder are normal. No renal solid or cystic mass was detected. Periprostatic fatty tissues are clear. The contour of the liver, the size is normal. A slight increase in density was observed in the proximal periureteric adipose tissue. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. The AP diameter of the renal pelvis is 20 mm. A related enlargement is observed in the renal pelvis. Thoracic aorta diameter is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. No significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. No space-occupying solid or cystic mass lesion is observed. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. No intraabdominal free-loculated fluid was detected. There is diffuse density loss in the liver. The contour, size, parenchyma density of the spleen is normal. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nFine reticular densities and dependent minimal ground glass densities in the lower lobes of both lungs.  Left proximal ureteral stone and grade II hydroureteronephrosis.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7412/train_7412_a/train_7412_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. No obstructive pathology was detected in the middle lobe bronchus. Trachea and both main bronchi are normal.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. Right lung middle lobe is atelectatic. Minimal emphysematous changes are observed in both lungs. There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs. There is a milimetric non-specific nodule located peripherally in the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Anteroposterior diameters of the aortic arch are normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The diameters of the pulmonary arteries are normal.\n<heart>: The anterior-posterior diameter of the ascending aorta is 42 mm and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries. Anteroposterior diameters of the aortic arch are normal. Although the lesion cannot be characterized because contrast agent was not given, it is present in the previous examination and no difference was detected in its appearance and dimensions.\n\nImpression:\nMinimal bronchiectasis in the central parts of both lungs . Minimal bronchiectasis in the middle lobe of the right lung, linear atelectasis in both lungs . Minimal emphysematous changes in both lungs . Millimetric nonspecific nodule in the left lung . Minimal fibrous aneurysmal dilatation in the ascending aorta . Atheromatous plaques in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7417/train_7417_b/train_7417_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidations and ground glass areas accompanying the consolidations are observed in both lungs, being more prominent in the lower lobes and peripheral areas. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7418/train_7418_a/train_7418_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Perilobular septal thickenings and consolidations are observed in the upper and lower lobes of both lungs, and in the middle lobe of the right lung, with peripheral and central ground-glass appearance and ground-glass appearances. The described views were evaluated in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. A decrease in liver parenchyma density was observed, consistent with adiposity.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7422/train_7422_a/train_7422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ectasia in several bronchi in the anterior segment of the upper lobe of the right lung and subsegmental atelectasis in the laterobasal segment of the lower lobe of the right lung are observed. No typical finding/infiltration in favor of Covid-19 pneumonia was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic destructive lesion was observed in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nEctasia in several bronchi in the right lung upper lobe anterior segment and subsegmental atelectasis in the right lung lower lobe laterobasal segment, no typical finding/infiltration in favor of Covid-19 pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7423/train_7423_a/train_7423_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7430/train_7430_a/train_7430_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the right lung, there are increases in density compatible with pleuroparenchymal sequelae at the apical level, and there is an increase in density in the form of a faint ground glass at this level. Ground-glass-like density increases are observed at the posterobasal level in both lungs and were not detected in the previous examination. There is a ground-glass-like density increase in the upper lobe of the left lung. Slight size increase available (met?). Sequelae changes are observed at the anterobasal level in the left lung. A 5x3 mm nodule is observed at the laterobasal level of the lower lobe of the right lung, and it was 4x2 mm in size in the previous examination. No pathological size and configuration of lymph nodes were detected at both hilar levels. It was not detected in the previous review. The identified changes were not detected in the previous review.\n<pleura>: When examined in the lung parenchyma window; There is a pleural effusion extending from the basal to the apex in both lungs and reaching 33 mm in the thickest part on the right and 11 mm in the left.\n<mediastinum>: Pulmonary trunk calibration is 32 mm. It was measured in dimensions of 10x6 mm in the previous review. They are observed wider than normal. The aortic arch calibration is 34 mm. Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, at the prevascular level, and the largest are measured in the right lower paratracheal area, measuring approximately 20x10 mm.\n<heart>: The ascending aorta calibration is 42 mm. Pericardial mild thickening is observed. CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: There are operative clip views at the axillary level on the right. A hypodense lesion of approximately 15x11 mm is observed in the right breast, showing superposed peripheral calcification to the parenchyma. Again, operative clip appearances are observed at the level of the pectoral fascia.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: The aortic arch calibration is 34 mm. There is an increase in density in the gallbladder compatible with cholelithiasis. They are observed wider than normal. In the upper abdominal organs included in the sections, a nonspecific hypodense lesion with a diameter of approximately 10 mm is observed in the left lobe medial segment of the liver, adjacent to the falciform ligament.\n\nImpression:\nLocally calibration increases in the main vascular structures in the mediastinum  Lymph nodes are observed in the mediastinum, the largest of which is observed in the right lower paratracheal area, and there is a slight increase in size.  Ground-glass-like density increases are observed in both lungs from place to place. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia during the pandemic process.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7440/train_7440_a/train_7440_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17593",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed, more prominently in the upper lobes of both lungs, and slightly patchy ground-glass densities and bronchiectasis are observed in the basal and posterobasal segments of both lungs, especially on the left side. There is a small-moderate amount of effusion, more prominent on the right bilateral side. There are thickenings of the interlobular septa in the lower lobes of both lungs.\n<mediastinum>: Small lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum. There are crescentic calcific atheroma plaques in the coronary arteries and aorta. Mediastinal main vascular structures are normal.\n<heart>: Heart sizes have increased in favor of the heart. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are crescentic calcific atheroma plaques in the coronary arteries and aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs were evaluated suboptimally within the limits of the examination.\n\nImpression:\nClinical and laboratory correlation follow-up is recommended for the onset of the infectious process, especially at the posterobasal level of the left lung lower lobe accompanied by cardiac stasis.  Bilateral small-moderate effusion, more prominent on the right.  Advanced atherosclerosis.  Corticopelvic cysts up to 27 mm in size in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7447/train_7447_a/train_7447_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Close monitoring of the clinical laboratory correlation described above is recommended. No nodular lesions were detected in both lung parenchyma. Atelectasis changes and bronchiectatic findings in both lower lobe basal segments of both lungs were evaluated as new. When examined in the lung parenchyma window; Patchy, crayz paving pattern, ground glass densities are observed in the upper lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the findings observed in the lung parenchyma of the patient known to be positive for Covid-19, there are new atelectasis bronchiectatic areas and progressions and increases in the ground glass densities observed in the previous examination. Close follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7457/train_7457_b/train_7457_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: In the evaluation of lung parenchyma structures; Bronchial wall thickness increases are observed in segmental bronchi in both lungs. Especially in the lower lobe superior and basal segments, bronchial wall thickness increases are quite evident. In places, filling defects of secretions are observed in the bronchial lumens.\n<lung>: Especially in the lower lobe superior and basal segments, bronchial wall thickness increases are quite evident. There is a subsegmental linear atelectasis area in the left lung upper lobe lingula inferior segment. Mosaic attenuation and air trapping areas are observed in the lower lobe basal segments in the form of aeration differences secondary to small airway involvement.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal main vascular structures were followed naturally.\n<heart>: There is a calcified atheroma plaque proximal to the LAD. Heart dimensions and compartments appear natural.\n<esophagus>: There is a sliding type hiatal hernia. The gastric cardia has a distinctive herniated appearance with adipose tissue from the esophageal hiatus to the paraesophageal area.\n<bone>: No lymph node was observed in pathological size and appearance in both axillae and both supraclavicular fossae. No pathology of bone structures was detected.\n<abdomen>: Myelolipoma is present in the right adrenal gland in the upper abdominal sections that enter the image area. A cortical cyst of 2 cm in diameter was observed in the left kidney. The gastric cardia has a distinctive herniated appearance with adipose tissue from the esophageal hiatus to the paraesophageal area.\n\nImpression:\nIncreases in bronchial wall thickness in segment bronchi in both lungs are more prominent in the lower lobes, and secretions in the form of filling defects are observed in the bronchial lumens in the lower lobes. Air trapping areas secondary to small airway involvement are observed in the lower lobe basal segments.  Right adrenal myelolipoma, cortical in the left kidney cyst.  Sliding type hiatal hernia is present and the stomach appears as a distinct hernia from the cardia esophageal hiatus to the paraesophageal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7460/train_7460_a/train_7460_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Minimal interseptal and interlobular thickness increases are observed in the lower lobes of both lungs. Apart from this, linear subsegmental atelectasis is also observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; 27 mm pleural effusion in the right hemithorax and accompanying compression atelectasis in the lung are observed. Similarly, there is minimal pleural effusion and accompanying atelectasis in the left lung.\n<mediastinum>: Numerous lymph nodes are observed in the mediastinal area. The largest of these is observed in the precardiac fat pad on the left in the upper mediastinum, and its short axis is measured as 12 mm. Aerial images, which are thought to belong to the early post-op early period, are observed primarily in the superior part of the mediastinum in the paratracheal region in the anterior aspect of the bpyun.\n<heart>: Pericardial effusion reaching 25 mm in its widest part is observed in the pericardial area. Operational materials are observed at the aortic and mitral valve levels. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Suture materials of sternotomy are observed in the sternum. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdomen images included in the examination, numerous lymph nodes, the largest of which is 13 mm in diameter, are observed adjacent to the esophagus and at the level of the portal hilus.\n\nImpression:\nEmphysema is observed in the neck, anterior chest wall, mediastinum and pericardial space.  Lymph nodes in the paraaortic area are observed in the mediastinum, in the upper abdomen images included in the examination.  Pericardial effusion is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7461/train_7461_b/train_7461_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed; Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There are atelectatic changes in the inferior lingular segment of the left lung and the middle lobe of the right lung. Peribronchial thickenings are present in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease disease? Small vessel disease?).\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. There are densities of the operation material in the aortic root. The diameter of the main pulmonary artery was 42 mm and showed fusiform dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Prevascular, upper-lower paratracheal, subcarinal localization, calcified lymph nodes measuring 8 mm on the short axis of the largest were observed in the right hilar area.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The diameter of the ascending aorta is 48 mm and shows aneurysmatic dilatation. Heart size increased (cardiomegaly). Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: A 21x11 mm low-density nodular lesion was observed between the subcutaneous fatty planes in the right upper quadrant of the abdomen. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. There are densities of the operation material in the aortic root. Liver contours are slightly irregular.\n\nImpression:\nAneurysmatic dilatation in the ascending aorta, surgical material in the proximal aorta.  Cardiomegaly.  Mediastinal calcified lymph nodes, dilatation of pulmonary artery.  Atelectatic changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Bilateral peribronchial thickenings.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7471/train_7471_a/train_7471_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; In the lung, especially in the lower parts, the bronchial walls are thick and mosaic densities are seen. Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the lung, especially in the lower parts, the bronchial walls are thick and mosaic densities are seen. There are millimetric nonspecific nodules in both lungs. No obvious pneumonic infiltration was detected. There are focal fibrotic changes in the lung parenchyma adjacent to the osteophyte.\n<mediastinum>: Calcific atheroma plaques are present in the aorta and coronary arteries. The main pulmonary artery, right and left pulmonary arteries are dilated (40 mm, 30 mm and 27 mm, respectively). No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The thoracic aorta is tortuous.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Corner osteophytes are seen in the corpus, especially in the anterior, which tend to merge. Thoracic kyphosis increased in bone structures in the study area.\n<abdomen>: Calcific atheroma plaques are present in the aorta and coronary arteries. In the upper abdominal organs included in the sections, a hypodense lesion of 60 mm in size was observed in the left kidney, which partially penetrated the section anteriorly. The thoracic aorta is tortuous.\n\nImpression:\nAortic and coronary artery atherosclerosis  Ectasia in pulmonary arteries  Cardiomegaly  Millimetric nonspecific nodules in both lungs  Increase in anteroposterior diameter of the chest  Thickening of the bronchial wall, mosaic densities in the lower lobes (chronic airway disease?)  Hypodense lesion partially penetrating the left kidney (cyst?)  Increase and degenerative changes in thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7474/train_7474_a/train_7474_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchial minimal reticular densities are present in both lower lobes. When examined in the lung parenchyma window; Clarification of central bronchovascular structures, thickening of the bronchial wall, and mosaic density differences are observed in both lung parenchyma. There are millimetric nonspecific nodules in both lungs. Significant pneumonic consolidation and infiltration were not detected. There is band atelectasis in the lingula on the left. Nonspecific minimal ground glass densities are seen in the lingula of the left lung, the middle lobe of the right lung and both lower lobes.\n<mediastinum>: Lymph nodes, some of which are calcific, are observed in the mediastinum. Calcific plaques are present in the aorta and coronary arteries. The thoracic aorta has a tortuous appearance.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. The ascending aorta is 40 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebrae have a diffuse degenerative appearance.\n<abdomen>: Cortical cysts were observed in both kidneys. Calcific plaques are present in the aorta and coronary arteries. Other upper abdominal organs included in the sections are normal. The thoracic aorta has a tortuous appearance.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Ectasia in the ascending aorta and pulmonary arteries.  Cardiomegaly.  Calcific lymph nodes in the mediastinum.  Mosaic density differences in both lungs, bronchial wall thickening and nonspecific nodules, atelectasis in the left lung lingula,  Minimal nonspecific ground-glass densities in both lungs and minimal peribronchial reticular densities in the lower lobes (secondary to airway disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7474/train_7474_b/train_7474_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Sequelae changes including coarse calcifications are observed in the left lung lower lobe superior segment and left lung upper lobe anterior segment. When examined in the lung parenchyma window; In both lungs, areas of bronchiectasis, especially including the lower lobes, are observed. Apart from this, sequela fibrotic densities are observed in the upper lobes of both lungs. A few nonspecific sequela calcific pulmonary nodules are observed in both lungs.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Lymph nodes with short axes not exceeding 5 mm and some calcifications are observed in the mediastinal area. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAreas containing coarse calcifications, interpreted in favor of sequelae changes, are observed in both lungs. Sequelae of calcific pulmonary nodules are observed in both lungs.  Bronchiectasis areas are observed in both lungs, especially in the lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7479/train_7479_a/train_7479_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, multilobar-multisegmental central-peripheral crazy paving pattern and large patchy ground glass consolidation areas showing vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia. Sequelae of calcified lymph nodes are observed in the bilateral hilum.\n<mediastinum>: Atherosclerotic changes were observed in the walls of the patterned aorta and coronary arteries. In the non-contrast examination, the mediastinal could not be evaluated optimally. Calibration of pulmonary arteries is increased. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; thoracic aorta calibration is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. The vertebral body is preserved. it is natural.\n<abdomen>: Diffuse hyperplasia is observed in the left adrenal gland. Atherosclerotic changes were observed in the walls of the patterned aorta and coronary arteries. As far as can be seen in non-contrast sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; thoracic aorta calibration is natural.\n\nImpression:\nIncreased pulmonary artery diameters, cardiomegaly, atherosclerotic wall calcifications in the descending aorta and coronary artery wall  Findings consistent with Covid-19 pneumonia in the lung parenchyma  Diffuse hyperplasia in the left adrenal gland  Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7484/train_7484_a/train_7484_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; In the lower lobe of the left lung, a large area of ground glass densities is accompanied by areas of increased centracinar nodular density. Of the findings described ………………… is primarily considered to be pneumonic infiltration. In addition, 2 nonspecific nodules measuring 7.5 mm in size are observed in the right lung parenchyma and 1 in the left lung lower lobe anterobasal segment, the largest in the right lung upper lobe anterior segment.\n<pleura>: Right pleural effusion is not observed. There is minimal effusion measuring 7 mm in the deepest part of the left pleural space.\n<mediastinum>: Multiple lymph nodes with fusiform configuration are observed at all levels in the mediastinal lymph node station, with fatty hilus measuring more than 1 cm in diameter, the largest of which is short. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. The shortest diameter of the lymph nodes at the subcarinal level was measured as 17 mm-18 mm. Atherosclerotic plaques are observed on the walls of the aorta and coronary vascular structures. There are calcified atheroma plaques in the abdominal aortic wall.\n<heart>: In the pericardial area, there is an effusion measuring approximately 11.5 mm in size at its most fertile place. Heart contour and size are natural. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight hiatal hernia in the sliding type at the lower end of the esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area, and the height of the vertebral corpus was preserved.\n<abdomen>: There are calcified atheroma plaques in the abdominal aortic wall. No solid mass was detected within the borders of uncontracted CT in the upper abdominal sections included in the sections. Atherosclerotic plaques are observed on the walls of the aorta and coronary vascular structures.\n\nImpression:\nLymph nodes with a short, fusiform configuration greater than 1 cm in diameter at all lymph node stations in the mediastan. Minimal pericardial and left pleural effusion.  Findings evaluated in favor of pneumonic infiltration in the lower lobe of the left lung. A few millimetric nodules in the parenchyma of both lungs.  Calcified plaques of atheroma in the wall of the aorta and coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7486/train_7486_a/train_7486_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening is observed in the interlobar fissures and generally in the bronchovascular sheath on the right. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal and their lumens are clear.\n<lung>: A ground-glass-like density increase is observed at the middle lobe level in the right lung. It is recommended to evaluate the case with clinical and laboratory findings in terms of viral pneumonias, including COVID. There are regular thickenings in the interlobular septa. A nonspecific nodule with a diameter of 9 mm is observed in the periphery of the anterior segment of the right lung upper lobe. No pathological size and configuration of lymph nodes were detected at both hilar levels. Apart from this, there are common, but more focal and small-sized ground glass-style density increments in other areas.\n<pleura>: There is a pleural effusion with a thickness of approximately 14 mm in the right pleural space.\n<mediastinum>: Pulmonary trunk calibration is 33 mm, right pulmonary artery is 27 mm, left pulmonary artery is 27 mm. Dense calcific atheroma plaques in the main branches of the aortic arch and coronary arteries and stent appearance in the left coronary artery are observed. It is wider than normal. Calibration of the aortic arch is at the maximal physiological limit. Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the abdominal and thoracic aorta. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area at the prevascular level, in the aorticopulmonary window, and in the subcarinal area, the largest of which is measured in the subcarinal area and measures approximately 25x19 mm.\n<heart>: Mild pericardial effusion is present. Calibration of the ascending aorta is at the maximal physiological limit. CTO is at the maximal physiological limit. Dense calcific atheroma plaques in the main branches of the aortic arch and coronary arteries and stent appearance in the left coronary artery are observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There is an appearance compatible with gynecomastia on both sides.\n<bone>: Appearance compatible with DISH is available. Degenerative changes are observed in the bone structure.\n<abdomen>: In the upper abdominal organs, including sections; In the anterior diaphragmatic area, millimetric nodular density is observed in fatty planes. Dense calcific atheroma plaques in the main branches of the aortic arch and coronary arteries and stent appearance in the left coronary artery are observed. It is wider than normal. Calibration of the aortic arch is at the maximal physiological limit. It was evaluated as compatible with lymph node. Calcific atheroma plaques are observed in the abdominal and thoracic aorta.\n\nImpression:\nScattered focal ground-glass-like density increases in both lungs, prominent in the middle lobe of the right lung (It is recommended that the case be evaluated together with clinical and laboratory findings for viral pneumonias, including COVID).  Mild increase in calibration of the heart and pulmonary artery system at maximal physiological limits, diffuse thickening of interstitial scars, mild pleural effusion on the right; It is also recommended to evaluate the case in terms of cardiac load.  Peripheral nonspecific nodule of 9 mm in diameter in the anterior segment of the right lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7486/train_7486_b/train_7486_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17696",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The described findings can be seen in Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are ground glass densities observed in the paramediastinal area in the medial of the middle lobe of the right lung and in the middle lobe of the right lung in the medial side of the nodular halo sign and patchy density. It is recommended for clinical laboratory correlation, follow-up and differential diagnosis of infectious processes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Small lymph nodes are observed in the articopulmonary window in the mediastinum, in the paraaortic area, and in the anterior mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. The dimensions of the liver entering the cross-sectional area have increased.\n\nImpression:\nLymph nodes that do not show significant dimensional and numerical differences in the mediastinum, paraaortic area, aorticopulmonary window, axillary region and anterior mediastinum  There are suspicious findings that can be seen in Covid 19 viral pneumonia in the lung parenchyma, clinical laboratory correlation and follow-up are recommended for the differential diagnosis of other infectious processes.  Increased liver size, hepatosteatosis.  Atherosclerotic changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7488/train_7488_e/train_7488_e_1.npy"
        ]
    },
    {
        "id": "report_generation_17712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: Patchy ground glass density increases were observed in both lungs. When both lung parenchyma windows are evaluated; Diffuse interlobular septal thickenings were observed in the lower lobes of both lungs (secondary to cardiac pathology?).\n<pleura>: Mild free pleural effusion was observed between the bilateral pleural leaves.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nInterlobular septal thickening in both lungs, secondary to cardiac pathology?  Bilateral mild pleural effusion.  Patchy ground glass density increases in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7491/train_7491_a/train_7491_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are thickenings of the peribronchial sheath. There is a catheter view inside the trachea.\n<lung>: Common ground glass style density increments are available. It is recommended to be evaluated for aspiration pneumonia. There are lymph nodes at the hilar level, the largest on the right and measuring approximately 19x14 mm. The described findings are also observed in the upper lobe posterior segments and lower lobe superior segments in both lungs. Centrilobular densities are observed in places with bud branches. There are thickenings in the common interlobular septa, more prominent in the upper lobes. A slight fluid appearance is also observed at the fissure level.\n<pleura>: Consolidative areas with atelectasis-air bronchograms are observed in both lungs, extending from the basal to the apex, in the vicinity of the pleural effusion reaching 35 mm in the most prominent place on the right and 19 mm in the left.\n<mediastinum>: Calcific atheroma plaques are observed in the abdominal aorta. Calibration of the aortic arch and other major vascular structures is natural. In almost all lymph node groups in the mediastinum, lymph nodes are present in the right lower paratracheal area, with a central slightly hypodense appearance, 30x21 mm in size. Calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch, and in the coronary arteries. Pulmonary trunk calibration is 28 mm and it is in the maximal physiological limit.\n<heart>: CTO slightly increased in favor of the heart. Calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch, and in the coronary arteries. Postoperative changes are present. There is local thickening of the pericardium.\n<esophagus>: Densities that partially level in the esophagus are observed.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There are changes secondary to sternotomy.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; subcapsular nonspecific hypodense lesion of approximately 7x5 mm is observed anteriorly in the lateral segment of the left lobe of the liver. Calcific atheroma plaques are observed in the abdominal aorta. Calibration of the aortic arch and other major vascular structures is natural. Hypodense lesions are observed in the left kidney, which is considered compatible with a parapelvic cyst. Mild pelvicalyceal ectasia is observed in the right kidney. Calcific atheroma plaques are observed in the ascending and descending aorta in the aortic arch, and in the coronary arteries.\n\nImpression:\nIt is recommended to evaluate the patient with clinical and laboratory findings in terms of cardiac stasis and accompanying infective processes (aspiration pneumonia?).  Mild pelvicalyceal ectasia in the right kidney.  Hypodense lesions in the left kidney considered compatible with a parapelvic cyst.  Atherosclerotic changes, degeneration in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7495/train_7495_a/train_7495_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are normal.\n<lung>: No progression was detected. When examined in the lung parenchyma window; In the upper lobe anterior segment of the right lung, a 17x11x8 mm geographically shaped ground glass nodule is observed, adjacent to the minor fissure, which is sitting on the fissure with a wide base and causing shrinkage in the fissure.\n<mediastinum>: Atherosclerotic changes are observed in the aorta and coronary arteries. There are no enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart sizes are within normal limits. There was no finding in favor of pericardial thickening or effusion. Atherosclerotic changes are observed in the aorta and coronary arteries.\n<abdomen>: Atherosclerotic changes are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal. Within the sections, a simple cortical cyst is observed in the left kidney.\n\nImpression:\nStable ground glass nodule adjacent to minor fissure in anterior segment of left lung upper lobe.  Stable millimetric nodules in both lung parenchyma.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7496/train_7496_a/train_7496_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17729",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Interlobular septal thickenings that are more prominent in the lower lobes of both lungs and ground glass densities and interlobular septal thickenings that are more prominent in the lower lobes of both lungs and interlobular septal thickenings are considered as ground glass densities secondary to cardiogenic edema rather than infection. Clinical evaluation is recommended.\n<pleura>: Apart from these, nodules with a size of 6.6 mm in the anterior segment of the right lung upper lobe, 5 mm in size in the middle lobe, 4.5 mm in diameter in the anterior segment of the left lung upper lobe, one 4 mm in diameter in the lingular segment and one subpleural 4 mm in diameter are observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric calcific plaques are observed in the walls of the coronary artery and in the aortic arch. Right upper-lower paratracheal aortopulmonary lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum.\n<heart>: Millimetric calcific plaques are observed in the walls of the coronary artery and in the aortic arch.\n<bone>: No lytic-destructive lesion was detected in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. Millimetric calcific plaques are observed in the walls of the coronary artery and in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nInterlobular septal thickenings that are more prominent in the lower lobes of both lungs, and ground-glass densities and interlobular septal thickenings that are more prominent in the lower lobes of both lungs, and interlobular septal thickenings are thought to be secondary to cardiogenic edema rather than infection. Clinical evaluation is recommended in both lungs. nodules in the parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7498/train_7498_a/train_7498_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs. Multilobar, multisegmental upper lobes in both lungs have more diffuse central-peripheral nodular ground glass consolidations with faint borders, and the appearance is highly suspicious for Covid-19 pneumonia. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segments of the left lung upper lobe. No mass lesion with delineated borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nHigh suspicious findings for Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with the clinic and laboratory. Increases in pleuroparenchymal sequelae density in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Millimetric nonspecific parenchymal nodules in both lungs. Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7503/train_7503_a/train_7503_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is progressive. The prevalence and intensity of pneumonic infiltration in the lung parenchyma increased in the case followed up with Covid-19 pneumonia. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7505/train_7505_b/train_7505_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook can be traced to Covid-19 pneumonia but is not typical. Bronchopneumonia-atypical pneumonias can be considered in the differential diagnosis. Subsegmental atelectasis was observed in both lungs. Acinar infiltration areas were observed in the lateral segment of the right lung middle lobe and in the lower lobes of both lungs.\n<mediastinum>: In the mediastinal, upper-lower paratracheal, subcarinal, and prevascular levels, multiple lymph nodes with a short axis of less than 1 cm and millimetric sizes were observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. There is stent material in the coronary artery. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: In the upper abdominal sections in the study area; Multiple calcules were observed in the gallbladder. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\ncardiomegaly.  Atherosclerotic changes.  Hiatal hernia.  Cholelithiasis.  Sequelae changes in both lungs, peribronchial thickenings and diffuse areas of acinar infiltration in both lungs; The outlook can be traced to Covid-19 pneumonia but is not typical. Atypical pneumonia-bronchopneumonia can be considered in the differential diagnosis; It is recommended to evaluate with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7508/train_7508_a/train_7508_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17788",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. Round-shaped ground glass areas are observed in the posterobasal segment of the lower lobe of the right lung and the inferior subsegment of the lingular segment of the left lung upper lobe. However, it may be compatible with Covid-19 pneumonia during the pandemic process. It is recommended to evaluate the patient together with laboratory findings. The views described are not specific.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nRound-shaped ground glass areas in the posterobasal segment of the lower lobe of the right lung and the lingular segment of the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7524/train_7524_a/train_7524_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; There are thickenings of the bronchial walls at the central level in both lungs.\n<lung>: There are several nonspecific nodules in both lungs, the largest of which reaches 5 mm in diameter. In addition, bronchiectasis, thickening of the bronchial wall, and peribronchial reticulonodular infiltrates, more prominently in the left lingula and lower lobe, are observed.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 40 mm and ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEctasia of the ascending aorta, atherosclerosis of the aorta and coronary artery.  Bronchiectasis in the lingula and lower lobe of the left lung, thickening of the bronchial wall, peribronchial reticulonodular infiltrates. Findings may be compatible with bronchiolitis or bronchopnomonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7529/train_7529_a/train_7529_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In the lower lobes, the bronchial walls at the central level and thickened.\n<lung>: In the lower lobe on the left, a suspicious ground glass density with no minimal border is observed. There are bilateral millimetric nonspecific nodules. When examined in the lung parenchyma window; mosaic density differences are observed in both lungs. Band atelectasis is observed in the right middle lobe and left lingula. In the lower lobes, the bronchial walls at the central level and thickened.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are present in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are present in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis, lung sequelae changes and nonspecific nodules, mosaic density differences (airway disease?), bronchial wall thickening (chronic bronchitis?).  Minimal ground glass density in the left lower lobe, no obvious pneumonic infiltration, but suspicious for the onset of pneumonia. Evaluation with the clinic and, if necessary, control examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7535/train_7535_a/train_7535_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17824",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7535/train_7535_b/train_7535_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7538/train_7538_a/train_7538_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of covid-19 viral pneumonia. Calcific focus is observed in the lower lobe of the left lung. Clinical and laboratory correlation is recommended. When examined in the lung parenchyma window; Peripherally located patchy ground glass densities are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings compatible with Covid-19 viral pneumonia, clinical and laboratory correlation is recommended  Millimetric calcific focus in left lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7544/train_7544_a/train_7544_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17877",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Complete consolidation without air bronchograms was observed in the posterobasal segment of the lower lobe of the right lung, measuring approximately 65x50 mm. Although the appearance may be compatible with pneumonia, a mass lesion cannot be ruled out. Post-treatment control and tissue diagnosis are recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In the mediastinal prevascular area and paratracheal area, as well as in the subcarinal level and the right hilar region, lymph nodes with oval configurations, the largest of which is approximately 16x8 mm, with occasional fatty hiluses were observed. In addition, a lymph node of approximately 12x7 mm was observed in the right paracardiac area. Calcifications were observed in mediastinal main vascular structures and coronary arteries. No pathological wall thickening was detected.\n<heart>: No pericardial effusion or thickening was observed. There is cardiomegaly.\n<esophagus>: The thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nComplete consolidation without air bronchograms in the posterobasal segment of the lower lobe of the right lung (the appearance may be pneumonic. However, the mass cannot be excluded. Post-treatment control and tissue diagnosis are recommended) . Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7556/train_7556_a/train_7556_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17879",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It is recommended to follow the described nodule. There are emphysematous changes in both lungs. No mass was observed in both lungs. The views described are not specific. However, when evaluated together with the patient's clinical knowledge, viral pneumonia was considered primarily in the differential diagnosis. There is also a small semisolid nodule in the apicoposterior segment of the upper lobe of the left lung.\n<pleura>: A ground glass area is observed in the peripheral subpleural area in the posterobasal segment in the lower lobe of the right lung. There is a nodule measuring 12x7 mm in the peripheral subpleural area in the posterior segment of the right lung upper lobe. No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nPeripherally located ground glass area in the posterobasal segment in the lower lobe of the right lung, a millimetric semisolid nodule in the apicoposterior segment of the upper lobe of the left lung (findings were primarily evaluated in favor of viral pneumonia)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7557/train_7557_a/train_7557_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; a few millimetric nonspecific subpleural nodules are observed in both lungs.\n<mediastinum>: There are calcific atheorm plaques in the aortic arch and descending aorta. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A small hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are calcific atheorm plaques in the aortic arch and descending aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific subpleural nodules in bilateral lung  Mild atherosclerosis  Small hiatal hernia  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7559/train_7559_a/train_7559_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchial thickness increases in both lungs. Although a mosaic attenuation pattern is observed in both lungs, ground-glass opacities are occasionally observed, which may be compatible with pneumonic infiltration. There is a 12 mm diameter pulmonary nodule containing coarse calcification in the anterior segment of the left lung upper lobe. The differential diagnosis also includes Covid-19 pneumonia.\n<pleura>: Especially the ground glass densities in the right lung upper lobe posterior subpleural area and right lung lower lobe superior segment raise suspicion in terms of viral pneumonia. When examined in the lung parenchyma window; Minimal pleural effusion is observed in both lungs.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic attenuation pattern in both lungs.  Ground-glass densities, especially in the right lung upper lobe anterior and right lung lower lobe superior segments, were evaluated in favor of viral pneumonia. In terms of Covid-19 pneumonia, evaluation together with clinical laboratory findings is recommended.  Pulmonary nodule in the anterior segment of the left lung upper lobe, evaluation together with previous examinations, if any, and further examination is recommended if necessary.  Increase in heart size and contours  Calcific atheromatous plaques in aorta, coronary arteries  Minimal pleural effusion and subsegmental atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7563/train_7563_a/train_7563_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. There are minimal emphysematous changes in both lungs, more prominent in the upper lobes. The described findings are the findings frequently observed in Covid-19 pneumonia. There are also enlarged vascular structures within the ground glass areas. Ground glass areas are more prominent in the lower lobes and peripheral areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7566/train_7566_a/train_7566_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. There are minimal emphysematous changes in both lungs, more prominent in the upper lobes. The described findings are the findings frequently observed in Covid-19 pneumonia. There are also enlarged vascular structures within the ground glass areas. Ground glass areas are more prominent in the lower lobes and peripheral areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7566/train_7566_b/train_7566_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17942",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; The case has findings consistent with emphysema. No appearance compatible with pneumonia was detected. Mild sequelae changes were observed in the right middle lobe. Sequelae changes were observed in the left inferior lingular segment. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: A subpleural nodule with a diameter of 3 mm was detected at the posterobasal level of the lower lobe of the left lung. No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Thoracic aorta diameter is normal. Surrounding soft tissue planes are normal. In the sections passing through the upper abdomen, a decrease in density consistent with mild hepatosteatosis is observed in the liver.\n\nImpression:\nNo findings compatible with pneumonia were detected.  Mild emphysematous changes . Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7579/train_7579_a/train_7579_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. There are sequela parenchymal changes in the right lung middle lobe lateral segment and left lung lower lobe posterobasal segment.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: A double tunneled catheter extending from the right internal jugular vein to the superior right atrium junction of the vena cava was observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural. There is no lymph node in the mediastinum in pathological size and appearance.\n<heart>: Minimal pericardial effusion was observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<breast>: In the 4-5th intercostal space on the right, in the subcutaneous fatty tissue-muscle planes, a slightly hypodense soft tissue density lesion measuring approximately 12 mm in diameter was observed, although the borders could not be clearly distinguished.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nA slightly hypodense soft tissue density lesion measuring approximately 12 mm in diameter, although the borders cannot be clearly distinguished, in the subcutaneous fatty tissue-muscle planes in the 4-5th intercostal space on the right.  Sequela parenchymal changes in the right lung middle lobe lateral segment and left lung lower lobe posterobasal segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7581/train_7581_a/train_7581_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17948",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Newly developed consolidation, ground glass densities and peribronchial reticulonodular densities are observed in the upper lobe anterior of the left lung, lower lobes of both lungs, and the posterior of the right upper lobe.\n<pleura>: There is a newly developing effusion in the pericardial area with a size of 12 mm, right pleural 21 mm, and left pleural 8 mm.\n<mediastinum>: An indifferent nodular lesion with a diameter of 16x11 mm is observed in the anterior mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nStable mass lesion in anterior mediastinum.  Bilateral newly developing pleural effusion and pericardial effusion.  Newly developed consolidation, ground glass densities and peribronchial reitculonodular infiltrates in both lungs. Findings were primarily evaluated secondary to bacterial pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7581/train_7581_b/train_7581_b_1.npy"
        ]
    },
    {
        "id": "report_generation_17965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7586/train_7586_a/train_7586_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild depanding atelectasis is observed in both lower lobe posterobasal segments of both lungs. A conglomerated calcific nodule with a total size of up to 8 mm is observed at the junction of the medial and lateral segments of the right lung middle lobe. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch, dorsal aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch, dorsal aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are diffuse degenerative changes and decrease in density in bone structures.\n<abdomen>: Upper abdominal organs are partially included in the study and were evaluated as subopotimal. Calcific atheroma plaques are observed in the aortic arch, dorsal aorta and coronary arteries.\n\nImpression:\nAtherosclerosis. Mild patchy density increases in the posterobasal segments of the lower lobe favoring primarily atelectatic changes.  Calcific nodule in the middle lobe of the right lung. Density reduction, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7591/train_7591_a/train_7591_a_1.npy"
        ]
    },
    {
        "id": "report_generation_17988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Patchy focal ground-glass densities and discrete nodular infiltrates were observed in the upper lobe of the right lung. Faint ground glass densities were observed in bilateral lung basals.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are appearances of degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. Viral pneumonia? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Views include possible findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7595/train_7595_a/train_7595_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Similar appearances are observed in Covid-19 pneumonia. The outlook is in favor of viral pneumonia. When examined in the lung parenchyma window; Widespread and patchy ground-glass consolidation areas are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; A stone that does not cause dilatation of the collecting system is observed in the right kidney.\n\nImpression:\nTypical – probable Covid-19 pneumonia.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7603/train_7603_a/train_7603_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal lymph nodes with millimetric size are observed. In the evaluation of both lung parenchyma; In both lung parenchyma, ground-glass densities and consolidations are observed in the peripheral lung tissue in the form of peribronchial patches. A 5 mm diameter nodule is observed at the fissure floor in the left lung upper lobe apicoposterior segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the walls of the aortic arch, descending aorta and coronary artery. No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed in the walls of the aortic arch, descending aorta and coronary artery. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Calcific plaques are observed in the walls of the aortic arch, descending aorta and coronary artery. Bilateral adrenal glands appear natural. There are calcules in the gallbladder, which is in the examination area.\n\nImpression:\nPredominant and peribronchial patch-like ground-glass densities and consolidations in peripheral lung tissue in both lung parenchyma. It was evaluated in favor of Covid-19 pneumonia in the presence of a pandemic.  5 mm diameter nodule at the fissure floor in the apicoposterior segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7604/train_7604_a/train_7604_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Pneumonic infiltration or mass lesion is not observed in both lungs. When examined in the lung parenchyma window; Sequelae parenchymal changes are observed in bilateral apex. There are centriacinar emphysematous changes in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. There are no lymph nodes in pathological size and appearance in mediastinal lymph node stations and in both axillary regions.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart, contour size is normal.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, there is no intrabdominal solid mass, free fluid or loculated collection as far as can be observed within the limits of non-contrast CT.\n\nImpression:\nNo findings in favor of pneumonia were detected in both lungs. Sequela parenchymal changes and centriacinar emphysematous changes in the apex of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7609/train_7609_a/train_7609_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The described findings are consistent with idiopathic pulmonary fibrosis noted in the clinical preliminary diagnosis.\n<pleura>: When examined in the lung parenchyma window; Interlobular septal thickness increases in both lung parenchyma, honeycomb appearance in peripheral subpleural areas and subpleural lines were observed. Contour irregularities and fibrotic recessions were observed in the pleura.\n<mediastinum>: According to the previous examination, stable millimetric lymph nodes were observed in the mediastinal-lower paratracheal, paraesophageal area. Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<abdomen>: Calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. In the upper abdominal sections in the study area; Exophytic hypodense lesion with a diameter of 4 cm was observed in the upper pole of the right kidney (cyst?). No new findings were detected in the current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7610/train_7610_d/train_7610_d_1.npy"
        ]
    },
    {
        "id": "report_generation_18032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Secretions are observed in the trachea.\n<lung>: There is no suspicious mass or nodular space-occupying lesion in the lung parenchyma.\n<mediastinum>: Pulmonary trunk diameter increased by 42 mm. In the upper abdomen sections, there are widespread calcified atheroma plaques in the abdominal aorta and its branches. There are bilateral upper and lower paratracheal nonspecific lymph nodes less than 1 cm in diameter in the mediastinum. The diameter of the left main pulmonary artery was 35 mm, and the diameter of the right main pulmonary artery was 27 mm.\n<heart>: Pericardial effusion was not detected. LAD has stent. The diameter increase in the left ventricle is more pronounced. Diffuse calcified atheroma plaques are observed in the coronary arteries. Heart size increased. Cardiac pacemaker catheter is monitored.\n<esophagus>: Although no pathological increase in diameter was observed in the esophagus, an increase in the thickness of the wall in the upper 1/3 section was noted.\n<bone>: No lytic-destructive lesions were detected in bone structures. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: Loculated or free fluid is not observed. In the upper abdomen sections, there are widespread calcified atheroma plaques in the abdominal aorta and its branches. Evaluation is suboptimal because no contrast agent is given.\n\nImpression:\nIncreased heart size and left ventricular diameter, increased pulmonary trunk and diameter of both main pulmonary arteries . Cardiac pacemaker catheter, stent in LAD, and calcified atheroma plaques in coronary arteries . Diffuse calcified atheroma plaques in abdominal aorta and its branches . Common in all segments of both lungs consolidation and ground glass densities are observed.  Slight increase in wall thickness in the upper 1/3 of the esophagus, Endoscopic examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7613/train_7613_a/train_7613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is open, both main bronchi are narrowed due to compression secondary to enlargement of the branches of the pulmonary artery.\n<lung>: When examined in the lung parenchyma window; Consolidation area with air bronchogram signs is observed in the inferior lobe of the left lung. Mosaic pattern attenuations and interlobular septal thickening are observed in the lower lobe and upper lobe of the right lung. There is a small amount of bilateral effusion.\n<mediastinum>: Lymph nodes with multiple short axis measuring up to 14 mm are observed in the mediastinum. The pulmonary artery measures 42 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. The main bronchial structures were suppressed secondary to the dilatations observed in both pulmonary arteries. Pulmonary artery calibration is increased.\n<heart>: As far as can be traced: The cardiothoracic index increased in favor of the heart. Pacemaker double chamber is monitored.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The upper abdomen is partially included in the study, and there is significant free fluid in the upper abdomen. There are millimetric calcific foci in the right lobe of the liver.\n\nImpression:\nInterlobular septal thickenings, mosaic pattern attenuations, bilateral small amount of effusion, findings evaluated in favor of pulmonary edema.  Cardiomegaly.  The volume of the lower lobe of the left lung has decreased and there are areas of consolidation containing air bronchogram signs. Clinical laboratory correlation is recommended in terms of infectious findings.  Enlargement in the pulmonary artery, compression on the main bronchial structures due to expanding pulmonary artery branches . Multiple short axis in the mediastinum measured up to 14 mm lymph nodes are observed.  There is a small amount of fluid in the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7613/train_7613_c/train_7613_c_1.npy"
        ]
    },
    {
        "id": "report_generation_18044",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are pleuroparenchymal sequelae changes in both lung apex. In addition, consolidation in the lower lobe of the right lung and interlobular septal thickenings accompanying the ground glass areas and ground glass areas are observed in the right lung middle lobe and lower lobe and left lung. The described appearance was also present in the previous examination of the patient and no difference was found in its dimensions. If the patient is receiving immunotherapy, this appearance may also be immune-mediated pneumonitis. A thick-walled cavitary lesion was observed in the superior segment of the lower lobe of the right lung. It is recommended that the patient be evaluated together with the clinical findings and further examination if indicated. In the described appearances, it was evaluated primarily in favor of an infective pathology (viral pneumonia?).\n<pleura>: Pleural effusion is observed on the left. There is also minimal pleural effusion on the right.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 16 mm. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: However, in this examination, it is understood that the wall is thicker. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nThick-walled cavitary lesion in the lower lobe of the right lung.  Consolidation in the lower lobe of the right lung and ground-glass appearances in both lungs and interlobular septal thickenings accompanying ground-glass appearances.  Mediastinal and hilar lymph nodes.  Left pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7617/train_7617_a/train_7617_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Several lymph nodes are observed in the pretracheal area, the largest of which reaches 1 cm in the short axis.\n<lung>: Clinical and lab correlation is recommended. Patchy consolidation areas are observed, which show convergence in places and contain air bronchograms. Typical-probable COVID-19 Pneumonia.\n<pleura>: No pleural or pericardial effusion was detected. In the parenchyma examination, peripheral subpleural nodules and ground-glass-like density increases are observed in the posterobacellar segments of both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Upper abdominal organs entering the examination area were evaluated as normal. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nTypical-probable COVID-19 Pneumonia. Clinical and lab correlation is recommended. Differential diagnosis includes other viral pneumonias."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7628/train_7628_a/train_7628_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Sequela fibrotic changes are observed in the upper lobe apex of both lungs. Mosaic density differences, especially in the lower lobes of the lung, and peribronchial faintly limited, non-limiting suspicious ground glass densities are observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Calcific millimetric atheroma plaques are observed in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are millimetric forms of osteophytes in vertebrae. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific millimetric atheroma plaques are observed in the aortic arch.\n\nImpression:\nMosaic density differences in both lungs, especially in the lower lobes, and peribronchial definite, unclear ground glass densities, findings are not specific and may be compatible with the onset of pneumonia. Clinical laboratory correlation is recommended.  Aortic atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7630/train_7630_a/train_7630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Viral pneumonia? Includes air bubble views. In the evaluation of both lung parenchyma; Peripheral, ground glass density and consolidations were observed in the posterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7632/train_7632_a/train_7632_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The dimensions of the thyroid gland have increased, and a nodule containing millimetric calcifications with a diameter of approximately 6 mm is observed in the left lobe.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are consolidations accompanied by ground glass areas in the right lung middle lobe lateral segment and lower lobe. Ground glass areas are also present in the lower lobe of the left lung. There are minimal emphysematous changes in the apical regions of both lungs, and areas of linear atelectasis in the inferior subsegment of the left lung upper lobe lingular segment. There are appearances and peribronchial thickness increases that may be compatible with secretion in the lower lobe bronchi of the right lung. A few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions. Millimetric calcific atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Millimetric calcific atheroma plaques are observed in the aorta. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nAppearance compatible with secretion in the right lung lower lobe bronchus, increased peribronchial thickness, consolidations accompanied by ground glass areas in the middle and lower lobes of the right lung (aspiration pneumonia?)  Ground glass areas in the left lung lower lobe posterior segments.  Minimal emphysematous changes in both lungs, areas of atelectasis in the left lung.  Hiatal hernia.  Increased size of the thyroid gland, nodule with millimetric calcification in the left lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7646/train_7646_a/train_7646_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is slight thickening of the interlobular septa. There are atelectatic changes in both lungs, especially in the lower lobes. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; There is a finding consistent with pleural effusion measuring 35 mm in thickness in the left hemithorax and up to 16 mm in the right hemithorax.\n<mediastinum>: There are lymph nodes with a short axis measuring up to 5 mm in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Diffuse prominent pericardial effusion measuring up to 32 mm is observed.\n<esophagus>: Thoracic esophageal calibration was normal.\n<bone>: There are degenerative changes in the bone structures in the examination area, and hypertrophic osteophytic tapering in the end plates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. No significant tumoral wall thickening was detected.\n\nImpression:\nAdvanced degree pericardial effusion measuring up to 32 mm  Pleural effusion measuring 35 mm on the left and 12 mm on the right in both hemithorax  Lymph nodes measuring up to 5 mm on the short axis in the mediastinum  Slight thickening of the interlobular septa in both lungs, evaluated in favor of pulmonary edema, left lung upper lobe apicoposterior , consolidated and patchy density increases in lower lobes, clinical lab. blind. and follow-up is recommended.  Degenerative changes in bone structures, hypertrophic osteophytic tapering in end plates"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7647/train_7647_a/train_7647_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Diffuse calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7648/train_7648_a/train_7648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Mosaic attenuation pattern was observed in both lungs as far as can be observed secondary to motion artifacts (small airway disease?small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Subpleural streaks and linear pleuroparenchymal sequela fibrotic density increases were observed in the basal, right lung middle lobe and lower lobe superior segments of both lungs. Minimal sequelae thickening was observed in the costal pleura in both hemithorax posterior.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The anterior-posterior diameter of the ascending aorta was 53 mm, and the descending aorta was 41 mm in diameter, which was larger than normal. As far as can be seen; The descending aorta has an elongated and tortuous appearance. The mediastinum could not be evaluated optimally in the non-contrast examination. In the mediastinum, lymph nodes, some of which are calcified, with short axes below 1 cm, which did not reach pathological dimensions, were observed.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The aortic valve is calcified. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<breast>: Irregularly limited soft tissue structures were observed in the bilateral retromamarian area and were evaluated in favor of gynecomastia.\n<bone>: Degenerative irregularities and osteophytes were observed in the vertebral corpus corners.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The anterior-posterior diameter of the ascending aorta was 53 mm, and the descending aorta was 41 mm in diameter, which was larger than normal. Upper abdominal organs included in the sections are normal. As far as can be seen; The descending aorta has an elongated and tortuous appearance.\n\nImpression:\nBilateral gynecomastia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7649/train_7649_a/train_7649_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Heterogeneous hypodense areas are observed at both elevations. There was no finding compatible with pneumonia. When examined in the lung parenchyma window; both lungs are symmetrical. It was not detected in previous studies. Pathological size and configuration of lymph nodes were not observed at both hilar levels. Calcific lymph nodes with millimeter size are observed on the right.\n<pleura>: No pleural effusion or pneumothorax was observed. There is a broad-based pleural nodule of approximately 9x3 mm in the lower lobe laterobasal segment of the left lung.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary arteries at the level of the aortic root in the descending and ascending aorta in the aortic arch. It is wider than normal. Arkus oarta calibration is 45 mm. The pulmonary trunk caliber is 33 mm wider than normal. Left pulmonary artery is 29 mm wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum. The descending aorta calibration is 41 mm.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries at the level of the aortic root in the descending and ascending aorta in the aortic arch. The ascending aorta calibration is 50 mm. CTO is at the maximal physiological limit.\n<esophagus>: Mild hiatal hernia is present. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: These areas appear to be compatible with metastatic involvement areas on PET-CT. In the case with multiple myeloma in the bone structure, diffuse metastases are observed on PET-CT. Degenerative changes are observed in the bone structure entering the examination area. In other bone structures, diffuse heterogeneity-millimetric hypodense areas are observed in the parenchyma. Expansile hypodense formation is observed in the anterior lateral part of the 5th rib on the left.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the coronary arteries at the level of the aortic root in the descending and ascending aorta in the aortic arch. It is wider than normal. Arkus oarta calibration is 45 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular formation, which may be compatible with a hypodense cortical cyst of approximately 18 mm in diameter, is observed in the superior pole of the right kidney. Upper abdominal organs included in the sections are normal. A nodular formation compatible with the millimetric accessory spleen is observed in the vicinity of the spleen ridge. The descending aorta calibration is 41 mm.\n\nImpression:\nMild cardiomegaly, increased caliber of mediastinal major vascular structures.  Mosaic attenuation pattern (small airway disease?, small vessel disease?).  Expansion and slightly hypodense appearance in the anterolateral part of the left 5th rib. PET-CT has this level of involvement. It was evaluated as compatible with metastasis. In addition, there are common hypodense areas in the bone structure that do not give a clear contour. Compatible with metastasis.  Nodular formation that may be compatible with a hypodense cortical cyst in the superior pole of the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7649/train_7649_c/train_7649_c_1.npy"
        ]
    },
    {
        "id": "report_generation_18134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Uniform interlobular septal thickness increases were observed in the lower lobes of both lungs. No active infiltration or mass lesion was detected in both lungs. Sequela parenchymal changes were observed in both lungs, more prominently in the basal and peripheral areas. There are nonspecific nodules of millimeter size in both lungs.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures is natural. Lymph nodes that are not in pathological size and appearance were observed in the mediastinum.\n<heart>: It was evaluated as secondary to cardiac stasis. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures is natural. An increase in heart size was observed. Minimal pericardial and bilateral minimal effusion were observed.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: There are millimetric hyperdense stones in the middle zone of the left kidney. Intraabdominal free fluid, loculated collection was not observed. A diffuse decrease in liver parenchyma density secondary to hepatosteatosis was observed in the upper abdominal sections within the image.\n\nImpression:\nIncrease in heart size.  Pericardial, bilateral minimal pleural effusion.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Sequelae parenchymal changes, more prominent in the lower lobes and peripheral subpleural areas in both lungs, and millimeter-sized nonspecific nodules in both lungs.  Smooth interlobular septal thickness increases in the lower lobes of both lungs; it was primarily evaluated as secondary to cardiac stasis.  Sliding hiatal hernia at the lower end of the esophagus.  Hepatosteatosis.  Left nephrolithiasis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7650/train_7650_a/train_7650_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or lesion compatible with pneumonic infiltration was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs. There is minimal bronchiectasis and minimal peribronchial thickening in the central segments of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are millimetric stones in the middle part of the left kidney. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMillimetric nodules in both lungs  Minimal bronchiectasis in the central parts of both lungs  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7658/train_7658_a/train_7658_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Some of these findings are round in shape. Peripheral and central consolidation and ground glass appearances are observed in both lungs. During the pandemic process, these findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Liver parenchyma density was minimally decreased in line with fatty deposits.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7664/train_7664_a/train_7664_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal sequela fibrotic density increases were observed in the right lung middle lobe and left lung upper lobe inferior lingular segment. A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: A thin-walled parenchymal air cyst of approximately 9 mm in diameter, located subpleural, was observed in the lingular segment of the left lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. An exophytic cortical cyst with a diameter of 1 cm was observed in the upper pole anterior of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nHiatal hernia. Mosaic attenuation pattern in the lower lobes of both lungs; (small airway disease? small vessel disease?).  Pleuroparenchymal sequelae density increases in right lung middle lobe medial and left lung lingular segment . Subpleural parenchymal air cyst in left lung lingular segment . Exophytic simple cortical cyst in left kidney upper pole"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7665/train_7665_a/train_7665_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral weighted nodular ground glass densities are observed in both lungs. Two upper lobe nodules, one of which is calcific nonspecific millimetric nodules, are observed in the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is ectatic (41 mm). There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Cortical millimetric hypodense lesion is observed in the posterior part of the right kidney in the middle part. There is minimal density loss in the liver that enters the section area.\n\nImpression:\nAscending aortic ectasia  Coronary atherosclerosis.  Findings consistent with Covid pneumonia.  Millimetric nonspecific nodules in the upper lobe of the right lung.  Hepatosteatosis  Right renal cortical hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7700/train_7700_a/train_7700_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18246",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are stable emphysematous changes in both lungs. When examined in the lung parenchyma window; It is understood that the patient underwent left lung upper lobectomy. Stable nonspecific nodules in millimetric sizes were observed in both lungs. In addition, multiple well-circumscribed thin-walled air cysts are observed in both lungs. No active infiltration or mass lesion was detected in both lungs.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. There are also lymph nodes in the mediastinum that are not in pathological size and appearance.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. Stable effusion was observed in the pericardial area.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nStable pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7701/train_7701_a/train_7701_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18250",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are minimal emphysematous changes in both lungs. A few nodules with a diameter of 2 mm are observed in both lungs, the largest of which is in the lateral segment of the lower lobe of the right lung.\n<pleura>: Bilateral pleural effusion was not detected. There are areas of linear atelectasis accompanied by pleural retraction in the posterior segments of the lower lobes of both lungs.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Minimal pericardial effusion is observed.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There are no discernible masses in the upper abdominal organs. As far as can be evaluated within the limits of non-contrast CT; liver parenchyma density decreased in favor of advanced hepatosteatosis (11 HU).\n\nImpression:\nMinimal pericardial effusion.  Linear areas of atelectasis and pleural retraction in the lower lobes of both lungs; is compatible with the sequelae changes.  A few millimetric nonspecific nodules in both lungs; is stable.  Advanced hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7702/train_7702_b/train_7702_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18256",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are millimetric osteophytes anteriorly in the thoracic vertebrae. No lytic destructive lesion was detected in the bone structures in the study area.\n<abdomen>: The left kidney is smaller than normal. Thoracic aorta diameter is normal. Other upper abdominal organs included in the sections are normal. There is diffuse density loss in the liver.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Thoracic spondylosis.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7704/train_7704_a/train_7704_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy catheter is available.\n<lung>: Emphysematous changes were observed in both lungs. There are stable sequelae changes in both lungs according to the previous examination.\n<esophagus>: Slidign type hiatal hernia was observed.\n<abdomen>: A peg catheter extending to the gastric cavity was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7710/train_7710_c/train_7710_c_1.npy"
        ]
    },
    {
        "id": "report_generation_18278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy catheter is available.\n<lung>: In the current examination, patchy areas of consolidation were observed in the upper lobes of both lung parenchyma and in the lower lobe of the right lung, which were newly revealed in the current examination. In addition, large areas of consolidation were observed in the lower lobes and were also observed in the previous examination. There are stable sequelae changes in both lungs according to the previous examination.\n<esophagus>: Sliding type hiatal hernia is observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7710/train_7710_d/train_7710_d_1.npy"
        ]
    },
    {
        "id": "report_generation_18284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In bilateral lung, bronchial wall thickness increases in segment bronchi and secretions obstructing bronchial air columns are observed.\n<lung>: Near total atelectasis is observed in the basal segments of the left lung lower lobe. However, since the examination was performed without contrast, the presence of a lesion causing compression in this localization could not be excluded. Uniform interlobular septal thickenings in the basal segment of the lower lobe of the right lung were evaluated as compatible with interstitial edema. Compression atelectasis is observed in the vicinity of the effusion. Bilateral hilar fullness is present. There are subsegmental atelectasis areas in the upper lobe posterior segment of both lungs and in the left lung upper lobe lingula inferior segment. The presence of hilar lymph nodes, other than vascular structures, could not be excluded because contrast material was not administered. Bronchopneumonic infiltrates secondary to mucus plugs blocking the bronchial lumens are observed in the right lung lower lobe superior segment and left lung lingula inferior segment. Asymmetric prominent parenchymal fibrotic ground glass opacities in the right lung in the upper lobes of both lungs and a honeycomb appearance on the right were consistent with pulmonary fibrosis. In the localization of bilateral hilar fullness, narrowing in the calibration of the hilus localization in the left lung upper lobe lingular segment bronchus may be due to the compression of the vascular structures.\n<pleura>: There is pleural effusion reaching 5 cm between the left pleural leaves and 2 cm between the right pleural leaves.\n<mediastinum>: A lymph node with a short axis measuring 22mm and extending towards the pulmonary ligament is observed in the subcarinal area. This lymph node differs from other lymph nodes due to its increase in size. The diameter of the pulmonary trunk was 38mm and increased. Numerous millimetric-sized mediastinal lymph nodes were observed in the bilateral upper paratracheal and lower paratracheal areas. Evaluation for pulmonary hypertension would be appropriate. The diameter of the right main pulmonary artery was 38 mm and the left main pulmonary artery diameter was 25 mm, and the pulmonary artery diameters increased.\n<heart>: Heart size increased. Calcified atheroma plaques are observed in LAD. Left ventricular dilatation is evident.\n<esophagus>: In the middle and distal part of the esophagus, secretions are observed in its lumen.\n<bone>: There are two lymph nodes with a short axis less than 1 cm in the right supraclavicular fossa. No lytic-sclerotic space-occupying lesions were detected in bone structures.\n<abdomen>: There is heterogeneity in the liver contour lobulation and parenchymal density in the upper abdomen sections that fall into the image area (a case with follow-up due to chronic liver parenchyma disease). Mild free fluid in the perihepatic area and contamination in the oily planes were observed in the abdomen. There is a 6mm diameter calculus in the pouch lumen. The splenic vein is dilated, tortuous and varicose.\n\nImpression:\nIncrease in heart dimensions, left ventricular diameter, calcified atheromatous plaques in LAD. Significant increase in pulmonary trunk and both pulmonary artery diameters, evaluation for pulmonary hypertension is recommended.  There are numerous mediastinal lymph nodes in the upper and lower paratracheal millimeters, one lymph node with a noticeable increase in size in the subcarinal area, both lung hiluses are full. The presence of hilar LAP could not be excluded, except for the dilatation of the pulmonary vascular structures without contrast agent.  Bilateral pleural effusion evident on the left. Near total atelectasis was observed in the lower lobe of the left lung. Uniform interlobular septal thickening in the basal segment of the lower lobe of the right lung is consistent with interstitial edema.  Asymmetrically prominent subpleural and centrally located intralobular and interlobular septal thickening and parenchymal ground glass opacities in the right lung in the upper lobes of both lungs are consistent with pulmonary fibrosis. The right lung is accompanied by a honeycomb lung appearance in places.  The right lung is in the superior segment of the lower lobe and the left lung Secretions causing luminal narrowing in segment bronchi in the lingula inferior segment and mild narrowing secondary to external compression in the hilar region in the left lung lingular segment bronchus may be secondary to compression of the vascular structures. However, the presence of a space-occupying lesion in this localization could not be clearly excluded. In these defined segments, there are bronchopneumonic infiltrates secondary to bronchial secretions. If possible, control imaging of the case should be done with contrast. Intra-abdominal findings secondary to chronic liver parenchymal disease,. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7712/train_7712_a/train_7712_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18312",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When both lungs are evaluated in the parenchyma window: Increases in pleuroparenchymal sequelae density were observed in the upper lobes and lower lobes of both lungs. Nonspecific ground glass density increases were observed in the lower lobe of the left lung and the middle lobe of the right lung. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Millimetric lymph nodes were observed in the mediastinum, upper-lower paratracheal and subcarinal areas.\n<heart>: Pericardial thickening-effusion was not detected. As far as can be observed: Heart sizes have increased. The ascending aorta measures 42 mm in diameter and shows mild fusiform dilatation. Operation materials were observed in the coronary arteries. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bridging sdur formations were observed in the right anterolatera of the thoracic vertebra. It is recommended to be evaluated in terms of DISH disease. Metallic suture materials of sternotomy were observed on the anterior thorax wall.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nSequelae changes in both lungs.  Nonspecific focal ground glass density increases in both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Fusiform dilatation of the thoracic aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  It is recommended to be evaluated in terms of DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7723/train_7723_a/train_7723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In addition, there are appearances with linear density increases in the lower lobes of both lungs, which are evaluated primarily in favor of round atelectasis-pneumonia. There are millimetric nodules in both lungs. There are linear atelectasis in both lung lower lobes.\n<pleura>: There is bilateral minimal pleural effusion. No pleural thickening was detected.\n<heart>: Pericardial effusion and thickening were not observed.\n<abdomen>: Intraabdominal free fluid-collection was not detected in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7737/train_7737_a/train_7737_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Ground glass areas are not specific. There are diffuse emphysematous changes in both lungs. Ground glass areas are observed in both lungs, especially in the central parts, more prominently on the right. In addition, atelectasis is observed in both lungs from place to place. However, these appearances are not in the way observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: Minimal pericardial effusion and bilateral minimal pleural effusion were observed.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions, some of which are calcific. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were observed. Mediastinal structures could not be evaluated optimally because no contrast agent was given. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: When evaluated together with other findings, it was thought that it might be due to a cardiac pathology. As far as can be observed: The heart is larger than normal. Therefore, it was first thought that another pathology was the cause.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion and pleural effusion.  Minimal ground glass views in both lungs.  Diffuse emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7744/train_7744_a/train_7744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. The frosted glass areas are more prominent especially in the central sections. Ground glass areas are observed in both lungs, most prominently in the lower lobe of the left lung. The views described are nonspecific. No mass was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The main pulmonary artery diameter was 30 mm and wider than normal. There are no enlarged lymph nodes in pathological dimensions. There are diffuse atheromatous plaques in the aorta and coronary arteries. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: The heart is larger than normal. Pericardial effusion was not detected. However, when evaluated together with the findings described in the heart, it was thought to belong to pulmonary edema. The ascending aorta measures 50 mm in anterior-posterior diameter and is wider than normal. It is observed that the pacamaker electrodes terminate in the right atrium and ventricle.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are diffuse atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters . Mediastinal and hilar lymph nodes . Bilateral minimal pleural effusion . Emphysematous changes in both lungs . Nonspecific ground-glass areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7745/train_7745_a/train_7745_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18364",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There is millimetric density at the carina level in the trachea.\n<lung>: When examined in the lung parenchyma window; emphysematous appearance is present in both lungs, especially in the upper lobes. There are bilateral millimetric nonspecific nodules. There are milimetric calcific lymph nodes at the hilar level on the right. Dependent ground glass densities are observed in the bilateral lower lobes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcified plaques are observed in the aorta. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteophytes and degenerative changes are observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcified plaques are observed in the aorta.\n\nImpression:\nBilateral emphysema, millimetric nonspecific nodules. Dependent ground glass densities in the lower lobes.  Millimetric density (secretion?) at the carina level in the trachea."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7746/train_7746_a/train_7746_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are centriacinar emphysema and a few millimetric nodules in both lungs, some of which are calcified in character.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Pathology was not detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Centriacinar emphysema and a few millimetric nodules in both lungs, some of which are calcified"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7750/train_7750_a/train_7750_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Right lung lower lobe superior segment anterior, adjacent to the fissure, has a nodular opacity with frosted glass areas in its periphery. When examined in the lung parenchyma window; Ventilation of both lungs has a naturopathic appearance, and nonspecific nodules with ground glass opacity, some of which are generally located peripherally, were noted in the bilateral lungs. It is appropriate to evaluate the patient with clinical and laboratory findings in terms of Covid-19 pneumonia. Apart from this, appearances of smaller ground glass density are observed in the peripheral parts of both lungs.\n<pleura>: No pleural effusion or thickness increase was observed.\n<mediastinum>: Calibration of mediastinal major vascular structures was considered normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: No pericardial effusion or thickness increase was observed. Heart size and contours are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fracture, lytic or sclerotic lesions were detected in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcification was observed in the walls of these cysts in places. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The thickness of the parenchyma of both kidneys was significantly reduced, and the parenchyma could not be clearly distinguished. Upper abdominal organs included in the sections are normal. When the other upper abdominal organs in the study area are evaluated; Multiple cysts are observed in both kidneys. Calcific atheroma plaques are observed in the aorta and coronary arteries. A fascial defect of approximately 15 cm in width on the anterior abdominal wall and subcutaneous herniation of the intra-abdominal organs and mesenteric fatty planes were observed in this area. A few hypodense nodular lesions (cyst?) were observed in the liver, the largest of which was located in segment 8, subcapsular, and 12 mm in diameter.\n\nImpression:\nCysts described in both kidneys and liver, polycystic kidney disease? . Calcific atheromatous plaques in vascular structures . Nodular density adjacent to the fissure in the central part of the lower lobe of the right lung and ground glass opacity around it, other than that, in both lungs, there are faint borders, scattered localization, frosted subpleural localization It is appropriate to evaluate it together with clinical and laboratory in terms of Covid-19 pneumonia due to glass opacities.  Hernia sac on the anterior surface of the abdomen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7752/train_7752_a/train_7752_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Diffuse nodular ground glass density increases and consolidations were observed in both lungs, especially in the upper and lower lobes. No mass-nodule and infiltration were detected in both lung parenchyma. The described outlook includes typical-probable manifestations of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion - no thickening was detected. As far as can be observed, the heart sizes have increased slightly.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver parenchyma density in the cross-sectional area is diffusely decreased (hepatosteatosis) compatible with fatty deposits.\n\nImpression:\nTypical-probable findings of Covid-19 pneumonia are present in both lung parenchyma, other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Cardiomegaly. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7762/train_7762_a/train_7762_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Numerous nonspecific nodules less than 5 mm in diameter were observed in both lungs. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are observed in LAD. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nCalcified atheromatous plaques in the LAD . Multiple millimetrically sized nonspecific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7767/train_7767_a/train_7767_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: It was thought that the hyperdense lesion with a diameter of 5 mm in the lower pole of the left kidney in the upper abdominal sections may belong to the hemorrhagic cyst.\n\nImpression:\nThorax CT examination within normal limits . Millimetric sized hyperdense lesion (hemorrhagic cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7773/train_7773_a/train_7773_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The described findings were evaluated in favor of the infectious process. Subsegmental atelectatic areas were observed in the right lung. When examined in the lung parenchyma window; Condolidation areas on the floor of cystic bronchiectasis in the left lung inferior lingular segment and lower lobe, and bud branch appearances adjacent to the lower lobe were observed. A mosaic attenuation pattern is observed in both lungs (small airway disease?small vessel disease?). Millimetric sized nonspecific parenchymal nodules were observed in both lungs. An air cyst of 1 cm in diameter was observed in the middle lobe of the right lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<heart>: Pericardial minimal effusion was observed. heart size slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Free fluid is present in the perihepatic space. Splenorenal collateral veins were observed. Spleen size increased. There is an external drainage catheter extending to the extrahepatic bile ducts. Minimal calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. In the upper abdominal sections included in the study area, it was understood that liver right lobe transplantation was performed in the patient.\n\nImpression:\nMild cardiomegaly, minimal pericardial effusion, minimal calcified atherosclerotic changes in the thoracic aorta and coronary artery wall. Mosaic attenuation pattern in both lungs (small airway disease?small vessel disease?).  Consolidation area on the basis of bronchiectasis in the left lung and the appearance of a branch with buds adjacent to it. The described findings suggest an infectious process in the first place. Clinical and laboratory correlation is recommended.  Bronchiectatic changes in both lungs.  Liver right lobe transplantation, perihepatic free fluid, splenomegaly. Millimetric-sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7781/train_7781_a/train_7781_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are ground glass densities rayz paving patterns located in peripheral patch style in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is an osteopenic appearance in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, the gallbladder has a hydropic appearance. Thoracic aorta diameter is normal. The choledochal dilatation is observed. There is a millimetric calcific focus in the right kidney.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Fluenza pneumonia, organizing pneumonia, drug toxicity, connective tissue diseases and other diseases may cause a similar appearance  Hydropic appearance (suspicious sludge) in the gallbladder is observed. Clinical correlation monitoring is recommended.  Osteopenic appearance in bone structures  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7785/train_7785_a/train_7785_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules of nonspecific millimeter size in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum. No pathologically enlarged lymph nodes were detected in the paraaortic, paracaval, and interaortocaval areas.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Appendicitis was considered normal. No pathologically enlarged lymph nodes were detected in the paraaortic, paracaval, and interaortocaval areas. Pancreatic parenchyma density is normal. The gallbladder, intra and extrahepatic bile ducts are subject. The contour, size, parenchyma density and collecting systems of both kidneys are normal. Both adrenal sites are normal. The spleen contour, size and parenchyma density are normal. Liver parenchyma density and size are within normal limits. No mass lesion was detected in the liver parenchyma areas that caused a density difference.\n\nImpression:\nAlthough bladder filling is not sufficient, there are stones of 3.5 mm in size at its base and nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7794/train_7794_a/train_7794_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The identified findings were initially evaluated in favor of Covid-19 pneumonia. When examined in the lung parenchyma window; In both lungs, there are multilobar-multisegmental, central-peripheral crazy paving pattern and large patchy consolidation areas with signs of vascular enlargement.\n<mediastinum>: Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and its supraaortic branches. The mediastinum could not be evaluated optimally in the non-contrast examination. The pulmonary trunk and both pulmonary arteries are dilated (pulmonary hypertension?). No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 38 mm, and the anterior-posterior diameter of the descending aorta is 28 mm.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. There is calcification in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. Diffuse degenerative changes in bone structures and narrowing of joint spaces were observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and its supraaortic branches. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 38 mm, and the anterior-posterior diameter of the descending aorta is 28 mm. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\n· Fusiform ectasia in the thoracic aorta, dilatation of the pulmonary arteries (pulmonary hypertension?), cardiomegaly, calcific atheroma plaques in the thoracic aorta, calcification in the aortic valve. · Findings consistent with Covid-19 pneumonia in the lung parenchyma. Widespread degenerative changes in bone structures, marked narrowing of joint spaces."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7799/train_7799_a/train_7799_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18498",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: In both lung parenchyma adjacent to the effusion, there are areas of increased density consistent with consolidation in which air bronchograms are also observed, which is primarily evaluated in favor of compressive atelectasis. When examined in the lung parenchyma window; In both lung parenchyma, there are density increases in centracinar ground glass density, accompanied by uniform interlobular septal thickness increases. No loculated collection was detected.\n<pleura>: In the bilateral pleural space, free effusion is observed up to 35 mm in the deepest part on the right and up to 26 mm in the deepest part on the left. When evaluated together with pleural effusion, it was primarily evaluated as secondary to cardiac pathology.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Multiple lymph nodes are observed in the mediastinum, the largest of which is at the lower paratracheal level, with a short diameter of less than 1 cm and a fusiform configuration. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: An increase in heart size is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Pericardial effusion was not detected. The ascending aorta is larger than normal with a diameter of 41 mm and a diameter of the pulmonary trunk of 34 mm.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: In the bony structures within the image, suture materials secondary to surgery are observed in the sternum. No lytic or destructive lesion was detected. There are degenerative changes.\n<abdomen>: There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nIncreased heart size, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures.  Increased diameter of the ascending aorta and pulmonary trunk, bilateral pleural effusion.  Increases in interlobular septal thickness and density increases in centracinar ground glass density in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7804/train_7804_a/train_7804_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration, mass or nodular lesion was detected in both lungs. Ventilation of both lungs is natural.\n<pleura>: Pericardial, pleural effusion was not detected. Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in both axillary regions, mediastinum, and bilateral supraclavicular fossae. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7806/train_7806_a/train_7806_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When both lungs are evaluated in the parenchyma window: There are areas of parenchymal consolidation that tend to coalesce in the upper lobes of both lungs, the middle lobe of the right lung, and the lower lobes of the right lung, and there are ground-glass density increases around which a CT halo sign is observed. Findings may be compatible with fungal infections. Clinical and laboratory correlation is recommended.\n<pleura>: Between the bilateral pleural leaves, there is a free pleural effusion measuring 2 cm in thickness on the right and 3.7 cm on the left, and atelectatic changes in the adjacent lung parenchyma.\n<mediastinum>: An image of a catheter extending superiorly to the vena cava was observed. No lymph node was detected in pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Pericardial mild minimal effusion was observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Partial fusion was observed in the 5th and 6th ribs on the right. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver and spleen are increased in size. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Other upper abdominal sections within the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCondolidation areas in both lung parenchyma, around which ground glass density increases are observed, which have appeared on the current examination; the described findings suggest fungal infections in the first place. Clinical and laboratory correlation is recommended.  Sequelae changes in both lungs.  Atherosclerotic changes in both lungs.  Mediastinal millimetrically stable lymph nodes.  Newly revealed bilateral pleural effusion on current examination.  Hepatosplenomegaly.  Minimal pericardial effusion; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7811/train_7811_f/train_7811_f_1.npy"
        ]
    },
    {
        "id": "report_generation_18525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, diffuse contours spiculate, patchy ground glass densities and consolidated areas with halo marks are observed. The findings were evaluated in terms of nicotic infectious processes in the first place due to its known primary.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Small lymph nodes are observed in the mediastinum.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes are present in the bone structure in the examination area. Fusions are observed in the 5th and 6th ribs on the left side.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver parenchyma contours are slightly irregular. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nMycotic processes of the findings described in both lungs in a case with AML? In terms of clinical laboratory correlation and differential diagnosis of other infectious processes, follow-up is recommended.  A smear-like pericardial effusion is observed.  Small lymph nodes in the mediastinum  Atherosclerotic changes  Small amount of effusions, mostly on the left bilateral side  Diffuse density reduction, degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7811/train_7811_h/train_7811_h_1.npy"
        ]
    },
    {
        "id": "report_generation_18527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Density increases in the form of diffuse ground glass were observed in both lungs with a tendency to coalesce, which became evident in the lower lobes. Clinical and laboratory correlation is recommended. There are frequently reported imaging features of Covid-19 pneumonia.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver sizes increased in the upper abdominal sections included in the study area. Parenchymal density has decreased diffusely in line with adiposity. Focal ectasia was observed in the pelvicalyceal structures in the upper pole of the left kidney. A well-circumscribed hypodense lesion with a mean HU of -16 with a diameter of 15 mm was observed in the right adrenal gland (adenoma?). No dilatation was detected in the thoracic aorta.\n\nImpression:\nThere are frequently reported imaging features of bilateral Covid-19 pneumonia. Clinical and laboratory correlation is recommended.  Hepatomegaly, hepatic steatosis.  Adenoma in the right adrenal gland?.  Focal ectasia in the upper pole pelvicalyceal structures of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7812/train_7812_a/train_7812_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland is markedly increased. Its contours are macrolobule.\n<trachea_and_bronchie>: There is increase in bronchial wall thickness in segment bronchi.\n<lung>: There are several areas of nodular parenchymal ground glass opacity in the lung parenchyma. No space-occupying lesion is observed in the nodular or massive structure. When examined in the lung parenchyma window; examination is suboptimal because of motion artifact. The findings are in favor of covid pneumonia.\n<mediastinum>: Nonspecific lymph nodes are observed in the mediastinum.\n<heart>: Left ventricular diameter slightly increased. Pericardial effusion was not detected. Heart sizes are natural.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: MNG? No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: There is a sliding type hiatal hernia. In the upper abdomen sections, hypodense lesions of cystic density with a diameter of 13 mm in the left kidney and 15 mm in diameter in the liver segment 2 were observed.\n\nImpression:\nFocal ground glass opacity area in several foci in both lungs evaluated in favor of Covid pneumonia . Lesions of cystic density in the left kidney and liver ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7816/train_7816_a/train_7816_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18545",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In the upper lobes of both lungs, in the middle lobe of the right lung and in the lower lobes of both lungs, septal thickenings showing a clear tendency to coalesce in the lower lobes were observed, and ground glass density increases and consolidations were observed in the lower lobes. When examined in the lung parenchyma window; There are atelectatic changes in both lungs. There are frequently reported imaging features of Covid-19 pneumonia.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Liver parenchyma density is diffusely decreased in line with fatty deposits.\n\nImpression:\nAtelectasis in both lungs, atherosclerotic changes in coronary arteries. Hepatic steatosis. There are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Note: Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7818/train_7818_b/train_7818_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are thickenings and enlargements in interlobular septa and bronchial structures.\n<lung>: When examined in the lung parenchyma window; In the lung parenchyma, diffuse ground glass densities are observed in crazy paving pattern. The findings were initially evaluated in favor of the infectious process.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Hyperdense findings in both kidneys with a size of up to 8 mm were evaluated in favor of calcules. There are changes in favor of steatosis in the liver parenchyma entering the section area.\n\nImpression:\nThe findings described above were evaluated in favor of the infectious process (imaging features can be seen in Covid-19 viral pneumonia). Close follow-up of clinical laboratory correlation is recommended for differential diagnosis of other infectious processes.  Hepatosteatosis.  Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7819/train_7819_a/train_7819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline, both main bronchi are open.\n<lung>: No lymphadenopathy was detected in the mediastinum and at the level of both lung hilum in pathological size and appearance. It is unlikely to be compatible with Covid-19 pneumonia. There are interlobar and interlobular septal thickness increases in the peripheral parts and upper lobes of both lungs. An air cyst is observed in the superior segment of the lower lobe of the right lung. The largest of these nodules is observed in the lateral part of the right lung middle lobe and reaches a diameter of about 5 mm. Mosaic attenuation pattern is observed in both lungs (small airway-small vessel disease?). When examined in the lung parenchyma window; diffuse emphysematous changes and fibrotic densities, which are more prominent in the upper lobes of both lungs, are observed.\n<pleura>: Similar appearances are also observed in the subpleural areas of the lower lobes of both lungs. No pleural effusion or increase in thickness was detected. There is nodular ground glass opacity in the subpleural area in the lateral part of the lower lobe of the left lung. There are nonspecific sequela pulmonary nodules in both lungs, some of which are subpleural and calcific in appearance.\n<mediastinum>: No lymphadenopathy was detected in the mediastinum and at the level of both lung hilum in pathological size and appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Minimal pericardial effusion is observed in the pericardial area. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The upper abdominal organs included in the examination have a natural appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Increases in interlobar and interlobular septal thickness in the upper lobes and peripheral parts of both lungs; It is recommended to be evaluated together with clinical and examination findings in terms of fibrotic lung diseases.  Mosaic attenuation pattern in both lungs (small airway-small vessel disease).  Nonspecific pulmonary nodules in both lungs.  Subpleural nodular ground glass opacities in the lateral part of the lower lobe of the left lung; It is recommended to be evaluated together with clinical and examination findings in terms of Covid-19 pneumonia with a low probability."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7822/train_7822_a/train_7822_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is consolidative density in the lower lobe segments adjacent to the effusion on the right. Consolidative lung fields are observed at the level of lower lobe segments. At the hilar level, pathological size and configuration of lymph nodes are not observed. A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: When examined in the lung parenchyma window; There is pleural effusion reaching 40 mm on the right and 10 mm on the left in the thickest part of both lungs.\n<mediastinum>: No lymph node with a short axis exceeding 1 cm was detected in the mediastinum. Calcific atheroma plaques are observed in the arching aorta, descending aorta, and coronary arteries.\n<heart>: The left atrium is prominent. CTO is normal. Calcific atheroma plaques are observed in the arching aorta, descending aorta, and coronary arteries.\n<breast>: At the level above the areola of the right breast, a nodular formation of approximately 9x4 mm is observed in the outer part (lymph node?).\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the arching aorta, descending aorta, and coronary arteries.\n\nImpression:\nConsolidative lung segments adjacent to pleural effusion in both lungs are not typical findings for Covid-19 pneumonia. Evaluation together with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7823/train_7823_a/train_7823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: are recommended. There are centrelobular emphysematous changes at the apical levels of both lungs. When examined in the lung parenchyma window; There is atelectasis, mild bronchiectasis and consolidation in the form of a fibrotic band extending to the hilum at the basal level of the left lung lower lobe. Clinical lab in terms of infectious process. blind.\n<pleura>: Atelectasis changes are observed in the apical levels of the upper lobe of the right lung, causing pleural retraction.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. There is 11 mm hyperdense sclerotic finding in the TH4 vertebral corpus.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Hypodense areas in the spleen parenchyma, infarct? It has been evaluated in its favour. Upper abdominal organs included in the sections are normal. In the craniocoudal axis, the spleen dimensions were observed partially and were evaluated as larger than normal. Clinical correlation is recommended.\n\nImpression:\nConsolidation accompanied by bronchiectatic changes extending to the hilus in the apical levels of the upper lobe of the right lung and in the basal segments of the lower lobes of both lungs, fibrotic sequelae, atelectasis bands, clinic lab for the differential diagnosis of the infectious process. blind. recommended.  Centrilobular emphysematous changes at the apical levels of both lungs.  Atherosclerosis.  Splenomegaly. Suspicious infarcts in the spleen.  Elevation in left hemidiaphragm  Sclerotic finding in Th4 vertebral corpus, which is considered as benign in the first place."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7824/train_7824_a/train_7824_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; There are paraseptal and centracinar emphysematous changes in both lungs, paraseptal in both lung apexes. There was no change in the findings in the comparative evaluation made with the previous CT examination. Apart from this, no active infiltration or mass lesion was detected in both lung parenchyma. In the right lung upper lobe posterior segment and lower lobe superior segment, there are areas of increase in density consistent with consolidation in which air bronchograms are observed, accompanied by structural distortion and volume loss. Although the appearances are interpreted in favor of sequelae fibroatelectatic changes, the underlying pneumonic infiltration cannot be excluded.\n<pleura>: Bilateral minimal pleural effusion is observed.\n<mediastinum>: There are calcified atheromatous plaques in the wall of the coronary vascular structures and in the wall of the aortic arch. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: There are calcified atheromatous plaques in the wall of the coronary vascular structures and in the wall of the aortic arch. Calibration of vascular structures and heart contour size are natural. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There is an 11 mm diameter hyperdense sclerotic lesion in the T4 vertebral body and it was evaluated primarily in favor of the islet of bone. No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: There is a hyperdense stone in millimeter size in the gallbladder lumen. No lymph node was detected in intraabdominal pathological size and appearance. There are calcified atheromatous plaques in the wall of the coronary vascular structures and in the wall of the aortic arch. In the upper abdomen sections within the image, an increase in spleen size was noted as far as can be observed within the borders of non-contrast CT. In the upper pole and middle part of the spleen, there are vaguely circumscribed hypodense appearances that are evaluated primarily in favor of infarct.\n\nImpression:\nCentracinar and paraseptal emphysematous changes in both lungs, structural distortion and volume loss in the right lung upper lobe posterior segment and lower lobe superior segment, and areas of increased density consistent with consolidation in which air bronchograms are observed; firstly, it was interpreted in favor of fibroatelectasis changes. Comparative evaluation with the previous CT examination revealed no change in size and appearance. However, the underlying pneumonic infiltration cannot be excluded, and evaluation together with clinical and laboratory findings is recommended.  Cholelithiasis  Benign sclerotic lesion in T4 vertebral body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7824/train_7824_b/train_7824_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Tracheomegaly is observed. In segmental bronchi, more prominent bronchial wall thickness increases are observed in the left lung and left lobe.\n<lung>: Radiological findings were primarily evaluated in favor of ATYPIC pneumonia and Covid pneumonia should be ruled out as a priority. Nodular consolidations are observed in the posterior segment of the left lung upper lobe, and an atypical pneumonic infiltration area is observed in the lingular segment, where consolidated irregular nodules of predominantly ground glass density are observed. AP diameter of both lungs, aeration of the parenchyma increased. Paraseptal emphysema areas are observed in the upper lobes. It may have developed on an infectious background. Accompanying occasional linear atelectasis and irregularly circumscribed nodular consolidations, which are thought to be primarily infectious, are observed. In segmental bronchi, more prominent bronchial wall thickness increases are observed in the left lung and left lobe. A significant increase in thickness is observed in the bronchial walls in the lower lobe of the left lung.\n<mediastinum>: Diffuse wall calcifications are observed in the aortic arch and thoracic aorta. Enlarged mediastinal lymph nodes located in the lower paratracheal, subcarinal and hilar bilaterally are observed.\n<heart>: Heart sizes are of normal width. There are extensive calcific atherosclerotic plaques in the coronary arteries. Pericardial effusion was not detected.\n<esophagus>: No mass space-occupying lesion was detected in the esophageal wall.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: In the upper abdomen sections, there is a 20 mm diameter cortical cyst in the right kidney. The stomach has a collapsed appearance. Control imaging after treatment will be appropriate. Diffuse wall calcifications are observed in the aortic arch and thoracic aorta. Sliding type hiatal hernia is present.\n\nImpression:\nDiffuse calcific atherosclerotic plaques in coronary arteries.  Increased aeration in the lung parenchyma and mild emphysema  Atypical pneumonic infiltration areas in the left lung, bronchial wall thickness increases in segment bronchi, Covid should be excluded.  Mediastinal lymph nodes showing increased size may have developed on the basis of pneumonia in the lung parenchyma. Follow-up imaging is recommended after treatment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7825/train_7825_a/train_7825_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Again, mild to moderate tubular bronchiectasis appearances are present in all zones.\n<lung>: It is recommended to evaluate the case in terms of interstitial lung disease. Intense motion artifacts are observed especially in the lower zones of the lung and in the sections passing through the upper abdomen. There are pleuroparenchymal changes observed at the apical level in the upper zones and in the mid-lower zones. There are ground glass-style density increments in both lungs. In the evaluation of both lungs in the parenchyma window; Significant emphysema appearances are observed in almost all zones of both lungs.\n<pleura>: Thickening is observed in interlobular, subpleural and axial interstitial tissue.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. Calibration of the main mediastinal vascular structures is natural. No lymph node that has reached the pathological size and configuration in the mediastinum was detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. CTO increased in favor of the heart.\n<esophagus>: Hiatal hernia is observed in the case.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. The contours of both kidneys are slightly irregular. Intense motion artifacts are observed especially in the lower zones of the lung and in the sections passing through the upper abdomen.\n\nImpression:\nEmphysematous changes, bronchiectasis, interstitial tissue thickening, pleuroparenchymal fibrotic densities, ground glass density increases. It is recommended to evaluate the case in terms of interstitial lung disease.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7832/train_7832_a/train_7832_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Nodules containing calcifications are observed in the thyroid gland.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchial minimal consolidations are observed in the left lung lingula and lower lobe. No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Emphysematous appearance, mosaic density differences, sequela fibrotic changes are observed in both lung parenchyma.\n<pleura>: Pleural effusion reaching 37 mm in the right and 45 mm in the left bilaterally, and passive atelectasis in the vicinity of the effusion are observed.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Lymph nodes with a short axis reaching 13 mm are observed in the mediastinum. Mediastinal main vascular structures are normal.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are osteoparotic and vertebrae are degenerative. Chronic fractures were observed in the posterior of the 8th and 9th ribs on the right.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. There is stone density in the gallbladder in the upper abdominal organs included in the sections. Cortical millimetric cyst was observed in the left kidney.\n\nImpression:\nNodules containing calcifications in the thyroid gland  Cardiomegaly, atherosclerosis of the aorta and coronary arteries  Mediastinal lymph nodes  Bilateral pleural effusion  Sequelae changes in the lungs, mosaic density differences, atelectasis  Peribronchial minimal consolidations in the lingula and lower lobe of the left lung (aspiration).  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7841/train_7841_a/train_7841_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion with distinguishable borders was observed in both lungs. A consolidation view with air bronchograms is observed in the lower lobe of the left lung. There are paraseptal-centriacinar emphysematous changes in both lung apical segments. Correlation with clinical and laboratory is recommended. Passive atelectatic changes were observed in the lung areas adjacent to the effusion in the basal segments of the lower lobe of the right lung. In addition, there are segmental atelectatic changes in the lingular segment of the upper lobe of the right lung. Findings were evaluated in favor of pneumonic infiltration.\n<pleura>: When examined in the lung parenchyma window; A 6 cm subsensymetric pleural effusion was observed in the right pleural space, extending into the major fissure in the left pleural space. Metallic sutures compatible with sternotomy in the sternum, metallic densities compatible with ACDG in the anterior mediastinum, and effusion reaching 3 cm in diameter in the pleural space were observed.\n<mediastinum>: In addition, reticular density increases secondary to the operation were observed between the mediastinal fatty planes. Prevascular right upper, bilateral lower subcarinal, aortopulmonary short axis lymph nodes that did not reach pathological dimensions, measured below 1 cm, were observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No stones were observed in both kidneys. Diffuse linear density increases were observed in perinephrtic fatty planes (pyelonephritis?). As far as can be seen in non-contrast sections; liver, gall bladder, spleen, both adrenal glands and pancreas are natural.\n\nImpression:\nChanges in the sternum and anterior mediastinum secondary to the operation, pericardial effusion . Significant pleural effusion on the left bilateral left, consolidation in the lower lobe of the left lung. It is compatible with pneumonic infiltration, its correlation with clinical and laboratory is recommended.  Diffuse linear density increases in perinephrtic fatty planes, pyelonephritis?, correlation with clinical and lab."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7842/train_7842_a/train_7842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease?, small vessel disease?). A millimetric parenchymal air cyst accompanied by fibrotic recessions was observed in the inferior lingular segment of the left lung upper lobe. A sequela parenchymal change was observed in the right lung lower lobe superior segment, causing shrinkage in the fissure. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. When examined in the lung parenchyma window; A smear-like pleural effusion was observed in the right hemithorax.\n<mediastinum>: Pulmonary trunk and right pulmonary artery diameters increased. The transverse diameter of the pulmonary trunk was 39 mm, and the right and left pulmonary artery diameters were 31 mm and 26 mm, respectively. Atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta increased by 40 mm. Heart sizes are at the upper limit. The aortic valve is calcified.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Degenerative changes were observed in the thoracic vertebrae. Vertebral corpus heights are normal.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. As far as can be seen within the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nBilateral gynecomastia.  Fusiform aneurysmatic dilation in the ascending aorta, increase in the diameter of the pulmonary trunk and right pulmonary artery, heart dimensions at the upper border, atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries, aortic valve calcification.  Plain-like pleural effusion on the right, sequelae thickening in the bilateral posterior costal pleura.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Mosaic attenuation pattern (small airway disease?, small vessel disease?) in both lung lower lobe basals.  Parenchymal air cyst accompanied by fibrotic recessions in the inferior lingular segment of the left lung upper lobe.  Hepatic steatosis.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7849/train_7849_a/train_7849_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes increased. Focal coarse calcification foci are present in the left thyroid lobe.\n<lung>: The inner wall structure is quite regular. Since the inner wall structure is regular and the wall structure is relatively thin, it was not evaluated in favor of a cavitary lesion due to infection. When examined in the lung parenchyma window; There are prominent subsegmental atelectasis areas in the right lung middle lobe medial segment and left lower lobe basal segments of both lungs. There is a cystic lesion with a thick wall structure adjacent to the fissure in the superior segment of the left lung lower lobe. It is recommended to compare with previous views, if any. It was evaluated mostly in favor of the sequelae lesion.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcifications are present in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Sonographic examination is recommended. Thoracic aorta diameter is normal. If it is not available, it is recommended to have a correlation with its clinic, and if there is a difference in its clinic, control imaging is recommended. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDiffuse increase in thyroid gland size, sonographic examination of foci of coarse calcification in the parenchyma in the left thyroid lobe is recommended.  Calcific atheroma plaques in LAD. There are areas of atelectasis accompanied by volume loss at subsegmental level in the middle lobe of the right lung and in the lower lobes of both lungs. There is a cystic lesion in the superior segment of the left lung lower lobe. Since the inner wall structure is regular, the cavitary-infectious lesion is avoided. More sequelae were considered in favor of the lesion. It is recommended to evaluate with old imaging, if any. If the previous imaging is not available, it is recommended to repeat the imaging if there is a difference in the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7852/train_7852_a/train_7852_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; nodular appearance of approximately 6 mm with irregular borders in the upper lobe of the left lung is stable. Dependent ground glass densities are observed in the lower lobe posterobasal. There is a nodular appearance with mild sequelae in the current examination, which is 5.5 mm in size in the right lung middle lobe lateral, in the form of light ground glass on PET-CT. There is minimal emphysematous appearance compatible with sequela fibrotic changes in both lungs.\n<pleura>: In the right lung upper lobe anterior, subpleural approximately 8 mm in size, nodular appearance without involvement on PET-CT is stable.\n<mediastinum>: Other millimetric lymph nodes are stable. Calcific atheroma plaques are observed in the aorta and coronary arteries. Minimal effusion appearance is stable in the mediastinum, adjacent to the perivascular structures. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: The 13x7 mm lymph node in the anterior epicardiac adipose tissue was measured as 14x8 mm, and there was no significant difference. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Sclerotic foci are present in bone structures at T1, T4, T5 levels and are stable.\n<abdomen>: The low-density lesion of 21x18 mm in the medial leg of the left adrenal gland is stable. In the liver parenchyma, lesions with no clear borders and no involvement in PET-CT appear stable (history of ablation or radioembolization?). Calcific atheroma plaques are observed in the aorta and coronary arteries. Apart from this, hypodense lesions in the liver, which may be compatible with a cyst with a size of 30 mm in segment 4, are stable.\n\nImpression:\nLung Ca, bone and liver met. in the comparative evaluation of the patient with PET-CT;  Stable nodular appearance with irregular borders in the upper lobe of the left lung, stable subpleural nodular appearance in the anterior upper lobe of the right lung,  Sequelae changes in both lungs, fibrotic densities, sequela nodular appearance in the middle lobe of the right lung, millimetric nonspecific nodules in both lungs.  Stable lymph nodes within the anterior epicardiac adipose tissue.  Stable cysts in the liver parenchyma, calcific central calcifics in the liver parenchyma, and stable metastatic foci without involvement in PET-CT, which show possible treatment-related changes, and newly developed lesions were not observed.  Stable adenoma in the left adrenal gland.  Stable sclerotic foci in T1, T4, T5 corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7856/train_7856_a/train_7856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: Widespread and peripherally distributed round-amorphous ground-glass-like density increases in almost all segments of both lungs and interlobular septa thickening are observed in places. There are sequelae changes at the apical level.\n<pleura>: No pleural effusion or pneumothorax was detected. There is a subpleural subcentimetric nodule in the lower lobe laterobasal segment of the right lung.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. CTO is normal. The aortic arch calibration is 32 mm. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, descending aorta and coronary arteries. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Pulmonary trunk calibration is 29 mm. It is larger than normal.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, descending aorta and coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There is a screw plate system extending towards the lumbar at the lower dorsal level. Compression fracture-Schmorl nodule impressions are observed in the L1 vertebra, which causes significant loss of height in the center.\n<abdomen>: CTO is normal. The aortic arch calibration is 32 mm. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, descending aorta and coronary arteries. Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, nodular density compatible with the accessory spleen is observed adjacent to the spleen.\n\nImpression:\nRadiological findings compatible with Covid-19 pneumonia. Clinical and laboratory correlation is recommended as the appearance may be caused by other viral pneumonias and organizing pneumonia. screw plate system extending towards the lumbar at the dorsal level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7888/train_7888_a/train_7888_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18700",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Focal consolidative area is observed in the left lung, focal consolidative area is observed in the left lung lingular segment and it is stable according to the previous examination. At the hilar level, no lymph node was detected in pathological size and configuration. Azygos fissure variation is observed.\n<pleura>: Pleural effusion-pneumothorax was not detected. A stable subpleural nodule with a diameter of 2 mm is observed in the anterior segment caudal of the right lung upper lobe.\n<mediastinum>: A millimetric calcific atheroma plaque is observed at the level of the aortic arch. CTO is within the normal range. The aortic arch calibration is 29 mm. It is within the maximal physiological limits. Multiple lymph nodes are observed in the subcarinal area in the aoticopulmonary window at the prevascular level in the upper-lower paratracheal areas of the mediastinum, the largest of which is 16x11 mm in size in the right lower paratracheal area. Calibration of major mediastinal vascular structures on other surfaces is natural.\n<heart>: Calcific atheroma plaques are also present in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Dense nodular formation is observed at the level of the posterior arch in the D1 vertebra (compact bone islet?). Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: A millimetric calcific atheroma plaque is observed at the level of the aortic arch. CTO is within the normal range. The aortic arch calibration is 29 mm. There is a decrease in density consistent with steatosis in the liver. It is within the maximal physiological limits.\n\nImpression:\nThe faint diffuse focal ground-glass-like density increments evaluated in the old CT regressed in the current examination (covid pneumonia?, other viral pneumonias?). Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7891/train_7891_b/train_7891_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Emphysematous changes were observed in both lungs. Widespread pneumonic infiltration areas were observed in the upper lobe, middle lobe and lower lobe of the right lung, and in the lingular segment of the left lung. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Prominent interlobular septa were observed in both lungs (secondary to cardiac pathology?). It is recommended to evaluate for infectious processes. Atelectatic changes were observed in both lungs.\n<pleura>: A free pleural effusion measuring 21 mm in diameter is observed between the pleural leaves on the right. There are calcified pleural thickenings measuring 1 cm in the thickest part of the diaphragmatic pleura in the lower lobe of the left lung.\n<mediastinum>: As far as can be observed, the diameter of the ascending aorta was 41 mm, the diameter of the aortic arch was 43 mm, and the diameter of the descending aorta was 36 mm, showing fusiform dilatation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastincal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There are lymph nodes measuring 22x16 mm in size in the mediastinal upper-lower paratracheal, prevascular, subcarinal, and aorticopulmonary window. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: As far as can be observed, the diameter of the ascending aorta was 41 mm, the diameter of the aortic arch was 43 mm, and the diameter of the descending aorta was 36 mm, showing fusiform dilatation. Post-op metallic density was observed in the aortic and tricuspid valves. Heart size has increased (cardiomegaly). Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There is a density of pacemaker that extends from the anterior left chest wall to the floor of the ventricle.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Thoracic kyphosis has increased. Left-facing scoliosis was observed in the thoracic vertebrae. Degenerative changes were observed in bone structures, and no lytic-destructive lesion was detected.\n<abdomen>: As far as can be observed, the diameter of the ascending aorta was 41 mm, the diameter of the aortic arch was 43 mm, and the diameter of the descending aorta was 36 mm, showing fusiform dilatation. Millimetric sized lymph nodes were observed in the retrocurural area. In the upper abdomen sections in the study area; gall bladder was not observed (cholecystectomized). Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nSignificant areas of diffuse pneumonic infiltration on the right in both lungs. Cardiomegaly, prominent interlobular septa in both lungs (secondary to cardiac pathology?) .Atelectasis changes in both lungs and right pleural effusion. Bilateral peribronchial thickenings.  Fusiform dilatation of the thoracic aorta.  Calcific atherosclerotic changes in the wall of the thoracic-abdominal aorta and coronary artery.  Calcified pleural thickening of the left diaphragmatic pleura. Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7901/train_7901_a/train_7901_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are thickenings of the peribronchial sheath. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Consolidative parenchyma areas are observed in both lungs adjacent to the effusion, especially in the basals. There are sequelae changes at the apical level. Sequelae changes are observed in the lingular segment and lower lobe anterobasal level in the left lung. At the level of the left hilus, no pathological size and configured lymph node was detected. On the right, there are sequelae changes at the level of the middle lobe, and density increases in the form of ground glass. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. The right hilus cannot be evaluated clearly.\n<pleura>: In the evaluation of both lungs in the parenchyma window; In both lungs, there is pleural effusion reaching 58 mm on the right and 15 mm on the left in the upper zones, at the level extending from the base to the apex.\n<mediastinum>: Lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window in the subcarinal area. The largest was measured in the subcarinal area and measures approximately 20x15 mm. Calibration of the aortic arch is natural. Millimetric calcific atheroma plaques are observed in the aortic arch. Calibration of the pulmonary trunk and both pulmonary arteries and ascending aorta are normal.\n<heart>: CTO slightly increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure. At the D8-D9 level, there is a lesion with anterior angulation, which has caused significant destruction in the end plateaus with a decrease in vertebral corpus heights. Accompanying paravertebral abscess formation around discitis cannot be evaluated clearly in non-contrast examination. Within the defined consolidation area, bone fragments-calcifications are observed in the consolidation areas, especially around the lesion, which is evaluated in favor of spondylodiscitis. There are bone fragments in the area extending into the spinal canal and anteriorly. It was evaluated as compatible with spondylodiscitis.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calibration of the aortic arch is natural. Upper abdominal organs included in the sections are normal. Millimetric calcific atheroma plaques are observed in the aortic arch. Calibration of the pulmonary trunk and both pulmonary arteries and ascending aorta are normal.\n\nImpression:\nFindings evaluated in favor of spondylodiscitis at D8-D9 level.  Significantly decreased lung aeration at both baselines on the right. There are frosted glass-like density increases in the lower zones, especially on the right.  Consolidated areas around the central probable spondylodiscitis in the lower zone of both lungs and calcification-bone fragments in it (possible abscess formations that may accompany possible spondylodiscitis cannot be evaluated since the examination is uncontrasted)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7937/train_7937_a/train_7937_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: USG verification is recommended.\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: Pneumonic infiltration is considered primarily in the etiology of the described finding. In the medial segment of the middle lobe of the right lung, there is an area of increase in density consistent with the consolidation observed in the air bronchograms. Minimal emphysematous changes are observed in both lung parenchyma. In the examination made in the lung parenchyma window; There are nonspecific nodules measuring 5 mm in size in both lung parenchyma, the largest in the posterobasal segment of the left lung lower lobe.\n<mediastinum>: No lymph node is observed in pathological size and appearance in mediastinal lymph node stations. When IV contrast agent is not given, mediastinal vascular structures and heart cannot be evaluated optimally, and the calibration of vascular structures, heart contour and size are natural.\n<heart>: When IV contrast agent is not given, mediastinal vascular structures and heart cannot be evaluated optimally, and the calibration of vascular structures, heart contour and size are natural. Calcified atheroma plaques are observed on the wall of the coronary vascular structures.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and a slight sliding type hiatal hernia is observed in the lower end of the esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdomen sections within the image, no solid mass-free fluid or loculated collection is observed within the borders of non-contrast CT. Post-treatment control is recommended.\n\nImpression:\nMillimetrically sized nonspecific nodules in the parenchyma of both lungs. Consolidation area in the medial segment of the right lung middle lobe, in which it is observed in air bronchograms; Infective pathologies are considered in its etiology, and post-treatment control is recommended.  Mild emphysematous changes in both lungs. Calcified atheromatous plaques in the wall of coronary vascular structures.  Hypodense nodular lesion in the lower pole of the left thyroid gland, USG verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7939/train_7939_a/train_7939_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are thickenings in the peribronchial areas.\n<lung>: There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: There is a hypodense lesion of approximately 23x20 mm in the left lobe lateral segment subpleural area of the liver. When examined in the lung parenchyma window; There is a pleural effusion with a diameter of 10 mm on the right and a size of 4 mm on the left, extending from the lower lobes to the middle lobe in both lungs.\n<mediastinum>: There are lymph nodes in the mediastinum, the largest in the right lower paratracheal area, 19x15 mm in size. Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and aortic root. The aortic arch calibration is 30 mm, slightly above normal.\n<heart>: CTO is normal. Calibration of other major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A mild hiatal hernia was observed in the esophagus.\n<bone>: In the case, a non-specific hypodense lesion is observed in the D2 vertebra. Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aortic arch calibration is 30 mm, slightly above normal. Cortical cysts are observed in both kidneys. Upper abdominal organs included in the sections are normal. Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and aortic root. Multiple cholelithiasis appearance is observed in the gallbladder and it extends slightly towards the common bile duct.\n\nImpression:\nGround-glass-like density increases in both lungs, which are more prominent on the right, significantly reducing aeration, showing confluence and consolidating from place to place; there is progression according to his previous review. Evaluation with clinical laboratory findings in terms of infective processes, including Covid, is recommended.  Stable lymph nodes in the mediastinum.  Stable hypodense nodule in the left lobe of the liver.  Cholelithiasis.  Bilateral renal cortical cysts.  Mild hiatal hernia.  Degenerative changes in bone structure, non-specific hypodense lesion in D2 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7945/train_7945_b/train_7945_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18834",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Mosaic attenuation pattern is observed in both lung parenchyma. When both lung parenchyma windows were evaluated, consolidation areas were observed in both lungs, most prominently in the middle lobe of the right lung, some of which were compatible with pneumonic infiltration in nodular configuration.\n<pleura>: There is a pleural effusion measuring 10 mm at its deepest point on the left and 32 mm at its deepest point on the right.\n<mediastinum>: In the bilateral axillary region, lymph nodes with a diameter of 9 mm, the largest on the right, and a short diameter were observed. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent materials in the coronary arteries were observed. Lymph nodes reaching 14mm in the short axis subcarinal area were observed in the upper-lower paratracheal, subcarial, prevascular localization.\n<heart>: Pericardial thickening - effusion was not detected. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent materials in the coronary arteries were observed. Heart contour size is natural. Since the examination is unenhanced, the intralumen of the main vascular structures is not evaluated.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the uncontrast-free examination margins.\n<bone>: In the right anterolateral of the thoracic vertebrae, bridging osteophyte formations are observed. It is recommended to be evaluated in terms of DISH disease. Diffuse degenerative changes were observed in bone structures.\n<abdomen>: In the upper abdominal sections included in the examination area, parenchymal macrocalcification area was observed in the right lobe of the liver. A calculi of 11 mm in diameter was observed in the lower pole of the left kidney. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent materials in the coronary arteries were observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7946/train_7946_a/train_7946_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in both lungs, more prominent in the medial segment of the right lung middle lobe. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Atheroma plaques are observed in the aorta and coronary arteries. As far as can be observed: The heart is minimally larger than normal. Heart contours are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7946/train_7946_b/train_7946_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When evaluated in both lung parenchyma windows, mosaic attenuation pattern was observed in both lung parenchyma (small airway disease? small vessel disease?).\n<pleura>: There is a free pleural effusion measuring 16 mm in thickness between the pleural leaves on the right. Multiple parenchymal nodules, 12 mm in diameter, were observed in different locations in both lungs, the largest of which was 12 mm in diameter, located subpleural at the level of the lingular segment in the upper lobe of the left lung.\n<mediastinum>: In addition, several lymph nodes were observed between the right paracardiac fatty planes, the short axis of which was 9 mm. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. In the mediastinal upper-lower paratracheal, prevascular subcarinal localization, lymph nodes measuring 10 mm in the short axis of the largest are observed. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Lymphadenopathy with a paraaortic short axis measuring 12 mm was observed. As far as can be seen; The diameter of the ascending aorta was 37 mm, and the diameter of the descending aorta was 34 mm, showing mild dilatation.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased.\n<esophagus>: Siliding type hiatal hernia was observed.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Free fluid in the abdomen was observed. Hypodense lesions measuring 25 mm in diameter were observed anteriorly in the peritoneum. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. It was evaluated in favor of the implant. In the upper abdominal sections included in the study area, there are faintly circumscribed mass lesions in the liver at the level of segment 4B, measuring 30 mm in diameter and evaluated in favor of metastasis in the first plan. Lymphadenopathy with a paraaortic short axis measuring 12 mm was observed. As far as can be seen; The diameter of the ascending aorta was 37 mm, and the diameter of the descending aorta was 34 mm, showing mild dilatation.\n\nImpression:\nCalcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery, mild dilatation of the thoracic aorta. Lymph nodes between the mediastinal and right paracardiac fatty planes. Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Hiatal hernia.  Multiple parenchymal nodules in both lungs initially evaluated in favor of metastasis. Hypodense lesions evaluated in favor of metastasis in the liver.  Peritoneal implants and intra-abdominal free fluid. Intraabdominal lymphadenopathy. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7958/train_7958_a/train_7958_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18863",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There is an appearance of tracheostomy.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, fibrotic densities are observed in the lower lobes, especially in the posterobasal areas. Millimetric nonspecific nodules are observed in both lung parenchyma.\n<pleura>: In the sections passing through the 7th and 8th ribs on the left, a well-circumscribed nodular lesion with a diameter of 16x10 mm located in the adipose tissue in the posterior extrapleural area is observed (lymph node?).\n<mediastinum>: Thoracic aorta diameter is normal. The thymus gland is slightly hyperplastic in the anterior median. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFibrotic densities in the lower lobes of both lungs.  Bilateral millimetric nonspecific nodules.  No significant pneumonic infiltration was detected.  Tracheostomy.  A well-circumscribed nodular lesion (lymph node?) with a diameter of 16x10 mm located in the adipose tissue in the posterior extrapleural area in the sections passing through the 7th-8th ribs on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7959/train_7959_a/train_7959_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18865",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial millimetric sized calcified lymph nodes are observed on the left. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Widespread ground-glass densities are observed, accompanied by interstitial septal thickening (paving stone) in the upper lobes of both lungs. In the lower lobes, however, the ground glass densities are seen to become more consolidated and air bubble findings are accompanied.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nGround-glass densities commonly observed in the cobblestones in the upper lobes of both lungs, consolidations in the lower lobes, commonly reported imaging findings for Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7960/train_7960_a/train_7960_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. Linear atelectasis was observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments. Infection findings persist radiologically.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Millimetric calcific atheroma plaques were observed in the wall of the descending aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed, the ascending aorta is wider than normal with an anterior-posterior diameter of 42 mm. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with fatty deposits. Millimetric calcific atheroma plaques were observed in the wall of the descending aorta.\n\nImpression:\nOther findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7963/train_7963_b/train_7963_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7969/train_7969_b/train_7969_b_1.npy"
        ]
    },
    {
        "id": "report_generation_18910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No evidence of active infiltration or nodule formation was observed in both lung parenchyma. When examined in the lung parenchyma window; Minimal pleuroparenchymal band-like sequelae are observed in the apex of bilateral lungs, more prominent in the left posterior.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: An oval-shaped 5x4mm diameter nodular formation is observed in the upper outer quadrant of the right breast (lymph node?). It is the first examination of the patient in our clinic. His previous examinations were not delivered to our clinic.\n<bone>: When the bone window was examined, no lytic-destructive lesion was observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. In the upper abdominal organs included in the study area; liver, spleen and pancreas are normal. An accessory spleen with a diameter of 1.5 mm is observed in the spleen hilum. No free fluid was observed in the upper abdomen.\n\nImpression:\nMinimal pleuroparenchymal band-like sequelae changes in bilateral lung apex, more prominent on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7980/train_7980_a/train_7980_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are atelectasis in the posterobasal parts of both lungs, especially in the lower lobe. When examined in the lung parenchyma window; Diffuse emphysema and bronchiectasis are observed in both lungs. Fibrotic densities, which are more prominent in the lower lobes of both lungs, are observed that create honeycomb appearances from place to place. Especially in the lower lobe of the right lung, pulmonary nodules in the form of a budding tree are observed (Infective process? Tuberculosis?).\n<mediastinum>: In the mediastinum, fusiform lymph nodes with short axes not exceeding 1 cm are observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are well-circumscribed hypodense appearances evaluated in favor of cysts in both kidneys included in the examination.\n\nImpression:\nPulmonary nodules in the form of a budding tree view in the right lung, especially in the lower lobe, were evaluated in favor of the infective process (TBC?).  Diffuse emphysema appearances in both lungs.  Fibrotic changes that produce honeycomb appearances in both lungs.  Atelectasis in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7981/train_7981_a/train_7981_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Pneumonic infiltration was not observed. When examined in the lung parenchyma window; Traumatic pneumothorax, hemothorax, pulmonary hematoma, alveolar contusion were not observed in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Calcific atheromatous plaques were observed in the coronary arteries. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nAcute traumatic pathology was not observed. Pneumonia was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7984/train_7984_a/train_7984_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchovascular nodules, larger than 7 mm in diameter, are seen in both lungs, thickening at the level of both major fissures, and reticulonodular densities. There is a stable opacity that may belong to the suture at the level of the middle lobe of the right lung.\n<mediastinum>: In the mediastinum and hilar level, multiple lymph nodes that have increased in size and number, the short axis of the larger ones, and 17 mm in diameter at the prevascular level are observed. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the patient with sarcoidosis clinic;  Multiple lymphadenopathies increased in number and size in both lungs and at the hilar level.  Increased ground glass densities, interlobular septal thickenings and fibrotic densities in the lung parenchyma extending from the bronchovascular area to the pleura.  Fissural level reticulonodular densities in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_7996/train_7996_a/train_7996_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18957",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs, more on the left. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8005/train_8005_a/train_8005_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18961",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). A few millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; An irregular focal atelectasis area with fibrotic recessions was observed in the apical segment of the left lung upper lobe, and it was evaluated in favor of sequelae. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Interlobular septal thickenings were observed in the peripheral subpleural areas of both lungs and were evaluated in favor of sequela-fibrotic changes.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Changes in the sternum and anterior mediastinum secondary to previous bypass surgery were observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerotic wall calcifications were observed in the walls of the descending aorta and coronary artery.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the walls of the descending aorta and coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in bone structures. Changes in the sternum and anterior mediastinum secondary to previous bypass surgery were observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in non-contrast sections; upper abdominal organs are normal. Diffuse atherosclerotic wall calcifications were observed in the walls of the descending aorta and coronary artery.\n\nImpression:\nChanges in the sternum and anterior mediastinum secondary to previous bypass surgery, diffuse atherosclerotic wall calcifications in the walls of the descending aorta and coronary artery.  Hiatal hernia.  Sequela parenchymal-fibrotic changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Several nonspecific parenchymal nodules in both lungs.  Osteodegenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8007/train_8007_a/train_8007_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: A focal small consolidation was observed in the posterobasal segment of the lower lobe of the left lung and ground glass densities were observed around it. Atelectatic changes were observed in the left lung upper lobe inferior lingular and right lung lower lobe laterobasal segment. Appearance is nonspecific. It may be compatible with Covid-19 pneumonia or other infective processes due to atelectatic change or pandemic. Interlobular-intralobular septal thickenings and minimal peribronchial thickening were observed in both lungs (secondary to heart failure).\n<pleura>: When examined in the lung parenchyma window; Minimal effusion was observed between the pleural leaves in both hemithorax.\n<mediastinum>: As far as can be observed, mediastinal main vascular structures, heart contour and size are normal. An encapsulated effusion area of 35x21 mm was observed in the anterior mediastinum posterior to the sternum (phlegmon?). Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Free air images under the skin and anterior mediastinum on the anterior chest wall, and density increases consistent with edema-inflammation in fatty planes were observed (all described findings are consistent with early post-op changes). In the non-contrast examination, the mediastinum was not evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: A small amount of effusion was observed in the pericardial space. As far as can be observed, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. An encapsulated effusion area of 35x21 mm was observed in the anterior mediastinum posterior to the sternum (phlegmon?). Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Free air images under the skin and anterior mediastinum on the anterior chest wall, and density increases consistent with edema-inflammation in fatty planes were observed (all described findings are consistent with early post-op changes).\n\nImpression:\nSurgical suture materials and early post-op changes secondary to previous bypass surgery in the sternium and anterior mediastinum, unbounded loculated effusion (phlegmon?) in the anterior mediastinum. Pericardial-bilateral pleural effusion . Interlobular-intralobular septal thickenings in both lungs, minimal peribronchial thickening (findings secondary to heart failure) .Pleuroparenchymal sequela atelectatic changes in right lung lower lobe laterobasal and left lung upper lobe inferior lingular segment. Focal consolidation area in left lung lower lobe posterobasal segment with ground glass density around it. The appearance is nonspecific. atelectasis change or Covid-19 It may be compatible with infective processes, especially pneumonia.It is recommended to evaluate with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8013/train_8013_a/train_8013_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<pleura>: Pleural effusion measuring 5 cm in its thickest part and entering the fissure in the left hemithorax and passive atelectasis are observed in the lung parenchyma adjacent to the effusion.\n<mediastinum>: Calcifications are observed in the walls of the coronary artery in the aortic arch, descending and abdominal aorta.\n<heart>: Pacing electrodes that terminate in the right ventricle are observed on the anterior chest wall. There are suture materials secondary to previous bypass surgery in coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: Partial compression is observed in the T4 vertebral body, which causes 35-40% loss of height.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcifications are observed in the walls of the coronary artery in the aortic arch, descending and abdominal aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly  Pleural effusion measuring 5 cm in the thickest part of the left hemithorax and entering the fissure and passive atelectasis in the lung parenchyma adjacent to the effusion are observed.  Partial compression causing 35-40% loss of height in the T4 vertebral body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8016/train_8016_a/train_8016_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are a few nonspecific nodules in smillimetric sizes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are a few nonspecific nodules in smillimetric sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8022/train_8022_a/train_8022_a_1.npy"
        ]
    },
    {
        "id": "report_generation_18997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected. Evaluation of parenchyma is suboptimal because of respiratory artifact. No pneumonic infiltration or consolidation area was observed in the lung parenchyma. Centriacinar and paraseptal emphysema areas are present in the upper lobes of both lungs.\n<mediastinum>: A slight increase in diameter was observed in the ascending aorta, aortic arch and thoracic aorta. The largest diameter of the ascending aorta was 47 mm, and the largest diameter of the thoracic aorta was 34 mm in the distal part. No lymph node was observed in the mediastinum in pathological size and appearance. There are extensive calcified atheroma plaques in the ascending aorta, aortic arch, and thoracic aorta.\n<heart>: There are extensive calcified atheroma plaques in the ascending aorta, aortic arch, and thoracic aorta. Pericardial effusion was not detected. Left ventricular diameter slightly increased. A slight increase in diameter was observed in the ascending aorta, aortic arch and thoracic aorta. Calcified atheroma plaques were observed in the coronary arteries.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: A slight increase in diameter was observed in the ascending aorta, aortic arch and thoracic aorta. No features were detected in the upper abdomen sections. The largest diameter of the ascending aorta was 47 mm, and the largest diameter of the thoracic aorta was 34 mm in the distal part. There are extensive calcified atheroma plaques in the ascending aorta, aortic arch, and thoracic aorta.\n\nImpression:\nNo pneumonic infiltration is observed . Calcified atheromatous plaques in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8024/train_8024_a/train_8024_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Traumatic pneumothorax, hemothorax, pulmonary hematoma, alveolar contusion were not detected in the lung parenchyma. It was thought to belong to dependent atelectasis. Dependent ground glass densities are observed in the basal segments. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: There is this eccentric, faintly circumscribed, sclerotic bone lesion in the body of the right clavicle. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No fracture was observed in bone structures.\n<abdomen>: No loculated or free fluid was detected in the upper abdominal sections. In the upper abdominal sections, there is a lesion in the left adrenal gland with a 9.5 cm diameter lesion with macroscopic lubrication consistent with myelolipoma.\n\nImpression:\nNo traumatic acute pathology detected.  Bone lesion in the right clavicle.  Myelolipoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8026/train_8026_a/train_8026_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A millimetric nonspecific nodule is observed in the anterior segment of the lower lobe of the right lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric nonspecific nodule in the anterior segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8029/train_8029_a/train_8029_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. The outlook is in favor of viral pneumonia. When examined in the lung parenchyma window; Widespread patchy ground glass-consolidation areas are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; liver density decreased diffusely, consistent with hepatosteaosis.\n\nImpression:\nTypical-probable Covid-19 pneumonia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8030/train_8030_a/train_8030_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific pulmonary nodules were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8035/train_8035_a/train_8035_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the middle and lower lobes of the right lung. No mass or infiltrating lesion was detected in both lungs. Minimal emphysematous changes were observed in both lungs. Among these nodules, there are nodules measuring 12 mm in the upper lobe apical segment, the largest on the right, and 13 mm in the upper lobe apicoposterior segment subsegment on the left. There are multiple nodules in both lungs. No new nodule is observed.\n<pleura>: No pleural or pericardial or effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Port crips terminate in the superior distal part of the vena cava. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Multiple lesions in the liver that cannot be clearly measured are observed. Calcific foci are observed in the liver parenchyma.\n\nImpression:\nIn the follow-up, a few millimeters increase in size is observed in all nodular lesions observed in the colon and lung.  There are atelectasis in the middle and lower lobes of the right lung. Minimal emphysematous changes are observed in both lungs. Mass lesions are observed in the liver with no clear borders."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8037/train_8037_a/train_8037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Emphysematous changes are observed in both lungs. There are millimetric nonspecific nodules in both lungs. There is linear atelectasis in the left lung upper lobe lingular segment and the inferior subsegment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed. Pulmonary artery diameters are normal. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Intervertebral disc distances were minimally narrowed. There are no lytic-destructive lesions in the bone structures within the sections. The neural foramina are minimally narrowed. There are osteophytes in the vertebral corpus corners. There are minimal degenerative hypertrophic changes in the facet joints. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. The outlook was evaluated in favor of adenoma. A nodular solid lesion measuring approximately 25 mm in diameter was observed in the left adrenal gland corpus. There are atheromatous plaques in the aorta and coronary arteries. The right adrenal gland is normal. No upper abdominal free fluid-collection was detected in the sections. There are areas of negative HU density in places within the lesion.\n\nImpression:\nEmphysematous changes in both lungs . Millimetric nonspecific nodules in both lungs . Minimal fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic changes in the aorta and coronary arteries . Lesion primarily evaluated in favor of adenoma in the left adrenal gland corpus . Minimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8039/train_8039_a/train_8039_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Gallbladder was not observed (cholecystectomized).\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8040/train_8040_a/train_8040_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Paraseptal-centriacinar emphysematous changes were observed in both upper lobe-lower lobe superior segments of both lungs. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Parenchymal nodules with a diameter of 4.5 mm in the lower lobe laterobasal segment on the right and 4.8 mm in diameter in the superior segment of the lower lobe on the left were observed in both lungs. It is recommended to evaluate and follow-up together with previous examinations, if any. Two bulla formations, the largest of which was 31 mm in diameter, were observed in the apical right lung. Bronchiectatic changes and peribronchial thickening were observed in both lungs, which became prominent in the center. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: Calcified atheroma plaques were observed in the aortic arch and Cx coronary artery. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and Cx coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcified atheroma plaques were observed in the aortic arch and Cx coronary artery. As far as can be seen within the sections; upper abdominal organs are normal. Thickening of the right adrenal gland corpus was observed.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and Cx coronary artery.  Hiatal hernia.  Fibroatelectatic changes in both lungs, paraseptal-centriacinar emphysema areas, bulla formations in the right lung apex.  Millimetric parenchymal nodules in both lungs; If there is, it is recommended to evaluate and follow up with previous examinations.  Bronchiectatic changes and peribronchial thickenings evident in the center of both lungs.  Thickening of the right adrenal gland corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8042/train_8042_a/train_8042_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Differential diagnosis of metastatic mass lesion cannot be made at the levels of ground glass densities and consolidation areas in the described patchy style. The findings were initially evaluated in favor of the infectious process, and close follow-up is recommended after excluding the infection secondary to the known primary of the patient. In the current examination of both lungs, diffuse patchy ground glass densities, mosaic attenuation patterns, mild thickening of the interlobular septa, and pleuroparenchymal sequelae changes extending to the anterior upper lobe of the right lung are observed.\n<mediastinum>: In the mediastinum, there are small lymph nodes measuring up to 25 in the long axis and 8 mm in the short axis, especially in the aorticopulmonary window, which was also observed in the previous examination.\n<heart>: Heart size increased.\n<bone>: Diffuse density reduction in bone structures, hypertrophic osteophytic tapering, bridging tendencies, and degenerative changes are observed in the end plates.\n<abdomen>: In the upper abdomen, there are retrocrural intra-abdominal lymphadenopathies with a slight dimensional increase measured in the previous examination (42x33 mm) with more than one larger one measuring up to 43x40 mm in partial images. It was 32 mm in the previous examination. The left adrenal mass enters the image partially and measures 35 mm in the current examination. It increases in size by 3 mm.\n\nImpression:\nNo significant difference is detected in mediastinal lymph nodes.  Intraabdominal and retrocrural lymphadenopathies.  The pleural effusion observed in the previous examination does not show a significant difference in the current examination. Minimally observed.  Mosaic attenuation patterns, small consolidation areas, pleuroparenchymal sequelae changes are present in both lungs. It is recommended to follow-up the patient in terms of differential diagnosis of metastasis at these levels after infection has been ruled out due to the known primary.  No significant difference was found in sequela parenchymal changes in both lungs.  The left adrenal mass enters the image partially and is measured 35 mm in the current examination. It was 32 mm in the previous examination. It increases in size by 3 mm.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8049/train_8049_b/train_8049_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Linear fibrotic recessions were observed in the basal segments of both lung lower lobes. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Nonspecific subpleural-parenchymal nodules with a diameter of 4.5 mm were observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Linear fibrotic changes in both lung lower lobe basal segments . Nonspecific subpleural-parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8055/train_8055_a/train_8055_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19076",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8055/train_8055_c/train_8055_c_1.npy"
        ]
    },
    {
        "id": "report_generation_19103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When evaluated in the parenchyma window of both lungs: There are mild emphysematous changes in both lungs. There are density increases in the left lung inferior lingular segment and both lung upper lobes posterior, which are evaluated primarily in favor of atelectasis. 1-2 nonspecific millimetric parenchymal nodules, some of which are calcified, are observed in the inferior lingular segment and lower lobe of the left lung. Bilateral peribronchial thickenings were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: There are calcified lymph nodes with a short axis smaller than 7 mm observed in the mediastinal upper-lower paratracheal and subcarinal areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: There are diffuse calcified atherosclerotic changes in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Right adrenal gland calibration was normal and no space-occupying lesion was detected. There is diffuse thickness increase in the left adrenal gland, and a 6 mm diameter nodular lesion is observed in the body part of the left adrenal gland (adenoma?). As far as can be observed: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. A 7 mm diameter parenchymal coarse calcification area was observed at the liver segment 4A level.\n\nImpression:\nMild emphysematous changes in both lungs, areas evaluated in favor of mild atelectasis-sequelae changes in both lungs.  Millimetric sized nonspecific parenchymal nodules, some of them calcified, in the left lung.  Bilateral peribronchial thickenings.  Hepatosteatosis.  Calcified atherosclerotic changes in the coronary artery wall.  Diffuse thickening of the left adrenal gland and nodular lesion (adenoma?) on the trunk."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8062/train_8062_a/train_8062_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal millimetric lymph node is observed. In the evaluation of both lung parenchyma; no mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No additional significant pathology was detected in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8064/train_8064_a/train_8064_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In both lungs, there are tubular bronchiectasis, which are more prominent in the lower lobes, have a common appearance, filled with secretions, and thickened walls. Widespread consolidations and budding tree views are present in the lower lobes of both lungs. In both lungs, there are consolidations in the anterior sections of the upper lobe and in the middle lobe of the right lung, a few thick-walled consolidations, the largest of which is 81x60 mm, with cavitations in places, causing destruction in the costae in their neighborhoods (diagnosed with fungal infection). When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in both upper lobe apicoposterior segments of both lungs.\n<mediastinum>: There are wall calcifications in the aorta. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Right lower paratracheal bilateral hilar calcified lymph nodes are present. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are widespread lytic foci in the bones in the study area and they have a porotic appearance. There is a height loss of up to 50% in the anterior part of the L2 vertebra and free air images in the intervertebral disc spaces at the level of the upper-end plates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are wall calcifications in the aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the sections passing through the upper part of the west; there is a 18 mm diameter nodular hypodense lesion (cyst?) with cortical exophytic location in the middle part of the right kidney.\n\nImpression:\nWall calcifications in the aorta. Right lower paratracheal bilateral hilar calcified lymph nodes.  Pleuroparenchymal sequelae densities in the apicoposterior segments of the upper lobes of both lungs. Widespread, occasionally filled with secretions and thickened walls, tubular bronchiectasis, more prominent in the lower lobes of both lungs.  Widespread consolidations and budding tree views in the lower lobes of both lungs. A few thick-walled consolidations in both lungs, which are observed in places in cavitations, causing destruction in the neighboring ribs (diagnosed with fungal infection).  In the sections passing through the upper part of the abdomen; cortical exophytic localized nodular hypodense lesion (cyst?) in the middle part of the right kidney.  There are widespread lytic foci in the bones in the examination area and they have a porotic appearance. Up to 50% loss of height in the anterior part of the L2 vertebra and free air images in the intervertebral disc spaces at the level of the upper-end plates. Free air images in the intervertebral space at the level of L2 vertebra have recently developed. Further examination with lumbar MRI is recommended. Apart from this, there is a significant difference. not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8065/train_8065_n/train_8065_n_1.npy"
        ]
    },
    {
        "id": "report_generation_19146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are volume losses and atelectasis appearances in the middle lower lobe and upper lobe of the right lung.\n<mediastinum>: On the right side, there is a space-occupying lesion in the paramediastinal area, extending to the paracardiac region, which is difficult to distinguish within the limits of the examination, extending to the parasternal area as well, measuring 61x78 mm in axial sections and up to 91 mm in the craniocaudal axis. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAlthough there is no significant difference in the effusion observed in the right hemithorax, there is an increase in the size of the suspicious lesion in the right paracardiac area, which is difficult to distinguish within the paramediastinal examination limits extending to the parasternal area.  There is a decrease in the volume of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8070/train_8070_a/train_8070_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19148",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral tubular bronchiectasis is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few lymphadenopathies with a diameter of 17 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right hilar area, and no significant difference was found between the examinations in terms of number and size. In the right lung, more prominent in the upper lobe, there are nodular ground glass areas and patches of consolidation in patches. Considering the primary malignancy of the patient, it was evaluated in favor of opportunistic infections, primarily fungal infections. It is stable. There are areas of linear-subsegmental atelectasis in both lungs. It has just emerged. No mass was detected in both lungs.\n<pleura>: A 3 cm thick pleural effusion is observed in the right hemithorax.\n<mediastinum>: A few lymphadenopathies with a diameter of 17 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right hilar area, and no significant difference was found between the examinations in terms of number and size. There is a hypodense mass in the right upper mediastinum, approximately 40x47 mm in size, consistent with the patient's primary malignancy, and whose borders cannot be clearly distinguished from adjacent vascular structures on non-contrast examination. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nPrimary mediastinal lymphoma at follow-up; Stable mass in the right upper mediastinum.  Mediastinal and bilateral hilar stable lymphadenopathies.  Newly emerging nodular ground-glass areas in the right lung with occasional accompanying patchy areas of consolidation. Considering the primary malignancy of the patient, it is compatible with opportunistic infections, primarily fungal infections.  Right stable pleural effusion.  Bilateral tubular bronchiectasis.  Areas of linear-subsegmental atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8070/train_8070_b/train_8070_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Volume loss and atelectic changes are observed in the lower lobe of the left lung.\n<mediastinum>: Post-opp clips in the mediastinum and mild hyperemia edema are observed in the mediastinal fatty planes. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are hypertrophy oteophytic taperings anterior to the vertebral corpus endplates.\n<abdomen>: In the vicinity of the spleen, a spleen of the same density as the spleen, 14 mm in size, is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPost-opp clips in mediastinum, mild hyperemia edema in mediastinal fatty planes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8082/train_8082_b/train_8082_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickening was detected. In the right lung lower lobe superior segment, a non-specific nodule with a diameter of 4.5 mm located in the peripheral subpleural was observed.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nNo active infiltrative or mass lesion was observed in both lung parenchyma, and one non-specific nodule in millimeter dimensions was observed in the right lung lower lobe superior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8086/train_8086_a/train_8086_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; Focal ground-glass-like density increases are observed widely in both lungs and are compatible with Covid pneumonia. Since other viral pneumonias are included in the differential diagnosis, evaluation together with clinical and laboratory findings is recommended.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: In the mediastinum, lymph nodes are observed, the largest of which is in the aorticopulmonary window and the short axis is 6 mm. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia, but clinical laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8088/train_8088_a/train_8088_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in the lower lobes of both lungs. According to the previous examination, stable size and number of parenchymal nodules were observed in both lungs, the largest of which was 5 mm in diameter in the right lung. A mass lesion of approximately 50x51 mm in size (29x33 mm in the previous examination) with irregular borders was observed in the lingular segment of the left lung upper lobe. The described mass was primarily thought to belong to a primary or metastatic lung mass. Fibroatelectatic changes and pleuroparenchymal sequelae density increases were observed in both lungs. Diffuse emphysematous changes are observed in both lungs, more prominently in the lower lobes.\n<pleura>: The described mass has linear extensions to the mediastinal pleura and costal pleura. Between the bilateral pleural leaves, there is a 23 mm thickness on the left, minimal free pleural effusion on the right, and atelectatic changes in the adjacent lung parenchyma.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse calcified atherosclerotic changes were observed in the coronary artery wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour and size are normal. The diameter of the ascending aorta is 48 mm and shows aneurysmatic dilatation. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: At this level, there was no significant retropulsion, no free fragments in the canal. Approximately 70-75% height loss was observed in the T7 vertebral body. In L1 vertebra, there is a lytic bone lesion evaluated in favor of metastasis causing erosion in the cortex of the vertebra. A metastatic lytic bone lesion of 6.5 cm in diameter was observed in the sternum, which destroyed the bony cortex and extended to the surrounding soft tissues. There are widespread degenerative changes in bone structures.\n<abdomen>: Mass lesions consistent with multiple metastases were observed in the liver, 50 mm in diameter, at the level of segment 8, in both lobes and in the caudate, in the upper abdomen sections within the study area. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Diffuse calcified atherosclerotic changes were observed in the coronary artery wall of the thoracic aorta. An irregularly circumscribed soft tissue lesion with a diameter of 12 mm was observed in the vicinity of the upper pole posterior cortex of the left kidney (implant?).\n\nImpression:\nIrregularly circumscribed mass in the upper lobe of the left lung.  Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic changes in the aorta and coronary arteries. Mediastinal and hilar stable lymph nodes.  Hiatal hernia. Multiple metastases in the liver.  Newly emerging metastases in bone structure in current review. Bilateral pleural effusion and atelectatic changes. The findings were evaluated in favor of progressive disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8091/train_8091_a/train_8091_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19210",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; several nonspecific pulmonary nodules are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific pulmonary nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8095/train_8095_a/train_8095_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19212",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are several calcified nodules in both lungs. When examined in the lung parenchyma window; There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. There is one nodule smaller than 5 mm in both lung major fissures (lymph node?). There are several nodules smaller than 5 mm in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are several LAPs in the bilateral axillary region, the largest of which is 20x12.5 mm. Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. There are multiple lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, paraesophageal, bilateral hilar, the largest 12x8 mm in size. There are wall calcifications in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The bone structure in the examination area has a porotic appearance and there are widespread degenerative changes. There is a possible old fracture line in the anterior part of the 2nd rib on the right. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal gland site was normal and no space-occupying lesion was detected. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nWall calcifications in the aorta and coronary arteries, increased cardiothoracic index in favor of the heart (cardiomegaly). Several LAPs, the largest of which is 20x12.5 mm, in the bilateral axillary region.  Multiple lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, paraesophageal, bilateral hilar, the largest 12x8 mm.  One nodule (lymph node?) smaller than 5 mm in both lung major fissures.  Several calcified nodules in both lungs.  A few nodules smaller than 5 mm in both lungs. The bone structure in the examination area is porotic and there are widespread degenerative changes, a possible old fracture line in the anterior part of the 2nd rib on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8096/train_8096_a/train_8096_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19230",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These are accompanied by focal small bronchiectasis. Findings may belong to previous pneumonia sequelae. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Focal fine reticular densities are seen in the subpleural area in the upper lobes of both lungs, and minimal ground glass densities with faint borders and very low density are observed in the lower lobe posterobasal areas.\n<mediastinum>: Calcific atheroma plaques are seen in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. Degenerative changes are seen in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are seen in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Subpleural reticular densities in both lungs, ground glass densities with focal faint borders, and a few millimetric nonspecific nodules.  Findings that may belong to previous pneumonia sequelae.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8105/train_8105_a/train_8105_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19238",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, there are a few nonspecific nodules in millimetric dimensions. In the posterior segment of the left lung upper lobe, an 8 mm ground-glass density nodule is observed. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no mass or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal sections included in the sections, there is a 4 mm stone in the upper pole of the right kidney.\n\nImpression:\nIn the posterior segment of the upper lobe of the left lung, there is an 8 mm ground-glass density nodule (follow-up is recommended) and there are a few millimeter-sized nonspecific nodules. Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8108/train_8108_a/train_8108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is increased in size and is heterogeneous.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, central peripheral bronchial wall thickening, peribronchial interlobular septal thickening and ground glass densities are observed.\n<pleura>: There is a bilateral pleural effusion of 54 mm on the right and 20 mm on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the upper abdominal sections included in the sections, there are calcific plaques in the aorta and its main branches.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcifications and stents are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: It is degenerative in vertebrae. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections included in the sections, there are calcific plaques in the aorta and its main branches.\n\nImpression:\nEnlargement and heterogeneity in the thyroid gland.  Pacemaker, cardiomegaly and coronary stents.  Bilateral pleural effusion and density changes of pulmonary edema in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8117/train_8117_a/train_8117_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are minimal bronchiectasis in the center of both lungs. There are several nonspecific nodules in both lungs, the largest of which reaches 4.3 mm in diameter.\n<pleura>: Subpleural sequela fibrotic changes are seen in both lungs.\n<mediastinum>: Calcific plaques are present in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Views of coronary stents are observed. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 38 mm and slightly ectatic.\n<esophagus>: Minimal hiatal hernia is observed in the distal esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Minimal scoliosis with left opening is observed in the thoracic vertebrae.\n<abdomen>: Millimetric stones were observed in the gallbladder. There are hypodense lesions in the liver, the largest of which reaches 28 mm in diameter in segment 6. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques are present in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis, coronary stents, mild ectasia in the ascending aorta and right pulmonary artery.  Millimetric nonspecific nodules in both lungs.  Minimal sequelae of fibrotic changes and emphysema in both lungs.  Minimal central bronchiectasis in both lungs.  Thoracic spondylosis and minimal scoliosis.  Cholelithiasis, liver hypodense lesions (hemangioma?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8120/train_8120_a/train_8120_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19291",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings are consistent with Covid infection parenchymal involvement.\n<pleura>: When the lung parenchyma window is examined; In both lungs, atypical, pneumonic infiltration areas are observed in bilaterally asymmetrical subpleural and peribronchial scattered ground glass density.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nBilateral asymmetrical atypical pneumonic infiltration areas in both lungs, radiological findings are compatible with Covid infection, lung parenchyma involvement."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8127/train_8127_a/train_8127_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: No pathological size and configuration lymph nodes were detected at both hilar levels. However, the appearance is sometimes accompanied by centriacinar nodular densities. When examined in the lung parenchyma window; Widespread ground-glass-like density increases are observed in both lungs, more prominently at the bases and the periphery.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: CTO is within the normal range. It is wider than normal. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. Pulmonary trunk calibration is at the maximal physiological limit. No lymph node was detected in the mediastinum in pathological size and configuration. Arch aortic calibration is 36 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The descending aorta calibration was measured as 32 mm.\n<heart>: The ascending aorta calibration is 45 mm.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. It is wider than normal. Cortical cysts are observed in both kidneys. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Arch aortic calibration is 36 mm. The descending aorta calibration was measured as 32 mm.\n\nImpression:\nThere are findings suggestive of Covid pneumonia. Clinical laboratory correlation is recommended.  Calibration increase in mediastinal main vascular structures . Bilateral renal cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8128/train_8128_a/train_8128_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19294",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. When the lung parenchyma is examined in the window; No pneumonic infiltration or consolidation area was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8129/train_8129_a/train_8129_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There is a 2 mm diameter nodule in the right lung at the mediobasal level. When examined in the lung parenchyma window; There are mild sequelae changes at the apical level. There are sequelae changes in the inferior lingular segment. On the right, a 2 mm nodule is observed adjacent to the minor fissure. Mild sequelae changes are observed in the middle lobe. There was no finding compatible with pneumonia in both lungs. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: No pleural effusion or pneumothorax was observed.\n<mediastinum>: CTO is within the normal range. The aortic arch is at the maximal physiological limit. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the anterior mediastinum, there is thymic tissue in trigonal configuration, which does not show mass effect.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Small osteophytic taperings are observed at the bone structure corners.\n<abdomen>: In the right kidney, there is a millimetric density compatible with the calculus, which cannot be given a clear size because it partially enters the image. CTO is within the normal range. The aortic arch is at the maximal physiological limit.\n\nImpression:\nNo findings consistent with pneumonia were detected. Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8135/train_8135_a/train_8135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are also occasional linear atelectasis in both lungs. There are millimetric nonspecific nodules in both lungs. There are smooth interlobular septal thickenings in both lung lower lobes. This view is not specific. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs.\n<pleura>: When evaluated together with pleural effusion, it was thought to belong to cardiac pathology. Bilateral minimal pleural effusion and minimal atelectasis in both lung lower lobes adjacent to pleural effusion were observed.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. A decrease in liver parenchyma density was observed, consistent with adiposity.\n\nImpression:\nPleural effusion  Uniform interlobular septal thickenings in both lower lobes of both lungs  Mosaic attenuation pattern in both lungs  Atelectasis in both lungs  Millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8136/train_8136_a/train_8136_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Nodules are selected indistinctly in the previous examination. Right upper-bilateral lower paratracheal lymph node in millimetric size is observed. In addition, a few nonspecific nodules with a diameter of 2-3 mm are observed in the middle lobe and in the lower lobe superior segment, the largest of which is 2-3 mm in diameter in the anterior segment of the upper lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Millimetric sized calcific plaque is observed in the aortic arch and coronary arteries.\n<heart>: Millimetric sized calcific plaque is observed in the aortic arch and coronary arteries.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in other abdominal sections. In the sections passing through the upper part of the abdomen, a hypodense appearance, which may belong to ectasia, is observed in the pelvicalyceal system of both kidneys partially entering the examination area. Millimetric sized calcific plaque is observed in the aortic arch and coronary arteries. Sonographic examination is recommended. It is nonspecific.\n\nImpression:\nStable smooth lobulated contoured nodule in the superior segment of the lower lobe of the right lung . Nonspecific nodules, including low density in the upper and middle lobes in the right lung parenchyma, and a few solids smaller than 3 mm in the lower lobe, are selected as indistinct in the previous examination.  Hypodensities in both kidneys that may be due to enlargement in the pelvicalyceal system, which partially entered the examination area, which developed according to the previous examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8138/train_8138_a/train_8138_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Widespread and patchy ground-glass-consolidation areas are observed in both lungs, more prominently in the right lung. Apart from these findings, there are millimetric nonspecific nodules in both lungs. A 22 mm diameter, lobulated contoured mass lesion is observed in the superior segment of the lower lobe of the right lung. The outlook is consistent with typical-probable Covid-19 pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Images consistent with the double J catheter are observed in both kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia. Stable mass lesion in right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8138/train_8138_b/train_8138_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are observed in LAD. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal wall thickness was normal.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nCalcified atheromatous plaques in LAD"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8151/train_8151_a/train_8151_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There is mild emphysema in both lungs. Pathological size and configuration of lymph nodes are not observed at both hilar levels. A nodule with a diameter of 4 mm is observed at the laterobasal level of the lower lobe of the left lung.\n<pleura>: Nonspecific millimetric nodules of 4x2 mm in size in the anterior subpleural area of the right lung upper lobe anterior segment and 4 mm in diameter superposed on the minor fissure are observed in the middle lobe and 3 mm in diameter in the lateral subpleural area. No significant pleural effusion, pneumonia or pneumothorax was detected in both lungs.\n<mediastinum>: A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Left adrenal gland locus is normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Upper abdominal organs included in the sections are normal. There is an 8 mm diameter nodule in the right adrenal lateral crus.\n\nImpression:\nMild emphysema appearance in both lungs.  Several millimetric nonspecific nodules in both lungs.  There is an 8 mm diameter nodule in the right adrenal lateral crus.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8173/train_8173_a/train_8173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules in nonspecific millimetric dimensions.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, there are nonspecific millimetric nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8179/train_8179_a/train_8179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?small vessel disease?). No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. There are no lytic-destructive lesions in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs . Millimetric nodules in both lungs . Millimetric atheroma plaque in the left main coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8187/train_8187_a/train_8187_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19428",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Mosic attenuation is observed in both lungs. A fissure-based nodule of 5 mm in diameter is observed in the anterobasal segment of the lower lobe of the right lung (intraparenchymal lymph node?). Pleuroparenchymal sequelae densities and peribronchial wall thickenings are accompanied in both lung lower lobes.\n<pleura>: Pleural effusions with a diameter of 3.1 cm on the right and 1.5 cm on the left are observed in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal aortopulmonary lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum.\n<heart>: Calcifications are observed in the walls of the coronary artery.\n<bone>: There is metallic suture secondary to previous surgery on the sternum. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, bilateral adrenal glands have a natural appearance.\n\nImpression:\nPleural effusion in both lungs, subsegmental atelectasis and peribronchial wall thickening in the lung parenchyma adjacent to the effusion, mosaic attenuation (small airway disease?, small vessel disease?).  A fissure-based 5 mm diameter nodule (intraparenchymal lymph node?) in the anterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8193/train_8193_a/train_8193_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Although the described appearances are not specific, the findings were primarily evaluated in favor of Covid-19 pneumonia during the pandemic process. Diffuse ground glass appearances and interlobular septal thickenings accompanying ground glass appearance and minimal bronchiectasis were observed in both lungs. The described findings involve almost all of the lobes in both lungs, especially in the lower lobes. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8199/train_8199_a/train_8199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Viral pneumonias are considered primarily in the etiology of the findings. In the current examination, there are areas of increased density in the peribronchial areas of both lungs, consistent with newly developed consolidation with indistinct borders.\n<mediastinum>: The pathological size observed in the mediastinum and the sizes of non-appearing lymph nodes showed minimal increase in the current examination. No lymph nodes in pathological size and appearance were observed in both axillary regions, in the retropectoral area, in the neighborhood of the internal mammary vascular structure, and in the mediastinum. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; calibration of vascular structures is natural.\n<heart>: Minimal pericardial effusion was observed. There is an increase in heart size. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; calibration of vascular structures is natural.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<breast>: An irregularly circumscribed lesion was observed in the upper outer quadrant of the left breast with soft tissue density, which was also observed in the previous PET CT examination of the patient.\n<bone>: Multiple localized lytic-sclerotic stable metastatic bone lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nBreast ca.  Areas of increase in density consistent with consolidation in both lungs evaluated in favor of newly developed pneumonic infiltration on current examination.  Increased heart size and minimal pericardial effusion.  Stable metastatic bone lesions in multiple localizations in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8203/train_8203_a/train_8203_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in both lungs. There is a significant regression in the current examination in the ground glass density increases-crazy paving appearances in which septal thickenings were observed in both lung parenchyma in the previous examination. According to the previous examination, stable parenchymal nodules were observed in both lung parenchyma. In the described localizations, the increase in the density of faint ground glass draws attention in the current examination.\n<mediastinum>: Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No lymph nodes were detected in both axillary, retropectoral, internal mammarian and mediastinal pathological dimensions and appearance.\n<heart>: According to the previous pericardial examination, stable minimal effusion was observed. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: As far as can be seen; According to the previous examination, asymmetric soft tissue density with stable irregular borders was observed in the upper outer quadrant of the left breast.\n<abdomen>: Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nBreast ca.  There is significant regression in the current examination in the infiltration areas observed in the previous examination in both lungs. No newly emerging infiltration was detected.  Minimal pericardial effusion.  Stable parenchymal nodules in both lungs.  Stable metastatic bone lesions in multiple localizations in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8203/train_8203_b/train_8203_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19454",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are nodules in both lungs and evaluated in favor of metastases. Occasional atelectasis was observed in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). There are sometimes linear atelectasis in both lungs. The largest of these nodules is observed in the upper lobe of the right lung and measures approximately 8x6 mm in size. Minimal ground-glass appearances were observed in the lower lobe of the left lung. No mass was detected in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Atheroma plaques were observed in the aorta. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. There is pericardial thickening. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: However, there is minimal height loss in the T6 and T7 vertebral bodies. Other vertebral body heights are normal. Lytic-sclerotic bone lesions are observed in the bone structures within the sections and are consistent with metastases. No soft tissue component accompanying metastases was detected.\n<abdomen>: Atheroma plaques were observed in the aorta. Liver contours are irregular. Liver parenchyma density decreased in line with fatty deposits.\n\nImpression:\nBreast ca, bone metastases, lung metastases in follow-up.  Mosaic attenuation pattern in both lungs.  Atelectasis in both lungs.  Minimal ground glass views in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8203/train_8203_c/train_8203_c_1.npy"
        ]
    },
    {
        "id": "report_generation_19460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There are lymph nodes that do not reach the pathological dimension at the right hilar level. In the anterior and posterior segments of the right lung upper lobe, the lower lobe superior segment in the middle lobe, the upper lobe apicoposterior in the left lung, and the lingular segment of the lower lobe superior segments, a branch with bud view is common, which is compatible with infiltration. A nodule with 11 mm diameter is observed in the mediastinal area in the superior segment of the left lung lower lobe. When examined in the lung parenchyma window; In the upper lobe of the right lung, a honeycomb appearance is observed that attaches to the interlobar fissure and extends slightly caudally. A 5 mm diameter nodule is observed in the superior segment of the right lung lower lobe.\n<mediastinum>: It is wider than normal. It is at the maximal physiological limit. Calcific plaques are observed in the abdominal aorta. At the level of the aortic arch, calcific atheroma plaques are observed in the descending and ascending aorta and coronary arteries in its main branches. Multiple lymph nodes at the vascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, the largest of which is measured at 17x10 mm in the aorticoulmonary window. Pulmonary trunk calibration was measured as 34 mm. Arch aortic calibration is 33 mm.\n<heart>: CTO is at the maximal physiological limit. At the level of the aortic arch, calcific atheroma plaques are observed in the descending and ascending aorta and coronary arteries in its main branches.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are intense degenerative changes and significant osteoporosis in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the evaluation of upper abdominal organs including sections; There is a decrease in density consistent with hepatosteatosis in the liver. It is wider than normal. It is at the maximal physiological limit. Calcific plaques are observed in the abdominal aorta. At the level of the aortic arch, calcific atheroma plaques are observed in the descending and ascending aorta and coronary arteries in its main branches. There is a hiatal hernia. Arch aortic calibration is 33 mm.\n\nImpression:\nBranch views with diffuse infiltrative buds in both lungs. Honeycomb appearance and adjacent cavitary lesion in the posterior segment of the upper lobe of the right lung and approximately 16x17 mm in size in this area.  Intense degenerative changes in bone structures and marked osteoporosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8206/train_8206_a/train_8206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. There are linear atelectasis in both lungs, most prominent in the lower lobe of the right lung. In addition, there are budding tree appearances in both lungs, most prominently in the upper lobe of the right lung. It is recommended to evaluate the patient together with laboratory findings. The views described are nonspecific. These appearances may be infective pathology. There is consolidation in a small area in the posterior segment of the right lung upper lobe. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 8 mm in short diameter. The diameter of the main pulmonary artery was 37 mm and was wider than normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. The height of the thoracic vertebral corpus is minimally reduced in places. There is widespread low density consistent with osteopenia in the bone structures within the sections. Intervertebral disc distances are markedly narrowed. There are rasped osteophytes in the vertebral corpus corners. It is recommended that the patient be evaluated for ankylosing spondylitis.\n<abdomen>: Aorta diameter is normal. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters, mediastinal and hilar lymph nodes.  Findings in both lungs that may be compatible with infective pathology.  Emphysematous changes in both lungs.  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8206/train_8206_b/train_8206_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19468",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: In the case with a previous Covid anamnesis, there are ground-glass-like density increases in both lungs with widespread confluence, and density increases compatible with pleuroparenchymal sequelae on this background, peribronchial thickenings and mild tractional bronchiectasis appearances on this background at baseline. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: Calibration of major vascular structures in the other mediastinum is normal. No pathologically sized and configured lymph nodes are observed in the mediastinum and at both hilar levels. The aortic arch is at the maximal physiological limit.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Dorsal kyphosis increased. Degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. An isoic nodular density is observed with the spleen, which is evaluated as compatible with the accessory spleen with a round configuration in the anterior of the spleen. Upper abdominal organs included in the sections are normal. The aortic arch is at the maximal physiological limit. Surrounding soft tissue plans are natural. A nonspecific hypodense lesion with a diameter of approximately 5 mm is observed at the level of the right lobe of the liver. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area.\n\nImpression:\nWidespread ground-glass-like density increases in both lungs, accompanying mild consolidation areas and sequelae changes, mild tractional bronchiectasis appearances in the bases in a case with a previous Covid anamnesis.  Mild hiatal hernia.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8209/train_8209_a/train_8209_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Pulmonary nodules less than 5 mm in diameter were observed in both lungs. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe and left lung upper lobe lingular segment. It is recommended to be evaluated together with clinical and laboratory in terms of atypical pneumonic infiltration. Tubular bronchiectasis, which became prominent in the center, was observed in both lungs. Focal ground glass densities were observed in the left lung lower lobe laterobasal and posterobasal segments.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No pathologically enlarged lymph nodes were observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Gallbladder, spleen, pancreas, both adrenal glands and both kidneys are normal. No intraabdominal free fluid-collection was detected. Two hypodense lesions with a diameter of 11 mm were observed in the lateral segment of the left lobe of the liver (cyst?), as far as can be seen in the non-contrast sections.\n\nImpression:\nIt is recommended to be evaluated together with the clinic and laboratory in terms of focal ground-glass densities, atypical pneumonic infiltration in the laterobasal-posterobasal segment of the left lung lower lobe.  Nonspecific pulmonary nodules with diameters less than 5 mm in both lungs.  Tubular bronchiectasis prominent in the center of both lungs. Passive atelectatic changes in the right lung middle lobe and left lung upper lobe lingular segment.  Two hypodense lesions in the lateral segment of the left lobe of the liver, which could not be characterized on non-contrast examination (cyst?).  Scoliosis with left-facing scoliosis at the thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8212/train_8212_a/train_8212_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19476",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Fibrotic density increases with reticular sequelae were observed in both lung apexes. A band atelectatic change was observed in the inferior lingular segment of the left lung. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Right upper and lower paratracheal, subcarinal lymph nodes with a short axis measuring 8 mm at the right lower paratracheal level, which did not reach pathological dimensions, were observed.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, the liver parenchyma density was diffusely decreased in favor of hepatosteatosis. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected.\n\nImpression:\nA few nonspecific parenchymal nodules in both lungs . Sequelae reticular density increases in the apices of both lungs . Band atelectasis in the left lung inferior lingular segment . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8213/train_8213_a/train_8213_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Multiple nodules were observed in both lungs. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. These nodules were first evaluated in favor of metastasis. The largest of these nodules is observed in the superior segment of the lower lobe of the right lung and is approximately 18x24 mm in size.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Lymph nodes are observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 13 mm. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection and pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMultiple nodules in both lungs primarily evaluated in favor of metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8216/train_8216_a/train_8216_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Clinical and laboratory evaluation is recommended.\n<pleura>: In the evaluation made in the lung parenchyma window; Multisegmental peripheral subpleural ground-glass densities are observed in both lungs, and Covid-19 pneumonia is considered in the etiology of the described findings. No pericardial, pleural effusion or thickness increase was detected.\n<mediastinum>: It could not be evaluated optimally due to the lack of contrast in cardiac examination in the mediastinal main vascular structures. There are no pathological lymph nodes in the mediastinum, bilateral axillary region and supraclavicular level.\n<heart>: Calibration of vascular structures, heart, contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: Abdominal solid organs in the upper abdomen sections within the image could not be evaluated optimally due to the lack of contrast in the examination, and as far as can be observed, a hyperdense stone of 3 mm in size is observed in the middle zone of the right kidney.\n\nImpression:\nPeripheral subpleural localized ground-glass densities in both lungs; Covid-19 pneumonia is considered in the etiology of the described findings. It is recommended to be evaluated together with clinical and laboratory tests.  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8217/train_8217_a/train_8217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; azygos fissure variation was observed in the upper lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A calculi image with a diameter of 3 mm was observed in the middle zone of the right kidney. Upper abdominal organs included in the sections are normal.\n\nImpression:\nVariation of azygos fissure in the upper lobe of the right lung . There was no finding in favor of infection in the lung parenchyma.  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8217/train_8217_b/train_8217_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings suggest primarily viral pneumonias. Covid-19 pneumonia cannot be excluded. When examined in the lung parenchyma window; In both lungs, a ground-glass density is observed in all segments with an indistinct marginal convergence tendency.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCommon ground glass densities in all segments in both lung parenchyma, evaluation together with clinical and laboratory findings in terms of Covid-19 pneumonia and post-treatment control are recommended. Sliding type mild hiatal hernia at the lower end of the esophagus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8225/train_8225_a/train_8225_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window, as far as it can be observed secondary to motion artifacts; Mild passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other vascular structures of the mediastinum are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: The ascending aorta is wider than normal with an anterior-posterior diameter of 36 mm. Stent was observed in LAD. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Vertebral corpus heights in the study area were preserved. Hemangioma was observed in C7 vertebra.\n<abdomen>: As far as can be seen within the sections; liver, gall bladder, spleen, pancreas, both adrenal glands, both kidneys are natural.\n\nImpression:\nEctasia in the ascending aorta . Stent in the LAD . Hiatal hernia . A few millimetric nonspecific parenchymal nodules in both lungs . Minimal passive atelectatic changes in the medial segment of the right lung middle lobe and left lung inferior lingular segment . Hemangioma in the C7 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8226/train_8226_a/train_8226_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: The area of consolidation in the right lung lower lobe posterobasal segment, which was observed in the previous examination, was not detected in the current examination. An air cyst with a diameter of 12 mm was observed in the laterobasal segment of the lower lobe of the right lung. However, no significant regression was detected. In addition, branches with buds observed in the previous examination in the left lung lower lobe laterobasal segment showed regression in the current examination.\n<pleura>: An irregularly circumscribed mass measuring 20mm in the longest diameter was observed in the subpleural area in the mediobasal segment of the left lung lower lobe (23mm in the longest diameter in the previous examination). Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<heart>: Heart contour and size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: No significant pathology was detected in other bone structures in the study area. Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Parenchymal calcification was observed in the spleen. Upper abdominal organs included in the sections are normal. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nNearly complete regression was observed in the consolidation areas of the lower lobe of the right lung, in the ground glass areas and bud branch appearances observed in both lungs in the previous examination.  Atherosclerotic changes in the thoracic aorta, . Mediastinal and hilar stable lymph nodes.  Stable mass in the spinal canal in T3 vertebra, which was initially evaluated in favor of meningioma.  There was no finding suggestive of progression in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8227/train_8227_a/train_8227_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19545",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Calcification with a short diameter of 10 mm was observed in the right hilar region (calcified lymph node?). When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No obvious pathology was detected. No pathological wall thickening was detected. In addition, several short lymph nodes reaching 5 mm were observed in the paratracheal area. In the anterior mediastinum, the appearance of soft tissue density of the thymus was observed. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<heart>: Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<esophagus>: Thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRight hilar calcified lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8241/train_8241_a/train_8241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infilrative lesion or nodule formation is observed in the lung parenchyma. Amorphous calcification of 1.5 cm in diameter with irregular borders in the right hilar is observed (calcified lymph node?).\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Right subclavian placed venous catheter is observed and the catheter tip ends centrally.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. Vertebral corpus heights are normal. Trabeculation is prominent in the vertebral corpuscles and it was evaluated as compatible with generalized osteopenia.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Bilateral adrenal glands are normal.\n\nImpression:\nRight hilar calcified lymph nodes. Osteopenic appearance in all vertebral corpuscles included in the study area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8241/train_8241_b/train_8241_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19579",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Significant motion artifacts are observed in the examination. US control is recommended.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaque formations are also present in the aortic arch and wall of the descending aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaque formations are observed in the coronary artery walls and heart valve localizations. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Shallow Schmorl nodules are observed in the inferior of the vertebral corpuscles. Sternal multiple intact metallic cerclages are observed. An appearance due to previous sternotomy is observed in the sternum. There is left-facing scoliosis in the thoracic vertebral column. When the bone was examined in the window, no lytic-destructive lesion was detected in the thoracic vertebral column and other bones forming the thorax. Air images are observed in the bilateral sternoclavicular joints.\n<abdomen>: Thoracic aorta diameter is normal. Liver, spleen, in the upper abdominal organs included in the sections are native. Calcific plaque formations are also present in the aortic arch and wall of the descending aorta.\n\nImpression:\nCalcific plaque formations in the descending aorta and coronary artery walls in the aortic arch. Left-facing scoliosis.  Nodular formation in the right lobe inferior of the thyroid gland entering the examination area, US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8247/train_8247_a/train_8247_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are bilateral central and peripheral localized ground glass densities in places, nodular consolidation areas and septal thickenings in all lobes of both lungs. If it is evaluated together with the clinic and laboratory, it would be appropriate to compare it with the old tomography. Radiological findings are in favor of Covid pneumonia.\n<pleura>: There is a 4 mm diameter pleural-based nonspecific nodular lesion in the posterobasal segment of the lower lobe of the left lung. Subpleural linear density increases are accompanied by band formations.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nWidespread peripheral and centrally located nodular consolidations in all lobes of both lungs, accompanying septal thickening and subpleural band formations, radiological findings were evaluated in favor of Covid pneumonia. Correlation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8248/train_8248_a/train_8248_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in both lung parenchyma. No mass was detected in both lung parenchyma. Uniform interlobular septal thickenings are observed in both lungs (secondary to cardiac pathology?).\n<pleura>: Bilateral minimal free pleural effusion is observed. Peripheral subpleural focal ground-glass density increases are observed in the upper lobe of the left lung.\n<mediastinum>: Mediastinal main vascular structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures as far as can be observed is natural. There are calcified lymph nodes in the right hilar region with a short axis smaller than 7 mm in mediastinal upper-lower paratracheal, prevascular, precarinal and subcarinal and bilateral hilar localizations.\n<heart>: Pericardial effusion-thickening was not observed. Heart size increased ( cardiomegaly).\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<breast>: Soft tissue densities compatible with gynecomastia are observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes and an increase in trabeculation consistent with osteopenia are observed in the bone structures in the study area.\n<abdomen>: Splenorenal venous collateral is observed. Minimal free fluid is observed in the perihepatic and perisplenic areas. The spleen CC size was 149 mm and increased (splenomegaly). In the upper abdominal sections included in the examination area, the left lobe of the liver and the caudate lobe appear hypertrophied. It is recommended to be evaluated for chronic liver disease. Its contours are irregular.\n\nImpression:\nCardiomegaly, mediastinal lymph nodes. Mosaic attenuation pattern in both lungs, smooth interlobular septal thickenings in bilateral lung parenchyma (secondary to cardiac pathology?). Focal ground-glass density increases in the upper lobe of the left lung. Bilateral minimal pleural effusion.  Findings consistent with chronic liver disease, splenomegaly. Minimal free fluid in the perihepatic and perisplenic space . Splenorenal collaterals . Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8250/train_8250_a/train_8250_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19593",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: When examined in the lung parenchyma window; Both hemithorax are symmetrical. There are faint ground-glass-like density increases in the posterobasal and lower lobe superior segments of the right lung.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: observed wider than normal. No pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels. CTO is normal. The aortic arch calibration is 31 mm.\n<heart>: Pericardial effusion-thickening was not observed. Calibration of other major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Other upper abdominal organs included in the sections are normal. CTO is normal. Its contours appear irregularly hypovolemic, but partially enter the image. Environment oily plans are dirty. observed wider than normal. There are postop changes in the parts of the left kidney that fall into the image area. Surrounding soft tissue plans are natural. Rectus diastasis is observed in the case. The aortic arch calibration is 31 mm.\n\nImpression:\nPostop changes in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8253/train_8253_a/train_8253_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Nodular infiltrates were observed in the left lung lower lobe laterobasal segment and right lung middle lobe. Other viral pneumonias can be considered in the differential diagnosis. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Clinical laboratory correlation is recommended. In addition, pleuroparenchymal sequelae density increases were observed in the right lung middle lobe medial segment. The outlook can be traced in the early stages of Covid-19 pneumonia.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; Millimetric focal ground glass density increases were observed in the peripheral subpleural areas in the upper lobes of both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial minimal effusion was observed.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nGround-glass density increases in the peripheral subpleural area in the lower lobe of the left lung and middle lobe of the right lung and nodular consolidation in the upper lobe of the right lung; The outlook can be observed in the early stages of Covid-19 pneumonia. Other viral pneumonias can be followed in the differential diagnosis. Clinical-laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8258/train_8258_a/train_8258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; milimetric nonspecific subpleural nodules, mostly located peripherally, are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. At the level of the lytic area described in the right foramen at Th8-9 level, the soft tissue component is close to the nerve root, and the neural foramen is narrowed.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Lytic-sclerotic lesions compatible with multiple myeloma are observed in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThe millimetric nodules described above are also observed in the previous oncological PET CT.  Lytic-sclerotic lesions compatible with multiple myeloma in bone structures  At the level of lytic area defined in the right foramen at Th8-9 level, the soft tissue component is close to the nerve root, and the neural foramen is narrowed. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8260/train_8260_a/train_8260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Diffuse nodular calcifications were observed in the trachea and both main bronchial walls (tracheobronkopatia osteochondroplastica?).\n<lung>: Multiple parenchymal nodules were observed in different localizations in both lungs. Metastasis should be considered in the differential diagnosis in a patient whose primary is unknown. The largest of the nodules described was 9 mm in diameter in the upper lobe apicoposterior in the left lobe, and 8.6 mm in diameter in the lower pole laterobasal segment in the right lobe. When both lungs are evaluated in the parenchyma window: A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Diffuse calcifications were observed in the thoracic aorta and coronary artery walls. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: The diameter of the ascending aorta was 48 mm and showed fusiform dilatation. As far as can be observed: CTO increased in favor of the heart. Stent material was observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: A well-circumscribed, 21 mm diameter hypodense lesion with a HU value of 22 was observed in the right adrenal gland. No gall bladder was observed in the upper abdominal sections that entered the examination area. Diffuse calcifications were observed in the thoracic aorta and coronary artery walls. Hypodense lesions measuring 27 mm in diameter were observed in the right kidney (cyst?).\n\nImpression:\nAtherosclerotic changes, fusiform dilatation of the ascending aorta.  Cardiomegaly.  Multiple parenchymal nodules in both lungs, the larger of which is calcified in the left lung; In the patient whose primary is unknown, further investigation is recommended for possible metastasis.  Sequelae changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Cholecystectomy.  Hypodense lesion in the right adrenal gland.  Hypodense lesions (cyst?) in the right kidney.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8263/train_8263_a/train_8263_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A stable calcified parenchymal nodule with a diameter of 8.5 mm was observed in the upper lobe of the left lung, adjacent to the fissure. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calibration of other mediastinal major vascular structures is natural. The descending aorta shows an elongated course. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. As far as can be seen; The diameter of the ascending aorta was 46 mm and showed fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The descending aorta shows an elongated course. One or two hypodense lesions (cortical cysts) were observed in the right kidney. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the right adrenal gland, 24x17 mm in size, well-defined hypodense lesion with an average HU value of 23 was observed. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized). Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Fusiform dilatation of the ascending aorta.  Atherosclerotic changes.  Stable hypodense lesion in the right adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8263/train_8263_b/train_8263_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Some calcific millimetric nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Apart from this, other mediastinal main vascular structures, heart contour and size are normal. Calcific atheroma plaques are observed in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Apart from this, other mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion-thickening was not observed. The ascending aorta is ectatic (50 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheroma plaques are observed in the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nArch of aortic ectasia.  Aortic atherosclerosis.  Millimetric nonspecific nodules in the lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8271/train_8271_a/train_8271_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to be evaluated together with the findings. Clinic and lab in terms of Covid-19 pneumonia. Apart from this, a patchy mosaic attenuation pattern and ground-glass densities that cannot be clearly characterized are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Ground glass densities are observed in the right lung upper lobe posterior segment, right lung lower lobe superior segment, and subpleural areas.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround glass densities and mosaic attenuation pattern evaluated in favor of viral pneumonia. Clinical and lab results in terms of Covid-19 pneumonia. correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8278/train_8278_a/train_8278_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Millimetric nonspecific calcific nodules were observed in the left lung. When examined in the lung parenchyma window; In both lung parenchyma, faintly circumscribed ground glass densities that do not show any nonspecific significant difference are observed.\n<pleura>: Minimal pleural effusion is observed on the left.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the bone structures in the study area, there are sclerotic foci in the right scapula in the right half of the T3 vertebra and are stable.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nOperated colon Ca  Nonspecific clear ground glass densities in both lungs  Minimal pleural effusion on the left  Millimetric nonspecific calcific nodules in the left lung  Stable sclerotic foci in the right half of the T3 vertebra, right scapula"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8278/train_8278_b/train_8278_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19672",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal bronchiectasis is observed in both lungs, especially in the central parts. There are minimal emphysematous changes in both lungs. Bronchiectasis is accompanied by minimal peribronchial thickening in the lower lobes of both lungs and minimal volume loss in the anteromediobasal segment of the right lung middle lobe and left lung lower lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Some of the lymph nodes are calcific. There are calcific atheromatous plaques in the aorta and coronary arteries. There are no lymph nodes in pathological size and appearance. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: When evaluated together with their densities, the lesions described were thought to be cysts. No pathologically enlarged lymph node was detected. A hyperdense lesion measuring approximately 10 mm in diameter is observed in the parapelvic region in the middle part of the right kidney. No upper abdominal free-collection was detected within the sections. In addition, there are hypodense lesions in both kidneys. There are calcific atheromatous plaques in the aorta and coronary arteries. The described lesion cannot be characterized because no contrast agent was given. The lesion may belong to a hemorrhagic cyst. It is recommended to correlate the patient with USG. In the right half of the abdomen and in the right hemithorax, a tubular structure is observed in the subcutaneous adipose tissue, which terminates at the level of the greater curvature of the stomach and is evaluated in favor of a ventricular peritoneal shunt catheter.\n\nImpression:\nMinimal bronchiectasis in both lungs, peribronchial thickening and volume loss in places.  Minimal emphysematous changes in both lungs. Atherosclerotic changes in the aorta and coronary artery. Hiatal hernia.  Hypodense lesions (cysts?) in the right kidney, hyperdense lesion (hemorrhagic cyst?) located in the parapelvic region in the middle part of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8289/train_8289_a/train_8289_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric calcifications located in the pelvicalyceal region in the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLeft nephrolithiasis.  Findings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8304/train_8304_a/train_8304_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild atelectatic changes are observed in the apical levels of both lungs in the upper lobes.\n<pleura>: Diffuse nodular patchy ground-glass densities observed in both lungs in the previous examination, which may be compatible with large consolidation areas, subpleural findings, especially in the upper apical levels, show significant regression and were not detected in the current examination.\n<abdomen>: Millimetric hyperdense findings in the left kidney were evaluated in favor of suspicious stones.\n\nImpression:\nInfectious findings described in the previous PET CT are not observed in the current examination. It shows total regression.  Millimetric subpleural nodular appearances and recessions are observed in both lungs, especially on the right side, at the levels where large lesions were observed in the previous examination. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8304/train_8304_b/train_8304_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; right lung lower lobe basal level mild bronchiectasis, budding tree images are available. Clinical laboratory correlation monitoring is recommended for atypical viral pneumonias.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes are present in bone structures.\n<abdomen>: There are 1-2 stones measuring up to 4 mm in size in the middle zone of the left kidney. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nFindings that may be compatible with atypical viral pneumonias at the basal level of the lower lobe of the right lung. Clinical laboratory correlation and follow-up is recommended.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8304/train_8304_c/train_8304_c_1.npy"
        ]
    },
    {
        "id": "report_generation_19718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: Sequelae changes are observed in both lungs, and there is a pleural-based nonspecific nodule measuring 5.5 millimeters in the lateral segment of the right lung middle lobe. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions are detected in the bone structures within the image, and there are osteophytic degenerative changes in the vertebral corpus corners.\n<abdomen>: A slight decrease in liver parenchyma density of hepatosteatosis was noted in the upper abdomen sections within the image. Thoracic aorta diameter is normal. Calcified atheroma plaques are observed on the walls of the aortic arch and coronary vascular structures.\n\nImpression:\nCalcified atheroma plaques on the walls of the aortic arch and coronary vascular structures, sequelae changes in both lungs, millimeter-sized pleural-based nonspecific nodule in the lateral segment of the right lung middle lobe, degenerative changes in bone structures. ,"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8306/train_8306_a/train_8306_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the basal segment of the lower lobe of the right lung, a millimetric non-specific nodule is observed in serial 201 image 118. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA millimetric non-specific nodule is observed in serial 201 image 118 in the basal segment of the lower lobe of the right lung. Thoracic CT examination within normal limits, except as described"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8314/train_8314_a/train_8314_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; Interlobular-intralobar septal thickenings and peribronchial thickening in segmental-subsegmental bronchi were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway ? small vessel disease?). Diffuse linear-subsegmental atelectatic changes were observed in the posterior parts of both lungs, lower lobes and upper lobes.\n<mediastinum>: As far as can be seen; The ascending aorta is slightly wider with an anterior-posterior diameter of 39 mm and an anterior-posterior diameter of the descending aorta of 28 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of the pulmonary arteries is above normal. In the mediastinum, lymph nodes, some of which are calcified, with short axes below 1 cm, which did not reach pathological dimensions, were observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<heart>: Cardiac pacemaker and catheters extending to the right ventricle were observed on the anterior chest wall on the right. Pericardial effusion-thickening was not observed. Left heart dimensions were significantly increased. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Findings are consistent with cardiac stasis.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. Findings consistent with diffuse idiopathic bone hyperostosis at the thoracic level.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The ascending aorta is slightly wider with an anterior-posterior diameter of 39 mm and an anterior-posterior diameter of the descending aorta of 28 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections. An increase in density was observed in the gallbladder lumen, which gives a dependent level.\n\nImpression:\nCardiac pacemaker placed on the chest wall on the right, cardiomegaly, marked dilatation in the left cavities, fusiform ectasia in the thoracic aorta, increased pulmonary artery diameters, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Bilateral pleural effusion and pulmonary cardiac stasis.  Mosaic attenuation pattern in both lungs (small airway ? small vessel disease?).  Diffuse linear-subsegmental atelectatic changes in both lungs.  The increase in the density of the gallbladder, which gives a level in its lumen, is recommended to be evaluated together with US in terms of sludge-stone.  Old costal fractures at multiple levels in both hemithorax.  Findings consistent with diffuse idiopathic bone hyperostosis at the thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8320/train_8320_a/train_8320_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of the infectious process, and clinical laboratory correlation follow-up is recommended due to the current pandemic. When examined in the lung parenchyma window; Patchy ground-glass densities are observed in both lungs, accompanied by mosaic attenuation patterns, especially in the upper lobes. The low-density nodule in the upper lobe of the right lung, which was described in the previous examination, is not observed secondary to the patchy ground glass densities and mosaic attenuation patterns observed at this level in the current examination.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. It causes intense artifacts. Mediastinal main vascular structures, heart contour are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: The device of the pacemaker double chambre catheter is observed on the right anterior chest wall.\n<bone>: There are hypertrophic osteophytic taperings in the light endplates and diffuse density reduction in the bone structures in the anterior of the vertebral corpus, which is included in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDue to the current pandemic, close follow-up of clinical laboratory correlation is recommended for differential diagnosis of other infectious processes. It is recommended for the differential diagnosis of Covid-19 viral pneumonia and other infectious processes.  New small amount of effusion in the right hemithorax, regression in the effusion observed in the left hemithorax.  Atelectasis changes, volume losses in both lung lower lobe basal segments.  Increase in heart size. Cardiac pacemaker is monitored. Left rib fractures.  Degenerative changes in bone structures, diffuse density reduction."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8320/train_8320_c/train_8320_c_1.npy"
        ]
    },
    {
        "id": "report_generation_19762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: The appearance suggests viral pneumonias and Covid-19 was considered in the first place. There is a 45x19 mm consolidation area in the middle lobe of the right lung. Multiple lymph nodes, some of which did not reach calcified pathological dimensions, were observed in the mediastinum and in the peribronchial areas of both hilum (sequelae of granulomatous infection). There is a ground-glass consolidation in all lobes of the right lung and in the superior segment of the lower lobe of the left lung, more commonly in the right lung, accompanied by ground glass densities around it, in which air bronchograms are observed. When examined in the lung parenchyma window; Multiple calcific nodules were observed in both lungs (secondary to previous granulomatous infection).\n<pleura>: In addition, there is a focal ground glass area in the peripheral subpleural area in the left lung upper lobe lingular segment. Minimal thickening of the posterior costal pleura was observed in both hemithoraces. Bilateral pleural effusion was not observed.\n<mediastinum>: Multiple lymph nodes, some of which did not reach calcified pathological dimensions, were observed in the mediastinum and in the peribronchial areas of both hilum (sequelae of granulomatous infection). The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures are normal. Diffuse calcified atheroma plaques were observed in the aortic arch and coronary arteries.\n<heart>: Heart size increased. Diffuse calcified atheroma plaques were observed in the aortic arch and coronary arteries. Minimal loculated effusion was observed in the pericardial space on the right at baseline.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. Mild degenerative changes were observed in the vertebrae.\n<abdomen>: Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination. Diffuse calcified atheroma plaques were observed in the aortic arch and coronary arteries. In both kidneys, hypodense nodular lesion areas, the largest of which reached 6 cm in diameter, were observed on the left (cyst?). Both kidneys are atrophic.\n\nImpression:\nDiffuse calcified atheroma plaques in the arcus aorta and coronary arteries . Cardiomegaly, minimal pericardial effusion . Hiatal hernia . Lymph nodes in the peribronchial areas, some of which are calcified in the mediastinum and both hilum, and calcific nodules in the parenchyma of both lungs (past granulomatous infection) Patchy and nodular consolidation areas in which air bronchograms are observed more commonly in peripheral areas in all lobes of the right lung and in the superior segment of the left lung lower lobe, and ground glass densities adjacent to it, consolidation with lobulated contours in the middle lobe of the right lung, the described findings were evaluated in accordance with viral pneumonia. laboratory correlation is recommended.  Atrophy of both kidneys, hypodense nodular lesions (cyst?).  Minimal degenerative changes in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8321/train_8321_a/train_8321_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed.\n<lung>: The appearance suggests an infectious process in the first place. Two air cysts, the largest measuring 1.5 cm in diameter, are observed in the upper lobe of the left lung. Clinical and laboratory correlation and post-treatment control are recommended. A few millimetric calcified nonspecific pulmonary nodules are observed in both lungs, the largest of which is 3.5 mm in diameter in the superior segment of the left lung lower lobe. In the evaluation of both lung parenchyma; Widespread patchy consolidation areas are observed in both lungs, especially in the central perihilar lower lobes.\n<pleura>: Bilateral pleural thickening was not observed. There is minimal pleural effusion measuring 7 mm in thickness on the right.\n<mediastinum>: As far as can be seen; The heart and mediastinal vascular structures have a natural appearance. Lymph nodes with calcified short axis smaller than 7 mm are observed in the lower paratracheal and right hilar areas in the mediastinal upper-lower paratracheal prevascular subcarinal area. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: As far as can be seen; The heart and mediastinal vascular structures have a natural appearance. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Bilateral adrenal glands appear natural. Sections passing through the upper part of the abdomen are natural.\n\nImpression:\nMediastinal lymph nodes of millimetric size, some of which are calcified. Diffuse patchy areas of consolidation in both lungs. The outlook was primarily evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. Millimetric-sized nonspecific pulmonary nodules, some of which are calcified, in both lung parenchyma. Air cysts in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8331/train_8331_a/train_8331_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19784",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, peripheral patch-like ground-glass consolidations in the bulbus with air bubbles are observed in the lower lobes of both lungs. In addition, nonspecific nodules smaller than 5 mm are observed in the anterior segment of the right lung upper lobe. It was evaluated as significant for Covid-19 pneumonia. In addition, a 2.7x2 cm mass with a smooth lobulated contour is observed in the mediobasal segment of the lower lobe of the right lung. Calcifications in millimeter size are observed in it (ima 55). In the evaluation of both lung parenchyma; Widespread emphysematous areas are observed in both lungs. In addition, there is a prominent interstitial pattern in both lung parenchyma, which may be compatible with interstitial lung disease, in peripheral lung parenchyma.\n<pleura>: No pleural effusion was detected in both hemithorax.\n<mediastinum>: Calcifications are observed in the walls of the ascending, descending, aortic arch and coronary artery. No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal aortopulmonary prevascular lymph node is observed.\n<heart>: Calcifications are observed in the walls of the ascending, descending, aortic arch and coronary artery. The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No degenerative changes are observed in the vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcifications are observed in the walls of the ascending, descending, aortic arch and coronary artery. No pathology was detected in the bilateral adrenal glands. In abdominal sections, calcules are observed in the gallbladder.\n\nImpression:\nDiffuse emphysematous areas in both lung parenchyma, prominent interstitial pattern (interstitial lung disease on the ground?).  It was evaluated as significant in terms of Covid pneumonia with added patchy consolidations in the lower lobes of both lungs, more common in the lower lobes, with air bubble findings. Clinical and laboratory examination is recommended.  A mass of 2.7x2 cm in the mediobasal segment of the lower lobe of the right lung. Point calcification in it. Although there is widespread infection, control for neoplasia is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8332/train_8332_a/train_8332_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcifications were observed in the ascending aorta and aortic root.\n<heart>: As far as can be seen; Calcifications were observed in the ascending aorta and aortic root. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Left-facing scoliosis was observed in the thoracic vertebrae.\n<abdomen>: In the upper abdominal sections that entered the study area, a millimetric coarse calcification was observed at the level of the liver segment 8. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be seen; Calcifications were observed in the ascending aorta and aortic root.\n\nImpression:\nMinimally calcified atherosclerotic changes in the thoracic aorta . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8345/train_8345_a/train_8345_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19825",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was observed in both lung parenchyma.\n<pleura>: In the bilateral pleural space, free effusion up to 40 mm is observed on the right at its deepest point, and density increases consistent with atelectasis are observed in the lung parenchyma adjacent to the effusion.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of other mediastinal vascular structures is natural. There are calcific atheroma plaques on the wall of the coronary structures of the thoracic aorta.\n<heart>: An increase in heart size is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; The ascending aorta is 41 mm wider than normal. Pericardial effusion was not detected.\n<esophagus>: No pathological wall thickness increase was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image. In both axillary regions, the shortest diameter of the largest one on the right is 40 mm, the largest one on the left has a short diameter of 47 mm, and the largest one in the supraclavicular fossa with a short diameter of 22 mm at the precarinal level. There are common degenerative changes.\n<abdomen>: There are calcific atheroma plaques on the wall of the coronary structures of the thoracic aorta. The gallbladder appears distended. Multiple lymphadenopathies are observed in the mesenteric fatty planes, the largest of which is at the level of the portal hilus, with a short diameter of 29 mm in the current examination. No intraabdominal free fluid, loculated collection was detected. In the upper abdominal segments within the image; An increase in the size of the liver and spleen was noted.\n\nImpression:\nAneurysmatic dilatation of the ascending aorta, increased heart size, calcified atheromatous plaques on the wall of coronary vascular structures in the thoracic aorta.  Minimal reduction in the size of multiple pathological lymph nodes in both axillary regions, bilateral supraclavicular fossa, mediastinum and upper abdominal sections within the image, in the paraaortic area, adjacent to the portal hilus, celiac trunk and superior mesenteric artery, in mesenteric fatty planes.  Hepatosplenomegaly.  Distant appearance in the gallbladder.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8351/train_8351_a/train_8351_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; tracheal calibration is natural.\n<lung>: On this background, there are focal ground-glass-like density increases at the level of the lower lobe of the left lung. A nodule with a diameter of approximately 3 mm is observed in the superior segment of the lower lobe of the right lung and was not detected in the previous examination. It was not detected in the previous review. An air cyst is observed in the central lower lobe of the left lung. There are sequelae changes in the paramediastinal area and tractional bronchiectasis in the anterior segment of the right lung upper lobe. It was also found in the previous review. In the mid-lower zones, there is an appearance compatible with the mosaic attenuation pattern on both sides.\n<pleura>: No significant pleural effusion or pneumo thorax was detected in both lungs.\n<mediastinum>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries in the descending aorta. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Calibration of mediastinal major vascular structures is natural.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries in the descending aorta. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch and coronary arteries in the descending aorta. In the sections passing through the upper abdomen, the gallbladder was not observed in the lodge.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8356/train_8356_a/train_8356_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. Bronchiectasis is accompanied by minimal structural distortion and minimal volume loss in the medial segment of the right lung middle lobe. Ground glass areas observed in the previous examination of the patient were not detected in this examination. No mass or infiltrative lesion was detected in both lungs. There are sometimes linear atelectasis in both lungs. Minimal bronchiectasis is observed in both lungs, especially in the central parts.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta. The gallbladder is not observed (operated).\n\nImpression:\nMinimal bronchiectasis in both lungs, especially in the central parts . Minimal emphysematous changes in both lungs . Atherosclerotic changes in the aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8356/train_8356_b/train_8356_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In the right lung upper lobe posterior, lower lobe superior and posterobasal segments, left lung upper lobe apicoposterior and lower lobe, areas of increase in density-ground glass densities compatible with consolidation in which air bronchograms are also observed are observed, and pneumonic infiltration is considered in the etiology of the findings.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area, and the height of the vertebral corpus was preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections included in the image, free fluid-loculated collection within the borders of non-contrast CT, and a bordering solid mass were not detected.\n\nImpression:\nDensity increase areas and ground glass densities consistent with the consolidation observed in air bronchograms are observed in the right lung upper lobe posterior, lower lobe superior and posterobasal segments, left lung upper lobe apicoposterior and lower lobe. Pneumonic infiltration is considered in the etiology of the findings. Together with clinical and laboratory findings. Evaluation and post-treatment control are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8363/train_8363_a/train_8363_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild atelectasis changes are observed in the posterobasal levels of both lung lower lobes.\n<mediastinum>: There are several lymph nodes in the mediastinum with a short axis measuring 4 mm.\n<heart>: There are minimal calcific atheromatous plaques in the coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMild atelectatic changes are observed in the posterobasal levels of both lungs in the lower lobes. There are minimal calcific atheromatous plaques in the coronary arteries.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8364/train_8364_a/train_8364_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea calibration is natural. Mild thickening of the peribronchovascular sheath is observed.\n<lung>: There is a large bull formation measuring 73x50 mm in the anterior segment of the right lung upper lobe. Honeycomb appearances are observed in the lower zones. Tractional bronchiectasis is observed in places. There is also a thickening of the prominent interlobular fissure on the right. The largest was measured in the right lower paratracheal area, measuring approximately 15x9 mm, with hilar fat selected. Some show partial calcification. There are also lymph nodes showing partial calcification that do not reach pathological dimensions at both hilar levels. Emphysematous changes are observed in almost all areas, especially in the upper zones of both lungs.\n<pleura>: In places, it forms irregular nodular appearances in the pleural contour. Thickening is observed in the subpleural and interlobular interstitial tissue. Irregularity and thickening of the pleural contours are observed, especially in the right lung.\n<mediastinum>: Arch aortic calibration is normal. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, and in the articopulmonary window at the prevascular level.\n<heart>: In the case, catheter appearances extending from the left jugular vein to the heart are observed. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Arch aortic calibration is normal. There is nodular density in the anterior of the spleen, which is considered to be compatible with the accessory spleen with a diameter of approximately 8 mm. Density compatible with 2 mm diameter calculi is observed in the superior pole of the left kidney. In the sections passing through the upper abdomen, irregular density increases are observed in the perirenal fatty planes in both kidneys.\n\nImpression:\nFindings consistent with interstitial fibrosis in both lungs . More prominent emphysematous changes and bull formations in the upper zones of both lungs . Left nephrolithiasis . Cardiomegaly, atherosclerotic changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8366/train_8366_a/train_8366_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19862",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There was no finding in favor of active infiltration in both lungs. Minimal pelvic effusion is observed on the left, and there is minimal compression in the posterobasal segment of the left lung lower lobe adjacent to the effusion. When examined in the lung parenchyma window; There are linear atelectasis in the superior lingular segment of the lower lobe of the left lung.\n<pleura>: A subpleural, 4 mm diameter nodule is observed in the lower lobe laterobasal segment of the left lung.\n<mediastinum>: Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaque formations are observed in the wall of the descending aorta in the aortic arch. There are several mediastinal, pre-paraaortal short lymph nodes measuring 5 mm in diameter.\n<heart>: An effusion reaching 8 mm in the deepest part of the pericardium is observed. There are stents placed in the coronal arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration is normal.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. An increase in thoracic kyphosis was observed in the bone structures in the study area, and right weight syndesmophytes are present in the thoracic vertebral.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The pancreas is atrophic. In the evaluation of upper abdominal organs including sections; liver, spleen, bilateral kidneys are normal. Calcific plaque formations are observed in the wall of the descending aorta in the aortic arch. No significant increase in wall thickness was detected.\n\nImpression:\nStents inserted into the coronary arteries. Pericardial effusion. Minimal pleural effusion on the left.  Linear atelectasis in the left lung upper lobe superior lingular segment and lower lobe laterobasal segment. Atherosclerotic changes in the aortic arch and descending aortic wall in the left lung lower lobe laterobasal segment, subpleural nodule"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8367/train_8367_a/train_8367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19868",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are small filling defects evaluated in favor of secretion within the trachea. Tracheostomy cannula was observed in the patient. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal, and there is no mass or appearance compatible with pneumonic infiltration in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nTracheostomies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8369/train_8369_a/train_8369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19870",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Both lungs are diffuse emphysematous. Segmentary tubular bronchiectasis is present in both lungs. At this level, secondary to fibrotic retraction, there is volume loss and distortion in the parenchyma.\n<pleura>: There are focal calcific pleural thickening in the pleura extending from the anterior segment of the left lung upper lobe to the lingular segment and fibroatelectasis recessions extending from this level to the parenchyma. Nonspecific subpleural nodules less than 5 mm in diameter were observed in both lungs, the larger of which was in the middle lobe of the right lung and the minor fissure in the upper lobe. Pericardial-pleural effusion-thickening was not observed.\n<mediastinum>: Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the mediastinal main vascular structures, heart contour and size are normal. In the mediastinum, lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions are observed. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraortic branches and coronary arteries.\n<heart>: Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Vertebral corpus heights within the sections are normal. There is a vacuum phenomenon in the intervertebral discs at the lower thoracic level. At the mid-thoracic level, osteophytes bridging each other were observed on the right.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is normal. No mass with discernible borders was observed in the pancreas. The contour, size, parenchyma density of the spleen is normal. No gross mass with distinguishable borders was observed in both kidneys. No space-occupying solid or cystic mass lesion was detected. Accessory spleen with a diameter of 12 mm was observed in the inferior part of the splenic hilum. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraortic branches and coronary arteries. Splenic vein width is normal. A nodular hypodense lesion of 7 mm in diameter was observed in segment 4B of the liver as far as can be observed in non-contrast examinations (cyst?).\n\nImpression:\nEmphysematous appearance in both lungs. Atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches, and coronary arteries. Hiatal hernia in the distal esophagus. Focal calcific pleural thickening extending from the left upper lobe anterior segment to the lingular segment and nonspecific stable millimetric subpleural nodules less than 5 mm in diameter, the largest in both lungs, adjacent to minor fissures in the right lung middle lobe and upper lobe posterior segment. Accessory spleen at lower pole medial to spleen.  Findings consistent with mild spondylosis in the thoracic vertebrae and diffuse idiopathic bone hyperosteosis at the midthoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8370/train_8370_a/train_8370_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Parenchyma density is heterogeneous. Thyroid gland sizes are slightly increased.\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: A millimetric air cyst was observed in the lower lobe of the right lung. Linear subsegmental atelectasis areas are present in the upper lobes of both lungs. There is a nonspecific millimetric nodule with a diameter of 3 mm in the anterior segment of the right lung upper lobe. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: In the mediastinum, millimetric nonspecific lymph nodes located in the right lower paratracheal, subcarinal region were observed. The diameters of the main mediastinal vascular structures are normal.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nNonspecific millimetric lymph nodes in the mediastinum  Subsegmental atelectasis in both lungs  Suspicious findings in favor of thyroid gland parenchymal disease  Nonspecific millimetric nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8374/train_8374_a/train_8374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath and mild tubular bronchiectasis in the middle lobe are observed. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical laboratory findings in terms of interstitial lung disease. It is also available in the old review. Especially peripheral thickening is observed in interlobular septa. No pathological size and configuration of lymph nodes were detected at both hilar levels.When compared to a previous CT of the patient, no significant difference was found in the lymph nodes. Sequelae changes are observed at the apical level in the right lung. Density increases consistent with mosaic attenuation and accompanying mild nonspecific ground-glass-like densities are observed in both lungs and are also present in the previous examination. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<pleura>: There are slight irregularities on the pleural face.\n<mediastinum>: The aortic arch calibration is 37 mm. CTO is within the normal range. It is wider than normal. No lymph node with pathological size and configuration was detected in the mediastinum. There are lymph nodes in the mediastinum, the largest of which are 19x12 mm in the subcarinal area, while the others have a short sling smaller than 1 cm. Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries. Calibration of other vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hypodense lesions in both kidneys may be compatible with cortical cysts. The aortic arch calibration is 37 mm. It is wider than normal. CTO is within the normal range. Surrounding soft tissue is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n\nImpression:\nThe review was evaluated together with a previous CT of the patient.  Thickening of the peribronchial sheath and the appearance of mild tubular bronchiectasis in the middle lobe, especially peripheral thickening in the interlobular septa, mild irregularities on the pleural face; It is recommended to be evaluated together with clinical laboratory findings in terms of clarification and interstitial lung disease according to the previous examination.  Density increases consistent with mosaic attenuation in both lungs and accompanying mild nonspecific ground-glass densities (small vessel disease, small airway disease?) were not significantly different from the previous examination.  Irregularly circumscribed consolidation area with central focal necrotic appearance at the apical level of the left lung.  Nonspecific hypodense lesion in liver  Cortical cysts in both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8380/train_8380_a/train_8380_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19893",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Histopathological evaluation is recommended. It is recommended to be evaluated for interstitial lung disease.\n<pleura>: At the level of the middle lobe of the right lung, there are air images that may be compatible with a mild pneumothorax in the extra pleural distance at the level of the left lung upper lobe. When both lung parenchyma windows are evaluated; Thickening of the peribronchial sheath in both lung parenchyma, traction bronchiectasis in the middle lobe of both lungs, peripheral thickening of the interlobular septa, and irregularities in the pleural face were observed.\n<mediastinum>: Mediastinal post-op suture materials are available. Catheter images extending to the superior vena cava were observed. There is a post-op collection area of approximately 52x28 mm at the mediastinum level. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: CTO is within normal limits. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the current examination of the pericardial area, there is an effusion measuring 15 mm at its thickest part, which has just appeared.\n<bone>: There are metallic suture materials attached to the sternotomy on the anterior thorax wall. Degenerative changes were observed in bone structures.\n<abdomen>: Cortical cysts were observed in both kidneys. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8380/train_8380_b/train_8380_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19895",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Evaluation for interstitial lung disease is recommended. Histopathological evaluation is recommended. An irregularly circumscribed soft tissue lesion with a millimetric necrotic area in the center of the left lung apex was observed. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: There are air images consistent with mild pneumothorax in the extra pleural distance at the level of the middle lobe of the right lung and the upper lobe of the left lung. When examined in the lung parenchyma window; Thickening of the peribronchial sheath in both lungs, traction bronchiectasis in the middle lobe of both lungs, thickening of the interlobular septa, and irregularities in the pleural face were observed.\n<mediastinum>: In the previous examination, it was measured as 52x28 mm and shrunk. A post-op collection of approximately 44x14 mm was observed in the anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, mediastinal main vascular structures and heart contour size are normal. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Metallic sutures secondary to surgery in the sternum and bypass grafts in the mediastinum were observed.\n<heart>: As far as can be seen, mediastinal main vascular structures and heart contour size are normal. In the pericardial space, effusion reaching 19 mm in thickness was observed in its widest part.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Metallic sutures secondary to surgery in the sternum and bypass grafts in the mediastinum were observed. Degenerative changes were observed in bone structures.\n<abdomen>: Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. There are cortical cysts in both kidneys.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8380/train_8380_c/train_8380_c_1.npy"
        ]
    },
    {
        "id": "report_generation_19897",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. These appearances may be compatible with sequelae changes and/or interstitial lung disease. These findings can also be observed in the previous examination of the patient and no difference was found. There is structural distortion and loss of volume and increases in linear density around the described appearance. Minimal structural distortion and volume loss were observed around this density increase. The described appearance may be a lung mass or a pleuroparenchymal sequela fibrotic change. There was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs. Tissue diagnosis or close follow-up is recommended. There are millimetric nodules in both lungs. In the left lung upper lobe apicoposterior segment apical subsegment, there is an appearance of soft tissue density with irregular borders, measuring approximately 40x28 mm in its widest part. There are occasional linear atelectasis in both lungs and minimal interlobular septal and interstitial thickenings in both lungs, more prominent in the lower lobes and peripheral regions. The described appearance is also present in previous examinations, and no difference was detected in its dimensions and appearance.\n<pleura>: There is no pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No presternal or retrosternal collection was detected. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: There is minimal pericardial effusion. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fracture or lytic-destructive lesion was detected in the bone structures within the sections. Median sternotomy is observed.\n<abdomen>: No presternal or retrosternal collection was detected. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nPleuroparenchymal sequela fibrotic change in the upper lobe of the left lung or soft tissue appearance that may belong to a lung mass (close follow-up or tissue diagnosis is recommended).  A finding evaluated primarily in favor of pleuroparenchymal sequela fibrotic change in the apical segment of the upper lobe of the right lung.  Sequelae changes in both lungs and/or appearances that may be compatible with interstitial lung disease.  Atelectasis in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8380/train_8380_d/train_8380_d_1.npy"
        ]
    },
    {
        "id": "report_generation_19899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In the apical subsegment of the upper lobe of the left lung, the apical subsegment has an appearance of approximately 41x27 mm in soft tissue density with irregular borders. There are emphysematous changes in both lungs. These appearances may be compatible with sequelae changes and/or interstitial lung disease. Structural distortion and volume losses are present around the described view. Minimal structural distortion and volume loss were observed around this density increase. There was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs. Follow-up or histopathological examination of the described finding is recommended. There are millimetric nodules in both lungs. There are occasional linear atelectasis in both lungs and minimal interlobular septal and interstitial thickenings in both lungs, more prominent in the lower lobes and peripheral regions. These findings can also be observed in the previous examination of the patient and no difference was found.\n<pleura>: There is no pleural effusion.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. Follow-up is recommended for the differential diagnosis of mediastinitis. As far as can be observed: There are new air densities that were not observed in the previous examination at the level of post-op changes in the mediastinum, and volume increases in favor of inflammation in soft tissues at this level. There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because no contrast material is given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. It is understood that the patient underwent coronary bypass surgery.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fracture or lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nA finding evaluated primarily in favor of pleuroparenchymal sequela fibrotic change in the apical segment of the upper lobe of the right lung.  Sequelae changes in both lungs and/or appearances that may be compatible with interstitial lung disease.  Atelectasis in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion.  New air densities not observed in the previous examination at the level of post-op changes in the mediastinum, volume increases in favor of inflammation in soft tissues at this level; In terms of differential diagnosis of mediastinitis, follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8380/train_8380_e/train_8380_e_1.npy"
        ]
    },
    {
        "id": "report_generation_19901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In the apical subsegment of the upper lobe of the left lung, the apical subsegment has an appearance of approximately 41x27 mm in soft tissue density with irregular borders. There are emphysematous changes in both lungs. These appearances may be compatible with sequelae changes and/or interstitial lung disease. Structural distortion and volume losses are present around the described view. Minimal structural distortion and volume loss were observed around this density increase. There was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs. Follow-up or histopathological examination of the described finding is recommended. There are millimetric nodules in both lungs. There are occasional linear atelectasis in both lungs and minimal interlobular septal and interstitial thickenings in both lungs, more prominent in the lower lobes and peripheral regions. These findings can also be observed in the previous examination of the patient and no difference was found.\n<pleura>: There is no pleural effusion.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. As far as can be observed: There is a small amount of effusion observed in the previous examination at the level of post-op changes in the mediastinum and a decrease in air densities. There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because no contrast material is given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. It is understood that the patient underwent coronary bypass surgery.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fracture or lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: At these levels, there are post-op changes and minimal air densities under the skin. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nThere is a small amount of effusion and a decrease in air densities observed in the previous examination at the level of post-op changes in the mediastinum. At these levels, there are post-op changes and minimal air densities under the skin.  Sequelae changes in both lungs and/or appearances that may be compatible with interstitial lung disease.  Millimetric nodules in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8380/train_8380_f/train_8380_f_1.npy"
        ]
    },
    {
        "id": "report_generation_19919",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings are consistent with viral pneumonia (COVID-19 pneumonia). Patchy ground glass areas in the left lung upper lobe lingular segment inferior subsegment and right lung middle lobe; There are nodular consolidations in the lower lobes of both lungs, with more prominent ground-glass areas in the posterior segments. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Motion artifacts are observed. In both axillae, there are lymph nodes with a short diameter of 16 mm on the left, the largest of which has fatty hiluses. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There is an appearance compatible with thymic remnant in the anterior mediastinum. A few millimetric lymph nodes are observed in the mediastinum and pericardial fat pad. No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Spleen AP diameter was 143 mm and increased.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8389/train_8389_a/train_8389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Widespread patchy ground glass densities and peripheral consolidation areas that tend to coalesce are observed in both lungs. The outlook was evaluated in favor of typical-probable Covid-19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. Liver parenchyma density decreased secondary to hepatosteatosis.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8389/train_8389_b/train_8389_b_1.npy"
        ]
    },
    {
        "id": "report_generation_19926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8391/train_8391_a/train_8391_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several millimetric nonspecific nodules in both lungs. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. No mass or infiltrative lesion was detected in both lungs. Minimal emphysematous changes and occasional atelectasis were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. The aortic arch is elongated. The diameters of the descending middle and pulmonary arteries are normal.\n<heart>: The ascending aorta measures 47 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights and alignments are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries. The aortic arch is elongated.\n\nImpression:\nMinimal emphysematous changes in both lungs . Atelectasis in both lungs . Millimetric nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8397/train_8397_a/train_8397_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: However, when it is unilateral, it tends to involve the lower lobes, the appearance of existing lesions and peripheral localization are findings that can be observed with moderate frequency in Covid pneumonia. In the lower lobe of the right lung, round-shaped consolidation in the peripheral area and ground glass areas are observed. Covid pneumonia is frequently observed bilaterally. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because no contrast material is given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings thought to be viral pneumonia when evaluated together with clinical information"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8404/train_8404_a/train_8404_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are diffuse emphysematous changes in both lungs. The described appearances can also be observed in the previous examination of the patient, and no significant difference was detected. There are millimetric nodules in both lungs. These views are nonspecific. The sequela may belong to changes or, less likely, to interstitial lung disease. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. Consolidation in a small area in the subpleural area in the anterior segment of the left lung upper lobe anterior segment-lingular segment and a ground glass area around it are observed. In addition, minimal interlobular septal thickening and nonspecific linear density increases are observed in both lungs, more prominently in the lower lobes and peripheral subpleural areas.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. There are no enlarged lymph nodes in pathological dimensions. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. Intervertebral disc distances are preserved. There is minimal height loss in the T12 vertebra superior end plate. The neural foramen is open. Other thoracic vertebral corpus heights are normal.\n<abdomen>: The left lobe has a hypertrophic appearance. Liver contours are irregular. The right lobe of the liver is smaller than normal. No upper abdominal free fluid-collection was detected in the sections. It is recommended that the patient be evaluated for chronic liver parenchymal disease.\n\nImpression:\nDiffuse emphysematous changes in both lungs . Sequelae changes in both lungs, especially in peripheral areas, and/or findings that may be related to interstitial lung disease . Both lung nodules . Irregularity in liver contours and hypertrophy in the left lobe (recommended to be evaluated for chronic liver parenchymal disease)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8411/train_8411_a/train_8411_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal lymph node in millimetric size is observed. In the evaluation of both lung parenchyma; no significant mass nodule infiltration was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart. Pericardial effusion is observed in the form of smearing. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n<bone>: There are degenerative changes in bone structures. In the middle dorsal localization, ossification is observed in the anterior longitudinal ligament, which may be compatible with DISH disease.\n<abdomen>: Hypodensities, which may belong to possible cortical cysts, are observed in the left kidney, which partially enters the examination area, the larger of which is 5 cm in diameter. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nNo mass nodule infiltration was detected in both lung parenchyma. Increase in cardiothoracic index, minimal pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8419/train_8419_a/train_8419_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: It is newly developed based on previous reviews. In addition, it was observed that ground glass density developed in the lung parenchyma around the nodule. In the evaluation of both lung parenchyma; The size of the nodule observed in the posterior segment of the right lung upper lobe was 6 mm in the previous examination and approximately 4.2 mm in the current examination. A slight reduction in size is observed, and necrosis has developed in the central part.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: There is a stable lymph node with pathological FDG uptake in the PET-CT examination, which does not differ from the PET-CT examination with a narrow diameter of 9 mm in the right upper paratracheal, aortopulmonary larger one.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No obvious pathology was detected in the bones.\n<abdomen>: The right adrenal gland has a natural appearance.\n\nImpression:\nThe nodule observed in the posterior segment of the upper lobe of the right lung regressed slightly in size, but necrosis in the center and ground glass density developed in the periphery.  Stable mediastinal lymph nodes, . Left pleural effusion in the newly developed smearing style. Right lung inferior lingular, which was not observed in the previous examination, newly developed in the current examination focal ground glass density , Concomitant viral pneumonia / Covid-19 pneumonia cannot be excluded. Stable left adrenal mass."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8420/train_8420_a/train_8420_a_1.npy"
        ]
    },
    {
        "id": "report_generation_19999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; right lung volume decreased. Atelectasis changes and mild bronchiectasis are observed in the right lung. A calcific nodule of 5 mm in size is observed in the right lung in series 2 image 225. In the right hemithorax, deformative appearances are observed in the ribs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. Nodules that do not differ significantly in size of 10 mm are observed in the close neighborhood of the left heart and right atrium.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nA loculated 22mm thick effusion with calcification on the wall of the right hemithorax.  Nodule that does not differ significantly in size of 10 mm in the immediate vicinity of the left heart.  Narrowing in the intercostal spaces close to each other in the ribs.  Mild bronchiectasis and atelectatic changes in the right lung.  5 mm calcific nodule in the right lung.  Fibrotic sequelae changes at the apical level of the right lung.  Decreased volume in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8423/train_8423_a/train_8423_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is a hypodense lesion that cannot be characterized due to its small size of 6 mm in liver segment 6 localization.\n\nImpression:\nPneumonic infiltration is not detected in the lung parenchyma. Hypodense lesion in the liver that cannot be characterized because of its small size and the lack of contrast of the examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8426/train_8426_a/train_8426_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8427/train_8427_a/train_8427_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Due to the current pandemic, clinical laboratory correlation follow-up is recommended. No nodular lesions were detected in both lung parenchyma. There are atelectatic changes in the basal segments of the lower lobes of both lungs. When examined in the lung parenchyma window; Thickening of interlobular septa in both lungs, consolidation areas in the lower lobe basal segments of both lungs with air bronchogram signs, mild bronchiectasis are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are several short axis lymph nodes measuring up to 6 mm in the mediastinum. A small lymph node is observed adjacent to the surrenal gland in the paraaortic area. Calcific atheroma plaques are observed in the coronary arteries and aorta. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Findings were initially evaluated in favor of an infectious process accompanied by cardiac stasis. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a decrease in density in the bone structures in the study area, and there are a few small-sized hemangimatous appearances in the vertebral corpuscles.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. A small lymph node is observed adjacent to the surrenal gland in the paraaortic area. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nFindings evaluated in favor of an infectious process accompanied by cardiac stasis. Due to the current pandemic, close follow-up of clinical laboratory correlation is recommended.  Small lymph nodes in the mediastinum  Atherosclerosis  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8431/train_8431_a/train_8431_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCardiomegaly, calcified atherosclerotic changes in the thoracic aorta and coronary wall. Mosaic attenuation pattern in both lungs, nonspecific parenchymal nodules in both lungs.  No signs of pneumonia detected (NOTE: CT may be negative in early Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8434/train_8434_a/train_8434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, more prominent on the right, peripherally located patchy ground glass densities are observed. Clinical laboratory correlation is recommended.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Millimetric calcific atheroma plaques are observed in the aortic arch and thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the fluid attenuation, the size of which was 67 mm in the left kidney, the oval-shaped finding was evaluated in favor of a cyst. Millimetric calcific atheroma plaques are observed in the aortic arch and thoracic aorta. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are widely reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Cortical cyst in left kidney.  Mild atherosclerosis. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8436/train_8436_a/train_8436_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20042",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Linear fibroatelectasis sequela change was observed in the middle lobe of the right lung. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Minimal degenerative changes were observed in the thoracic vertebrae in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Linear fibroatelectatic change in the middle lobe of the right lung . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?) It is recommended to be evaluated together with clinical and laboratory. Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8441/train_8441_a/train_8441_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A peripherally located parenchymal nodule with a diameter of 5 mm was observed in the lateral segment of the right lung middle lobe. A parenchymal nodule with a diameter of 4 mm was observed in the anterior segment of the left lung upper lobe. The fluid extends into the major fissure. Passive atelectasis was observed in the lower lobe of the right lung.\n<pleura>: Bilateral pleural effusion was observed (thickness of 3 cm on the right, 2.3 cm on the left). Appearances of left pleural bands were observed in the lower lobe of the right lung.\n<mediastinum>: Calcific atheroma plaques are observed in the main vascular structures. Aortopulmonary, paratracheal, subcarinal, and some calcified lymph nodes were observed in the mediastinum, the largest of which was a 19 x 14 mm lymph node in the carinal location.\n<heart>: Atria were observed widely. There is minimal pericardial effusion. The appearance of aortic valve replacement (with TAVI) is observed.\n<bone>: Cervical rib variation was observed in C7 vertebra. A decrease in height was observed in the left part of the T12 vertebra corpus. Metallic sutures are observed in the sternum. There are narrowing and calcifications in the intervertebral disc spaces. Degenerative cortex irregularities and osteophyte formations were observed in bone structures.\n<abdomen>: Calcific atheroma plaques are observed in the main vascular structures. The gallbladder is operated. Calcifications were observed in the spleen.\n\nImpression:\nAortic valve replacement (with TAVI) Enlargement of the atria Minimal pericardial effusion. Bilateral pleural effusion Passive atelectasis in the lower lobe of the right lung Parenchymal nodule in the bilateral lung Mediastinal lymph nodes Atherosclerosis Cervical rib variation T12 decrease in height in the left part of the vertebral corpus Narrowing in the intervertebral disc spaces With cholecystectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8454/train_8454_a/train_8454_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are bronchial wall thickness increases and linear atelectasis areas in the segment bronchi of the right lung lower lobe. Air trapping areas are observed in the lung parenchyma secondary to bronchial wall thickness increases. Location and imaging finding are not typical for Covid pneumonia.\n<pleura>: Pleural effusion is observed, reaching a diameter of 5 cm between the leaves of the right pleura and 6 cm in diameter between the leaves of the left pleura.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Heart size increased. Pericardial effusion was not detected. There are suture materials in the coronary arteries. Heart replacement is observed in the aortic valve.\n<bone>: Significant osteoporosis and widespread degenerative changes are observed in bone structures. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: When the upper abdominal organs partially entering the examination area are evaluated; Bilateral kidney sizes are smaller than normal. Edema? clinical-lab correlation is recommended. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nModerate amount of pleural effusion, slightly increased bilaterally on both sides, bronchial wall thickness increases in the right lower lobe, and areas of parenchymal air trapping. Ground-glass densities in the upper lobes of both lungs, which were not characteristic for centrally located viral pneumonia observed in the previous study, showed no regression in the current study. It shows a small amount on the right side. Pulmonary edema? clinical lab. blind. recommended.  Aortic valve replacement, increased heart size, suture materials in coronary arteries . Bilateral atrophic kidney.  Significant osteoporosis and diffuse degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8454/train_8454_b/train_8454_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is also present in the previous examination of the patient. No significant difference was detected. Peribronchial cuffing, accompanying subsegmentary atelectatic changes and interlobular septal thickening were observed in the right lung middle lobe, left lung lingular and both lung lower lobe basal segments. Nonspecific parenchymal nodules with a diameter of 5.5 mm were observed in the lateral segment of the right lung middle lobe in both lungs. It may be compatible with sequelae or non-Covid viral infections. No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; In both hemithorax, an effusion measuring 41 mm was observed in the thickest part on the right. Ground glass appearance is observed in the upper lobes of both lungs, more common on the right, and the appearance is nonspecific.\n<pleura>: Pleural effusion measuring 25 mm was observed in the thickest part of the left hemithorax, which entered the major fissure and formed a phantom tumor.\n<mediastinum>: Surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. Diffuse calcific atheroma plaques were observed in the coronary arteries and thoracic aorta. Pathological lymph nodes measuring 18 mm (16 mm in the previous examination) were observed in the bilateral upper paratracheal, aortopulmonary short axis. Mediastinum made without contrast could not be evaluated optimally. As far as can be observed, the thoracic aorta calibration is normal. Pulmonary trunk, right and left pulmonary artery diameters are above normal with 28 and 33 mm, respectively.\n<heart>: The findings were initially evaluated in favor of cardiac stasis. Diffuse calcific atheroma plaques were observed in the coronary arteries and thoracic aorta. Pericardial effusion-thickening was not observed. The mitral valve is calcified. Heart size increased. There is a prosthesis in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes were observed in the bone structure in the examination area. Surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse calcific atheroma plaques were observed in the coronary arteries and thoracic aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. As far as can be observed, the thoracic aorta calibration is normal.\n\nImpression:\nRegressed pleural effusion in both hemithorax, cardiac stasis in lung parenchyma.  Nonspecific ground-glass appearance in the upper lobes of both lungs; It may be compatible with sequelae or non-Covid viral infections. Clinic and lab. correlation is recommended.  Nonspecific parenchymal in both lungs; stable.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8454/train_8454_c/train_8454_c_1.npy"
        ]
    },
    {
        "id": "report_generation_20083",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are vascular dilatations at the described levels and mild bronchiectasis.\n<lung>: When examined in the lung parenchyma window; Ground glass densities are observed in both lungs with the appearance of a patchy crazy paving pattern.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8455/train_8455_a/train_8455_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; a few millimetric nonspecific and some calcific nodules are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Transplanted liver is observed. The spleen size was markedly increased. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nA few millimetric nonspecific and some calcific nodules in both lungs.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8466/train_8466_b/train_8466_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20112",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is a millimetric atheroma plaque in the left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid was detected in the sections. Although this appearance could not be characterized since no contrast agent was given, it was thought to be a subcapsular hematoma when evaluated together with the medical history. Atheroma plaques are observed in the aorta. The described appearance was also observed to extend towards the perirenal area. In the upper pole of the right kidney, there is an appearance with hyperdense areas measuring 40 mm in its thickest part. If there is an indication, it is recommended to be evaluated with USG.\n\nImpression:\nMillimetric nonspecific nodules in both lungs  Millimetric atheroma plaques in the aorta and left coronary artery  Atelectasis in both lungs  Appearance with hyperdense areas in the right kidney (subcapsular hematoma?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8466/train_8466_c/train_8466_c_1.npy"
        ]
    },
    {
        "id": "report_generation_20114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The left thyroid lobe has a slightly hypertrophic appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of bronchopneumonia. When examined in the lung parenchyma window; In the lower lobe of the right lung, there is a consolidation area in the paravertebral area extending to the basal level, including air bronchogram signs in a patchy manner, around which halo signs are detected. There are mosaic attenuation patterns in both lungs, diffusely more prominent in the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild hypertrophic osteophytic taperings are observed in the vertebral corpus endplates. There is diffuse density reduction in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall airway disease?, Small vessel disease? Findings compatible with bronchopneumonia in the lower lobe of the right lung, clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8467/train_8467_a/train_8467_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Moderate amount of effusions are observed in both lungs, more prominent on the left. In the upper and lower lobes of the left lung, atelectatic changes and atelectatic changes in the form of thick bands are observed.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. There are diffuse calcific atheromatous plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes in bone structures and an increase in thoracic kyphosis were observed.\n<abdomen>: A large amount of effusion is observed in the upper abdomen, liver sizes are smaller than normal, and the parenchyma is slightly heterogeneous with irregular contours (liver S ?). Other upper abdominal organs included in the sections are normal. Clinical laboratory correlation is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nModerate amount of effusion, atherosclerosis, more prominent on the left in both lungs.  Atelectasis changes, more prominent in the lower lobe of the left lung, atelectasis in the form of thick bands.  Findings consistent with liver S, effusion in the upper abdomen, and contamination in the peritoneal fatty planes are observed.  Diffuse degenerative changes in bone structures, increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8470/train_8470_a/train_8470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20124",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. The described manifestations were evaluated primarily in favor of sequelae changes. There are several millimetric nonspecific nodules in both lungs. There was no evidence of mass or pneumonic infiltration in both lungs. Nonspecific ground-glass appearances were observed in the right lung lower lobe and in the peripheral area of the middle lobe lateral segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary artery. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Convex contour is not observed in the posterior of the vertebral corpus. The height loss is around 75% in the central section. Compression and height loss are observed in the T12 vertebral body. Vertebral anteroposterior diameter is normal. The described appearance was first evaluated in favor of benign compression.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary artery.\n\nImpression:\nAtheroma plaques in the aorta and coronary arteries.  Hiatal hernia.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Findings evaluated primarily in favor of sequelae changes in the right lung.  Compression and loss of height in the T12 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8472/train_8472_a/train_8472_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20136",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Amorphous calcification was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; As far as can be observed secondary to movement artifacts, both lungs are emphysematous. A nonspecific calcific nodule with a diameter of 7 mm was observed in the laterobasal segment of the lower lobe of the left lung. A millimetric nonspecific parenchymal nodule was observed in the middle lobe of the right lung. The most prominent paraseptal emphysematous changes were observed in the right apex posterior of both lung apexes. Lung parenchymal aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Subsegmental atelectatic changes were observed in the left lung upper lobe lingular and right lung lower lobe laterobasal segments.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The findings are compatible with DISH. Spur formations bridging each other were observed in the right anterolateral corner of the thoracic vertebra.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Gallbladder, spleen, pancreas, both adrenal glands are normal. Nodular lesions of fluid density with a diameter of 19 mm were observed in both kidneys, the largest on the right (cyst?). Millimetric sequela nodular calcification was observed in the posterior right lobe of the liver as far as can be observed in the sections.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and coronary arteries. In both lungs; Prominent paraseptal emphysematous changes in the apicoposterior segment of the upper lobe of the right lung. Lingular subsegmental atelectatic changes in left lung upper lobe lingular and right lung lower lobe laterobasal segment. Millimetric nonspecific parenchymal nodule in right lung middle lobe.  Millimetric calcific nodule in the laterobasal segment of the lower lobe of the left lung. Millimetric nodular lesions (cyst?) in fluid density in both kidneys.  Findings compatible with DISH at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8478/train_8478_a/train_8478_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings.\n<pleura>: When examined in the lung parenchyma window; Consolidation and density increases in ground glass density were observed in both lungs, most of which were located in the peripheral subpleural. There is subcentimetric minimal effusion in the bilateral pleural space.\n<mediastinum>: There are calcified atheromatous plaques in the wall of the aortic arch. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. In the mediastinum, there are lymph nodes with a short diameter less than 1 cm in fusiform configuration, which are not pathological in size and appearance.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Pericardial effusion was not detected. Heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion is observed in the bone structures within the image, and there are degenerative changes.\n<abdomen>: There are calcified atheromatous plaques in the wall of the aortic arch. No upper abdominal pathology was detected within the image.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Minimal bilateral pleural effusion.  Calcified atheroma plaques in the wall of the aortic arch.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8488/train_8488_a/train_8488_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). band-like sequela fibrotic density increases were observed in the left lung inferior lingular segment.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). Stent material is observed in the coronary artery. Pericardial minimal effusion was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPericardial minimal effusion. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8492/train_8492_a/train_8492_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The largest of these lesions is observed at the level of the posterobasal segment of the lower lobe of the right lung, and its longest diameter is 45 mm. The lower lobe of the right lung adjacent to the effusion is total atelectatic. There are millimetric nonspecific nodules in both lungs. On the right, the effusion continues to the apex of the lung while the patient is in the supine position. There was no appearance that could be evaluated in favor of pneumonic infiltration in both aerated lungs. A large part of the middle lobe of the right lung is also observed as atelectatic.\n<pleura>: Apart from these, solid lesions in the pleura were observed in both hemithorax and were also evaluated in favor of metastases. There is bilateral pleural effusion, more prominent on the right. The amount of pleural effusion also increased.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. The largest of these lymphadenopathies is observed in the upper mediastinum, adjacent to the right brachiocephalic artery and adjacent to the superior vena cava, and measures approximately 16x11 mm and 16x10 mm in their widest parts. Atheroma plaques are observed in the aorta. Lymphadenopathies were observed in the mediastinum.\n<heart>: There are also solid lesions within the pericardial fat pad, which may be metastatic mass or lymphadenopathy. Pericardial effusion was not detected. The larger masses described are seen on the right in the paracardiac fat pad and measure approximately 25x23 mm. As far as can be observed: Heart contour and size are normal.\n<bone>: It is understood that the mass caused destruction in the 7th rib. A metastatic mass is observed around the 7th rib on the left. Bone metastasis is also present in the previous examination of the patient, but it is understood that their size has increased. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: Atheroma plaques are observed in the aorta. There are masses in both lobes of the liver.\n\nImpression:\nHepatocellular carcinoma, masses in the liver, masses favoring metastases in the pleura, bilateral pleural effusion, lymphadenopathies in the mediastinum, metastatic lesions in the pericardial fat pad, bone metastasis in the follow-up."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8497/train_8497_a/train_8497_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Slight thickening of the interlobular septa in both lungs and significant change in the interlobular septa adjacent to the effusion are more evident at the baseline, and there are slight ground-glass-like density increases at this level. There are lymph nodes that do not reach pathological size and configuration at both hilar levels.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion is observed in both lungs, reaching 28 mm on the right and 26 mm on the left in its thickest part, extending from the basal to the apex.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. There are millimetric lymph nodes in the mediastinum that do not reach the pathological size and configuration in the upper-lower paratracheal areas. The aortic arch and pulmonary trunk are at the maximal physiological limit.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. Pericardial effusion-thickening was not observed. CTO increased in favor of the heart. It is recommended to evaluate the case in terms of cardiac stasis. ICD appearance and catheters in the heart are observed at the left pectoral level.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is approximately 25% loss of height in the L1 vertebral corpus, and fusion appearance at the L1-2 level. There are mild degenerative changes in the bone structure in the examination area.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. The aortic arch and pulmonary trunk are at the maximal physiological limit. There is also effusion adjacent to the gallbladder and the gallbladder wall has a thickened appearance. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. There is effusion at perihepatic and perisplenic levels. In the sections passing through the upper abdomen, there are increases in reticulonodular density and thickening of the peritoneum in the mesenteric fatty planes. It was evaluated as secondary to effusion.\n\nImpression:\nSlight thickening of the interlobular septa in both lungs and adjacent to the effusion are more prominent at basal, and slight ground-glass-like density increases at this level. It is recommended to evaluate the case in terms of cardiac stasis.  Bilateral pleural effusion  Perihepatic and perisplenic level effusion in the abdomen, contamination in the mesenteric planes, possible reactive thickening in the gallbladder wall thickness secondary to possible fluid  Hepatosteatosis  Slight degenerative changes in the bone structure, approximately 25% loss of height in the L1 vertebral corpus, fusion at the L1-2 level view"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8499/train_8499_a/train_8499_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma: Thin-walled bulla formations are observed in the upper lobes and paramediastinal areas of both lungs prominent on the left. There are air images in frosted glass densities. In the middle lobe of the right lung, numerous air cysts of millimeter size, which were also observed in the previous examination, are observed. In addition, a nodular lesion with an irregular contour of approximately 2 cm in diameter is observed in the peripheral lung parenchyma in the right lung middle lobe, and it was also present in the previous examination. There are consolidations with air bronchograms in the middle lobe and lower lobe of the right lung. (approximately 26x12mm in current review) to 42x16mm in previous review. Ground glass densities are newly developed.\n<pleura>: No pleural effusion-thickening was detected in the left hemithorax. There are pleural effusions measuring 11 mm in the thickest part in the form of thin smears. There are slightly increased pleural effusions extending into the anterior hemithorax in the current examination, which was also followed in the previous examination that entered the fissure in the right hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures are of natural appearance. Right upper-bilateral lower paratracheal aortopulmoenergy mediastinal lymphadenopathies are also observed in the previous examination.\n<heart>: The heart and mediastinal vascular structures are of natural appearance. The current review is without contrast.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Also available in previous review. In the sections passing through the upper part of the abdomen, thickenings in the cruses of both adrenal glands were primarily evaluated as metastases. No significant pathology was detected in the abdominal sections.\n\nImpression:\nMediastinal lymphadenopathies.  Pleural effusion from the fissure in the right hemithorax.  Consolidations in the middle lobe and lower lobe of the right lung, which were also observed in the previous examination, including an air bronchogram.  Nodular lesion with reduced size in the peripheral lung parenchyma in the middle lobe of the right lung.  Metastases and bone lesions were not observed in bilateral adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8500/train_8500_b/train_8500_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; no mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. bilateral adrenal glands appear natural. Apart from this, no significant pathology was detected in the abdominal sections in the non-contrast examination. In the sections passing through the upper part of the abdomen, a mass lesion measuring 2.2 cm in size, with HU values of 10 and evaluated as non-functioning adenoma, is observed in the left adrenal gland localization.\n\nImpression:\nNo mass nodule infiltration was detected in both lungs. Hypodense lesion of 2.5 cm in diameter, evaluated as non-functioning adenoma in the left adrenal gland localization."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8503/train_8503_a/train_8503_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Nonspecific pulmonary nodules with a diameter of 5. No newly emerging nodular lesion was detected in the current examination. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Lymph nodes with a short axis measuring 5 mm were observed in the upper-lower paratracheal and supcranial localization. No lymph node was detected in pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected at the examination limits.\n<bone>: No clear fracture line and lytic-destructive lesion were detected in the bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nMillimetric-sized nonspecific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8505/train_8505_a/train_8505_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8511/train_8511_a/train_8511_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral and centrally located patchy ground glass densities are observed in both lungs. The findings were evaluated in terms of viral pneumonia (Covid-19), and clinical laboratory correlation and follow-up are recommended.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. There are small lymph nodes measuring up to 8 mm in the mediastinum.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. There are millimetric calcific foci in the right adrenal gland.\n\nImpression:\nSmall lymph nodes measuring up to 8 mm in the mediastinum . Patchy ground-glass densities located in both lungs, peripherally and centrally; findings were evaluated in terms of viral pneumonia (Covid-19), and clinical laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8512/train_8512_a/train_8512_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Nodules with a diameter of 6 mm are observed in the middle lobe of the right lung, 6.5 mm in size in the superior segment of the lower lobe, and 5.6 mm in diameter in the fissure localization in the superior segment of the lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-lower paratracheal, aortopulmonary, millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum.\n<bone>: Scoliotic angulation is observed with the left thoracic opening facing left. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nStable nodules in both lungs based on previous examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8526/train_8526_a/train_8526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It was evaluated as significant in terms of viral pneumonia. In addition, there is a 7 mm diameter nodule in the right lung lower lobe laterobasal segment. Nodules with a diameter of 4.8 mm in the anterior segment of the upper lobe of the right lung and 5.7 mm in diameter based on fissures are observed in the superior segment of the lower lobe of the left lung. In the evaluation of both lung parenchyma; A focal ground glass area is observed in the anterior segment of the left lung upper lobe, and a more dense nodular area is observed inside.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal prevascular millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nGround-glass consolidation in left lung upper lobe anterior segment, which may be significant for viral pneumonia, 7 mm diameter nodule in right lung lower lobe laterobasal segment. Nodules larger than 7 mm in diameter in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8526/train_8526_b/train_8526_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20245",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No dimensional or numerical difference is observed in other nodules. There are several nodules measuring up to 8.3 mm in both lungs, the largest of which is in the middle lobe of the right lung (in series 3 image 174).\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia observed in the previous examination in the anterior segment of the left lung upper lobe were not detected in the current examination.  Nodules measuring up to 8.3 mm at the level described above in the lower lobe of the right lung in both lungs do not show significant dimensional and numerical differences."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8526/train_8526_c/train_8526_c_1.npy"
        ]
    },
    {
        "id": "report_generation_20263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: At the posterobasal level, faint ground-glass-like density increases are observed in both lungs. It is recommended to be evaluated in terms of infective processes. Sequelae changes are observed at the apical level. There is a focal bud branch view in the anterior segment of the right lung upper lobe. Mild sequelae changes are observed in the lingular segment. It is recommended to evaluate for dependent vascular density. There is a 3 mm diameter nonspecific nodule at the laterobasal level in the right lung. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nFocal bud branch view in the anterior segment of the right lung upper lobe; It is recommended to evaluate for infective processes. However, the described presentation is not typical for Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8532/train_8532_a/train_8532_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Minimal emphysematous changes, locally linear atelectasis and minimal pleuroparenchymal sequelae were observed in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: There is minimal pleural effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Diffuse atheroma plaques are observed in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given.\n<heart>: It is understood that the patient underwent coronary bypass surgery. Pericardial effusion was not detected. As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMillimetric nodules in both lungs.  Minimal emphysematous changes, occasional atelectasis and pleuroparenchymal sequelae in both lungs.  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries.  Minimal pleural effusion on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8533/train_8533_a/train_8533_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A ground glass density area is observed at the basal level in the lateral segment of the left lung lower lobe. There are atelectatic changes at basal levels in both lung lower lobes. Vascular structures are evident in both lungs. When the lung parenchyma window is examined; Millimetric nonspecific fibrotic sequela calcific changes are observed at the apical level of the upper lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinum, there are several lymph nodes with a short axis measuring up to 9 mm. Mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n\nImpression:\nThe findings described in the left lung lower lobe lateral segment were evaluated in favor of viral infectious processes. Clinical laboratory correlation and follow-up are recommended for Covid -19 viral pneumonia.  Small lymph nodes in the mediastinum, atherosclerotic changes.  Degenerative changes are observed in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8534/train_8534_a/train_8534_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20277",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: There are subpleural millimetric nonspecific nodules in the anterior upper lobe of the right lung. When examined in the lung parenchyma window; There are subpleural minimal consolidation and ground glass densities extending to the apex in the right lung middle lobe lateral and right lower lobe posterior and laterobasal segments.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nConsolidation and ground glass densities in the right lung, findings are not typical for Covid-19 pneumonia, bacterial pneumonia is considered in the differential diagnosis. Subpleural millimetric nonspecific nodules in the anterior upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8538/train_8538_a/train_8538_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20295",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: No distinguishable space-occupying lesion was detected in the thyroid gland parenchyma in this examination.\n<lung>: Paraseptal emphysema areas are observed in the upper lobe apical segments of the lung parenchyma. In the upper lobe of the right lung, two nonspecific nodular lesions with a diameter of 4 and 3 mm are observed in close proximity to each other. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Parenchymal coarse calcification focus in the upper lobe posterior segment was considered in favor of the sequelae of primary tbc infection with right lower paratracheal calcified lymph node. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Stent is observed in LAD and circumflex. Heart size increased. Pericardial effusion was not detected. Left ventricular diameter increased.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: The sternotomy line is followed. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nParaseptal emphysema in the apical segments of both lungs . A few nonspecific millimetric nodules and pneumonia were not detected in both lungs.  Coronary artery stent, left ventricular diameter increase and sternotomy line"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8544/train_8544_a/train_8544_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Focal ground glass area is observed in the right lung lower lobe mediobasal segment, and the appearance is suspicious for ultra-early Covid-19 pneumonia. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Minimal atelectatic changes were observed in the right lung middle lobe medial and left lung lingular segment.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of other vascular structures of the mediastinal is natural.\n<heart>: As far as can be seen; The ascending aorta was wider than normal with an anterior-posterior diameter of 39.5 mm. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Hypodense mass lesions with a size of 20x13 mm in the right adrenal corpus and 32x18 m in the left adrenal gland, in which macroscopic fat is observed, were observed, and the appearance was evaluated in favor of adenoma in the first place. As far as it can be seen in the non-contrast sections, the gallbladder was not observed (operated). No stones were observed in both kidneys within the sections. Surgical suture materials were observed in the gallbladder fossa. Several areas of hypodense nodular lesions, the largest of which were 2.4 cm in diameter, were observed in the left renal pelvis (parapelvic cyst?).\n\nImpression:\nEctasia in the ascending aorta, cardiomegaly . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory.  Focal ground glass area in the medial segment of the lower lobe of the right lung; it is suspicious for ultra-early stage Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and the laboratory.  Sequelae atelectatic changes in the right lung middle lobe medial and left lung lingular segment.  Cholecystectomized . Several areas of hypodense nodular lesions, the largest 2.4 cm in diameter (parapelvic cyst?) in the left renal pelvis . Bilateral adrenal adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8557/train_8557_a/train_8557_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20343",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There are a few millimetric nonpsychic nodules in the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonpsychic nodules in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8566/train_8566_a/train_8566_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20346",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickness increase was observed in segmental-subsegmental bronchi in both lungs.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Focal ground glass areas were also observed in the paramediastinal area of the upper lobe of the left lung, the lingular segment, and the posterobasal segment of the lower lobe, and were present in the patient's previous examination. Centrilobular acinar nodules observed in the previous examination are almost completely regressed in the current examination. Other findings are stable. It was in a more consolidated form in the previous examination in the linguistic segment, and its density has decreased in the current examination. Pleuroparenchymal fibroatelectasis sequelae causing volume loss and structural distortion were observed in the right lung upper lobe lingular segment. Sequelae changes are also present in the basal segments of the lower lobe of the left lung.\n<pleura>: Secondary changes to plerodesis were observed in the pleura at the posterior costal level in the left hemithorax, and an effusion reaching 33 mm in thickness was observed in the pleural space. Pleural effusion observed in the right hemithorax in the previous examination is almost completely resorbed in the current examination.\n<mediastinum>: The described lymph node measured 13x8.6 mm in the previous examination. The effusion is also present in the previous examination and measured 7.3 cm at its thickest point and regressed. Lymph nodes with short axes less than 1 cm were observed in the mediastinum, and the largest were measured in the right lower paratracheal area, measuring approximately 12x6.6 mm. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: As far as can be seen; An effusion locating in the pericardial space was observed and it was measured about 6.7 cm thick at its widest point.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8567/train_8567_b/train_8567_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In both lungs, nodules reaching 4 mm in diameter are observed in the posterobasal region of the left lower lobe. When examined in the lung parenchyma window; diffusely located nodular ground glass densities are observed in the parenchyma of both lungs.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. LAD calcific millimetric atheroma plaques are observed. The ascending aota is slightly ectatic (36 mm).\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are millimetric osteophytes in the vertebrae. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild ectasia in the ascending aorta  Coronary atherosclerosis  Findings consistent with Covid pneumonia in both lungs  Nonpsychic nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8571/train_8571_a/train_8571_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No appearance in favor of active infiltration or consolidation was observed. Apart from this, there are similar appearances with smaller dimensions in the lower lobes of both lungs. Findings were evaluated in favor of sequelae. It may be secondary to tuberculosis sequelae. When examined in the lung parenchyma window; Sequelae fibrotic densities, calcific nodules and fibrotic recessions, which are more prominent especially in the upper lobes and apical parts of both lungs, are observed. No lymph nodes in pathological size and appearance were observed in both axillae and both lung hilum. No mass was detected in both lungs.\n<mediastinum>: The mediastinal main vascular structures were taken as suboptimal due to the lack of contrast, but were evaluated as normal. A few lymph nodes with short axes not exceeding 5 mm were observed in the mediastinal area.\n<heart>: Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques were observed in the coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are sequelae of fibrotic densities, calcific nodules and areas of fibrosis causing distortion, which may be compatible with TB sequelae, especially in the apical part of both lungs. No appearance in favor of active infiltration was detected. No mass lesion was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8578/train_8578_a/train_8578_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground-glass densities with diffuse patchy halo signs around it and enlargement of the vascular structures in their centrals. Close monitoring of clinical laboratory correlation is recommended. The findings were evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes in the mediastinum with a short axis measuring up to 8 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass densities in both lungs with diffuse patchy halo signs around and enlargement of the vascular structures in their centrals. The findings were evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical laboratory correlation is recommended.  Small lymph nodes with a short axis measuring up to 8 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8580/train_8580_a/train_8580_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are diffuse ground-glass appearances and consolidations and interlobular septal thickenings accompanying ground-glass appearances in both lungs. When the patient was evaluated together with his previous examinations, it was understood that the described findings were related to Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8580/train_8580_b/train_8580_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Segmentary tubular bronchiectasis was observed in both lungs. Passive atelectatic changes are observed in the lower lobe basal segments of both lungs adjacent to the effusion. It was evaluated in favor of sequelae. Centriacinar emphysema areas are observed in the upper lobes of both lungs. In the right lung lower lobe superior segment, focal ground glass density and reticular density increases are observed in the area adjacent to the major fissure. Linear pleuroparenchymal fibrotic recessions are observed in the basal segment of the left lung lower lobe. Apart from this, no infiltration-mass lesion with distinguishable borders was observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion reaching 12 mm in the left pleural space and 17 mm in the right pleural space is observed. Nonspecific subpleural nodules with a diameter of 6.3 mm were observed in both lungs, the largest of which was in the lateral part of the right lung upper lobe anterior segment.\n<mediastinum>: Calcific atheroma plaques are observed in the thoracic and abdominal aorta and coronary artery walls and at the left renal artery outlet. A large number of lymph nodes whose prevascular, right upper, bilateral aortopulmonary short axes do not reach pathological dimensions measured below 1 cm are observed. Calibration of mediastinal major vascular structures is natural.\n<heart>: The left ventricle is observed to be larger than normal. Pericardial effusion reaching 17 mm in thickness is observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Osteophytes bridging with each other are observed in the right anterior corner of the vertebrae at the mid-thoracic level. It may be compatible with idiopathic diffuse bone hyperostosis.\n<abdomen>: Correlation with USG is recommended. Calcific atheroma plaques are observed in the thoracic and abdominal aorta and coronary artery walls and at the left renal artery outlet. No free fluid was observed in the abdomen. Cortical hypodense nodular lesion areas with a diameter of 3 cm are observed in the right kidney (Cyst?). As far as can be seen in non-contrast sections; No mass lesion with distinguishable borders was observed in the liver, spleen, both adrenal glands, and pancreas.\n\nImpression:\nIncreased left dimensions, pericardial effusion. Bilateral pleural effusion, fibroatelectatic sequelae in both lungs, nonspecific pulmonary nodules in both lungs.  Areas of cortical hypodense lesion (cyst?) in the right kidney. Correlation with USG is recommended. Findings consistent with idiopathic diffuse bone hyperostosis at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8588/train_8588_a/train_8588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread patchy ground glass densities are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8600/train_8600_a/train_8600_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Examination is suboptimal because of motion artefacts. There is a 23x19 mm oval shaped soft tissue density lesion located just anterior to the thyroid cartilage (ectopic thyroid tissue?).\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is one nodule of ground glass density with a diameter of 6 mm in the anterolateral part of the lower lobe of the right lung. Findings that may be compatible with infection in the first place. Clinical evaluation and radiological follow-up are recommended. When examined in the lung parenchyma window; There are subsegmental atelectasis in both lungs. There is focal consolidation in the lung parenchyma adjacent to the degenerative vertebra at the level of the posteromediobasal segment of the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not observed. Pleural effusion-thickening was not detected.\n<mediastinum>: Wall calcifications were observed in the aorta and coronary arteries. The aorta has a tortuous appearance. The diameter of the pulmonary conus is 40 mm and it is dilated. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Wall calcifications were observed in the aorta and coronary arteries. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The bone structure in the examination area has a porotic appearance and there are degenerative changes in places. Images of metallic sutures were observed in the sternium.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The aorta has a tortuous appearance. The right kidney has a malrote appearance. Wall calcifications were observed in the aorta and coronary arteries.\n\nImpression:\nOval shaped soft tissue density lesion just anterior to the thyroid cartilage (ectopic thyroid tissue?). Images of metallic sutures in the sternium.  Wall calcifications in the aorta and coronary arteries, aortic tortuous appearance, cardiothoracic index increased in favor of the heart, pulmonary conus dilated. Subsegmental atelectasis in both lungs.  Focal consolidation in the lung parenchyma adjacent to the degenerative vertebrae at the level of the posteromediobasal segment of the lower lobe of the right lung. Findings that may be compatible with infection in the first plan. Clinical evaluation and radiological follow-up are recommended.  One nodule of ground glass density, 6 mm in diameter, in the anterolateral part of the lower lobe of the right lung.  Right kidney in malrote appearance.  The bone structure in the examination area is porotic and degenerative changes in places."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8601/train_8601_a/train_8601_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mosaic density differences and interlobular septal thickening are observed in both lungs.\n<pleura>: Pleural effusion with a diameter of 21 mm, which is prominent on the right bilaterally, and compression atelectasis in the vicinity of the effusion are observed.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. The pulmonary trunk is ectatic (41mm). Other mediastinal main vascular structures are normal. There are widespread calcific atheroma plaques in the abdominal aorta.\n<heart>: The ascending aorta is ectatic (41mm). The heart is larger than normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia.\n<bone>: Vertebral degenerative changes are observed. Sternotomy is available.\n<abdomen>: There is a hiatal hernia. There are widespread calcific atheroma plaques in the abdominal aorta. Perihepatic free fluid and mild liver distension are observed in upper abdominal sections.\n\nImpression:\nCardiomegaly, pulmonary artery and aortic ectasia, coronary artery and aortic atherosclerosis.  Sternotomy.  Prominence in pulmonary bronchovascular structures.  Bilateral pleural effusion.  Density increases in both lungs consistent with pulmonary edema.  Perihepatic free fluid and distension in the liver, which may be due to cardiac congestion.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8601/train_8601_b/train_8601_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. Minimal emphysematous changes and occasional atelectasis were observed in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: These tubular structures were thought to be venous collaterals. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are atheromatous plaques in the aorta and coronary arteries. The shortest diameter of the largest of these lymph nodes measured 15 mm. Some of the lymph nodes observed in the retropectoral region are round in shape. As far as can be observed: Appearances of soft tissue density without obvious borders, extending towards the chest wall, subcutaneous adipose tissue and pectoral muscles, were observed from approximately between the 1-2th ribs in the anterior mediastinum.\n<heart>: Heart contour and size are normal. Contrast imaging is recommended.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<breast>: Lymph nodes were observed in the right axilla and retropectoral region. There is no enlarged lymph node in the left axilla in pathological size and appearance. There are no pathologically enlarged lymph nodes in the traces of bilateral internal mammary vessels.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the sections. There are also tubular structures accompanying the described appearances. As far as can be observed: Appearances of soft tissue density without obvious borders, extending towards the chest wall, subcutaneous adipose tissue and pectoral muscles, were observed from approximately between the 1-2th ribs in the anterior mediastinum. These appearances may be metastatic.\n<abdomen>: However, the appearance in soft tissue density could not be characterized in this examination. There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAppearance of soft tissue density that cannot be characterized in this examination extending towards the chest wall in the anterior mediastinum (contrast-enhanced examination is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8604/train_8604_a/train_8604_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20432",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: There are also linear atelectatic changes in the left lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. There is a second drainage catheter extending from the anterior to the lung apex at the 4-5th intercostal level. Left lung volume was minimally reduced. Passive atelectatic changes were observed in the posterobasal segment of the left lung lower lobe. The right lung has a subtotal atelectasis appearance and its volume is significantly reduced.\n<pleura>: In the right pleural space, pleural effusion continuing from apex to basal and free air images between pleural leaves were observed. Pleural effusion reaching 5 cm thickness was observed in the left hemithorax. A hematoma area measuring 14.5x9x18.7 cm, extending from the apex to the distal, was observed in the pleural space.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A drainage catheter extending transversely from lateral to mediastinum was observed at the level of the right 7-8 intercostal space. The mediastinum could not be evaluated optimally in the non-contrast examination. There are widespread calcific atheroma plaques in the abdominal aorta and its visceral branches. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Free air images were observed under the skin adjacent to the sternoclavicular joint and in the mediastinum on the right anterior chest wall.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Localized pericardial effusion reaching 6.5 mm thickness was observed on the right in the pericardial space. Surgical suture materials were observed in the mitral valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<breast>: A well-circumscribed, organized hematoma area of 57x13 mm was observed in the right axilla.\n<bone>: Bone structures in the study area are natural. There are surgical suture materials for sternotomy in the sternum. Vertebral corpus heights are preserved. Free air images were observed under the skin adjacent to the sternoclavicular joint and in the mediastinum on the right anterior chest wall.\n<abdomen>: An acute hematoma area of 40x17 mm was observed under the skin at the catheter insertion site. There is moderate acidity in the abdomen as far as can be seen in the sections. There are widespread calcific atheroma plaques in the abdominal aorta and its visceral branches. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Hyperdense calculus images were observed in the gallbladder.\n\nImpression:\nSurgical suture materials on the sternum and mitral valve, diffuse atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries. Hiatal hernia . Hydropneumothorax and massive hematoma in the right hemithorax, subcutaneous emphysema at the level of the sternoclavicular joint and the anterior chest wall on the right. Drainage catheter in the anterior chest wall on the right Areas of acute hematoma in the localization of the site and in the right axilla. Subtotal atelectasis in the right lung. Left pleural effusion, linear atelectatic changes in the left lung, minimal decrease in left lung volume.  Moderate intra-abdominal acidity. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8608/train_8608_a/train_8608_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is an irregularly circumscribed nodule in the anterior segment of the upper lobe of the left lung, measuring approximately 20 mm in its longest diameter at its widest point. The described nodule may be the patient's primary mass. These findings may be pneumonic infiltration or lymphangitis carcinomatosis. The described appearance was also present in the previous examination of the patient and no difference was detected. No significant difference was observed in the number and size of the other nodules. Apart from this, there are nodules with irregular borders in both lungs, which are primarily evaluated in favor of metastases. Both lungs have centracinar nodules, some with budding tree appearance, and ground-glass appearance and minimal interlobular septal thickening. The largest of the described nodules is observed in the superior segment of the right lung lower lobe, and its longest diameter is 19 mm. It appears that many of the described appearances are new. This appearance may be pneumonic infiltration and or a mass. Consolidation-soft tissue density appearance was observed in the right lung upper lobe posterior segment and lower lobe.\n<pleura>: It is understood that the pleural effusion has just appeared. There is bilateral minimal pleural effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion and thickening were not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The described appearance was also evaluated primarily in favor of metastasis in the primary disease. Sclerotic bone lesions were observed in the sternum, right scapula, left clavicle and left humeral head. There is a mass within the infraspinatus muscle in the posterior left scapula with the longest diameter measuring 25 mm. No soft tissue component was detected accompanying the described metastatic lesions. The described appearances were primarily evaluated in favor of metastases.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries. There is a stone in the gallbladder.\n\nImpression:\nLung ca, nodule with irregular borders in the upper lobe of the left lung in the follow-up, nodules evaluated in favor of metastases in both lungs, bone metastases, mass evaluated in favor of metastasis in the left scapula posterior  Pneumonic infiltration in both lungs and or findings that may belong to lymphangitis carcinomatosis  Right lung upper lobe and consolidation-soft tissue appearance in the middle lobe  Pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8613/train_8613_a/train_8613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; There are atelectasis-focal consolidation areas and accompanying bronchiectatic changes in the left lung in the right lung middle lobe, both lung lower lobes and left lung upper lobe apicoposterior segment. A few nonspecific pulmonary nodules, the largest of which are calcified 3 mm in diameter, are observed in both lungs. Mosaic attenuation areas are observed in both lungs. Bilateral diffuse peribronchial thickening is observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected. In both lungs, contour irregularities in the pleura, pleural lines and reticular density increases are observed.\n<mediastinum>: Lymph nodes measuring 27x17 mm, some of which show calcification, are observed in the upper-lower paratracheal, aorticopulmonary and subcarinal areas, the largest in the subcarinal area. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta. There is mild dilatation of the pulmonary arteries. Widespread calcifications are observed in the thoracic aorta and coronary artery walls.\n<heart>: The ascending aorta measures 39 mm in diameter and shows slight dilatation. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Diffuse calcifications are present in the aortic tricuspid valve.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: Tapering and osteophytic changes in the vertebral corpus corners and bridging spur formations in the right anterolateral are observed. It is recommended to be evaluated in terms of DISH disease. Thoracic kyphosis has increased.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Diffuse calcific atherosclerotic changes are observed in the wall of the abdominal aorta. Upper abdominal organs included in the sections are normal. Widespread calcifications are observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nDilatation of the ascending aorta and pulmonary arteries. Mediastinal lymph nodes.  Diffuse calcified atherosclerotic changes in the thoracoabdominal aorta and coronary arteries. Bilateral peribronchial thickenings, bronchiectic changes. Areas of mosaic attenuation in both lungs (small airway disease ? small vessel disease?). Areas of atelectasis-focal consolidation in both lungs described in the report.  Bilateral nonspecific pulmonary nodules, some of which are calcified. Findings consistent with DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8614/train_8614_a/train_8614_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20454",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchus is natural. Lumens are clear.\n<lung>: Ventilation of both lungs was normal and no active infiltration was detected. In the evaluation of the parenchymal window of both lungs; both hemithorax are symmetrical. A calcific nodule with a diameter of approximately 5 mm is observed in the posterobasal segment of the lower lobe of the right lung. No pathological size and configuration of lymph nodes were detected at both hilar levels. At the right hilar level, millimetric but calcific lymph nodes are observed in the subcarinal area. Sequelae changes are observed in the middle lobe on the right and the inferior lingular segment on the left.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Thymic tissue is observed in the anterior mediastinum, in conical configuration, in which hypodense areas compatible with fatty involution are observed, without mass effect. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected.\n<bone>: Millimetric density in the right humeral head and left capula was evaluated as compatible with compact bone islet. Degenerative changes were observed in the bone structure.\n<abdomen>: Accessory spleen with a diameter of approximately 10 mm is observed in the spleen hilum. The spleen is full. However, no sign of diverticulitis was detected. Diverticulum is observed at the level of the splenic flexure. Both adrenals are natural. In the sections passing through the upper abdomen, the spleen is full.\n\nImpression:\nMillimetric calcific nodule formation in the posterobasal segment of the lower lobe of the right lung. Sequelae changes in the middle lobe on the right and the inferior lingular segment on the left.  The spleen is full. Accessory spleen is observed. Diverticulum is observed at the level of the splenic flexure. However, no sign of diverticulitis was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8619/train_8619_a/train_8619_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20456",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are millimetric calcific lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed within the contrast CT limits: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. There are no lytic-destructive lesions in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There is a 3 mm diameter stone in the upper pole of the right kidney. No upper abdominal free fluid-collection was observed in the sections. As far as it can be observed within the borders of unenhanced CT, no mass with distinguishable borders was detected.\n\nImpression:\nAtelectasis in both lungs . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8619/train_8619_b/train_8619_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There is a calcific nodule of approximately 5 mm in diameter on the right posterobasal. Sequelae of pleuroparenchymal linear density are observed in the inferior lingular segment. Mild sequela changes are observed in the middle lobe of the right lung. There is a 4 mm diameter ground glass nodule at the laterobasal level. It is also observed in the old review. Millimetric sized calcific lymph nodes are observed at the supcarinal and right hilar levels.\n<pleura>: There was no finding compatible with pneumonia, pleural effusion or pneumothorax in both lungs. A subpleural nodule with a diameter of 4 mm is observed at the posterobasal level of the left lung.\n<mediastinum>: It does not show mass effect. There are decreases in density compatible with fatty myelination. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of the main mediastinal vascular structures is natural. Thymic remnant is observed in the anterior mediastinum.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Approximately 3 mm diameter calculi is observed in the middle part of the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The surrounding soft tissue plans within the study area are natural.\n\nImpression:\nNo finding compatible with pneumonia was observed.  Stable nodule with 4 mm diameter at laterobasal level in left lung, calcific stable nodule with 5 mm diameter at posterobasal right lung.  Right nephrolithiasis.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8619/train_8619_c/train_8619_c_1.npy"
        ]
    },
    {
        "id": "report_generation_20467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass consolidations, which formed a multilobe, multisegmental peripheral weighted crazy paving pattern, were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: Pulmonary artery diameters are normal. Calcific atheroma plaques were observed in the wall of the aortic arch and descending aorta. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Spur formations bridging with each other on the right anterolateral of the thoracic vertebrae and dextroscoliosis with the opening facing left were observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the wall of the aortic arch and descending aorta. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. As far as can be seen within the sections; Several stones with a diameter of 21 mm were observed in the gallbladder lumen. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 28 mm. The spleen and pancreas appear natural. A nodular lesion area of 3 cm diameter and fluid density was observed in the lower pole of the left kidney (cyst?).\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the thoracic aorta. High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Cholelithiasis. Nodular lesion (cyst?) of fluid density in the lower pole of the left kidney.  Spur formations bridging with each other in the right anterolateral corner of the thoracic vertebrae and dextroscoliosis with the opening facing left, osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8624/train_8624_a/train_8624_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; As far as can be observed secondary to movement artifacts, both lungs are emphysematous. Linear atelectatic changes are present in both lungs.\n<mediastinum>: The diameters of the pulmonary trunk, right and left pulmonary arteries were larger than normal with 31 mm, 28 mm and 36.5 mm, respectively. No pathologically enlarged lymph nodes were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: The ascending anteroposterior diameter is 45 mm, and the descending aorta is wider than normal, with an anterior-posterior diameter of 32 mm.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. A pacemaker and lead catheters extending to the apex of the right ventricle were observed on the anterior chest wall on the left.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Compression fracture causing more than 50% loss of height in T3 and T12 vertebrae and secondary scoliosis with left-facing opening were observed. Diffuse degenerative changes were observed in the vertebrae. There is osteoporosis in bone structures within the sections. Retropulsion has been observed in the T12 vertebra and compresses the spinal cord by narrowing the anterior subarachnoid space.\n<abdomen>: No intraabdominal free fluid-collection was detected. The gallbladder was not observed (operated). As far as can be seen within the sections; The inferior vena cava and hepatic veins are larger than normal (considered secondary to right heart failure). Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. Pancreas has atrophic appearance. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Diffuse thickening was observed in the left adrenal gland. In both kidneys, 6.3 cm diameter cortical-parapelvic cysts, some of which are hemorrhagic, were observed in the lower pole of the right kidney (autosomal dominant polycystic kidney disease). As far as can be observed: The ascending anteroposterior diameter is 45 mm, and the descending aorta is wider than normal, with an anterior-posterior diameter of 32 mm. Right adrenal gland is natural. The spleen is normal.\n\nImpression:\nLeft anterior chest wall with pacemaker and lead catheters extending to the apex of the right ventricle, fusiform aneurysmatic dilation of the abdominal aorta, pulmonary trunk, and increased diameter of both pulmonary arteries. Cardiomegaly, diffuse calcific atheroma plaques in the thoracic aorta, supraaortic branches, and coronary arteries.  Emphysematous appearance in both lungs, linear atelectatic sequelae changes. Dilatation of the inferior vena cava and hepatic veins and (secondary to right heart failure).  Multiple cortical-parapelvic cysts in both kidneys, some of which are hemorrhagic neutral (autosomal dominant polycystic kidney disease?) . Diffuse thickening of the left adrenal gland.  Osteoporosis in thoracic vertebrae, compression fracture characterized by more than 50% loss of height in T3 and T12 vertebrae, left-facing scoliosis. Retropulsion in T12 vertebra, obliteration of anterior subarachnoid space, spinal cord compression."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8630/train_8630_a/train_8630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; breath artifacts are observed in both lungs and diffuse light ground glass densities are present (pulmonary edema?).\n<pleura>: At the apical level of the upper lobe of the right lung, millimetric nodules are observed in serial 2 image 95. A small amount of pleural effusion is observed in both hemithorax, more prominent on the right.\n<mediastinum>: Calcific atheroma plaques are observed in the thoracic aorta. There are several lymph nodes in the mediastinum with a short axis measuring up to 10 mm and a long axis measuring up to 21 mm. The ascending aorta measures up to 48 mm, the descending aorta 43 mm, and the aortic arch measures up to 36 mm and is wider than normal.\n<heart>: The cardiothoracic index increased in favor of the heart. The ascending aorta measures up to 48 mm, the descending aorta 43 mm, and the aortic arch measures up to 36 mm and is wider than normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Left-facing scoliosis is observed in the dorsal vertebrae. Hypertrophic osteophytic taperings are observed in the end plates of the dorsal vertebral corpuscles. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The ascending aorta measures up to 48 mm, the descending aorta 43 mm, and the aortic arch measures up to 36 mm and is wider than normal. Calcific atheroma plaques are observed in the thoracic aorta. A cortical cyst measuring 24 mm is observed in the left kidney.\n\nImpression:\nFindings evaluated in favor of edema in the lung.  A small amount of effusion, more prominent on the right bilateral side.  A few non-specific nodules in the apical segment of the upper lobe of the right lung. Cardiomegaly.  Calcific atheromatous plaques in the coronary arteries and thoracic aorta . Dilatation up to 48 mm in the ascending aorta . Cortical cyst in the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8634/train_8634_a/train_8634_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: Atelectasis was observed in the middle lobe of the right lung. When both lung parenchyma windows are evaluated; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening - effusion was not observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Atelectatic changes in the right lung.  Nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8644/train_8644_a/train_8644_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; There are scattered and focal ground-glass-like density increases in both lungs and localization of interstitial scars on this floor. The appearance was initially evaluated as compatible with Covid pneumonia. There are sometimes linear parenchymal bands in both lungs. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; There is a decrease in density consistent with mild steatosis in the liver.\n\nImpression:\nFindings consistent with Covid pneumonia. Mild hepatosteatosis and mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8653/train_8653_b/train_8653_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Bronchiectasis in the upper, middle and lower lobe central parts of the right lung and consolidation-soft tissue appearance in the peribronchial area are observed. There are diffuse emphysematous changes in both lungs. However, there was increased FDG uptake in this appearance in the previous PET CT examination. The described appearance is non-specific. Apart from these, density increases, structural distortion and volume loss, which are evaluated primarily in favor of pleuroparenchymal sequelae, are observed in both lungs, more prominently on the right. The described appearance and the soft tissue density-consolidation boundaries described in the lung center cannot be distinguished from each other in places. There was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs. The described appearance is also present in the patient's previous examinations, and no significant difference was detected in this appearance. In the right lung lower lobe superior segment, there is a clear borderless consolidation-soft tissue density appearance. It is recommended to follow. Millimetric nonspecific nodules were observed in both lungs. In the lower lobe of the right lung, there is a soft tissue appearance with slightly irregular borders in the peripheral area. The described appearance was primarily considered to be a sequelae change.\n<pleura>: Pleural effusion is observed on the right. The pleural effusion measured 35 mm at its thickest point.\n<mediastinum>: Lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The longest diameter of the described view measured approximately 33 mm at its widest point. Atheroma plaques were observed in the aorta and coronary arteries. These lymph nodes are also present in the patient's previous examinations and no difference was found in their size and appearance.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There was no finding that could be evaluated in favor of metastasis in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a 13 mm diameter stone in the gallbladder. Atheroma plaques were observed in the aorta and coronary arteries.\n\nImpression:\nLung ca, bronchiectasis in the central part of the right lung and the appearance of consolidation-soft tissue density in this area, stable unbounded increase in the right lung lower lobe superior segment (sequelae change?, metastatic mass?).  Atelectasis and sequelae changes in both lungs, more prominent on the right.  Emphysematous changes in both lungs.  Nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Mediastinal and hilar stable lymph nodes.  Pleural effusion on the right.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8655/train_8655_a/train_8655_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Areas of linear atelectasis thought to be secondary to treatment and increases in dependent density are observed in the lower lobe superior segments of both lungs. The consolidation area continuing from the mass in the previous examination to the left lung upper lobe apicoposterior segment was also not observed in the current examination. The size of the lesion was thought to be significantly reduced. Parserptal emphysema is observed in the lower lobes of both lungs. No newly developed lesion was detected in both lungs. Mosaic attenuation pattern is observed in both lungs. In the current examination, a density of 22 mm in diameter in this localization, whose borders cannot be clearly distinguished due to the lack of contrast in the examination, is observed. Apart from this, there are diffuse emphysematous changes in both lungs. There are several nonspecific pulmonary nodules in both lungs.\n<pleura>: The pleural effusion in the left lung is reduced.\n<mediastinum>: Apart from this, several stable sized lymph nodes are observed, the largest of which is 13 mm with a short axis in the pretracheal area. The dimensions of both pulmonary arteries increased together with the main pulmonary arteries. The thoracic aorta has an ectaic appearance in the lower part and measured 34 mm at its widest point. Calcific atheroma plaques are observed in the aorta and coronary arteries. There was no significant difference in the number and size of lymph nodes. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The diameter of the main pulmonary artery was 30 mm, the diameter of the right pulmonary artery was 28 mm, and the diameter of the left pulmonary artery was 27 mm. Thoracic aorta shows a tortuous course.\n<heart>: Heart size increased.\n<bone>: Kyphosis has increased at the level of the thoracic vertebra. Osteophytic taperings are observed in the bone structures in the study area. There are suture materials belonging to sternotomy in the sternum.\n<abdomen>: The upper abdominal organs included in the examination appear natural. Calcific atheroma plaques are observed in the aorta and coronary arteries. The thoracic aorta has an ectaic appearance in the lower part and measured 34 mm at its widest point. Thoracic aorta shows a tortuous course.\n\nImpression:\nThe rate of effusion in the left lung has decreased.  The number and size of lymph nodes in the mediastinum appear stable.  There are diffuse emphysematous changes in both lungs.  Linear atelectasis and nonspecific, millimetric, pulmonary nodules are observed in both lungs.  Heart sizes have increased.  Calcific plaques are observed in the aorta and coronary arteries.  Thoracic aorta has an ectatic appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8661/train_8661_a/train_8661_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In addition, diffuse ground glass densities are observed in all segments in the aerated left lung parenchyma and right lung parenchyma, and infectious pathologies are considered in the etiology. No mass lesions were detected in both lung parenchyma.\n<pleura>: An effusion measuring 76 mm is observed in the deepest part of the left pleural area and there is an increase in density consistent with atelectasis in the adjacent lung parenchyma.\n<mediastinum>: The mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and it is observed that the cardiothoracic ratio increased in favor of the heart. There is a catheter extending to the level of the superior right atrium junction of the vena cava. In mediastinal lymph node stations, lymph nodes with a fusiform configuration, with a short diameter of less than 1 cm, and without pathological size and appearance, are observed in the right lower paratracheal area.\n<heart>: The mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and it is observed that the cardiothoracic ratio increased in favor of the heart. Pericardial minimal effusion is present.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: In the abdominal sections within the image, as far as it can be evaluated within the limits of non-contrast CT, a nodular lesion of 16mm diameter is observed, located cortical in the middle zone of the right kidney (cyst?).\n\nImpression:\nIncreased cardiothoracic ratio in favor of the heart, mild pericardial effusion. Left pleural effusion.  Widespread ground-glass densities in all segments in both lung parenchyma; infectious pathologies are considered in the etiology. Nodular lesion (cyst?) in fluid density with cortical exophytic extension in the right kidney middle zone."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8663/train_8663_a/train_8663_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. Bronchiectatic changes were observed in the central part of both lungs. Stable millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequela fibrotic changes were observed in the apex of both lungs.\n<mediastinum>: Calcified atheroma plaques were observed in the abdominal aorta. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified proximal atherosclerotic changes were observed in the thoracic aorta and LAD.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights were preserved. Degenerative changes were observed in the bone structures in the study area. Hemangioma focus was observed in L2 vertebra.\n<abdomen>: Calcified atheroma plaques were observed in the abdominal aorta. The left adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed (operated). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Cortical-parapelvic cysts with a diameter of 53 mm were observed in both kidneys, the largest of which was in the upper pole of the right kidney. A stable calcified nodular lesion was observed in the lateral crus of the right adrenal gland. Upper abdominal organs are normal as far as can be seen in the sections. Calcified proximal atherosclerotic changes were observed in the thoracic aorta and LAD.\n\nImpression:\nCalcified atheroma plaques proximal to the aortic arch and LAD.  Hiatal hernia.  Sequelae changes in both lungs, minimal bronchiectatic changes evident in the central.  Pneumonic infiltration-mass lesion was not detected in the lung parenchyma.  Stable nonspecific millimetric parenchymal nodules in both lungs.  Calcified nodular lesion in the right adrenal gland lateral crus; is stable.  Cortical-parapelvic cysts in both kidneys.  Degenerative changes in bone structure, hemangioma focus in L2 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8668/train_8668_a/train_8668_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described findings were first evaluated in favor of viral pneumonia. The distribution and appearance of the described findings are in the style frequently observed in Covid-19 pneumonia. There are millimetric nonspecific nodules in both lungs. Occasional atelectasis and pleuroparenchymal sequelae in both lungs and emphysematous changes in both lungs are observed. Peripheral ground glass areas and consolidation and interlobular septal thickenings accompanying ground glass areas are observed in both upper and lower lobes of both lungs and right lung middle lobe. Enlarged vascular structures are observed in the described areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. The most prominent of these pleural plaques is observed at the level of the posterobasal segment of the lower lung lower lobe in the left hemithorax and is 8 mm thick. Calcified pleural plaques are observed in both hemithorax, more prominently on the left.\n<mediastinum>: A short lymph node with a diameter of less than 1 cm was observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs . Calcified pleural plaques in both hemithorax, more prominent on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8671/train_8671_a/train_8671_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: If there is no evaluation together with previous examinations, follow-up is recommended.\n<pleura>: In the middle lobe of the right lung, an area of minimal consolidation in which the bronchioles can be distinguished is observed, showing irregularly circumscribed pleural extensions (sequelae change?). When examined in the lung parenchyma window; In the left lung upper lobe posterior section, right lung lower lobe anterior subpleural area and right lung lower lobe posterior section, nodular density increases are observed, showing pleural extensions from place to place.\n<mediastinum>: Calcific plaques are observed in the aortic walls. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aortic walls. In the upper part of the left kidney included in the examination, a well-circumscribed hypodense nodular appearance of approximately 7 mm in diameter, which may be compatible with myelolipoma-angiomyolipoma, is observed.\n\nImpression:\nScattered areas of glass-consolidation, some of which are located in the subpleural areas, are observed in both lungs (secondary to the infective process?). Post-treatment control is appropriate.  Centrally located nodular appearance with irregular borders is observed in the middle lobe of the right lung. If there is no evaluation together with previous examinations, follow-up is recommended (primarily, sequelae were evaluated in favor of change).  Left kidney angiomyolipoma?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8674/train_8674_a/train_8674_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In bilateral lungs, there are ground glass densities that tend to merge in the upper lobe anterior on the right and in the bilateral lower lobe basal segments. When examined in the lung parenchyma window; Sequela fibrotic changes are observed in the upper lobe apex of both lungs.\n<mediastinum>: Except this; Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Except this; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Pericardial effusion with a diameter of 7 mm was observed. The ascending aorta is ectatic (40 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteodegenerative changes are observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with Covid pneumonia. Sequelae changes in the lung.  Ectasia of the ascending aorta. Coronary and aortic atherosclerosis. Minimal pericardial effusion. Osteodegenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8678/train_8678_a/train_8678_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20608",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: An air cyst with a diameter of 15 mm was observed in the middle lobe of the right lung. Air cysts with a diameter of 20 mm were observed in the anterobasal segment of the lower lobe of the left lung. Mild emphysematous changes were observed in both lungs. Two nonspecific parenchymal nodules measuring 3.5 mm in diameter were observed in the lower lobe of the left lung. When examined in the lung parenchyma window; Mild bronchiectatic changes are observed bilaterally centrally. Subsegmental atelectasis areas were observed in both lung lower lobes.\n<pleura>: Pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. As far as can be observed, calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: The ascending aorta measures 39 mm in diameter and shows slight dilatation. Heart sizes are natural. As far as can be observed, calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures. Partial compression, which causes loss of height, was observed in the upper end plate of the T12 vertebra.\n<abdomen>: Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. As far as can be observed, calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nMild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery. Mild emphysematous changes and air cysts in both lungs.  Bronchiectatic changes in both lungs . Areas of subsegmental atelectasis in both lungs . Nonspecific parenchymal nodules in the lower lobe of the left lung . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8684/train_8684_a/train_8684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule with a diameter of 3 cm is observed in the right thyroid lobe. The thyroid and both main bronchi are open.\n<trachea_and_bronchie>: There is bilateral tubular bronchiectasis. No occlusive pathology was detected in the trachea and both main bronchi. The thyroid and both main bronchi are open.\n<lung>: There is a 3 mm diameter calcific nodule in the right lung middle lobe lateral segment. Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. Findings are consistent with viral pneumonia (COVID-19 pneumonia). Scattered nodular ground glass areas in both lungs; In the right lung middle lobe medial segment, there are consolidation and accompanying ground glass areas in which bronchiectatic air bronchograms are observed. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected. There are subsegmental atelectasis areas accompanied by pleural retraction in the left lung upper lobe apicoposterior segment, lingular segment, right lung middle lobe lateral segment, and medial segments of both lungs middle lobes.\n<mediastinum>: Several lymph nodes with a diameter of 7 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. The diameter of the ascending aorta was 41 mm and the diameter of the descending aorta was 31 mm and increased.\n<heart>: Heart contour and size are normal. There are stent formations in the coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No displacement was detected. Cerclage suture materials are observed in the sternum. No lytic-destructive lesion was observed in bone structures. There are bridging osteophytes in the anterior corners of the thoracic vertebra corpus within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction. The diameter of the ascending aorta was 41 mm and the diameter of the descending aorta was 31 mm and increased.\n\nImpression:\nScattered nodular ground glass areas in both lungs, consolidation area in the right lung middle lobe medial segment in which air bronchograms are observed; findings are consistent with viral pneumonia.  Bilateral tubular bronchiectasis, areas of subsegmental atelectasis in both lungs, millimetric calcific nodule in the middle lobe of the right lung.  Dilatation of the aorta.  Increased size of the right thyroid lobe, hypodense nodule in it; US control is recommended under elective conditions.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8688/train_8688_a/train_8688_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Fibroatelectatic sequelae are observed in the right lung middle lobe medial segment, left lung lingular segment, and left lung lower lobe latorevazel segment.\n<pleura>: Pleural effusion-thickening was not detected. Pericardial-pleural effusion-thickening was not observed.\n<mediastinum>: Although the mediastinal cannot be evaluated optimally, the heart contour size of the main vascular structures in the mediastinum is normal in the patient who is not given contrast material. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Although the mediastinal cannot be evaluated optimally, the heart contour size of the main vascular structures in the mediastinum is normal in the patient who is not given contrast material.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Liver, gallbladder, spleen, both adrenal glands and pancreas are normal as far as non-contrast images can be seen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFibroatelectasis sequelae changes in right lung middle lobe medial segment, left lung lingular segment, left lung lower lobe latorevazel segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8691/train_8691_a/train_8691_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: Calcific lymph nodes are observed in both lung hilum. Widespread reticular nodular ground glass opacities are observed in both lungs, especially in the middle and lower lobes of the right lung. When the lung parenchyma is examined in the window; Emphysematous changes are observed in both lungs. In the right lung, there are bronchiectatic changes in the middle lobe and lower lobe bronchi and sequela fibrotic densities that may be compatible with traction bronchiectasis. Firstly, it was evaluated in favor of viral pneumonia. The appearance is not present in the previous examination of the patient.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries included in the examination. Mediastinal main vascular structures, heart contour, size are normal. No lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Pericardial effusion-thickening was not observed. The diameter of the ascending aorta has increased to 42 mm and it has a mild ectatic appearance. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdominal organs included in sections; liver parenchyma density decreased in line with hepatosteatosis. Calcific atheroma plaques are observed in the aorta and coronary arteries included in the examination. Cortical cyst is observed in the left kidney. An increase in the thickness of the left adrenal gland, especially the medial crus, is observed.\n\nImpression:\nWidespread opacities in reticular nodular ground glass density, which are more prominent in both lungs, especially in the middle and lower lobes of the right lung, the appearance was evaluated in favor of viral pneumonia. These findings are observed in Covid-19 pneumonia.  Diffuse emphysematous changes in both lungs  Traction bronchiectasis and sequela fibrotic densities, especially in the middle and lower lobes of the right lung  Fibrotic changes that may be secondary to radiotherapy in the medial part of the left lung upper lobe and lateral part of the right lung lower lobe  Calcific plaques in the aorta and coronary arteries  Hepatosteatosis  Simple cortical cyst in the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8695/train_8695_a/train_8695_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20639",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Trachea calibration is normal. However, there are slight bronchiectasis calibration increases in bronchial calibrations.\n<lung>: Sequelae changes are observed in the inferior lingular segment. There is a 3 mm diameter nodule in the inferior lingular segment. A nodule with a diameter of 4 mm is observed in the posterobasal segment of the lower lobe of the right lung. Mild sequelae changes are observed bilaterally at the apical level. No significant infiltration pneumothorax or hemothorax was detected in both lungs. No pathological size and configuration lymph nodes were detected at both hilar levels. A 5x3 mm nodule is observed in the left lung lower lobe laterobasal segment.\n<pleura>: A 3 mm diameter nodule is observed in the posterior subpleural area in the posterior segment of the right lung upper lobe.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSlight calibration increase in bronchial structures at the central level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8697/train_8697_b/train_8697_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Subsegmentary atelectatic changes were observed in the right lung. The volume of the right lung is slightly decreased, and it has a distorted appearance. There is focal eventration in the right hemidiaphragm (nervus frenicus paralysis?). Mild emphysematous changes were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Minimal sequela thickening was observed in the posterior costal pleura in the left hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: Heart size increased. Left heart chambers are wider than normal. A cardiac pacemaker and electrodes extending to the apex of the right ventricle are observed on the anterior chest wall on the left.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Diffuse thickening was observed in the left adrenal gland corpus. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and coronary arteries, cardiomegaly, enlargement of the left heart cavities, cardiac pace maker.  Focal eventration in the right hemidiaphragm (nervus frenicus paralysis?).  Minimal effusion with localized locating in the right hemithorax, minimal sequelae thickening in the posterior costal pleura in the left hemithorax.  Minimal emphysematous-atelectasis sequelae changes in both lungs.  Minimal thickening of the left adrenal gland corpus.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8699/train_8699_a/train_8699_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20649",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Subpleural ground-glass nodular density was observed in the lower lobe of the left lung. No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal sequelae changes in the left lung . Subpleural ground-glass nodular density in the lower lobe of the left lung, viral pneumonia?, clinic lab. Correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8701/train_8701_a/train_8701_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; In the case followed up due to Covid pneumonia, the ground-glass-style density increases – consolidations and fibroatelectatic pleuroparenchymal density increases observed in previous examinations have almost completely disappeared in the current examination. No ground glass-like density increments were detected at other levels. On the right, at the level of the minor fissure, a stable non-specific nodule of approximately 7x5 mm in trigoneal configuration is observed. There are areas of light density compatible with emphysema. Mild sequelae changes are observed at the apical level. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected. At the posterobasal level, faint, mild subpleural ground-glass-like density increases are observed.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed in the case.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. In the upper abdominal organs, including sections; A decrease in density consistent with steatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is slightly contracted.\n\nImpression:\nThere are findings consistent with mild emphysema in both lungs.  Stable-looking, non-specific millimetric nodule superposed on the minor fissure on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8709/train_8709_b/train_8709_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: There are frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. When both lung parenchyma windows are evaluated; When both lung parenchyma windows were evaluated, emphysematous changes were observed in both lungs.\n<pleura>: In both lungs, ground glass density increases with septal thickenings in the peripheral subpleural area and crazy paving appearances were observed in the upper and lower lobes.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). Coronary arteries have stent material. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion was not detected.\n<esophagus>: A lymph node with a short axis measuring 12 mm in diameter was observed adjacent to the lower esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly. Emphysematous changes in both lungs.  There are frequently reported imaging features of Covid-19 pneumonia in both lungs. Correlation with clinical and laboratory is recommended.  Mediastinal lymphadenopathies.  Calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8714/train_8714_a/train_8714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a slight increase in volume in both thyroid parenchyma, more prominent on the right.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Clinical laboratory and USG correlation is recommended for MNG.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8715/train_8715_a/train_8715_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Verification with US is recommended. A 19x17 mm hypodense nodule was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. Millimetric sized nonspecific pulmonary nodules were observed in both lungs. When examined in the lung parenchyma window; Multilobar, multisegmental, central-peripheral crazy paving pattern and ground-glass consolidations accompanied by linear subsegmentary atelectatic changes in both lungs are observed, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the anterior-posterior diameter of the ascending aorta was 37 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. The transverse diameter of the pulmonary trunk was 32 mm, and it was observed wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Vertebral corpus heights are preserved. Degenerative changes were observed in the bone structure in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed (operated). No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be observed, the anterior-posterior diameter of the ascending aorta was 37 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nHypodense nodule in the left thyroid lobe; Verification with US is recommended.  Fusiform ectasia in the ascending aorta, dilatation in the pulmonary conus.  Hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Millimetric sized nonspecific pulmonary nodules in both lungs  Cholecystectomized.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8723/train_8723_a/train_8723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are minimal emphysematous changes in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are sequela parenchymal changes in the lower lobe posterobasal segments of both lungs, the medial segment of the right lung middle lobe, and the inferior lingular segment of the left lung upper lobe.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; Surgical suture materials secondary to the operation were observed in the gallbladder lodge.\n\nImpression:\nLocally sequela parenchymal changes and minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8729/train_8729_a/train_8729_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is both main bronchi and no obstructive pathology was detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Structural distortion and sequelae changes accompanying volume loss are observed in the left lung upper lobe and inferior lingular segment in the right lung apex and medial segment of the middle lobe, and calcified parenchymal nodules, the largest of which is 13x10 mm in size, are observed in the left lung upper lobe.\n<pleura>: No pericardial, pleural effusion or thickening was observed.\n<mediastinum>: In the mediastinum, ovoid configuration with a short diameter of 9 mm, the largest of which is localized to the aorticopulmonary window, are pathologically sized and non-appearing lymph nodes. Calibration of the main mediastinal vascular structures, heart contour, size are normal.\n<heart>: Calibration of the main mediastinal vascular structures, heart contour, size are normal.\n<esophagus>: There is no pathological increase in the thickness of the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nLymph nodes that do not have pathological size and appearance in the mediastinum . Sequelae fibrotic structures accompanying structural distortion and volume loss in the lung parenchyma, well-circumscribed parenchymal calcified nodules in the left lung; There was no finding in favor of pneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8737/train_8737_a/train_8737_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Nonspecific pulmonary nodules with a diameter of 6.3 mm were observed in the superior segment of the left lung lower lobe, upper lobe apicoposterior, and right lung lower lobe superior segment. Both lungs are emphysematous. When examined in the lung parenchyma window; Pleuroparenchymal fibrotic sequelae changes were observed in the middle lobe of the right lung, the lingular segment of the left lung, and the laterobasal segments of the lower lobes of both lungs.\n<mediastinum>: Diffuse calcific atheroma plaques were observed in the coronary arteries, thoracic aorta and subraaortic branches. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Post-op changes secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Mediastinal could not be evaluated optimally in the contrast examination. As far as can be observed: Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, increased in size. Diffuse calcific atheroma plaques were observed in the coronary arteries, thoracic aorta and subraaortic branches.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A slightly slippery hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Osteodegenerative changes were observed in the bone structures in the study area. Post-op changes secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse calcific atheroma plaques were observed in the coronary arteries, thoracic aorta and subraaortic branches. No intraabdominal free-loculated fluid was detected. No stones were observed in both kidneys within the sections. Spleen size increased. As far as can be seen in non-contrast sections; liver, gall bladder, pancreas, both adrenal glands are normal.\n\nImpression:\nCardiomegaly, post-op changes secondary to previous bypass surgery in the sternum and mediastinum . Mildly slippery hiatal hernia at the lower end of the esophagus . Emphysematous appearance in both lungs, pleural parenchymal fibroatelectatic changes . Nonspecific pulmonary in both lungs, the largest in the right lung lower lobe superior segment nodules . Splenomegaly . Osteodegenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8739/train_8739_a/train_8739_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; A nonspecific nodular density measuring 4 mm is observed at the apical level in the upper lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. Osteophytic degenerative changes are present.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. A small cortical cyst is observed in the right kidney.\n\nImpression:\nNonspecific nodular density measuring 4 mm in size at the apical level in the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8743/train_8743_a/train_8743_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8750/train_8750_a/train_8750_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Wall calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the walls of the trachea, both main and segmental bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Linear pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung, the superior and inferior lingular segments of the left lung upper lobe, and the basal segments of the lower lobes of both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No free fluid was detected in the abdomen. Clinical and lab results in terms of possible pancreatitis. In the evaluation of upper abdominal organs including sections; liver, spleen, and both kidneys are normal. Density increases and thickening at the gerota-lateroconal fascia level were observed in the peripancreatic fatty planes. It is recommended to be evaluated with The gallbladder was not observed (operated). Calcific atheroma plaques were observed in the abdominal aorta and visceral branches.\n\nImpression:\nFindings consistent with tracheobronchopathy osteochondroplastica . Calcified atheromatous plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?) . Pleuroparenchymal sequelae in both lungs, fibroatelectatic density increases . Peripancreatic adipose tissue and increases in density, thickening of the lateroconal-gerota fascia; It is recommended to be evaluated together with clinical and laboratory in terms of possible pancreatitis.  Calcific atheromatous plaques in the abdominal aorta and its visceral branches . Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8754/train_8754_a/train_8754_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20798",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. When examined in the lung parenchyma window; Dependent ground glass densities are present in both lungs, especially in the posteriors.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCoronary artery atherosclerosis.  Millimetric nonspecific nodules in both lungs.  Dependent ground glass densities in both lungs.  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8765/train_8765_a/train_8765_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calcific nodules are observed in the trachea and bronchial walls (tracheobronchopathy osteochondroplastica). Trachea and main bronchi are open.\n<lung>: In both lungs, ground-glass densities are accompanied by nonspecific appearance in the upper lobe anterior segments and posterior segment. In the evaluation of both lung parenchyma: Mosaic attenuation areas are observed in both lungs (small airway disease?, small vessel disease?). Nodular density with pleuroparenchymal retraction and calcification is observed in the apicoposterior segment of the left lung upper lobe. Dependent density increases in the lower lobes of both lungs and prominence of interlobular septa in both lungs, possibly secondary to cardiac congestion, are observed.\n<pleura>: In addition, punctate pleural calcifications are observed on the left and in the form of plaques on the right. In the right hemithorax, bilateral pleural effusions are observed in the form of smearing on the left, measuring 1.5 cm in the thickest part.\n<mediastinum>: Right upper-bilateral lower paratracheal aortopulmonary, the larger one, mediastinal lymphadenomegaly with a narrow diameter of 11 mm and millimetric lymph nodes are observed.\n<heart>: Calcifications are observed in the walls of the coronary artery. The cardiothoracic index increased in favor of the heart. The ascending aorta is 4.1 cm in diameter and wider than normal.\n<bone>: Suture materials secondary to surgery in the sternum are observed. Bones appear osteopenic.\n<abdomen>: If available, it is recommended to compare with old films. In the sections passing through the upper part of the abdomen, no significant pathology was detected in the bilateral adrenal lobes.\n\nImpression:\nCardiomegaly.  Ascending aorta.  More prominent bilateral pleural effusion and pleural calcifications on the right.  Mosaic attenuation in both lungs (small airway disease?, small vessel disease?).  Interlobular septal thickening secondary to cardiac load in both lungs and nonspecific ground-glass densities in the upper lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8767/train_8767_a/train_8767_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20825",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: There was no finding in favor of mass-infection in the lung parenchyma. When examined in the lung parenchyma window; Interlobular-intralobar septal thickenings, accompanying patchy ground glass consolidations and segmental-subsegmental peribronchial cuffing were observed in both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques were observed in the aortic arch, its supraaortic branches and LAD. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial thickening was not detected. No effusion was observed in the pericardial space. LAD applied stent is available. Findings are consistent with cardiac stasis.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the aortic arch, its supraaortic branches and LAD.\n\nImpression:\nCardiomegaly, calcific atheroma plaques in the aortic arch, supraaortic branches, and LAD. Hiatal hernia.  Cardiac stasis in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8777/train_8777_a/train_8777_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Nonspecific nodules measuring approximately 5 mm in diameter were observed in both lungs, the largest of which was in the upper lobe of the right lung. Diffuse emphysematous changes were observed in both lungs. Density increases and minimal structural distortion were observed in both lungs, especially in the lower lobes and posterior parts. Apart from these, there are sometimes linear atelectasis in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. The manifestations described are primarily thought to be sequelae changes.\n<pleura>: No pericardial or pleural effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological increase in wall thickness in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a view of the stent within the bile ducts. There is enlargement and air in the bile ducts. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nNonspecific nodules in both lungs.  Diffuse emphysematous changes in both lungs.  Sequelae changes and atelectasis in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Air in the bile ducts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8787/train_8787_a/train_8787_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are emphysematous changes in both lungs, mostly at the apical levels. When examined in the lung parenchyma window; At the basal level of the lower lobe of the left lung, atelectasis in the form of thick bands of consolidation including air bronchogram signs are observed.\n<pleura>: In the lower lobe of the right lung, a 5 mm subpleural nodule is observed in series 2 image 177. There are findings compatible with pneumobilia.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in bone structures and there are tapering in the end plates.\n<abdomen>: Thoracic aorta diameter is normal. In case of doubt, further examination is recommended. Enlargement of the common bile duct is observed. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Upper abdomen organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nThere are findings consistent with pneumonia in the lower lobe of the left lung. Clinical laboratory correlation follow-up is recommended for better differential diagnosis.  Elevation is observed in the left hemidiaphragm.  Emphysematous changes in both lungs.  Subpleural 5 mm nodule in the lower lobe of the right lung in series 2 images 177.  Atherosclerosis.  Pneumobilia is present.  There is diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8787/train_8787_b/train_8787_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8793/train_8793_b/train_8793_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases are observed in both lungs apical. Emphysematous changes and millimeter-sized air cysts were observed in the upper lobes of both lungs. Bronchiectatic changes and peribronchial thickening were observed in both lungs, which became prominent in the center. No mass-infiltration was detected in both lung parenchyma. No significant changes were detected in the size and number of nodules described from previous review.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Multiple pulmonary nodules were observed in both lungs, the largest of which was 7.5 mm in diameter, located peripheral subpleural in the left lung upper lobe.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: A minimal effusion measuring 6 mm in its thickest part is observed in the anterior pericardium. Heart contour size is natural. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Right adrenal gland calibration was normal and no space-occupying lesion was detected. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecytectomized).\n\nImpression:\nStable pulmonary nodules in both lungs. Peribronchial thickenings and bronchiectatic changes in both lungs.  Emphysematous changes in both lungs, stable hypodense nodular lesion in the left adrenal gland.  Cholecytectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8796/train_8796_a/train_8796_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, no pneumonic infiltration was detected in the lungs. In addition, there are millimetric nonspecific nodules in both lungs.\n<pleura>: Newly developed nodules are observed in the posterobasal segment of the left lung lower lobe, 10x11 mm in size subpleural, 3 mm in the anterior left lower lobe, and 9 mm in the medial side of the right lung middle lobe.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are aortic and coronary artery atherosclerosis, sternotomy, degenerative changes in the vertebrae.\n<heart>: There are aortic and coronary artery atherosclerosis, sternotomy, degenerative changes in the vertebrae.\n<bone>: No significant difference was detected. There are metastatic lesions in all bone structures entering the section area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There are aortic and coronary artery atherosclerosis, sternotomy, degenerative changes in the vertebrae.\n\nImpression:\nMetastatic bladder Ca. patient with clinic; 3 newly developed metastatic nodules in both lungs.  Slight increase in bilateral pleural effusion.  Diffuse metastatic lesions that do not show significant differences in bone structures.  Apart from this, no significant difference was found between the examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8805/train_8805_a/train_8805_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20917",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: A 6.5 mm diameter nodule superposed to the major fissure was observed in the superior segment of the lower lobe of the right lung. Fibroatelectasis sequelae causing parenchymal distortion were observed in the upper lobe of the left lung. When examined in the lung parenchyma window; Central-peripheral crazy paving patterned nodular ground glass consolidations were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. It is stable.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Contrast-enhanced examination is recommended if clinically necessary.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis, increased kyphosis and degenerative changes in bone structures were observed.\n<abdomen>: In the upper abdominal organs included in the sections, there are findings consistent with chronic parenchymal disease in the liver. Spleen size increased. At the level of the ascending colon and hepatic flexure, long segment suspicious increase in wall thickness and contamination in the pericolonic adipose tissue were observed. Mesentery and omentum are contaminated and heterogeneous.\n\nImpression:\nHiatal hernia . High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Stable nodule superposed to major fissure in the superior segment of the lower lobe of the right lung . Fibroatelectasis sequelae that causes parenchymal distortion in the upper lobe of the left lung . Chronic liver disease, splenomegaly, contamination in the mesentery and omentum . Suspected long segment wall thickness increase at the ascending colon and hepatic flexure level, pericolonic Contrast-enhanced examination is recommended in case of clinical necessity in terms of contamination in adipose tissue and possible infective processes.  Left-facing scoliosis at the thoracic level, increased kyphosity, degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8815/train_8815_c/train_8815_c_1.npy"
        ]
    },
    {
        "id": "report_generation_20919",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The findings of parenchymal consolidation were progressive in the case, which was learned to have Covid-19 pneumonia in the lung parenchyma. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8815/train_8815_d/train_8815_d_1.npy"
        ]
    },
    {
        "id": "report_generation_20921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Multisegmental, peripherally located, irregularly bordered, nodular focal consolidation areas forming crazy paving pattern were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At the mid-thoracic level, merging syndesmophytes consistent with diffuse idiopathic bone hyperostosis were observed.\n<abdomen>: As far as can be seen within the sections; liver parenchyma density decreased secondary to hepatosteatosis. Millimetric calculi were observed in the gallbladder.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta . High suspicious appearance for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Hepatosteatosis . Cholelithiasis . Findings consistent with diffuse idiopathic bone hyperostosis at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8816/train_8816_a/train_8816_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ground glass densities and consolidations are observed in the peripheral lung parenchyma and peribronchial parenchyma in both lungs, most prominently in the anterior segment of the upper lobe of the right lung. Typical findings for Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric-sized calcific atherosclerotic plaque is observed in the aortic arch. No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal aortopulmonary lymph node with millimetric size is observed. The AP diameter of the descending aorta is 3.2 cm and wider than normal.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures. There is a marked increase in dorsal kyphosis. Degenerative changes are observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In non-contrast abdominal sections, bilateral adrenal glands appear natural. Millimetric-sized calcific atherosclerotic plaque is observed in the aortic arch. The AP diameter of the descending aorta is 3.2 cm and wider than normal.\n\nImpression:\nDiffuse peripheral lung parenchyma and peribronchial ground-glass densities and consolidations in both lung parenchyma Typical findings for Covid-19 pneumonia . Ectasia in the descending aorta . Cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8820/train_8820_a/train_8820_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No infiltrative lesion was detected in both lung parenchyma. In the evaluation of both lungs in the parenchyma window; A nodule with a diameter of 3 mm is observed at the level of the minor fissure on the right. Density consistent with pleuroparenchymal sequelae is observed in the dorsum of the lower lobe of the right lung. There is a sequelae change at the apical level of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: A millimetric-sized calcific atheroma plaque is observed in the aortic arch. No pathologically sized and configured lymph nodes were detected in the mediastinum and hilar level. The aortic arch is at the maximal physiological limit. Calibration of major vascular structures in the other mediastinum is normal.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aortic arch is at the maximal physiological limit. A smear-like parenchyma area protected from fat is observed adjacent to the gallbladder. Surrounding soft tissue plans are natural. There is a 2 mm diameter calculi in the left kidney. Mild contamination is observed in the central mesentery. There is a decrease in density consistent with steatosis in the liver. In the sections passing in the upper abdomen, parenchymal millimetric calcification is observed in the left lobe of the liver. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. In the right kidney, a density of 3x2 mm compatible with calculus is observed.\n\nImpression:\nNo findings consistent with pneumonia were detected in both lungs. Hepatosteatosis, bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8821/train_8821_a/train_8821_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. Density increases, structural distortion and volume loss, which are evaluated in favor of pleuroparenchymal sequelae changes, are observed in both lung apexes. There are millimetric nodules in both lungs. There is no mass or infiltrative lesion in both lungs. The largest of the nodules described is observed in the middle lobe of the right lung and the longest diameter was measured as 6 mm.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The shortest diameter of the largest of the described lymph nodes was approximately 10 mm. Widespread atheroma plaques are observed in the aorta and coronary arteries, and it is understood that the patient underwent coronary bypass surgery. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed. In the mediastinum and hilar regions there are lymph nodes, some of which have calcifications.\n<heart>: Widespread atheroma plaques are observed in the aorta and coronary arteries, and it is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no discernible mass in the upper abdominal organs within the sections. Widespread atheroma plaques are observed in the aorta and coronary arteries, and it is understood that the patient underwent coronary bypass surgery. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Pleuroparenchymal sequelae changes in both lung apexes . Nonspecific millimetric nodules in both lungs . Atherosclerotic changes in aorta and coronary arteries . Mediastinal and hilar lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8830/train_8830_a/train_8830_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Ground glass areas are observed in the right lung upper lobe posterior section and left lung lower lobe superior, with short axes not exceeding 1 cm, which do not reach pathological size and appearance.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheromatous plaques in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nTypical-probable covid19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8830/train_8830_b/train_8830_b_1.npy"
        ]
    },
    {
        "id": "report_generation_20981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is diffuse mild ectasia and diffuse mild increase in peribronchial thickness in the bronchial structures in both lungs. Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Minimal emphysematous changes were observed in the apex of both lungs.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nEmphysematous changes in the apex of both lungs, diffuse mild ectasia of bronchial structures in both lungs, and diffuse mild increase in peribronchial thickness."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8846/train_8846_a/train_8846_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs, and enlargements at ground glass densities in vascular structures are observed.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or right hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Lymph nodes measuring up to 17x23 mm in size are observed in the left axillary region.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, the gallbladder is operated.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Lymph nodes measuring up to 17x23 mm in size are observed in the left axillary region."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8849/train_8849_a/train_8849_a_1.npy"
        ]
    },
    {
        "id": "report_generation_20997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is no obvious right plveral effusion. Occasionally, atelectasis is observed in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: The pleural effusion on the left is locally loculated. The pleural effusion measured 36 mm at its thickest point. Pleural effusion is observed on the left. In the right hemithorax, there is minimal air between the leaves of the pleura in the upper lobe apical segment anterior part of the lung.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. It is understood that the patient underwent coronary bypass surgery. Minimal pericardial effusion was detected. Minimal pericardial thickening was observed.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Surgical suture materials are available in the sternum. No lytic-destructive lesions were detected in the bone structures within the sections. Median sternotomy is observed.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections. Free fluid was not observed.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, coronary bypass surgery, minimal pericardial effusion and pleural effusion, minimal air between the pleural leaves on the right . Atelectasis in both lungs . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8854/train_8854_a/train_8854_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. A few millimetric calcific lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. The suspect was evaluated in favor of calculus. There is one millimetric hyperdense finding in the series that can be observed in the images in the left kidney. The gallbladder is operated. A small accessory spleen with a diameter of 10 mm is observed adjacent to the spleen. A 13 mm oval-shaped hypodense finding in the right kidney was evaluated as suboptimal within the limits of the examination. It was evaluated in favor of the cyst.\n\nImpression:\nSuspected left nephrolithiasis. Several calcific lymph nodes in mediastinum.  Cortical cyst in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8856/train_8856_a/train_8856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. The outlook is in favor of viral pneumonia. When examined in the lung parenchyma window; Minimal bronchiectatic changes and areas of linear subsegmental atelectasis are observed in the lower lobes of both lungs.\n<pleura>: Ground-glass densities are observed in the parenchyma of both lungs in a widespread patchy style and subpleural weight.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Calibration of other mediastinal major vascular structures is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in sections; Multiple cysts are observed in both kidneys.\n\nImpression:\n,  Typical-probable Covid-19 pneumonia.  Calcific plaques in the aorta and coronary arteries.  Cysts in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8858/train_8858_b/train_8858_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lungs, faint ground glass densities were observed in the dependent areas of the lower lobe posterior segments. Cylindrical bronchiectasis was observed in the right lung lower lobe superior segment. Subsegmental atelectasis and paraseptal emphysema were observed in the posterobasal segment of the left lung lower lobe. Prone tomography is recommended for the distinction between transient atelectasis and viral pneumonia. In both lungs, there are appearances of millimetric nodules, the largest of which is 4.5 mm in diameter in the posterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance. The diameter of the ascending aorta is 4 cm, at the upper limit of normal.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative osteophytes were observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIn both lungs, faint ground glass densities were observed in the dependent areas of the lower lobe posterior segments. Prone tomography is recommended for the distinction between transient atelectasis and viral pneumonia. In addition, clinical and laboratory evaluation for COVID is recommended. Bronchiectasis Pulmonary nodules Subsegmental atelectasis and paraseptal emphysema in the posterobasal segment of the left lung lower lobe Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8859/train_8859_a/train_8859_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21017",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A millimetric nonspecific nodule was observed in the lower lobe of the left lung. There are linear atelectasis in the lower lobes of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lung lower lobes  Millimetric nodule in left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8860/train_8860_a/train_8860_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Millimetric calcific focus is observed in the left kidney pelvicalyceal structures. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLeft nephrolithiasis. Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8865/train_8865_a/train_8865_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; No pneumonic consolidation or infiltration area was observed in the lung parenchyma. A few nonspecific nodular lesions with diameters less than 5 mm are observed.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the supraclavicular fossa, axilla and mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. The heart size compartments appear natural.\n<esophagus>: Esophageal calibration is natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits. Pneumonic infiltration was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8868/train_8868_a/train_8868_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Mild emphysema appearance is observed. Millimetric sized lymph nodes are observed at the level of the right hilus. Left hilar is natural. Focal consolidation with pleuroparenchymal extensions is observed in the inferior lingular segment.\n<pleura>: No pneumonia, pleural effusion or pneumothorax was detected. Slight thickening of the pleura is observed in the posterior segments of the upper lobes of both lungs.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. There are multiple lymph nodes in almost all stations in the mediastinum, the largest of which is in the subcarinal area and 14x7 mm in size. There are calcific atheroma plaques in the coronary aortic arches.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Changes secondary to sternotomy are observed. There is left-facing scoliosis in the thoracic region (positional?). Mild degenerative changes are observed in the bone structure.\n<abdomen>: In non-contrast upper abdominal sections; No significant pathology was detected within the sections. The surrounding soft tissue plans within the study area are natural. There are calcific atheroma plaques in the coronary aortic arches.\n\nImpression:\nFindings consistent with mild emphysema in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8880/train_8880_a/train_8880_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Mild bronchiectatic changes and minimal peribronchial thickening are present in both lungs. When examined in the lung parenchyma window; azygos lobe variation was observed in the right lung. Linear atelectasis is noted in the lingula inferior segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node reaching mediastinal pathological dimension was detected. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<heart>: No pericardial effusion or thickening was detected. No obvious pathology was detected. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<esophagus>: The thoracic esophagus is in normal calibration. No pathological wall thickening was detected.\n<bone>: No pathologically enlarged lymph nodes were detected in the bilateral supraclavicular region and axillary region. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild bronchiectatic changes and minimal peribronchial thickening in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8891/train_8891_a/train_8891_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21097",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. There are fibroatelectatic changes in both lungs. A nonspecific parenchymal nodule with a diameter of 5 mm was observed in the laterobasal segment in the lower lobe of the left lung. No mass or infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Mediastinal lymph nodes, some of which are calcified, are observed. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta. Diffuse calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls.\n<heart>: Heart size increased. Diffuse calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; There are bilateral renal cysts and sequela parenchymal thinning in the left kidney. Diffuse calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls. Diffuse thickness increase was observed in the bilateral adrenal gland (hyperplasia?).\n\nImpression:\nCardiomegaly, atherosclerotic changes.  Mediastinal lymph nodes, some of which are calcified.  Mild emphysematous changes in both lungs, fibroatelectasis changes, peribronchial thickening, millimetric nonspecific parenchymal nodule in the lower lobe of the left lung.  Diffuse thickness increase in bilateral adrenal gland (hyperplasia?).  Bilateral renal cysts, parenchymal thinning in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8899/train_8899_a/train_8899_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are areas of increase in density consistent with linear atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. No active infiltration or mass lesion was detected in both lungs. There are sequela parenchymal changes in the bilateral apex and posterior segment of the right lung upper lobe. Millimetrically sized nonspecific nodules are observed in both lungs. In the examination made in the lung parenchyma window; In both lung lower lobe posterobasal segments, there are density increases in depandant ground glass density.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: It could not be evaluated optimally due to lack of contrast. Thoracic aorta, calcified atheroma plaques on the walls of coronary vascular structures and stent material on the walls of coronary vascular structures are observed. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures and heart examination IV.\n<heart>: It could not be evaluated optimally due to lack of contrast. Calibration of mediastinal vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: Thoracic aorta, calcified atheroma plaques on the walls of coronary vascular structures and stent material on the walls of coronary vascular structures are observed. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nAtherosclerotic plaques in the wall of the thoracic aorta and coronary vascular structures.  Active infiltration or mass lesion is not detected in both lungs, and there are millimeter-sized nonspecific nodules and sequela parenchymal changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8902/train_8902_a/train_8902_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21112",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. Peripheral and central consolidations, more prominent in the lower lobes of both lungs, and areas of ground glass are observed around them. In the findings described during the pandemic process, it was evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8904/train_8904_a/train_8904_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open.\n<lung>: Emphysematous changes were observed in both lungs. Minimal vascular enlargement was observed within the described nodular density increases (viral pneumonia?). When examined in the lung parenchyma window; Areas of parenchymal fibrosis causing density loss and paracicatricial ronchiectasis were observed in the upper lobes of both lungs, right lung lower lobe superior segment and left lung lower lobe. Millimetric sized calcified nonspecific parenchymal nodules were observed in the upper lobes of both lungs.\n<pleura>: Nodular ground glass density increases were observed in the peripheral subpleural area in the right lung lower lobe mediobasal segment, left lung lower lobe and inferior lingular segment.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; The ascending aorta measures 39 mm in diameter and shows minimal dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs, diffuse bronchiectatic changes in the upper lobes and lower lobe superior, emphysematous changes in both lungs . Calcified parenchymal nodules in both lungs . Peripheral nodular ground glass density increases in both lungs (viral pneumonia?) Clinical findings for Covid-19 pneumonia It is recommended to be evaluated together with laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8907/train_8907_a/train_8907_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. When examined in the lung parenchyma window; Parenchymal fibrosis areas and paracicatricial bronchiectatic changes were observed in the upper lobes of both lungs, the right lung lower lobe superior segment, and the left lung lower lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Calcific nodules with a diameter of 8.5 mm were observed in both lungs, the largest of which was in the basal segment of the lower lobe of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs, diffuse bronchiectatic changes in upper lobe-lower lobe superior segments, emphysematous changes  Stable calcified parenchymal nodules in both lungs  Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8907/train_8907_b/train_8907_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. There are areas of linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: Pleural-effusion was not detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Calcific atheroma plaques are observed in the coronary arteries and aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Minimal pericardial effusion is observed. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: In the anterior corners of the corpus of the thoracic vertebrae, bridging osteophytes and vacuum phenomena secondary to degeneration are observed in the intervertebral disc spaces. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nLinear areas of atelectasis in both lungs.  Several millimetric nonspecific nodules in both lungs.  Calcific atheromatous plaques in coronary arteries.  Minimal pericardial effusion.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8911/train_8911_a/train_8911_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Right lung middle lobe medial segment atelectasis is observed.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is a millimetric atheroma plaque in the left descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. Millimetric atheroma plaque in the left descending coronary artery"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8913/train_8913_a/train_8913_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild linear atelectatic changes at the posterobasal level in the lower lobe of the right lung, and minimal patchy ground glass densities. It was evaluated primarily in favor of dependent atelectasis. Clinical laboratory correlation is recommended for the differential diagnosis of an early infectious process due to the current pandemic.\n<mediastinum>: Thoracic aorta diameter is normal. Millimetric calcific atheroma plaques were observed in the coronary arteries in the arcus aorta. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes in bone structures in the study area, diffuse density reduction were observed. Hypertrophic osteophytic tapering and bridging tendencies were observed in the vertebral corpus end plates.\n<abdomen>: There is a finding consistent with mild hepatosteatosis in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques were observed in the coronary arteries in the arcus aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are linear density increases described, extending to the pleura in the right lung lower lobe superior, and slightly patchy ground-glass densities. It was evaluated in favor of an early infectious process accompanied by descending atelectasis. Due to the current pandemic, clinical laboratory correlation is recommended for the exclusion of Covid-19 viiral pneumonia.  Mild atherosclerosis.  Hepatosteatosis . Hypertrophic osteophytic scaling, bridging tendencies, diffuse density reduction in bone structures, degenerative changes in the vertebral corpus end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8915/train_8915_a/train_8915_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings viral pneumonia (consistent with COVID-19 pneumonia). Tubular bronchiectasis is observed in both lungs. Several nodules with a diameter of 4.5 mm are observed in both lungs, the largest of which is in the lingular segment of the left lung upper lobe. In both lungs, there are confluent peripherally weighted ground-glass areas in the lower lobe posterior segments, interlobular septal thickenings and subsegmental atelectasis.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: In the mediastinum and hilar regions, a few lymph nodes with a short diameter less than 5 mm, some of them calcific, are observed. Extensive calcific atheroma plaques are observed in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Widespread calcific atheroma plaque-stent formations are observed in the coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus.\n<bone>: Cerclage suture materials are observed in the sternum and there is posterior displacement in the sternotomy line. Millimetric ostophytes are observed in the corners of the thoracic vertebral corpus within the sections, and vacuum phenomena secondary to degeneration are observed in the intervertebral disc distances. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is a sliding type hiatal hernia at the esophagogastric junction. Extensive calcific atheroma plaques are observed in the aorta. As far as it can be evaluated within the limits of non-contract IT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nMore prominent peripherally weighted ground glass areas in the lower lobe posterior segments of both lungs, interlobular septal thickness increases and subsegmental atelectasis areas. Findings are consistent with viral pneumonia.  Bilateral tubular bronchiectasis.  Several millimetric nonspecific nodules in both lungs.  Diffuse calcific atheroma plaques-stent formations in coronary arteries.  Millimetric lymph nodes in the mediastinum.  Hiatal hernia.  Thoracic spondylosis, minimal displacement at the sternotomy line."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8919/train_8919_a/train_8919_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical lab findings in terms of pulmonary edema and infiltration. correlation and close follow-up is recommended.\n<pleura>: When examined in the lung parenchyma window; Ground glass densities, mosaic pattern attenuations, and milimetric multiple peripheral nodules densities are observed in the subpleural area, diffusely in both lungs, more prominent on the right.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. A few small lymph nodes are observed in the mediastinum and hilar region.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nClinical laboratory correlation and close follow-up of the findings described above in lung parenchyma in terms of pulmonary edema and infiltration (ARDS?) is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8922/train_8922_a/train_8922_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. The findings described are consistent with Covid-19 pneumonia. Several nonspecific pulmonary nodules with a diameter of 6.5 mm were observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental central-peripheral nodular ground glass consolidations with crazy paving pattern and vascular enlargement were observed.\n<pleura>: More common subpleural striations and linear atelectasis are observed on the right in the lower lobe basal segments of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 1.5 mm diameter calculus core was observed in the lower pole of the right kidney. A 10 mm diameter nonspecific hypodense lesion area was observed in segment 7 at the level of the liver dome.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma; clinical and laboratory evaluation is recommended  A few millimetric nonspecific pulmonary nodules in both lungs.  Hepatic steatosis.  Nonspecific hypodense lesion in segment 7 at the level of the liver dome.  Microlithiasis in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8923/train_8923_a/train_8923_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A few millimetric nonspecific parenchymal nodules were observed in both lungs, the largest of which was 4 mm in diameter in the right lung upper lobe posterior. When examined in the lung parenchyma window; Atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Subsegmental atelectasis was observed in the anterobasal segment of the lower lobe of the right lung. There are mild bronchiectatic changes in the center of both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A nodular lesion with a diameter of 7 mm was observed at the junction of the aortic arch-descending aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta. (Saccular aneurysm? could not be characterized because the examination was not contrast-enhanced?).\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure.\n<abdomen>: No dilatation was detected in the thoracic aorta. A nodular lesion with a diameter of 7 mm was observed at the junction of the aortic arch-descending aorta. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized). (Saccular aneurysm? could not be characterized because the examination was not contrast-enhanced?).\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs, atelectasis in both lungs, bilateral bronchiectatic changes.  Cholecystectomy.  A nodular lesion was observed at the junction of the aortic arch-descending aorta. (Saccular aneurysm? could not be characterized because the examination was not contrast-enhanced?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8925/train_8925_a/train_8925_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21165",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. In both lungs, some calcific stable nodules with a diameter of 3.8 mm were observed in the posterior part of the upper lobe of the right lung.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. A nodular lesion with a diameter of 7 mm was observed at the junction of the aortic arch-descending aorta (saccular aneurysm?, the examination could not be characterized because it was not without contrast).\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Lytic bone lesions were observed in the bone structure in the patient who was learned to have multiple myeloma. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). A nodular lesion with a diameter of 7 mm was observed at the junction of the aortic arch-descending aorta (saccular aneurysm?, the examination could not be characterized because it was not without contrast). As far as can be seen within the sections; other upper abdominal organs are normal.\n\nImpression:\nPleuroparenchymal fibroatelectasis sequelae changes in the right lung middle lobe and left lung inferior lingular segment.  Stable, some calcific, nonspecific nodules in both lungs.  Lytic bone lesions in a patient with multiple myeloma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8925/train_8925_b/train_8925_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A decrease in peribronchial thickness increases observed in this area is also observed.\n<lung>: Pleuroparenchymal densities observed primarily in the medial segment of the left lung upper lobe inferior lingular segment and right lung middle lobe decreased.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8925/train_8925_c/train_8925_c_1.npy"
        ]
    },
    {
        "id": "report_generation_21179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Thickening is observed in the interlobular septa. In both lungs, patchy ground glass densities are observed in the lower lobe of the right lung. When examined in the lung parenchyma window; There are effusions measuring 18 mm in thickness in the right hemithorax and 7 mm in thickness in the left hemithorax.\n<mediastinum>: Millimetric lymph nodes are observed around the abdominal aorta. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structure.\n<abdomen>: Millimetric lymph nodes are observed around the abdominal aorta. Thoracic aorta diameter is normal. Increases in spleen sizes are observed. The liver parenchyma has a slightly heterogeneous appearance, and there are dilated appearances that cannot be clearly distinguished in the non-contrast examination of the intrahepatic biliary tract or portal venous system.\n\nImpression:\nInfectious processes accompanied by cardiac stasis. clinical lab. blind. and follow-up is recommended.  Small amount of effusions in both hemithorax, more on the right.  Diffuse density reduction in bone structures.  TX Dilatations in the portal venous system and intrahepatic bile ducts in the liver.  Splenomegaly.  Two drainage catheters extending into the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8931/train_8931_a/train_8931_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Radiological findings were evaluated as compatible with Covid-19 pneumonia.\n<pleura>: In both lungs, bilaterally asymmetrical diffuse localization, predominantly subpleural localized, patchy infiltration areas of ground glass density and septal thickness increases are observed. No pleural effusion was detected.\n<mediastinum>: No space-occupying lesion was detected in the mediastinal fat pad. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Diffuse reduction in liver parenchyma density consistent with hepatosteatosis is observed in upper abdominal sections.\n\nImpression:\nFindings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8933/train_8933_a/train_8933_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Several hypodense nodular lesions were observed in the left thyroid lobe. US control is recommended.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Nonspecific pulmonary nodules with a diameter of 3 mm were observed in the middle lobe of the right lung. In the lower lobes of both lungs, nonspecific ground glass density increases are observed. When examined in the lung parenchyma window; Peribronchial thickenings were observed in bilateral lower lobes of the lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. In bilateral axillary and supraclavicular localization, no lymph node was observed in pathological size and appearance. In the upper-lower paratracheal area, in the precarinal localization and in the prevascular area, there are millimetric lymph nodes with a short axis of the largest and smaller than 5 mm. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No significant dilatation was detected in the pulmonary artery. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: As far as can be observed: The diameter of the ascending aorta is 40 mm and shows dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophageal calibration was evaluated within the normal limits in the non-contrast scan limits. Mixed type hiatal hernia was observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. In the evaluation of the upper abdominal organs in the examination area; gall bladder was not observed (operated). A 15 mm diameter nodular lesion with a mean HU of 3 was observed in the corpus of the left adrenal gland (adenoma?).\n\nImpression:\nCalcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery . Fusiform dilatation in the ascending aorta. Hiatal hernia. Millimetric sized nonspecific pulmonary nodule in the right lung.  Peribronchial thickenings and nonspecific ground-glass density increases in the lower lobes of both lungs.  Cholecystectomized . Hypodense lesion (adenoma?) in the corpus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8935/train_8935_a/train_8935_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Trachea calibration is natural. Trachea, both main bronchi are open. Thickening of the peribronchovascular sheath is observed. A small tracheal diverticulum is observed in the right postlateral at the level of the thoracic inlet.\n<lung>: In the non-contrast examination, no distinguishable prominent lymph nodes were detected at both hilar levels. In the left lung, there are consolidative densities including air bronchograms in the area extending from the lower lobe superior segment to the laterobasal, and there are also bud branches at the basal level. There are sequelae changes at both apical levels. In the lower lon superior segment of the right lung, there are bud branches and focal ground-glass-like density increases in places. Again, cystic bronchiectasis appearances are present in the right lung and at the lower lobe level. There is cystic bronchiectasis in the middle lobe on the right. It continues towards the upper lobe. There are focal ground-glass-like density increases in the upper lobe anterior segment of the right lung. At basal level, parenchymal bands are observed. In the left lung, there are cystic bronchiectasis areas and mucus impactions in the upper lobe anterior segment, lower lobe superior segment and basal level.\n<mediastinum>: It is wider than normal. Calibration of other mediastinal major vascular structures is normal. Lymph nodes are observed in the upper-lower paratracheal area, the aorticopulmonary window, and the subcranial area, with the largest measuring approximately 19x13 mm in the aorticopulmonary window. Atherosclerotic changes are present. The pulmonary trumcus calibration was measured at approximately 34 mm on the non-contract examination.\n<heart>: CTO slightly increased in favor of the heart. Pericardial effusion-thickening was not observed.\n<esophagus>: A hiatal hernia is observed in the case. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in bone structures. There is mild scoliosis with left-facing scoliosis at the dorsal lumbar level.\n<abdomen>: In non-contrast upper abdominal sections; both adrenals are natural. Atherosclerotic changes are present. The spleen and liver are natural as far as can be observed.\n\nImpression:\nDiffuse areas of cystic bronchiectasis in both lungs, mucus impactions in places . Bud branch views and ground-glass density increments in the mid-lower zones of both lungs, consolidative areas in the right lung upper lobe anterior segment and middle lobe, and lower lobe segments of the left lung (clinical) It is recommended to evaluate for infective processes together with laboratory findings).  Lymph nodes in the mediastinum (the largest at 19x13 mm in the aorticopulmonary window) . Mild cardiomegaly, increased calibration in the pulmonary trumcus and right pulmonary artery . Hiatal hernia . Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8939/train_8939_a/train_8939_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Appearances of bilateral millimetric non-specific nodules were observed. In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are appearances of degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8940/train_8940_a/train_8940_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There are nodules containing coarse calcification foci in both thyroid lobes. It was evaluated by comparing it with the previous thorax CT.The size of the thyroid gland has increased.\n<lung>: Lung parenchymal findings persist. No progression was observed. There are parenchyma findings of the recovery period in the basal segment. It is stable in the upper lobes, and infiltration areas are observed in the lower lobes during the recovery period.\n<mediastinum>: Wall calcifications were observed in the aortic arch and thoracic aorta. Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the mediastinum in pathological size and appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Wall calcifications were observed in the aortic arch and thoracic aorta. Both kidneys are atrophic in upper abdominal sections. There is a fusiform increase in diameter in the celiac trunk and its diameter was measured as 10 mm.\n\nImpression:\nPneumonic infiltration is stable in other parenchyma areas. No progression was detected in parenchymal findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8941/train_8941_b/train_8941_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Minimal passive atelectatic changes were observed in the paracardiac areas of the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<mediastinum>: Atherosclerotic wall calcifications were observed in the abdominal aorta. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Atherosclerotic wall calcifications were observed in the abdominal aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nAtherosclerotic wall calcifications in the thoracic aorta and coronary arteries. Hiatal hernia.  Minimal passive atelectatic changes in the paracardiac areas of the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Several millimetric nonspecific parenchymal nodules in both lungs. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8944/train_8944_a/train_8944_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Subsegmental peribronchial thickenings are observed.\n<lung>: The findings are also observed in the previous examination and do not show a significant difference. Some areas have a budding tree view view. Mild mosaic attenuation patterns are observed in both lungs, and small airway disease?, small vessel disease? evaluated in its favour. Peribronchial thickenings are observed in both lungs. There are patchy ground glass densities in the superior lobe of the left lung upper lobe. At the apical level of the upper lobe of the right lung, patchy ground glass densities are observed in the paravertebral area, which does not differ significantly. There are reticular patchy ground-glass densities and mild bronchiectasis at basal levels of both lung lower lobes. The described findings can be seen in Covid-19 viral pneumonia.\n<pleura>: New pleural effusions measuring 13 mm on the right and 14 mm on the left are observed in both hemithorax. A small amount of new pleural effusion is observed bilaterally.\n<mediastinum>: There are calcific atheroma plaques in the thoracic aorta and coronary arteries.\n<breast>: In the left axillary region, 20 mm loculated fluid is observed.\n<bone>: Diffuse density reduction and degenerative changes are observed in bone structures.\n<abdomen>: A few millimetric calcific foci are observed in the liver parenchyma. There are calcific atheroma plaques in the thoracic aorta and coronary arteries.\n\nImpression:\nIt is the continuation of the findings consistent with the infectious processes described in the lung parenchyma.  20 mm loculated fluid is observed in the left axillary region.  Calcified atheroma plaques in the thoracic aorta and coronary arteries.  A small amount of new effusion is observed bilaterally.  Millimetric calcific foci in the liver parenchyma.  At the level of the esophagogastric junction, 3-4 nodular lesions measuring 11 mm are observed.  Diffuse density reduction and degenerative changes are observed in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8944/train_8944_e/train_8944_e_1.npy"
        ]
    },
    {
        "id": "report_generation_21218",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickness increase is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several nodules with a diameter of 2.5 mm are observed in both lungs, the largest of which is in the anterior segment of the upper lobe of the right lung. In the right lung upper lobe anterior segment and posterior segment, there are patches of consolidation areas in which air bronchograms are observed and accompanying ground glass areas. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are areas of subsegmental atelectasis in both lungs. No significant difference was found between the number and size. Interlobular septal thickness increases in both lower lobes of the lungs and nonspecific ground-glass areas are stable in places. The ground glass area observed in the left lung upper lobe lingular segment in the previous examination of the patient cannot be detected in this examination. No mass was detected in both lungs.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Minimal pericardial effusion is observed.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: Millimetric osteophytes are observed in the corners of the thoracic vertebra corpus. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. Coarse calcifications are observed in the parenchyma in segment 7 of the liver. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nLymphoma on follow-up.  Patchy areas of consolidation accompanied by ground glass areas in the upper lobe of the right lung; has just emerged. Compatible with infectious processes.  Interlobular septal thickness increases in both lung lower lobes and accompanying nonspecific frosted glass areas; is stable.  Areas of subsegmental atelectasis in both lungs.  A few millimetric nonspecific nodules in both lungs; is stable.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8944/train_8944_g/train_8944_g_1.npy"
        ]
    },
    {
        "id": "report_generation_21220",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Sequelae fibrotic densities, which are more prominent in the right lung, are observed in the apical segments of both lungs. A mosaic lung pattern is observed in the lower lobes of both lungs (small airway, small vessel disease?). Pulmonary nodules with slight ground glass opacity are observed in the apicoposterior segment and anterior segment of the right lung (infective process?). Mild peribronchial thickness increases are observed in the lower lobes of both lungs. Similarly, there are linear opacities in the lower lobes of the lungs that are evaluated in favor of sequelae change. The largest of these lymph nodes are observed at the level of the right lung hilum, and their short axis is approximately 7 mm. At the level of both lung hilum, lymph nodes, some of which have sequelae calcification, but which cannot be distinguished from vascular structures and from each other, are observed due to the lack of contrast in the examination.\n<mediastinum>: The diameter of the largest of these lymph nodes located in the left axilla was measured as 8 mm, and the described lymph node with a diameter of 8 mm has a round appearance. Mediastinal main vascular structures are normal. In addition, lymph nodes are observed in both axillae and retropectoral regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Widespread degenerative changes are observed in the bone structures in the study area.\n<abdomen>: The largest of these lymph nodes is observed in the left paraaortic area, adjacent to the lesser curvature of the stomach, and its short axis is 13 mm. Widespread contamination and lymph nodes are observed adjacent to the pancreas in mesenteric fatty planes. In addition, multiple lymph nodes are observed in the paraaortic area, adjacent to the lesser curvature of the stomach, in the upper abdomen images included in the examination. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nIn the upper abdomen images included in the examination, widespread contamination is observed in the mesenteric fatty planes in the inferior of the pancreas. A large number of lymph nodes are observed, the largest of which is adjacent to this described area.  Focal ground-glass opacities (infective process?) in the upper lobe apicoposterior and anterior segments of the right lung  Mosaic lung pattern in the lower lobes of both lungs  Sequelae changes in both lungs  Increase in heart size  Calcific plaques in the aorta, coronary arteries  In both axilla and mediastinum lymph nodes at the level of the lung hilum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8944/train_8944_h/train_8944_h_1.npy"
        ]
    },
    {
        "id": "report_generation_21222",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: There are small amounts of pleural effusions measuring 34 mm in thickness in the left hemithorax and 17 mm in the right.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small lymph nodes are present at the level of the esophagogastric junction and in the fatty planes.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch. A small amount of effusion is observed in the perihepatic, perisplenic area. Small lymph nodes are present at the level of the esophagogastric junction and in the fatty planes. There is a mild effusion in the peripancreatic area and small lymph nodes measuring 7 mm in the short axis.\n\nImpression:\nSmall lymph nodes in fatty planes at the level of the esophagogastric junction.  Bilateral pleural effusion, more prominent on the left.  Perihepatic, small amount of effusion in the perisplenic area.  Mild effusion in the peripancreatic area and small lymph nodes measuring 7 mm in the short axis.  Degenerative changes in bone structures.  There was no finding in favor of pneumocystis pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8944/train_8944_i/train_8944_i_1.npy"
        ]
    },
    {
        "id": "report_generation_21228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Linear atelectasis is observed in the left lung upper lobe lingular segment. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. Consolidation and ground glass area are observed in the right lung lower lobe, especially in the posterobasal segment, and it was evaluated primarily in favor of pneumonic infiltration. There was no infiltrative lesion in the left lung and no mass in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Anteroposterior diameter of the aortic arch is normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. Pulmonary artery diameters are normal. There are millimetric atheroma plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Intervertebral disc distances were minimally narrowed. The neural foramina are minimally narrowed. Vertebral corpus heights and alignments within the sections are normal.\n<abdomen>: Anteroposterior diameter of the aortic arch is normal. No upper abdominal free fluid-collection was detected in the sections. There are millimetric atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nThe appearance evaluated in favor of pneumonic infiltration in the lower lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8947/train_8947_a/train_8947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A nonspecific parenchymal nodule with a diameter of 4 mm was observed in the middle lobe of the right lung. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric nonspecific parenchymal nodule in the right lung. CT findings indicating pneumonia are not available. (Note: CT may be negative early in COVID-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8950/train_8950_a/train_8950_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up are recommended. In the current examination of the upper lobe of the right lung, which was also observed in the previous examination, there is a 3 mm nonspecific nodule in series 2 image 78. Upper abdominal organs included in the sections are normal. When examined in the lung parenchyma window; In both lungs, consolidation areas with air bronchogram signs and halo signs around it, more prominently in the upper and middle lobes on the right, and patchy ground glass densities are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A change in favor of steatosis is observed in the liver entering the cross-sectional area. There is 1 millimetric calcification in the gallbladder.\n\nImpression:\nCovid-19 viral pneumonia in the first place? It has been evaluated in favor of and is in the differential diagnosis of other infectious-non-infectious processes. Clinical laboratory correlation and close follow-up are recommended.  Cholelithiasis.  Hepatosteatosis.  Millimetric nonspecific parenchymal nodule in the right lung that does not differ significantly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8950/train_8950_b/train_8950_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, subpleural interstitial density increases, thickening of the bronchial walls and minimal fibrotic densities were observed in the lower lobes in the right middle lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the vertebrae included in the section.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Subpleural interstitial fibrotic densities, linear atelectasis, which become more prominent towards the lower lobes in both lungs, thickening of the bronchial wall.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8956/train_8956_a/train_8956_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21261",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There is a mosaic attenuation pattern in both lungs, especially in the lower lobes (small airway disease? Small vessel disease?). When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: No pathological size and appearance lymph nodes were detected in both axillary regions and mediastinal lymph node stations. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<heart>: Calibration of vascular structures, heart contour and size are natural. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destruct lesion was observed in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: No free fluid, loculated collection, or solid mass were detected in the upper abdominal sections within the image.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8959/train_8959_a/train_8959_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 21x15 mm hypodense nodule with linear calcification was observed in the right thyroid lobe.\n<trachea_and_bronchie>: It is recommended to be evaluated together with US. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: There was no detectable mass in both lungs. The identified findings are consistent with Covid-19 pneumonia in the resolution period. When examined in the lung parenchyma window; Crazy paving pattern accompanied by multilobar, multisegmentary interlobular-intralobar septal thickening in both lungs and patchy ground glass consolidations showing vascular enlargement were observed. Consolidations are accompanied by linear atelectatic changes.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Heart size increased. Atherosclerotic wall calcifications were observed in the coronary arteries. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structures in the examination area.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Myelolipoma measuring 11x8 mm was observed in the left adrenal gland corpus. In the upper abdominal organs included in the sections, the liver parenchyma density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, cardiomegaly, atherosclerotic wall calcifications in the coronary arteries  Hypodense nodule with linear calcification in the wall of the right thyroid lobe; It is recommended to be evaluated together with US.  Findings consistent with Covid-19 pneumonia in the resolution period in the lung parenchyma  Hepatosteatosis  Myelolipoma in the left adrenal gland corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8960/train_8960_a/train_8960_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21282",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No infiltrative lesion was detected in both lung parenchyma. One or two nonspecific millimetric parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Passive atelectatic changes were observed in right lung middle lobe medial and left lung inferior lingular segments.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nPassive atelectatic changes in right lung middle lobe medial, left lung inferior lingular segments. One or two nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8969/train_8969_a/train_8969_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21298",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is slightly deviated to the right and both main bronchi are open. No occlusive pathology was detected in the bronchi.\n<lung>: When examined in the lung parenchyma window; Sequelae fibrotic band formations are observed in the pericardiac areas of the lower lobes of both lungs. Mosaic pattern is observed in both lungs. Several nonspecific nodules were observed in both lungs, the largest of which was 5 mm in diameter in the right lung middle lobe lateral segment. Bilateral ventilation of the lungs is normal, and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Heart contours are natural. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly, sequelae of fibrotic changes . Mosaic pattern"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8976/train_8976_a/train_8976_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Treakea air column is open. Thyroid gland sizes are natural.\n<lung>: Linear subsegmental atelectasis areas are observed in the right lung middle lobe lateral segment, lower lobe basal segment and left lung lingular segment. There are 2 millimetric pulmonary calcifications in the upper lobe of the right lung.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal main vascular structures are naturally followed.\n<heart>: Heart sizes are natural. There are calcific taeroma plaques in the coronary arteries.\n<bone>: In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. Bone structures are of natural appearance.\n<abdomen>: The upper pole of the right kidney is partially sectioned. In the upper abdomen sections entering the image area, the liver dimensions have increased significantly. (a case with a history of kidney transplant due to polycystic kidney disease). A large number of hypodense cysts in different sizes are observed in the parenchyma. The parenchyma is selected as thin septa and numerous cysts are observed in the parenchyma.\n\nImpression:\nSignificant increase in liver size and many cysts in different sizes in the parenchyma (a case of kidney transplant due to polycystic kidney disease)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8977/train_8977_a/train_8977_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21308",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: An increase in pleuroparenchymal sequelae density was observed in the left lung inferior lingular segment. Ground-glass nodular density was observed in the peribronchovascular area in the superior segment of the left lung lower lobe. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma. However, it is not specific and can also be seen in infectious-noninfectious diseases. Mosaic attenuation pattern was observed in both lungs. Imaging features can be seen in Covid-19 pneumonia. Clinical and laboratory correlation and control is recommended.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPeribronchovascular nodular ground glass density increase in the left lung lower lobe superior segment, imaging features can be seen in Covid-19 pneumonia. However, it is not specific and can be seen in other infectious-noninfectious diseases. Clinical-laboratory verification and control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8981/train_8981_a/train_8981_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Millimetric sized nonspecific pulmonary nodules were observed in both lungs. Other viral pneumonias can be considered in the differential diagnosis. There are frequently reported imaging features of Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Ground-glass density increases were observed in the upper lobes of both lungs, in the inferior lingular segment of the left lung, and in the lower lobes of both lungs, showing nodular configuration in the peripheral subpleural area.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Millimetric-sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8990/train_8990_a/train_8990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21350",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Minimal ground glass density is observed in the lower lobes of both lungs with a nonspecific appearance. The outlook is not typical for Covid 19 pneumonia in the presence of a pandemic. In the evaluation of both lung parenchyma; no mass nodule infiltration was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast examination of the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMinimal ground glass density is observed in the lower lobes of both lungs with a nonspecific appearance. The appearance is not typical for Covid 19 pneumonia in the presence of a pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8994/train_8994_a/train_8994_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Fibrotic densities with subpleural sequelae are observed in the anterior upper lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There is a 5 mm suspicious pericardial effusion adjacent to the right ventricle. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse density loss is observed in the liver in the upper abdominal organs included in the sections.\n\nImpression:\nSequelae changes in the right lung  Suspicion of minimal pericardial effusion.  Diffuse hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_8996/train_8996_a/train_8996_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A tracheoesophageal fistula reaching 0.5 cm in width was detected between the esophagus and the tracheal lumen superiorly. The mass was measured approximately 4 cm thick on the posterolateral wall at its thickest point.\n<lung>: When examined in the lung parenchyma window; Multiple metastases were observed in both lungs and in both hiluses, with randomized distribution narrowing the left main bronchus and upper-lower lobe bronchi significantly, confluence with each other in the superior segment of the lower lobe on the right and around the hilum on the left. No active infiltration was detected in both lungs. There are also ground glass opacities around the metastases.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Pulmonary trunk diameter increased by 40 mm, and right and left pulmonary artery diameters increased by 29 mm and 28 mm, respectively (pulmonary hypertension?). A few pathologically sized lymph nodes, 15x14 mm in size, were observed in the bilateral lower, subcarinal and hilar level, the largest in the right lower paratracheal region.\n<heart>: The anterior-posterior diameter of the ascending aorta was 47 mm, and it was observed to be wider than normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch and coronary arteries. Heart sizes are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A tracheoesophageal fistula reaching 0.5 cm in width was detected between the esophagus and the tracheal lumen superiorly. Sliding type hiatal hernia was observed at the lower end of the esophagus. As far as can be observed: A mass lesion characterized by an increase in wall thickness leading to significant luminal narrowing, extending along a segment of approximately 13 cm in the mid-distal esophagus was observed.\n<bone>: No lytic-destructive lesion in favor of metastasis was observed. Diffuse degenerative changes were observed in bone structures.\n<abdomen>: Liver, spleen, gall bladder, both kidneys are normal. A well-circumscribed soft tissue-mass lesion measuring 7x4.3 cm was observed in the left adrenal gland lodge (metastasis?). Calcified atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen within the sections; 30x26 mm lymphadenopathies were observed at the gastrohepatic ligament level, in the portal hilus, in the peripancreatic, para-aortic, and in the portal hilus. The right adrenal gland is normal. A hypodense well-defined lesion area of 28 mm in diameter was observed in the upper pole of the left kidney (cyst?).\n\nImpression:\nMass lesion characterized by long segment pathological wall thickness increase that narrows the lumen significantly in the mid-distal part of the esophagus, tracheoesophageal fistula in the superior, hiatal hernia . Aneurysmatic dilatation in the ascending aorta . Increase in the diameters of the pulmonary trunk and both pulmonary arteries (pulmonary hypertension?) . Arcus Widespread calcified atheroma plaques in the coronary arteries of the aorta . Multiple metastases narrowing the main bronchus and segmental bronchi on the left in both lungs in all segments, in the left hilus . Multiple LAP in the gastrohepatic ligament, portal hilus, peripancreatic and paraaortic area . Mass lesion compatible with metastasis in the left adrenal lobe . In bone structures widespread degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9013/train_9013_a/train_9013_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The bronchial walls are thick, especially in the lower lobes. When examined in the lung parenchyma window; In both lungs, the bronchial walls start from the central and appear thickened.\n<lung>: The bronchial walls are thick, especially in the lower lobes. Nodules reaching 9 mm in diameter are observed in both lungs, the largest of which is in the posterobasal right lower lobe. When examined in the lung parenchyma window; In both lungs, the bronchial walls start from the central and appear thickened.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anterolateral fractures are observed in the 4,5,6,7th ribs on the left. There is a partial fusion appearance in the anterolateral side of the 2nd and 3rd ribs on the left. Bone structures in the study area are degenerative.\n<abdomen>: In the upper abdominal organs included in the sections, the calyces were dilated in the right kidney and a 36x30 mm stone was observed in the renal pelvis.\n\nImpression:\nCoronary atherosclerosis  Mediastinal lymph nodes  Diffuse thickening of the bronchial walls in both lungs  Multiple nodules in both lungs  Partial fusion appearance in the left 2.3rd ribs, multiple rib fractures on the left  Thoracic scoliosis  Right renal pelvis stone and related grade II-III hydronephrosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9017/train_9017_a/train_9017_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Calcific nodules followed in the lower lobe of the right lung. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Bronchiectatic changes were observed in both lungs. When examined in the lung parenchyma window; Bronchiectatic changes and loss of volume and structural distortion were observed in the central part of the middle and lower lobe of the right lung. Pleuroparenchymal fibroatelectasis changes were observed in both lung lower lobe basal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. There are atherosclerotic wall calcifications and stents in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly, atherosclertotic wall calcifications and stents in the coronary arteries. Sliding type hiatal hernia . Bronchiectatic changes causing structural distortion and volume loss in the central part of the right lung middle and lower lobe . Pleuroparenchymal fibroatelectatic changes in both lower lobes of the lung and right lung middle lobe . Right millimetric calcific nodules in the lower lobe of the lung.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9035/train_9035_a/train_9035_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21443",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The findings were initially evaluated in favor of the infectious process. Slightly present in the upper lobes of both lungs.\n<pleura>: When examined in the lung parenchyma window; In serial 2 image 298, small patchy ground-glass densities are observed in the posterior segment of the left lung lower lobe, in the subpleural area, in the posterior segment, in small patchy style, in the basal segment of the right lung lower lobe, more prominently in the posterolaterobasal segment in the subpleural area.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Changes in favor of steatosis are observed in the liver parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9040/train_9040_b/train_9040_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: It is observed that the frosted glass densities have become more consolidated especially in the lower lobes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; In both lungs, patchy ground glass densities are observed in all segments, including peripherally located subpleural space.\n<mediastinum>: Right upper paratracheal prevascular, aorticopulmonary narrow lymph nodes less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDiffuse peripheral ground-glass densities and consolidations in both lungs Commonly appearing imaging manifestations of Covid -19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9046/train_9046_a/train_9046_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Mild sequelae changes are observed in the middle lobe. A 3 mm diameter nodule is observed at the posterobasal level. There are findings consistent with emphysema in both lungs. There is a 5x3 mm nodule at the laterobasal level in the left lung. There was no finding compatible with pneumonia in both lungs. There is a 5 mm diameter nodule on the ground of sequelae in the anterior segment of the right lung upper lobe.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, a density compatible with 2 mm diameter calculi is observed in the right kidney superior pole.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9053/train_9053_a/train_9053_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Widespread ground glass densities and consolidations in the lower lobes are observed in both lungs, especially in the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion reaching 11 mm in diameter is observed. The heart is slightly larger than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nInfiltrates consistent with Covid pneumonia in both lung parenchyma.  Minimal pericardial effusion and cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9055/train_9055_a/train_9055_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: The outlook is typical for covid-19 pneumonia. In the evaluation of both lung parenchyma; Ground glass densities and consolidations are observed in the lower lobes and peripheral lung tissue in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. Subpleural linear parenchymal bands are observed in both lung lower lobe basal segments.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in the bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nSubpleural linear parenchymal bands in the basal segments of the lower lobes of both lungs, with ground glass densities and consolidation in the lower lobes and peripheral lung tissue in both lungs. Appearance is typical finding for covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9064/train_9064_a/train_9064_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Multiple nodular lesions with irregular borders, measuring 23x15 mm in size, in the left lung superior lingular segment, were observed in different localizations in both lungs. It was evaluated in favor of metastasis in the first plan. Interlobular septal thickenings were observed in the bilateral lung parenchyma (secondary to cardiac pathology?).\n<pleura>: Minimal pleural effusion is observed on the left. When examined in the lung parenchyma window; Free pleural effusion reaching 6.5 cm between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma were observed. A free pleural effusion measuring 1 cm in thickness was observed between the pleural leaves on the left. In the posterolateral neighborhood of the left 7th rib, a solid lesion with a diameter of 24 mm was observed between the pleura and the rib (metastasis?).\n<mediastinum>: Calibration of mediastinal main vascular structures as far as can be observed is natural. Multiple lymphadenopathies measuring 25x21 mm were observed in the right upper-lower paratracheal, subcarinal, prevascular area, in the lower paraesophageal localization, adjacent to the anterior pericardium, and the largest in the upper paratracheal localization. Medistinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: Mass lesions compatible with multiple metastases are present in all bone structures in the study area.\n<abdomen>: There is a density of Double J catheter in the left renal pelvis. A hypodense lesion with a diameter of 9 mm was observed in the lateral crus of the right adrenal gland. In the upper abdominal sections included in the examination area, hypodense mass lesions consistent with metastasis were observed in the first plan, with faint borders reaching approximately 6 cm, the largest of which could not be clearly distinguished from each other as far as the liver could be observed in the non-contrast examination borders in both lobes. There is a hypodense lesion compatible with a 20 mm diameter cortical cyst in the middle zone of the left kidney. There is a hypodense lesion with a diameter of 19 mm in the corpus of the left adrenal gland. There are several lymphadenopathies at the level of the portal hilum, the largest measuring 28x17 mm.\n\nImpression:\nMediastinal multiple lymphadenopathies. Pulmonary nodules consistent with multiple metastases in both lungs.  Significant bilateral pleural effusion and atelectatic changes on the right.  Soft tissue lesion (metastasis?) between the lung parenchyma and the bone structure in the posterolateral aspect of the left 7th rib.  Hypodense lesions consistent with multiple metastases in the liver. Hypodense solid lesions in the bilateral adrenal gland.  Multiple metastatic lesions in bone structures. Lymphadenopathies at the level of the portla hilus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9070/train_9070_a/train_9070_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; Slight patchy ground glass densities are observed in the right lung middle lobe lateral segment and lower lobe anterior. Clinical laboratory correlation is recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with the onset of the infectious process; clinical laboratory correlation is recommended for Covid-19 viral pneumonia due to the current pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9081/train_9081_a/train_9081_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are linear atelectasis in the anteromediobasal segment of the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9085/train_9085_a/train_9085_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nHepatosteatosis. There was no finding in favor of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9088/train_9088_a/train_9088_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were primarily evaluated for viral pneumonia (Covid-19), and clinical laboratory correlation and close follow-up are recommended.\n<pleura>: When examined in the lung parenchyma window; In both lungs, consolidation areas are observed on the ground glass densities in the form of subpleural patches, mostly located peripherally, more prominently on the right.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with a short axis measuring up to 8 mm are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the examination area. There are mild osteophytic tapering in the end plates of the vertebral corpuscles.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThose who have consolidation on the ground of ground-glass densities with diffuse patches in both lungs, mostly located in the subpleural; clinical laboratory correlation and close follow-up are recommended for Covid-19. Mediastinal lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9089/train_9089_a/train_9089_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground-glass density increases in the upper and lower lobes, prominent in the lower lobes, and septal thickenings that tend to coalesce in the lower lobes. Other viral pneumonias can be considered in the differential diagnosis. The outlook includes typical-probable signs of Covid-19 pneumonia.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Multiple lymph nodes measuring 11 mm in diameter were observed in the upper-lower paratracheal, prevascular, aorticopulmonary window and subcarinal area, the largest of which was located in the subcarinal region. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area, the liver parenchyma density decreased diffusely in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nTypical-probable findings of Covid-19 pneumonia in both lung parenchyma, other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Mediastinal lymph nodes. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9091/train_9091_a/train_9091_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21569",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the first place, clinical evaluation and radiological follow-up of findings that may be compatible with infection are recommended. There are focal consolidations and ground glass density areas in both lungs, more prominently in the lower lobe of the right lung. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in both upper lobe apicoposterior segments of both lungs.\n<pleura>: There are areas of ground glass density located subpleural in the upper lobe posterior and lower lobe posterobasal segment levels of both lungs.\n<mediastinum>: There are multiple LAPs, including the upper, lower paratracheal aortopulmonary, subcarinal, right hilar larger 22x14 mm. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nUpper, lower paratracheal aortopulmonary, subcarinal, right hilar larger multiple LAPs. Pleuroparenchymal sequelae in both lung upper lobe apicoposterior segments.  Areas of subpleural ground glass density at the upper lobe posterior and lower lobe posterobasal segment levels of both lungs. Areas of focal consolidations and ground glass density in both lungs, more prominent in the right lung lower lobe. Findings that may be compatible with infection in the first place. Clinical evaluation and radiological follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9102/train_9102_a/train_9102_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21583",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Millimetric sized calcific plaques are observed in the walls of the trachea and both main bronchi.\n<lung>: Right upper-bilateral lower paratracheal aorta pulmonary millimetric lymph nodes are observed. In the evaluation of both lung parenchyma; Dependent density increases are observed in the lower lobes of both lungs. Subsegmental atelectasis are observed in the right lung middle lobe and lower lobe mediobasal segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric sized calcifications are observed in the aortic arch, descending and abdominal aorta. No pathological LAP was detected in the mediastinum.\n<heart>: Aortic valve replacement is observed. There is calcification in the walls of the coronary artery. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: In sections passing through the upper part of the west; Millimetric sized calcules are observed in the gallbladder. Millimetric sized calcifications are observed in the aortic arch, descending and abdominal aorta. Bilateral adrenal gland appearances are slightly thick.\n\nImpression:\nCardiomegaly  Dependent increases in intensity in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9108/train_9108_a/train_9108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21585",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral patchy ground glass densities and crazy paving patterns are observed in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings are compatible with Covid-19 viral pneumonia. In the differential diagnosis of other infectious processes, clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9109/train_9109_a/train_9109_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21589",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is a calcified nodule in the upper lobe of the right lung. Right upper-lower paratracheal narrow lymphadenomegaly with a diameter of 1 cm is observed. In the evaluation of both lung parenchyma; Pleuroparenchymal density increases in the lower lobe laterobasal segments of both lungs and an increase in pleuroparenchymal density in the lingular segment of the left lung are observed.\n<pleura>: Several nodules with bilateral subpleural nonspecific appearance are observed in the middle lobe of the right lung, the larger one with a diameter of 4 mm, and a diameter of 4.5 mm in the lingular segment of the left lung. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the aortic arch and descending aorta.\n<heart>: Stents are observed in the coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, millimeter-sized calcules are observed in the gallbladder. No significant pathology was detected in other sections. Calcific plaques are observed in the aortic arch and descending aorta.\n\nImpression:\nPleuroparenchymal density increases in both lower lobe laterobasal segments of both lungs and pleuroparenchymal sequelae in the left lung lingular segment, a few nonspecific subpleural nodules in both lungs, cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9111/train_9111_a/train_9111_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Mosaic density differences are observed in the lower lobes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is ectatic (40 mm).\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anterior osteophytes are observed in the thoracic vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, the gallbladder is operated.\n\nImpression:\nEctasia in the ascending aorta.  Minimal emphysema in the lungs.  Mosaic density differences in bilateral lung (small airway disease? perfusion defect?).  Cholestectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9112/train_9112_a/train_9112_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is observed that consolidations develop in the upper lobe and middle lobe of the right lung, in which predominantly ground-glass infiltrates with central and peripheral air bronchograms become evident. Apart from this, multiple metastatic nodules present in both lung parenchyma are stable. Total atelectasis is observed in the lower lobe of the right lung. There are especially common solid areas and calcifications in atelectasis, and the distinction between mass and atelectasis cannot be made clearly at this level.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Metastatic lesions present in bone structures are stable.\n<abdomen>: Thoracic aorta diameter is normal. On upper abdominal sections, diffuse calcifications in the posterior right lobe of the liver are stable.\n\nImpression:\nPatient followed up for metastatic hemangioendothelioma  Stable metastatic lesions in both lungs and bone structures.  Increased right pleural effusion.  Right lung lower lobe total collapsed appearance. A clear distinction between atelectasis mass cannot be made.  Significant increase in existing ground glass densities and consolidations in the right upper lobe and middle lobe.  Newly developed and prominent peripheral ground glass densities in the left lung (typical for Covid pneumonia).  Other than that, other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9113/train_9113_d/train_9113_d_1.npy"
        ]
    },
    {
        "id": "report_generation_21600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Findings consistent with Covid-19 pneumonia described in her previous examination are markedly regressed in the current examination. It is compatible with empyema. A large mass is observed in the middle lobe of the right lung. These nodules were found to be metastases. Apart from this, there are many nodules in both lungs.\n<pleura>: A drainage catheter placed in the pleural space from the right 9-10th intercostal space was observed.\n<bone>: Metastatic lesions present in bone structures are stable.\n<abdomen>: Widespread nodular coarse calcifications in the posterior right lobe of the liver are stable, as can be seen on non-contrast images.\n\nImpression:\nStable metastatic lesions in both lungs and bone structure in the patient followed up due to metastatic hemangioendothelioma  Regressed pleural effusion with free air images in the right hemithorax and drainage catheter placed at this level  Anky effusion showing air-fluid leveling in the upper part posterior of the right hemithorax; Compatible with ampiem.  Stable metastatic lesions in both lungs  Signs of regressed pneumonia in lung parenchyma  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9113/train_9113_e/train_9113_e_1.npy"
        ]
    },
    {
        "id": "report_generation_21618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Differential diagnosis cannot be made on CT without contrast. No mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures. When examined in the lung parenchyma window; Near the left 8th costovertebral junction, posterior to the descending aorta, outside the lung parenchyma, an oval-shaped, well-contoured finding measuring 17 mm was detected.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nLeft 8. Near the costasternal junction, posterior to the descending aorta, outside the lung parenchyma, an oval-shaped, well-contoured finding measuring 17 mm was detected. Differential diagnosis cannot be made within the examination limits in non-contrast CT. MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9116/train_9116_a/train_9116_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae changes in the left inferior lingular segment, right middle lobe medial segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. Sliding type hiatal hernia is followed at the lower end of the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nSliding type hiatal hernia at the lower end of the esophagus, sequelae changes in the left inferior lingular segment, right middle lobe medial segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9117/train_9117_a/train_9117_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Inside, there is a hypodense nodule with a calcific heterogeneous inner structure and a wall. Thyroid gland left lobe is larger than normal. The parenchyma is heterogeneous.\n<trachea_and_bronchie>: At the level of the thoracic inlet, soft tissue density appearance, which is evaluated as compatible with mucus impaction, is observed on the right lateral wall of the trachea. When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: There is an appearance in both lungs at the level of the basal segments, which may be compatible with the dependent vascular density. In the right upper paratracheal area, there is a lymph node of 18x10 mm in size with hilar fat selected. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. CTO is normal. It is larger than normal. The aortic arch calibration is 31 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. If necessary, US examination is recommended.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: CTO is normal. There is hypodensity consistent with cortical cyst in the left kidney. It is larger than normal. In the sections passing through the upper abdomen, a decrease in density consistent with mild hepatosteatosis is observed in the liver. Surrounding soft tissue plans are natural. Boundaries are not clearly defined. The central mesentery is slightly soiled. The aortic arch calibration is 31 mm.\n\nImpression:\nDorsal ground-glass-style density increments (depending vascular density?) at the level of the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9120/train_9120_a/train_9120_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: The findings described in the patient with a diagnosis of sarcoidosis are consistent with interstitial lung disease-fibrosis. When examined in the lung parenchyma window; Peribronchial thickenings were observed in segmental-subsegmental bronchi in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Interlobular-intralobar septal thickenings, micro-retractions in the pleura and accompanying ground glass densities were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Prevascular, right upper-bilateral lower paratracheal, paraesophageal, subcarinal or bilateral hilar lymph nodes measuring 8.3 mm in the short axis of the right upper paratracheal area and not reaching pathological dimensions were observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallbladder, spleen, pancreas, both kidneys are normal. A nodular lesion with exophytic fluid density with a diameter of 9.5 mm was observed in the upper pole anterior of the right kidney (cyst?).\n\nImpression:\nFindings consistent with interstitial lung disease-fibrosis in the lung parenchyma. Hepatosteatosis.  Nodular lesion (cyst?) in exophytic fluid density in the upper pole anterior of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9125/train_9125_a/train_9125_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. The described findings are more prominently observed in the upper lobe of the lung. When evaluated together with the patient's clinical information and mediastinal and hilar lymph nodes, the findings were evaluated in favor of the diagnosis of sarcoidosis, which was stated in the clinical preliminary diagnosis. Minimal interlobular septal thickening and millimetric nodules were observed in both lungs. Most of the nodules have a peribronchovascular distribution. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the prevascular, paratracheal, subcarinal, and both hilar regions. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 14 mm. When evaluated together with the patient's clinical information and mediastinal and hilar lymph nodes, the findings were evaluated in favor of the diagnosis of sarcoidosis, which was stated in the clinical preliminary diagnosis.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nFindings consistent with sarcoidosis in both lungs and mediastinal and hilar regions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9125/train_9125_b/train_9125_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. When examined in the lung parenchyma window; Scattered, faintly circumscribed ground-glass opacities are observed in both lungs. These appearances are also frequently encountered findings in Covid-19 pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9129/train_9129_a/train_9129_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up are recommended. Focal ground glass densities are observed in patchy style. When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs, more prominent on the left. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: There are several short axis lymph nodes measuring 4 mm in the mediastum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. recommended.\n\nImpression:\nThe findings described in the lung parenchyma were evaluated in favor of Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9133/train_9133_a/train_9133_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The patient with effusion, hematoma and atelectasis was evaluated as a regressed atelectic focus. Millimetric nonspecific calcific nodules are observed in both lungs. There are bilateral sequelae fibrotic densities.\n<pleura>: Pericardial and pleural effusions in the patient's previous examination are totally regressed. When examined in the lung parenchyma window; There is soft tissue density of 20x10 mm in the subpleural area of the left lung lower lobe lateral.\n<mediastinum>: Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Widespread calcific plaque and stent-like appearances are present in the aortic coronary arteries.\n<heart>: Left ventricular assist device and cardiac pacemaker are monitored on the left chest wall.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; intra-abdominal free fluid is regressed. Widespread calcific plaque and stent-like appearances are present in the aortic coronary arteries.\n\nImpression:\nLeft ventricular assist device and cardiac pacemaker  Nonspecific nodules, fibrotic densities in the lung  Soft tissue density evaluated as atelectesis in the left lung lower lobe laterobasal"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9134/train_9134_b/train_9134_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21662",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. There are no lytic-destructive lesions in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: This appearance can also be observed in the previous examination of the patient and no difference was found in its dimensions. If there is an indication, it is recommended to evaluate the patient with USG. No upper abdominal free fluid-collection was observed in the sections. In the right lobe of the liver (segment 8), there is a hypodense lesion measuring approximately 20 mm in diameter in the anterior subcapsular area, but cannot be characterized because no contrast agent was given.\n\nImpression:\nMinimal emphysematous changes in both lungs . Millimetric nonspecific nodules in both lungs . Hypodense lesion in the right lobe of the liver that cannot be characterized in this examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9136/train_9136_b/train_9136_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. There are mosaic density differences in both lungs. There are subsegmental atelectasis in the middle lobe on the right and the lingula on the left.\n<pleura>: When examined in the lung parenchyma window; There is bilateral pleural effusion reaching 22 mm on the right and 19 mm on the left. Subpleural centrilobular prominences are observed in both lungs, being more prominent in the upper lobes.\n<mediastinum>: There are multiple lymph nodes in the mediastinum, the size of which reaches 26x21 mm. It is mildly ectatic in the pulmonary trunk and pulmonary arteries.\n<heart>: Pericardial effusion-thickening was not observed. The heart size is increased, with the left heart being more prominent.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are millimetric osteophytes in the vertebrae. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly, ectasia in the pulmonary arteries  Multiple lymph nodes in the mediastinum  Findings of pulmonary edema in the lungs  Bilateral pleural effusion  Bilateral mosaic density differences (perfusion defect? small airway disease?).  Subsegmental atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9140/train_9140_a/train_9140_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21676",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; mosaic attenuation pattern is observed in both lung parenchyma (small airway disease?small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. A 4.5 mm diameter subpleural nodule is observed in the left lung lower lobe laterobasal segment.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Millimetric sized calcific plaques are observed in the aortic arch.\n<heart>: An effusion with a diameter of 9 mm is observed in the thickest part of the pericardium. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, a hypodense lesion with a diameter of 5 cm, which is considered to belong to a cortical cyst, is observed in the right kidney, which is partially examined. Millimetric sized calcific plaques are observed in the aortic arch. There is a nodular structure compatible with the accessory spleen adjacent to the spleen hilus.\n\nImpression:\nMosaic attenuation in both lung parenchyma (small airway disease?small vessel disease?).  4.5 mm in diameter subpleural nodule in the left lung lower lobe laterobasal segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9141/train_9141_a/train_9141_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. There are millimetric osteophytes at the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs. Minimal thoracic spondulosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9144/train_9144_a/train_9144_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Multilobar, multisegmental central-peripherally located nodular-patchy ground glass consolidations forming crazy paving pattern were observed, and the appearance is highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Linear subsegmental atelectasis changes were observed in the right lung middle lobe and left lung lower lobe basal segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Dextroscoliosis with left thoracic opening was observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia.  Highly suspicious findings in the lung parenchyma that may be compatible with Covid-19 pneumonia; It is recommended to be evaluated together with clinical and laboratory. Linear subsegmentary atelectatic changes in the basal segment of the right lung middle lobe and left lung lower lobe. Dextroscoliosis with the thoracic opening facing left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9145/train_9145_a/train_9145_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21698",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Lytic bone lesions were observed in the manbrium sternium at multiple levels of T1, T5, T8, T11 (metastasis?). Degenerative changes were observed.\n<abdomen>: In the upper abdominal sections in the study area; liver contours are irregular. The caudate and left lobes are hypertrophied. It is recommended to be evaluated in terms of chronic liver parenchymal disease. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. No dilatation was detected in the thoracic aorta. Parenchyma density is heterogeneous. There is mild free fluid in the abdomen.\n\nImpression:\nIt is recommended to be evaluated in terms of chronic liver parenchymal disease.  Lytic bone lesions (met?) in the localization described in the report.  Slight free fluid in the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9150/train_9150_a/train_9150_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, emphysematous areas are observed in the apex of the right lung. Right upper-bilateral lower paratracheal lymph nodes were also present in the previous examination. In addition, volume loss is observed in the right lung.\n<pleura>: There are pleural effusions with pleural thickening and loculation, which were also selected in previous examinations. An increase in pleural thickening is observed especially in the upper and middle hemithorax. There is no difference in the size of pleural thickening and effusion with large loculation observed in the lower hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Bilateral axillary lymph nodes are observed. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: There is a thin pericardial effusion. The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. Millimetric calculus is observed in the gallbladder. In the sections passing through the upper part of the abdomen, the left lobe of the liver has a hypertrophic appearance.\n\nImpression:\nAccording to previous studies, significant increase in pleural thickness and locating pleural effusions in the right hemithorax, especially in the upper and middle hemithorax sections, significant increase in interlobular septal thickening and peribronchial infiltrations in right lung parenchyma findings.  Stable hilar fat content in the mediastinum, selected lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9165/train_9165_a/train_9165_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A ground glass nodule with a diameter of 5 mm was observed in the posterobasal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma. A nonspecific parenchymal nodule with a diameter of 6 mm was observed in the upper lobe of the right lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9166/train_9166_a/train_9166_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A non-specific nodule of 4 mm in size is observed in serial 201 image 11 in the medial part of the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNon-specific nodule, 4 mm in size, in serial 201 image 11, medial to the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9171/train_9171_a/train_9171_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the right lung middle lobe medial segment, left lung upper lobe lingular segment and left lung lower lobe. A nodule with a diameter of 5 mm was observed in the middle lobe of the right lung. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nAtelectasis in both lungs . Minimal emphysematous changes in both lungs . Millimetric nodule in the middle lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9171/train_9171_b/train_9171_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. When examined in the lung parenchyma window; Widespread patchy ground-glass opacities are observed in both lungs. It was evaluated primarily in favor of Covid-19 pneumonia in pandemic conditions.\n<mediastinum>: Evaluation of mediastinal vascular structures is suboptimal because the examination is unenhanced. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The ascending aorta measured 40 mm. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fractures, lytic or sclerotic lesions were detected in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; liver density decreased in line with hepatosteatosis.\n\nImpression:\nFirst of all, appearances evaluated in favor of Covid-19 pneumonia are monitored."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9173/train_9173_a/train_9173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are sequelae changes in the left lung. No obvious typical findings were detected for Covid-19 pneumonia. A millimetric focal density increase in the right lung, which was observed in the previous examination, was not detected in the current examination.\n<abdomen>: According to the previous examination, stable hypodense lesions were observed in the liver (cyst?).\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9178/train_9178_b/train_9178_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a lymph node with a short axis of 8 mm at the right hilar level. No enlarged lymph nodes in both hilar pathological dimensions were detected. When examined in the lung parenchyma window; In the case, which was learned from the anamnesis that he had Covid pneumonia, there were diffuse focal areas of ground glass-style density increments-consolidative areas in both lungs with a slight convergence tendency. In this background, pleuroparenchymal irregular density increases are observed and were evaluated as compatible with Covid pneumonia in the disease process.\n<pleura>: Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: Millimetric lymph nodes are observed in the mediastinum, the largest of which is measured in the right lower paratracheal area and measures approximately 10x7 mm. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. However, no sign of diverticulitis was detected. There is a diverticulum at the level of the splenic flexure. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed.\n\nImpression:\nFindings compatible with the process of Covid pneumonia in the case learned from the anamnesis that he had Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9179/train_9179_a/train_9179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21779",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread and patchy ground glass opacities are observed in the peripheral and central areas of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9181/train_9181_a/train_9181_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A nodule measuring 9 mm in size is observed in series 2 image 210 in the superior right lung lower lobe. There are mild protrusions in the vascular structures, more prominently at the apical levels of the upper lobes of both lungs. It is atypical in terms of viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Cortical cysts are observed in the right kidney, the largest of which is 45 mm in the lower pole. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\n9 mm nodule in the superior lower lobe of the right lung. Cortical cysts in the right kidney, the largest of which is 45 mm in the lower pole"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9182/train_9182_a/train_9182_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Nonspecific nodules are observed in millimeter sizes. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nNo active infiltration or mass lesion was detected in both lungs. Nonspecific nodules in millimeter sizes were observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9187/train_9187_a/train_9187_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: As far as distinguishable from artifacts, fibroatelectasis and paracicatricial bronchiectasis are noted in the middle lobe of the right lung and the lingular segment of the left lung in both lungs. In addition, subsegmental atelectasis was observed in the lower lobes of both lungs.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size has increased (cardiomegaly). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There are post-op suture materials in the pericardium. In the case, ventricular assist device material and associated artifacts were observed.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. No significant pathology was detected in the upper abdominal sections that entered the examination area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9188/train_9188_a/train_9188_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the middle zone of the right lung. A nonspecific ground glass nodule was observed at the level of the inferior lingular segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. In the sections passing through the upper part of the west; Liver parenchyma density is diffusely decreased in line with fatty deposits.\n\nImpression:\nMillimetrically sized nonspecific parenchymal nodule in the right lung. Hepatosteatosis.  Nonspecific ground glass nodule at the level of the inferior lingular segment of the left lung. Clinical evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9194/train_9194_a/train_9194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Pleuroparenchymal sequelae changes are observed in the middle lobe on the right and the lingular segment on the left. A 3 mm diameter nodule is observed at the posterobasal level in the left lung. A nodule of approximately 4x3 mm is observed in the middle lobe of the right lung. There are also bilateral sequelae changes at the apical level. When examined in the lung parenchyma window; There is mild emphysema appearance in both lungs.\n<pleura>: There is a 4 mm diameter nodule in the subpleural area anteriorly. No bilateral pleural effusion, pneumonia or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nMild emphysematous changes.  No finding compatible with pneumonia was detected.  1-2 non-specific millimetric nodule formations not exceeding 4 mm in size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9199/train_9199_a/train_9199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21833",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In ground glass densities, there are occasional enlargements of the bronchi.\n<lung>: When examined in the lung parenchyma window; There are peripherally located, widespread ground glass densities, which tend to merge in both lung parenchyma. Sequela of millimetric calcifications are observed in the upper lobes of the lung, more prominent on the right. There are calcific lymph nodes in the left hilar region and at the level of the carina.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is not observed in the upper abdominal sections, and there are millimetric calcifications and nodularities in the spleen lodge.\n\nImpression:\nMediastinal and axillary lymph nodes and mild enlargement in some of the lymph nodes.  Sequelae changes in the lung. Mild regression in findings consistent with Covid pneumonia  Autosplenectomy? and accessory spleen?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9206/train_9206_a/train_9206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. As far as can be seen; Nasogastric catheter image was observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There is an appearance that may be compatible with atelectasis-consolidation in the lower lobe of the left lung. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. There are peribronchial thickenings at this level (aspiration pneumonia?).\n<pleura>: Bilateral mild pleural effusion was observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The diameter of the ascending aorta was 46 mm and showed fusiform aneurysmatic dilatation. The diameter of the main pulmonary artery was 32 mm, the diameter of the right pulmonary artery was 26 mm, and the diameter of the left pulmonary artery was 28 mm, showing dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<heart>: Heart size increased. Calcifications were observed in the aortic valve. There is an effusion measuring 25 mm in the widest part of the pericardium.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: A slightly hyperdense lesion with a diameter of 17 mm was observed in the middle zone of the left kidney (hemorrhagic cyst?). The diameter of the ascending aorta was 46 mm and showed fusiform aneurysmatic dilatation. In the upper abdominal sections in the study area; Minimal intra-abdominal free fluid was observed. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. US control is recommended.\n\nImpression:\nFusiform aneurysmatic dilatation, atherosclerotic changes, cardiomegaly in the ascending aorta.  Emphysematous changes in both lungs.  Bilateral peribronchial thickenings.  Pericardial effusion.  Area of atelectasis-consolidation in the lower lobe of the left lung (aspiration pneumonia?).  Left renal slightly hyperdense lesion (hemorrhagic cyst?); US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9208/train_9208_a/train_9208_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Nodules up to 4 mm in diameter are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Minimal calcifications are observed in the pleura, posterior to the superior parts of the lower lobe of the right lung. Calcifications are observed in posterior pleural leaflets in bilateral lower lobe sections.\n<mediastinum>: Widespread calcific atheroma plaques are observed in the abdominal aorta and its branches, more severely in the thoracic aorta in the aortic arch. Lymph nodes with a short axis not exceeding 1 cm were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are present in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are diffuse spondylodegenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Widespread calcific atheroma plaques are observed in the abdominal aorta and its branches, more severely in the thoracic aorta in the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; Millimetric stones were observed in the gallbladder.\n\nImpression:\nCoronary artery and aortic atherosclerosis.  Millimetric nonspecific nodules and pleural sequela calcifications in both lungs.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9215/train_9215_a/train_9215_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21877",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: At the level of the carina, a large centrally located mass lesion with the appearance of invading both main bronchi and middle lobe bronchus on the right was observed. The mass e surrounds and narrows the bronchial structures. The tracheal lumen is open. Another mass is observed in the paratracheal area in the upper mediastinum, invading the trachea, esophagus and main vascular structures.\n<lung>: Consolidation areas with diffuse air bronchogram were observed in the left lung lower lobe and upper lobe lingular segment. When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs. According to non-target lesions, the findings are progressive. It was evaluated in favor of stable disease according to the target lesions. Atelectatic changes were observed in the lower lobe of the right lung. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. There was no significant change in the size of the nodules observed in both lungs. The middle lobe of the right lung is completely atelectatic. The described appearance suggests an infectious process in the first place.\n<pleura>: A free pleural effusion measuring 45 mm in thickness was observed on the right.\n<mediastinum>: Apart from this, no mass lesion with demarcated borders was detected in the mediastinum and hilar region. Another mass is observed in the paratracheal area in the upper mediastinum, invading the trachea, esophagus and main vascular structures.\n<heart>: Stable minimal effusion was observed on previous pericardial examination. Heart contour and size are natural. Pericardial thickening was not detected.\n<esophagus>: The described mass appears to invade the esophagus and the right pulmonary artery.\n<bone>: At this level, it is observed that the mass extends within the spinal canal and surrounds the dural sac. There was no significant change in the dimensions of metastatic masses observed in T1 and L1 vertebrae. However, it was observed that the dimensions of the lytic bone lesion observed in the manbrium sternium increased significantly. In addition, there is another metastatic mass extending to the posterior elements on the right in the L1 vertebral body. In the current examination, invasion especially to the T1 vertebra has increased. A mass thought to be metastatic is observed in the T1 vertebral body. The mass completely destroys the vertebral body and partially extends to the posterior elements. The mass cannot be clearly distinguished in the T1 and T2 vertebrae posteriorly, and it invades the vertebrae.\n<abdomen>: No intra-abdominal free-loculated fluid was detected in the upper abdominal sections in the examination area. The described appearance has just appeared in the current review. Another mass is observed in the paratracheal area in the upper mediastinum, invading the trachea, esophagus and main vascular structures.\n\nImpression:\nLung Ca on follow-up. Mass invading bronchial structures at carina level.  Paratracheal localized mass, bone metastases invading surrounding structures in the upper mediastinum.  Newly emerging pleural effusion in the current examination on the right.  Large area of pneumonic consolidation on the left, clinical laboratory correlation is recommended for infectious process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9226/train_9226_a/train_9226_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21879",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; no mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum.\n<heart>: There is a stent in the localization of the coronary artery. The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures. Suture materials secondary to the operation in the sternum are observed.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass, nodule or infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9227/train_9227_a/train_9227_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21883",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, diffuse honeycomb appearance in the lower lobes of both lungs, and thickness increases in the interlobular septa are observed. In addition, patchy areas of consolidation are noted in the middle lobe of the right lung, the lower lobe and the upper lobe of the left lung. The outlook was initially evaluated in favor of infectious processes. On this background, consolidation areas with air bronchogram in the left lung lower lobe laterobasal segment and upper lobe draw attention.\n<pleura>: There is a free pleural effusion with a thickness of 21 mm on the right and 17 mm on the left.\n<mediastinum>: There are lymph nodes measuring 22x12 mm in size in the upper-lower paratracheal, prevascular, precarinal subcarinal area. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 35 mm and it shows dilatation. Mediastinal main vascular structures are normal.\n<heart>: There is an effusion measuring 5 mm in the thickest part of the pericardium. The diameter of the ascending aorta is 50 mm and shows fusiform aneurysmatic dilatation. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall. In the thoracic vertebrae, bridging spur formations are observed in the right anterolateral. It is recommended to be evaluated in terms of DISH disease. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The liver contours are irregular in the upper abdominal sections in the examination area. Bilateral adrenal glands are normal. There is minimal free fluid in the perihepatic and perisplenic space. The caudate and left lobes are slightly hypertrophied. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. It is recommended to be evaluated for liver parenchymal disease. A cortical cyst of 35 mm in diameter is observed in the upper pole of the right kidney.\n\nImpression:\nAneurysmatic dilatation of the ascending aorta, dilatation of the pulmonary artery, pericardial effusion. Mild cardiomegaly. Bilateral pleural effusion. Mediastinal lymph nodes.  Emphysematous changes in both lungs, honeycomb appearance in bilateral lung lower lobes, consolidation areas in both lungs and patchy ground glass areas are recommended in terms of infectious process in terms of infectious process.  It is recommended to evaluate for liver parenchyma disease, minimal free fluid in the abdomen.  Right renal hypodense lesion ( cortical cyst?) . It is recommended to be evaluated in terms of DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9228/train_9228_b/train_9228_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Ground glass areas are generally observed in the central part in the bronchovascular area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. Ground glass areas are observed in the right lung upper lobe posterior segment, lower lobe superior segment, and left lung upper lobe. The distribution of the described lesions is not in the manner frequently encountered in Covid-19 pneumonia. There are also minimal emphysematous changes in both lungs. It is recommended to evaluate the patient together with laboratory findings. The views described are not specific. These appearances can be observed in viral pneumonia. No mass was detected in both lungs.\n<pleura>: Microcystic appearances are observed in peripheral subpleural areas in both lungs, especially in the left lung, and it was evaluated in favor of honeycomb appearance. Minimal pleural effusion is observed on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the middle arch and descending aorta are normal. The diameters of the pulmonary arteries were also minimally enlarged (the main pulmonary artery diameter measured 36 mm). There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The anterior-posterior diameter of the ascending aorta is 48 mm and wider than normal. As far as can be observed: The heart is larger than normal. There is minimal pericardial effusion.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. The diameters of the middle arch and descending aorta are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCentrally located ground-glass appearances in both lungs, more prominent on the right . Appearances evaluated in favor of honeycomb appearance in both lungs . Emphysematous changes and atelectasis in both lungs . Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increase in the diameter of the pulmonary artery, pleural effusion on the right , minimal pericardial effusion . Mediastinal and hilar lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9228/train_9228_c/train_9228_c_1.npy"
        ]
    },
    {
        "id": "report_generation_21887",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A nodule extending towards the mediastinal inlet is observed in the isthmus of the thyroid gland.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a band-shaped non-specific minimal ground glass density in the anterior lower lobe of the right lung. When examined in the lung parenchyma window; Minimal mosaic density differences were observed in the lower lobes of both lungs.\n<mediastinum>: There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodule in the thyroid gland.  Lymph nodes in the mediastinum that do not reach pathological size and appearance.  Mosaic density differences in the lower lobes of the lung (small airway disease?).  Ground-glass density in the form of a non-specific band in the anterobasal lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9229/train_9229_a/train_9229_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21903",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, a 2 mm diameter calculi image was detected in the middle zone calyx of the right kidney.\n\nImpression:\nNon-contrast thoracic CT examination within normal limits . Millimetric calculus in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9236/train_9236_a/train_9236_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When evaluated together with bronchiectasis and peribronchial thickening, the described appearance was thought to be compatible with an infective pathology. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearance was first evaluated in favor of pleuroparenchymal sequela fibrotic change. The described appearance was also evaluated primarily in favor of pleuroparenchymal sequelae change. The described findings can also be observed in the previous examination of the patient and no difference was detected. There are diffuse emphysematous changes in both lungs. There are centracinar nodules, some of which have the appearance of budding trees, in both lungs, most prominently in the lower lobe of the right lung. The described findings are also present in the previous examination of the patient. Unlimited increase in density, structural distortion and volume loss are observed in the apicoposterior segment of the left lung upper lobe. In the right lung upper lobe posterior segment and lower lobes, significant unbounded density increases are observed in the peripheral areas, which is evaluated in favor of pleuroparenchymal sequelae changes. Nodular density increase, structural distortion and volume loss are also observed in the apical segment of the right lung upper lobe. In the lower lobe of the left lung, bronchiectasis is occasionally cystic. Bronchiectasis and peribronchial thickenings are observed in both lungs, most prominently in the lower lobe of the left lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The port catheter terminates at the superior-right atrium junction of the vena cava. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nRectum ca in follow-up  Findings evaluated primarily in favor of pleuroparenchymal sequela fibrotic changes in both lungs  Bronchiectasis and peribronchial thickenings in both lungs, most prominently in the lower lobe of the left lung  Centracinar nodules, most of which have the appearance of budding trees in both lungs, more prominently in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9242/train_9242_b/train_9242_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21922",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9243/train_9243_a/train_9243_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9245/train_9245_a/train_9245_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; In the left lung upper lobe inferior lingular segment, there is an area of increase in density consistent with consolidation in which air bronchograms are also observed. However, there are minimal emphysematous changes in both lungs. Bacterial pneumonia is considered primarily in its etiology.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node in pathological size and appearance was observed in the mediastinum and both axillary regions. The diameter of the descending aorta is 30 mm (wider than normal), and an increase in heart size is observed.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Vertebral corpus heights were preserved. Lytic or destructive lesion was detected in the bone structures within the image.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The diameter of the descending aorta is 30 mm (wider than normal), and an increase in heart size is observed. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; There is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance.\n\nImpression:\nIncrease in descending aorta caliber and heart size.  Sliding type hiatal hernia at the lower end of the esophagus.  An area of increase in density consistent with consolidation in which air bronchograms are observed in the inferior lingular segment of the left lung upper lobe; Bacterial pneumonia is considered in its etiology.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9250/train_9250_a/train_9250_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: There is no pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. The port catheter terminates at the superior vena-right atrium junction.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There is another iso-minimal hypodense lesion in the head of the pancreas, which cannot be evaluated optimally because it does not fully penetrate the sections, but measures approximately 50 mm in the longest diameter and is evaluated in favor of a pancreatic mass. It is recommended that the patient be evaluated together with their medical history. There is a view of the stent within the bile ducts. There is air in the intrahepatic bile ducts. Hypodense masses are observed in the liver, which cannot be characterized because contrast agent is not given in both lobes.\n\nImpression:\nMass in the head of the pancreas, hypodense lesions (metastases?) in both lobes of the liver. Stent in the biliary tract, air in the intrahepatic biliary tract.  Minimal emphysematous changes in both lungs. Millimetric nodules in both lungs.  Minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9253/train_9253_a/train_9253_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21958",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score was evaluated as high.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. There is marked hepatosteatosis. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9258/train_9258_a/train_9258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21968",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric nonspecific nodules were observed in the bilateral lungs.\n<pleura>: When the lung parenchyma is examined in the window, fibrotic sequelae changes in the upper lobe anterior, middle lobe lateral in the right lung, fibrotic sequelae in the subpleural area in the horse lobe anterior, and thickening in the major fissure on the right are observed. Minimal thickening of the pleura in the upper posterior parts of the bilateral hemithorax and stratified calcifications in the anterior right are observed.\n<mediastinum>: Other mediastinal major vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: The ascending aorta is 38 mm and slightly ectatic. Pericardial effusion-thickening was not observed. Other mediastinal major vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, a stone density of 2 mm was observed in the upper pole of the left kidney.\n\nImpression:\nEctasia in the ascending aorta  Minimal pleural thickenings in the bilateral hemithorax and pleural calcifications on the right (pleuritis sequela?)  Sequela fibrotic changes in the right lung  Millimetric nonspecific nodules in both lungs  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9263/train_9263_a/train_9263_a_1.npy"
        ]
    },
    {
        "id": "report_generation_21989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Apart from this, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. There is linear atelectasis in the lingular segment of the left lung upper lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLinear atelectasis in the left lung upper lobe lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9271/train_9271_b/train_9271_b_1.npy"
        ]
    },
    {
        "id": "report_generation_21991",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Apart from this, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. There is linear atelectasis in the left lung upper lobe lingular segment inferior subsegment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLinear atelectasis in the left lung upper lobe lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9271/train_9271_c/train_9271_c_1.npy"
        ]
    },
    {
        "id": "report_generation_21993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: In the evaluation made in the lung parenchyma window: No active infiltration or mass lesion was detected in both lungs. An area of increase in density consistent with linear atelectasis was observed in the inferior lingular segment of the left lung upper lobe.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nAn area of increased density consistent with linear atelectasis in the inferior lingular segment of the left lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9271/train_9271_d/train_9271_d_1.npy"
        ]
    },
    {
        "id": "report_generation_21995",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Verification with US is recommended.\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A pleuroparenchymal fibroatelectasis sequelae change was observed in the left lung upper lobe inferior lingular segment. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A subcapsular, millimetric-sized nonspecific hypodense lesion area was observed in segment 7 of the liver, which entered the cross-sectional area (cyst?).\n\nImpression:\nHypodense nodule in the right thyroid lobe; Verification with US is recommended.  Parenchymal sequelae change in left lung upper lobe inferior lingular segment.  Subcapsular millimetric hypodense lesion (cyst?) in segment 7 of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9271/train_9271_e/train_9271_e_1.npy"
        ]
    },
    {
        "id": "report_generation_21999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9272/train_9272_b/train_9272_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Consolidation in the posterobasal segment and ground glass area are observed in the lower lobe of the left lung. In addition, there are nodules in both lungs, especially in the peripheral areas, with a ground glass area around them. Although the described appearances are not specific, Covid-19 pneumonia, which is stated in the clinical preliminary diagnosis, can often cause the described findings. No mass was detected in both lungs.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9272/train_9272_c/train_9272_c_1.npy"
        ]
    },
    {
        "id": "report_generation_22024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ground-glass consolidation areas are observed in the right lung upper lobe anterior segment, paramediastinal area, lower lobe superior segment, middle lobe and left lung lingular segment. In the basal segment of the lower lobe of the left lung, a fissure-based nodule of 2-3 mm in diameter with a nonspecific appearance is observed (intraparenchymal lymph node?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal aortopulmonary lymph node with millimetric size is observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nConsolidation areas in ground glass density in the paramediastinal area in the upper lobe anterior segment of the right lung, in the lower lobe superior segment, in the middle lobe and in the lingular segment of the left lung. It is compatible with viral pneumonia. (intraparenchymal lymph node?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9279/train_9279_a/train_9279_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22028",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are linear mild atelectasis in the basal segments of the lower lobes of both lungs. There are several nonspecific nodules measuring up to 3 mm at the apical level of the right lung upper lobe, and 1 nonspecific nodules measuring up to 2 mm in the posterior left lung upper lobe.\n<mediastinum>: Millimetric calcific atheroma plaques are observed in the thoracic and aortic arch. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Millimetric calcific atheroma plaques are observed in the thoracic and aortic arch. Hypertrophic-ostephoitic taperings are observed in the vertebral corpus endplates.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed in the thoracic and aortic arch. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs. Mild atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9281/train_9281_a/train_9281_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the examination performed without IV contrast, the examination could not be performed optimally.\n<lung>: Pleuroparenchymal linear atelectasis changes were observed in the left lung lower lobe basal segment. In the hilum of the right lung, a central mass surrounding the middle and lower lobe bronchus, obstructing the middle lobe bronchus, and indistinguishable from the adjacent atelectasis was observed. A wide atelectasis change limited to major fissure was observed in the lateral segment of the right lung middle lobe. There is a mosaic attenuation pattern in both lungs. Except for the central mass on the right in both lungs, no mass lesion-suspicious nodule in terms of metastasis was detected. The mass was measured at its widest point in the axial plane, measuring approximately 45x43 mm. More prominent interlobular-intralobar septal thickenings were observed in the middle lobe of the right lung and in the lower lobe basal segment. It was evaluated in favor of small airway disease.\n<pleura>: Pleural effusion-thickening was not observed.\n<mediastinum>: The largest of the lymph nodes was measured in the lower paratracheal area, measuring approximately 40x28 mm. Prevascular, paraaortic, right aortopulmonary, right upper-bilateral lower paratracheal, subcarinal, left hilar pathological lymph nodes were observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Minimal effusion was observed in the pericardial space. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae. No lytic-destructive lesion in favor of metastasis was observed in bone structures.\n<abdomen>: Other upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Diffuse thickening was observed in the left adrenal gland corpus and medial crus entering the section area.\n\nImpression:\n· Central mass in the right lung center surrounding the middle and lower lobe bronchus and obstructing the middle lobe bronchus, atelectasis in the middle and lower lobes of the right lung, interlobular-intralobar septal thickening. · Pleuroparenchymal linear mild atelectasis-sequelae change in left lung lower lobe basal. Mosaic attenuation pattern in both lungs (considered secondary to small airway disease). · Prevascular, paraaortic, aortopulmonary, right upper-bilateral lower paratracheal, subcarinal, right hilar and lymphadenopathies in the posterior neighborhood of the right thyroid gland. · Placing pericardial effusion. Diffuse thickening of left adrenal gland corpus and medial crus. Minimal osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9285/train_9285_a/train_9285_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation and close follow-up are recommended. No lymph node was detected in bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lungs, diffuse patchy ground glass densities, thickening of the interlobular septa, mosaic attenuation patterns are observed. Findings small airway disease? Small vessel disease? It was evaluated in favor of covid-19 viral pneumonia.\n<mediastinum>: There are small lymph nodes with a mediastinal short axis measuring up to 8 mm.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the subcapsular fluid attenuation in the right lobe of the liver, an oval-shaped finding measuring 20 mm in size was evaluated in favor of a cyst. A stone of 18 mm in size is observed in the gallbladder. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??The findings described in the lung parenchyma small airway disease? small vessel disease? It was evaluated in favor of covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended  Cholelithiasis  Small cyst in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9289/train_9289_a/train_9289_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and the main bronchi are open.\n<lung>: When examined in the lung parenchyma window; It was understood that left lung upper lobectomy was performed. There are emphysematous changes in both lungs that are more prominent in the diffuse central segments. Linear atelectasis is observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. When evaluated together with the previous examinations of the patient in the mediastinal area, several lymph nodes are observed, the largest of which is 7 mm with a short axis in the pretracheal area. There are calcific atheromatous plaques in the walls of the aorta. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: It is followed by stents in the coronary arteries. Pericardial effusion was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophytes, which tend to coalesce, are observed in the bones.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheromatous plaques in the walls of the aorta.\n\nImpression:\nOperated lung Ca in follow-up.  Emphysematous changes and areas of atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9290/train_9290_a/train_9290_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. No nodule-infiltration was detected in both lung parenchyma. There are bilateral peribronchial thickenings. It was also observed in the previous examination and no significant change was detected. When examined in the lung parenchyma window; It was understood that the patient underwent left lung upper lobectomy. There are significant fibroatelectasis changes in the lower lobe of the left lung and the middle lobe of the right lung in both lungs.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural. No lymph node was detected in mediastinal and hilar pathological size and appearance.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial minimal effusion was observed. As far as can be seen; There are stent materials in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area, consistent with mild adiposity.\n\nImpression:\nOperated lung Ca in follow-up, left upper lobectomized.  Emphysematous changes, peribronchial thickenings, fibroatelectasis changes in both lungs are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9290/train_9290_b/train_9290_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Peribronchovascular structures are prominent in the center.\n<lung>: There is a millimetric air cyst in the anterior upper lobe of the right lung. There is minimal emphysema in the upper lobes of both lungs. When examined in the lung parenchyma window; diffusely decreased aeration in both lung parenchyma. It may be due to insufficient inspiration.\n<pleura>: Increasing subpleural fibrotic densities and minimal diffuse icing are seen as it descends to the lower lobes.\n<mediastinum>: In the mediastinum and in the right hilar region, lymph nodes, some of which contain calcifications, and the short axis of the larger ones measuring approximately 18 mm, are observed. Calibration of mediastinal major vascular structures is natural. Mediastinal examination is suboptimal due to the lack of contrast in the examination.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; It is also present in the gallbladder. Both kidneys are atrophic.\n\nImpression:\nSome calcific lymph nodes in the mediastinum and right hilar region; granulomatous disease?  Diffuse reduction in both lung aeration, mosaic density differences, diffuse icing and fibrotic densities in the lower lobes that become more pronounced as they descend; with insufficient inspiration, the findings are not specific for Covid pneumonia. It may be compatible with airway disease in a minimally fibrotic lung background.  Cholelithiasis.  Bilateral renal atresia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9294/train_9294_a/train_9294_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Compression atelectasis is observed adjacent to the effusion in the posterior segment of the left lung lower lobe. There are consolidative area in the left lung upper lobe apicoposterior segment, centriacinar nodular density increases in the upper lobe and lower lobe superior segment giving the appearance of a budding tree view in places. No discernible mass was detected in both lungs. There is marked bilateral peribronchial thickness increase and localized narrowing on the left. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the left lower paratracheal area. There is volume loss in the right lung, and there is a consolidative area in the lower lobe, adjacent to the effusion, in which air bronchograms and hyperdense areas are observed, subsegmental atelectasis areas and occasionally ground glass areas.\n<pleura>: There is a 2 cm thick pleural effusion in the right hemithorax and 3 cm in the left hemithorax.\n<mediastinum>: Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the left lower paratracheal area. There are stent formations in the coronary arteries and calcific atheroma plaques in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: Minimal pericardial effusion is observed. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. Decreased osteopenic density in the thoracolumbar vertebrae within the sections, and osteophytes bridging at the vertebral corpus corners are observed.\n<abdomen>: A hyperdense stone with a diameter of 1.5 mm is observed in the upper pole calyx of the right kidney. Within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There are stent formations in the coronary arteries and calcific atheroma plaques in the aorta. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nBilateral pleural effusion, areas of ground glass in the right lung lower lobe and left lung upper lobe, and consolidation areas accompanied by subsegmental atelectasis, centriacinar nodular density increases characterized by a budding tree view in the left lung upper lobe and lower lobe superior segment.  Bilateral peribronchial thickness increase.  Cardiomegaly, stent formations in coronary arteries, calcific atheroma plaques in the aorta.  Hiatal hernia.  Right nephrolithiasis.  Thoracolumbar spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9296/train_9296_a/train_9296_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are diffuse emphysematous changes in both lungs. Close monitoring is recommended. In the previous examination of the patient, it is understood that the consolidations, ground glass areas and cystic areas observed in both lungs, especially in the lower lobes, have almost completely disappeared. The described appearance may be of round atelectasis-pneumonia or a soft tissue mass. In addition, there are sometimes linear atelectasis in both lungs. This distinction was not made in this study.\n<pleura>: No pleural or pericardial effusion or thickening was detected. A consolidated area is observed in the peripheral subpleural area in the posterobasal segment in the lower lobe of the left lung.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: It was thought to be a hyperdense cyst. It is also present in previous examinations and no difference was found in its dimensions and appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. The described lesions are observed in the previous examination of the patient and no significant difference was detected. Many hypodense lesions are observed in the liver that cannot be characterized because contrast agent is not given. There is a millimetric hyperdense appearance in the upper pole of the right kidney. No upper abdominal free fluid-collection was detected in the sections. It could not be characterized as no contrast agent was given.\n\nImpression:\nBladder Ca on follow-up . Round atelectasis-pneumonia or mass in the posterobasal segment in the left lung lower lobe that cannot be differentiated (recommended to follow up) . Stable millimetric nodules in both lungs . Diffuse emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9302/train_9302_b/train_9302_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Findings described There are imaging features frequently reported in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. It is observed with subsegmental atelectatic changes in the lower lobe of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; In the upper and lower lobes of both lungs, peribronchovascular and peripheral subpleural areas tend to coalesce from place to place, and density increases in the style of ground glass, and crazy paving appearances in the right lung upper lobe were observed.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9309/train_9309_a/train_9309_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There are multiple metastatic nodules in both lungs, the largest of which is 17 mm on the left lingula inferior. Occasionally, subsegmentary atelectasis was observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal and prevascular lymph nodes with the largest 18x11 mm were observed in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: The common bile duct is dilated, the appearance of the stent is observed. The right lobe of the liver is operated. Perihepatic free peritoneal fluid was observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. Lung metastases Mediastinal lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9320/train_9320_a/train_9320_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22127",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Density increases accompanied by mild parenchymal distortion in the lower lobe basal segment of the left lung were evaluated in favor of sequela parenchymal changes. Diffuse metastatic nodules and masses of different sizes are observed in both lung parenchyma.\n<mediastinum>: Mediastinal lymph nodes with a diameter of 12 mm in the upper right paratracheal region and a short diameter of 11 mm in the paraaortic region are stable. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The metastatic lymph node in the esophageal hiatus adjacent to the distal esophagus is stable.\n<bone>: In the current examination, it was understood that the infection was completely resorbed. No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is an increase in left lobe sizes. In the perihepatic area, free fluid is stable in the form of light smearing. Within the sections; Liver right lobectomy was performed. There is a hemorrhagic cyst in the right kidney. A stent was placed in the biliary tract.\n\nImpression:\nMetastatic colon ca.  Parenchymal infiltration findings of Covid infection were completely resorbed in the previous examination. Sequela parenchymal changes are observed in the basal segment of the left lung.  Pathological lymph nodes are stable in size in the mediastinum, esophageal hiatus, and retroperitoneum in the upper abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9320/train_9320_d/train_9320_d_1.npy"
        ]
    },
    {
        "id": "report_generation_22139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9322/train_9322_a/train_9322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There are atelectesis at the basal level of the lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectesis from the basal level of the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9328/train_9328_a/train_9328_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: A band atelectatic change was observed in the inferior lingular segment of the left lung upper lobe. The outlook is not typical for Covid-19 pneumonia. When examined in the lung parenchyma window; A wide area of consolidation was observed in the right lung lower lobe superior and mediobasal-posterobasal segments. However, Covid-19 pneumonia and other bacterial pneumonias were considered in the differential diagnosis due to the pandemic. A peripheral focal small consolidation area was also observed in the left lung lower lobe superior segment. No mass lesion with distinguishable borders was observed in both lungs. Fibroatelectasis sequelae, which caused shrinkage in the fissure, were observed in the posterior segment of the right lung upper lobe.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCommon in the right lung lower lobe and left lung lower lobe superior segment, right lung; areas of consolidation; The appearance is not typical for Covid-19 pneumonia. However, due to the pandemic, Covid-19 pneumonia and other bacterial pneumonias were considered. It is recommended to evaluate together with clinical and laboratory.  Fibroatelectasis sequelae that causes parenchymal distortion in the right lung upper lobe posterior segment . Band atelectasis change in the left lung upper lobe inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9330/train_9330_a/train_9330_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are sequela parenchymal changes in the upper lobe of the left lung, the inferior lingular segment, and the lower lobe of both lungs and the middle lobe of the right lung. The appearance may be of early viral pneumonia. When examined in the lung parenchyma window; mosaic attenuation pattern of both lungs is observed (small airway disease?, small vessel disease?). A ground glass density area of approximately 10 mm in diameter is observed in the posterobasal segment of the lower lobe of the left lung, and vascular enlargement is noted at this level. No mass lesions were detected in both lungs. There are several millimeter-sized smooth thin-walled air cysts in both lungs.\n<pleura>: In the posterior segment of the upper lobe of the right lung, a nodule located in the oblique fissure, which is evaluated in favor of 2 subpleural lymph nodes, is observed. No pericardial, pleural effusion or thickness increase was detected.\n<mediastinum>: No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; The ascending aortic AP diameter is 41 mm, and the descending aortic AP diameter is 34 mm, larger than normal. There are calcified atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures.\n<heart>: An increase in heart size is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; The ascending aortic AP diameter is 41 mm, and the descending aortic AP diameter is 34 mm, larger than normal. There are calcified atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image, and vertebral corpus heights are preserved. There are osteophytic degenerative changes that tend to merge at the vertebral corpus corners.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is recommended to be evaluated together with the USG examination. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; The ascending aortic AP diameter is 41 mm, and the descending aortic AP diameter is 34 mm, larger than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. The gallbladder has a hydropic appearance.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?) . A few millimeter-sized smooth, thin-walled air cysts in both lungs, 2 evaluated in favor of oblique fissure superposed subpleural lymph node in the right lung upper lobe posterior segment. pcs nodule.  Sequela parenchymal changes in the posterobasal segment of the lower lobe of both lungs, the inferior lingular segment of the left upper lobe and the middle lobe of the right lung. It may be a sign of early viral pneumonia. It is recommended to evaluate and follow up with clinical and laboratory findings.  Increased caliber of the ascending and descending aorta, mediastinal vascular structure, and calcified atheroma plaques in the coronary vascular wall. Hydropic appearance of the gallbladder. Evaluation with USG examination is recommended.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9335/train_9335_a/train_9335_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; no mass-nodule-infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Atherosclerotic calcific plaques are observed in the coronary artery.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No additional obvious pathology was observed in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass-nodule-infiltration was detected in both lungs. Calcific plaques in the coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9336/train_9336_a/train_9336_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific atheroma plaques in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9336/train_9336_b/train_9336_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: The primary disease was evaluated in favor of bone involvement. Significant height loss is observed in the T12 vertebra. There are height losses in the thoracic vertebrae and heterogeneity in the density of bone structures. There is osteoporosis in bone structures. There is an incomplete fracture in the T9 vertebra.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nInspection within normal limits.  Radiologic findings characterized by bone marrow involvement of myeloma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9363/train_9363_a/train_9363_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: No lymph node with pathological size and configuration was detected at the right hilar level either. Accompanying ground-glass-like density increases are observed in the lower lobe segments of the right lung. In the lower lobe basal segments of the right lung, pleuroparenchymal sequelae increase in density is observed. However, clinical laboratory correlation is recommended. There is a mosaic attenuation pattern in both lungs. It is not typical for Covid pneumonia. There is a slight consolidation appearance on the right at the posterobasal level. There is a 9x11 mm lymph node on the left at the hilar level. A partially calcified nodule with a diameter of 4 mm is observed in the apicoposterior segment of the upper lobe of the left lung. There are pleuroparenchymal densities compatible with sequelae in the inferior lingular segment and in the lower lobe basal level in the left lung.\n<mediastinum>: Lymph nodes are observed in the upper-lower paratracheal area, at the subcarinal level, in the aorticopulmonary window, and the largest is 18x14 mm in size in the subcarinal area. It is wider than normal. Pulmonary trunk calibration is at the maximal physiological limit. Calcific atheroma plaques are observed in the aortic arch. The aortic arch was calibrated to 33 mm and was wider than normal.\n<heart>: It is slightly above normal. The ascending aorta calibration is 41 mm. Pericardial effusion-thickening was not observed. CTO increased in favor of the heart. Left atrium and left ventricle are observed as dilated.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the bone structure. The bone structure is distinctly heterogeneous. Thoracic kyphosis increased in the case.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch. It is wider than normal. In the sections passing through the upper abdomen, nonspecific hypodense lesions with a diameter of 10 mm are observed in the liver. Surrounding soft tissue plans are natural. There is a hypodense lesion in the middle part of the right kidney, which is considered to be compatible with a cortical cyst of 5 mm in diameter. Both adrenal glands are normal. The aortic arch was calibrated to 33 mm and was wider than normal.\n\nImpression:\nCardiomegaly, increased calibration in mediastinal main vascular structures . Mosaic attenuation pattern, concomitant ground-glass-like density increase in the lower lobe of the right lung and consolidation area in posterobasal . Findings are atypical for Covid pneumonia. However, clinical laboratory correlation is recommended.  Nonspecific hypodense lesions in the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9368/train_9368_a/train_9368_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Clinical and laboratory correlation and follow-up are recommended. The findings are consistent with Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are ground glass densities in which patchy vascular expansion is observed in crazy paving pattern, mostly peripherally located in both lungs and more prominent in the left lung lower lobe basal segment.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??? Compatible with Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9371/train_9371_a/train_9371_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Thickening of the bronchial walls is observed in the lower lobes of both lung parenchyma. Perinebronchial reticulonodular budding tree views are observed in the upper lobe posterior and bilateral lower lobe posteriors on the right.\n<pleura>: There are several nodules up to 6 mm in diameter, the largest of which is located subpleural in the posterobasal right lower lobe.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes in the mediastinum that are not in millimetric pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae. Anterior osteophytes are observed.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Sequelae fibrotic changes in the lung and suspicious findings in chronic bronchitis, budding tree landscapes in both lungs (TB bronchitis?). Millimetric nonspecific nodules in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9386/train_9386_a/train_9386_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A 3 mm diameter nodule is observed at the level of the major fissure on the right. A nonspecific nodule with a diameter of 2 mm is observed at the laterobasal level of the left lung. Sequelae changes are observed at the apical level. On the right, another nodule, 4x3 mm in size and 3 mm in diameter, superposed on the minor fissure is observed. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: There is a subpleural 4 mm diameter nodule at the laterobasal level on the right. There was no finding consistent with pneumonia, pleural effusion or pneumothorax in both lungs.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There is bilateral mild gynecomastia appearance.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; There is mild hepatosteatosis appearance in the liver.\n\nImpression:\nNonspecific millimetric nodule formations in both lungs.  Sequelae changes at the apical level of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9396/train_9396_a/train_9396_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; central tubular bronchiectasis in both lungs and fibroatelectasis pleuroparenchymal linear sequelae increases in basal segments of both lungs, lower lobe basal segments, left lung inferior lingular and right lung middle lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal major vascular structures is natural as far as can be observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes were minimally increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver, spleen, both kidneys and both adrenal glands were normal, and no space-occupying lesion was detected as far as can be seen in the non-contrast sections.\n\nImpression:\nMinimal increase in heart size.  Mild slip-type hiatal hernia at the lower end of the esophagus. Pleuroparenchymal fibroatelectasis sequelae changes in both lung lower lobe basal segments, right lung middle and left lung inferior lingular segments."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9399/train_9399_a/train_9399_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: As far as can be observed secondary to motion artifacts; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Millimetric, nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: T3 and T4 vertebral corpus and posterior elements appear to be fused and no disc is observed (congenital block vertebra). Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs. Passive atelectatic changes in right lung middle lobe medial and left lung upper lobe inferiorlingular segment.  There was no finding in favor of pneumonia-mass in the lung parenchyma.  T3-T4 congenital block vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9402/train_9402_a/train_9402_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Sequelae fibrotic changes are observed in the upper lobe apex of both lungs and millimetric nodules are observed on the left. Right lung lower lobe posterobasal and 7.5 mm nodular ground glass density are present.\n<pleura>: Diffuse subpleural ground glass densities are observed in the right lung upper lobe posterior and left lung especially in the lingular segment.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, millimetric lymph nodes with short diameters not exceeding 1 cm are observed.\n<heart>: Calcifications are observed at the level of the tricuspid valve. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a loss of density to the diffuse liver in the liver entering the cross-sectional area (hepatosteatosis). Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9416/train_9416_a/train_9416_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22373",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; More prominently on the right, multisegmental mostly peripherally located ground glass and density increase areas consistent with consolidation are observed in both lungs, and viral pneumonias are considered in the etiology of the findings.\n<pleura>: No pericardial or pleural effusion was observed.\n<mediastinum>: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance.\n<heart>: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9417/train_9417_a/train_9417_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the abdominal aorta and visceral branches. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Millimetric diverticulum was observed in the descending aorta. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches, and the walls of the coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, mild scoliotic angulation was observed with the left opening. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches, and the walls of the coronary arteries. Right adrenal glands were normal and no space-occupying lesion was detected. It could not be characterized in this examination. As far as can be seen within the sections; A nonspecific hypodense lesion area of 11 mm in diameter was observed in the inferior of the liver right lobe (segment 6). Calcific atheroma plaques are observed in the abdominal aorta and visceral branches. Peridiverticular fatty planes are obvious. Millimetric diverticulum was observed in the descending aorta. A macroadenoma of 3x2.2 cm was observed in the left adrenal gland. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta-supraaortic branches and coronary arteries.  Sequelae of fibroatelectatic changes in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe.  Nonspecific hypodense lesion in the right lobe (segment 6) of the liver; could not be characterized in this examination (cyst? hemangioma?).  Macroadenoma in the left adrenal gland.  Diverticulosis coli.  Mild scoliotic angulation at the thoracic level with left-facing opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9418/train_9418_a/train_9418_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the evaluation made in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lungs, and there are smooth interlobular septal thickness increases and peripheral pleuroparenchymal sequelae bands in the lower lobes. A few nonspecific nodules, the largest of which is 3 mm in size, are observed in the anterior upper lobe of the right lung.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and heart could not be evaluated optimally because the examination was without contrast, and the pulmonary conus was 33 mm wider than normal. There are no pathological lymph nodes in the mediastinum, bilateral axillary region and supraclavicular level.\n<heart>: Mediastinal vascular structures and heart could not be evaluated optimally because the examination was without contrast, and the pulmonary conus was 33 mm wider than normal. The heart, contour and size are natural. An increase in the cardiothoracic ratio in favor of the heart is observed.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Osteophytic degenerative changes, which tend to coalesce more clearly in the right anterolateral vertebral corpus corners in the bony structures within the image, and reticular density increases in the vertebral bodies, which are considered secondary to osteopenia, are observed. No lytic or destructive lesion was detected. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdomen sections within the image, there is a prominent hypodense appearance secondary to hepatosteatosis in liver parenchyma density. Apart from this, no pathology was detected.\n\nImpression:\nIncreased pulmonary conus calibration, increased cardiothoracic ratio in favor of the heart. Smooth interlobular septal thickness increases and pleuroparenchymal sequelae bands in the lower lobes of both lungs.  A few millimetric nodules in the anterior segment of the upper lobe of the right lung; no signs of pneumonic infiltration were detected.  Sliding hiatal hernia in the lower end of the esophagus . Hepatosteatosis . Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9420/train_9420_a/train_9420_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Widespread consolidation and ground-glass appearances are observed in both lungs, more prominently in the right lung and lower lobes. The appearances described during the pandemic process were primarily evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are millimetric atheroma plaques in the aortic arch and left anterior descending coronary artery. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: There are millimetric atheroma plaques in the aortic arch and left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are millimetric stones in the gallbladder. There are millimetric atheroma plaques in the aortic arch and left anterior descending coronary artery. There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9421/train_9421_a/train_9421_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No newly developed finding was detected. When examined in the lung parenchyma window; In both lung parenchyma, it is observed that the widespread consolidations compatible with the existing viral pneumonia completely regressed, and the ground glass densities decreased significantly.\n<pleura>: In the present examination, minimal ground-glass densities in the subpleural areas and mild bronchiectasis in the lower lobes are observed in the peribronchial areas.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: There are millimetric stones in the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRegression in lung involvement findings in a patient followed up for viral pneumonia.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9421/train_9421_b/train_9421_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Again, there are appearances that are more prominent in the lateral segment of the middle lobe of the right lung, which are evaluated primarily in favor of atelectasis consolidation. Interlobar and interlobular septal thickenings are observed around the atelectasis areas.\n<pleura>: Pleural effusion reaches 10.5 cm in thickness at its thickest point on the right, and approximately 5 cm in thickness at its thickest part on the left, and atelectasis is observed in the accompanying lung parenchyma. Pleural effusion is observed in both lungs.\n<mediastinum>: The diameter of the main pulmonary artery was 39 mm, the diameter of the right pulmonary artery was 33 mm, and the diameter of the left pulmonary artery was 30 mm and increased. There are calcific atheromatous plaques in the walls of the aorta. Pathological lymphadenopathies are observed in both axillae, upper-lower paratracheal region, aortopulmonary level and paratracheal area as far as can be evaluated within the limits of non-contrast examination. The evaluation of solid organs, vascular structures, and mediastinum is suboptimal because the examination is non-contrast.\n<heart>: Heart size increased. The evaluation is suboptimal because the patient's old films are not in the system.\n<bone>: Diffuse degenerative changes are observed in the bones.\n<abdomen>: There are calcific atheromatous plaques in the walls of the aorta. No gross pathological appearance was detected in the upper abdominal organs included in the examination, within the limits of the non-contrast examination.\n\nImpression:\nIt is recommended to evaluate with clinical and examination findings in terms of pleural effusion in both lungs and compression atelectasis in accompanying lung segments, interlobar and interlobular septal thickenings around atelectasis segments, increase in pulmonary artery diameters, pulmonary edema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9422/train_9422_a/train_9422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The described findings are consistent with covid-19 pneumonia. When examined in the lung parenchyma window; Widespread patchy consolidation areas accompanied by central-peripheral linear subsegmental atelectasis with crazy paving pattern and vascular enlargement were observed in both lungs. No mass lesion with delineated borders was detected in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. The examination was considered suboptimal since no contrast agent was given.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9426/train_9426_a/train_9426_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are areas of linear atelectasis in both lungs. No mass or infiltrative lesion was observed in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. A calcific atheroma plaque is observed in the anterior descending coronary artery.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There are several millimetric hypodense lesions in the right lobe of the liver (MR confirmed cyst). It is stable.\n\nImpression:\nOperated renal cell carcinoma at follow-up.  Stable millimetric nodule in the lower lobe of the left lung.  Linear areas of atelectasis in both lungs.  Mediastinal millimetric lymph nodes; is stable.  A few millimetric hypodense lesions in the right lobe of the liver; stable (MR confirmed cyst)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9428/train_9428_b/train_9428_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild atelectatic changes in the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, changes in favor of steatosis are observed in the liver parenchyma (hepatosteatosis). The right adrenal gland is smaller than normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9431/train_9431_a/train_9431_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like effusion was observed in the pericardial space, and no pericardial thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: An incision scar was observed on the skin just to the left of the abdominal midline. In the upper abdominal organs included in the sections, a focal area of fat was observed in the liver segment 4B, adjacent to the falciform ligament. Surgical suture materials secondary to surgery at the perigastric level were observed.\n\nImpression:\nMinimal pericardial effusion . There was no finding in favor of pneumonia in the lung parenchyma.  Changes in perigastric level and anterior abdominal wall secondary to previous operation"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9434/train_9434_a/train_9434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is diffuse emphysema in both lungs. Nodules are also observed in the previous examination of the patient and there is no difference in number dimensions. In the left lung upper lobe lingular segment inferior subsegment, bronchiectasis is accompanied by structural distortion and volume loss. Bronchiectasis is more prominent in the lower lobes. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Minimal bronchiectasis is observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. The diameters of the mediastinal main vascular structures are normal. The largest of the described lymph nodes is observed in the subcarinal area and its short diameter is 14 mm. Atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinum and in the hilar region.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: It is recommended that the patient be evaluated for chronic liver parenchymal disease. Aorta diameter is normal. No pathologically enlarged lymph nodes were observed. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. The liver left lobe is minimally hypertrophic and its contours are lobulated.\n\nImpression:\nBladder ca on follow-up. Emphysematous changes in both lungs. Bronchiectasis in both lungs. Stable millimetric nodules in both lungs. Atherosclerotic changes in aorta and coronary arteries. Lymph nodes in mediastinum and hilar region. Hiatal hernia. Minimal hypertrophy of liver in left lobe and lobulation in liver contour (it is recommended to be evaluated for liver parenchyma disease)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9438/train_9438_a/train_9438_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22434",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the left lung, there is an area of increase in density consistent with consolidation, which is more clearly observed in the upper lobe, in which air bronchograms are also observed, and appearances compatible with bronchiectasis - bulla-blep formations are observed at this level. Lobule contoured lesions measuring 15x16 mm in size are observed in the upper lobe apical segment of the right lung and in the posterior upper lobe, the largest in the upper lobe apical segment. The consolidation area observed in the left lung was primarily evaluated as secondary to compressive atelectasis, and the underlying pneumonic infiltration cannot be excluded. Paraseptal - centresiner emphysematous changes are observed in the right lung.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: It cannot be characterized clearly (cyst?) because the examination is uncontrasted. In the upper abdominal sections within the image, there are cortical lesions of hypodense fluid density in both kidneys. A hyperdense stone measuring 15x11 mm is observed in both kidneys, the largest of which is in the lower pole of the right kidney.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9447/train_9447_a/train_9447_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22436",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the midline of the trachea, both main bronchi are open.\n<lung>: Clinic and lab in terms of Covid-19 pneumonia. No lymph nodes in pathological size and appearance were detected in the mediastinal area, in the hilum of both lungs, and in the axillae. Most prominently, the upper lobe of the right lung and the middle lobe of the right lung are involved. For these areas, traction bronchiectasis is observed from place to place in these areas. In these areas, densities in the style of frosted glass are observed from place to place.\n<pleura>: When evaluated in the lung parenchyma window; Emphysematous changes, which are more prominent especially in the subpleural areas and upper lobes of both lungs, and honeycomb appearances and fibrosis areas that may be compatible with interstitial fibrotic lung disease are observed in these areas.\n<mediastinum>: Mediastinal main vascular structures are natural. No lymph nodes in pathological size and appearance were detected in the mediastinal area, in the hilum of both lungs, and in the axillae. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: No pericardial effusion or increased pericardial thickness was detected. Heart size and contours are normal.\n<esophagus>: Minimal hiatal hernia is observed. Thoracic esophageal wall thickness is normal.\n<bone>: Bone structures in the study area are natural. No fractures, lytic or sclerotic lesions were detected in the bones. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the right adrenal gland, a nodular mass lesion with the largest dimensions of 38x32 mm and appearance compatible with fat is observed. It is recommended to be evaluated together with the findings. It may be compatible with focal lubrication. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Although it is primarily evaluated in favor of adenoma due to the fat islets in it, it is appropriate to evaluate it together with previous examinations, if any. Diffuse density reduction consistent with hepatosteatosis is observed in the liver included in the examination.\n\nImpression:\nWidespread honeycomb appearance, emphysematous changes and fibrotic bands are observed in the subpleural areas of both lungs. It is recommended to be evaluated together with clinical and examination findings in terms of interstitial lung diseases in pulmonary fibrosis.  Scattered ground glass densities are observed in both lungs. This may be secondary to the chronic process. Differential diagnosis includes Covid-19 pneumonia.  Hepatosteatosis.  Although the right adrenal gland is primarily evaluated in favor of adenoma, a mass nodular appearance is observed, which is recommended to be evaluated with the patient's previous examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9449/train_9449_a/train_9449_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No active infiltration or mass lesion was detected in both lung parenchyma. Sequela parenchymal changes are observed in the left lung.\n<pleura>: When examined in the lung parenchyma window; Calcified pleural thickness increases are observed in the left lung, and their size and appearance are stable in the comparative evaluation made with the previous PET CT examination. In the left lung lower lobe anterobasal segment, there is an increase in the size of the nodular pleural lesion measuring 22x12 mm in the current examination and 15x10 mm in the previous PET CT examination.\n<mediastinum>: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<breast>: In the upper outer quadrant of the right breast, a well-defined soft tissue density lesion measuring 15x17 mm, which was newly developed in the current examination, was observed.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image; In the liver, there are newly developed mild hypodense lesions measuring 38 mm in diameter, the largest of which is at segment 7 level. Metastasis is considered in the preliminary diagnosis.\n\nImpression:\nLymphadenopathies with an increase in number and size in the mediastinum, a pleural-based nodule with an increase in size in the anterobasal segment of the left lung lower lobe, newly developed mild hypodense lesions in the liver, a lesion of smooth-circumscribed soft tissue density in the upper outer quadrant of the right breast, which is newly developed in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9455/train_9455_a/train_9455_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22456",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It surrounds the intermediate bronchus, obstructs the middle lobe bronchus, and significantly narrows the caliber of the lower lobe bronchus.\n<lung>: It surrounds the intermediate bronchus, obstructs the middle lobe bronchus, and significantly narrows the caliber of the lower lobe bronchus. In the right lung hilum, a primary tumor infiltrating the mediastinum surrounding the intermediate bronchus is observed. Subsegmental atelectasis areas are observed in the lower lobe of the right lung. It was 19 mm in the previous examination. The consolidation area in the lower lobe of the left lung is stable. In the left lung lower lobe superior segment, the parenchymal infiltration area slightly increased in nodular ground glass density. In the previous examination, parenchyma areas of ground-glass density persist in the upper lobe of the right lung, but it appears to be regressed. It is stable.\n<pleura>: In the left lung, areas of atelectesis parenchyma caused by pleural-based hyperdense nodular thickness increases are observed. Although the sizes of pleural-based and parenchymal millimetric nodules in its vicinity were stable, these nodules were thought to belong to metastatic nodules.\n<mediastinum>: The diameter of the upper paratracheal lymph node was 16 mm. Calibrations of mediastinal main vascular structures are normal. It was 22 mm in the previous examination. Its short diameter was measured 23 mm, the larger of which was in the lower paratracheal area. It is newly developed. Mediastinal metastatic lymph nodes located in the right lower paratracheal and upper paratracheal region are observed adjacent to the lesion. The lesion infiltrates the mediastinum and extends to the carina.\n<heart>: No pericardial effusion was detected. Heart dimensions and compartments appear natural.\n<breast>: The size of the metastatic lymph node in the right axilla was 22 mm.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Metastatic lesions are observed in both lobes and all segments of the liver.\n\nImpression:\nnan"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9455/train_9455_c/train_9455_c_1.npy"
        ]
    },
    {
        "id": "report_generation_22460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The dimensions of both thyroid lobes have increased and hypodense nodules with a diameter of approximately 3 cm are observed in both thyroid lobes, the largest on the right. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Linear atelectasis was observed in the left lung upper lobe lingular and both lung lower lobe basal segments. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the thoracic aorta, its supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 46 mm, and the descending aorta was wider than normal, with an anterior-posterior diameter of 30 mm. The diameter of the pulmonary trunk was 37 mm and wider than normal.\n<heart>: Minimal effusion was observed in the pericardial space. Heart size increased. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Minimal rotoscoliosis with left-facing opening was observed in the thoracic vertebrae. Intervertebral disc distances are preserved. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the thoracic aorta, its supraaortic branches and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 46 mm, and the descending aorta was wider than normal, with an anterior-posterior diameter of 30 mm.\n\nImpression:\nThyromegaly, hypodense nodules in both lobes, it is recommended to be evaluated together with US. Fusiform aneurysmatic dilatation in the thoracic aorta, increased diameter of the pulmonary conus, cardiomegaly.  Diffuse calcific atheromatous plaques in the thoracic aorta, its supraaortic, supraaortic branches, and coronary arteries. Emphysematous changes in both lungs, atelectatic changes in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9456/train_9456_b/train_9456_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. This appearance was primarily thought to be metastasis. Linear atelectasis and pleuroparenchymal sequelae changes are observed in both lungs. The described appearance is absent in the patient's previous examination. The described lesion measures approximately 15x11 mm. The borders of lymphadenopathies observed in the right hilar region cannot be clearly differentiated from the vascular structures since contrast agent is not given. No mass or appearance evaluated in favor of pneumonic infiltration was detected in both lungs. There are lymphadenopathies in the subcarinal region and the right hilar region.\n<pleura>: No pleural or pericardial effusion was detected. There is a pleural-subpleural nodular lesion in the right lung upper lobe apical segment medial.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. It is understood that these lymph nodes have reached pathological levels in this examination. The lymphadenopathy observed in the subcarinal region was 30x24 mm in size. In the previous examination of the patient, there are lymph nodes in this localization that are not in pathological dimensions. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It was understood that the patient had undergone coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nIn the follow-up, operated bladder ca, lymphadenopathies in the subcarinal region and the right hilar region, pleural-subpleural nodule in the right lung upper lobe, which was evaluated primarily in favor of metastasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9457/train_9457_b/train_9457_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Peribronchial and subpleural low attenuation and faintly limited ground glass densities and mosaic densities are seen in almost all lobes of both lungs, most prominently in the lower lobes.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: In the upper abdominal organs included in the sections, the gallbladder is operated.\n\nImpression:\nMosaic density differences in both lungs and low-density, faintly circumscribed ground glass densities (viral pneumonia?, airway disease?)  Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9458/train_9458_a/train_9458_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the medial segment of the right lung middle lobe. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Minimal peribronchial thickening was observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space. Diffuse atherosclerotic wall calcifications are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nCardiomegaly, diffuse atheroslerotic wall calcifications in coronary arteries, pericardial effusion in the form of smearing.  Sequela parenchymal changes in the medial segment of the middle lobe of the right lung, minimal peribronchial thickening.  A few millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9470/train_9470_a/train_9470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. There are millimetric nodules in both lungs. There is minimal bronchiectasis in the central part of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<mediastinum>: There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Vertebral corpus heights and densities within the sections are normal. The neural foramina are narrowed. There are osteophytes in the vertebral corpus corners. A decrease in density consistent with osteopenia was observed in the bone structures within the sections. Intervertebral disc distances are narrowed.\n<abdomen>: No pathological increase in wall thickness was detected in the herniated stomach part. There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There are stones in the gallbladder with a diameter of 10 mm.\n\nImpression:\nEmphysematous changes in both lungs.  Minimal bronchiectasis in the central part of both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9475/train_9475_a/train_9475_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: The outlook was considered in favor of viral pneumonias. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Patchy ground-glass opacities tending to be multilobar, peripheral in both lungs and peripheral patchy consolidation area in the left lung inferior lingular segment were observed.\n<pleura>: In addition, subpleural lines are observed depending on the lower lobes of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. As far as can be seen; The diameter of the ascending aorta is 40 mm, which is above normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAneurysmatic dilatation of the ascending aorta. Cardiomegaly.  Hiatal hernia. Multilobar nodular ground glass densities in both lungs and peripheral consolidation area in left lung inferior lingular segment, Concomitant subpleural streaking in both lower lobes of both lungs; the outlook was considered in favor of viral pneumonias. It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9481/train_9481_a/train_9481_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<pleura>: There are subsegmental linear atelectasis in both lung lower lobe basal segments and nonspecific subpleural linear density increases are observed.\n<mediastinum>: Aneurysmatic diameter increase is observed in the aorta, which is 58 mm in its widest diameter. Calcified mediastinal lymph nodes favor sequelae of previous granulomatous infection. No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Heart size increased. Pericardial effusion was not detected. Left ventricular diameter increased.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: It is nondisplaced. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Hill Sachs defect is observed in the right humeral head. There is a suspicious appearance in favor of an osseous bankart lesion in the anterior inferior part of the labrum. There are right 5, 6 and 7 rib fractures. No lytic-destructive lesion distinguishable by CT was detected. No fracture is observed in the right scapula. It has a slightly displaced appearance in the 5th rib. Degenerative changes are observed in the vertebrae.\n<abdomen>: Aneurysmatic diameter increase is observed in the aorta, which is 58 mm in its widest diameter. No features were detected in the upper abdomen sections.\n\nImpression:\nIncrease in heart dimensions and left ventricular wall thickness, increase in aneurysmatic diameter in the ascending aorta . Subpleural linear density increases and areas of linear subsegmental atelectasis in the lower lobe basal segments of both lungs . Hill sachs defect in the right humeral head and suspicious osseous Bankart lesion in the anterior inferior labrum, it is nondeplaced. For this reason, it was evaluated as suspicious.  Right rib fractures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9488/train_9488_a/train_9488_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are linear atelectasis in the medial segment of the middle lobe of the right lung and the lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9496/train_9496_a/train_9496_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the posterior segments of the lower lobe of the left lung and the lower lobe of the right lung, millimetric nonspecific nodules measuring up to 3 mm are observed in series 2 image 215 on the left, and serial 2 image 215 on the right. When examined in the lung parenchyma window; a few millimetric nonspecific calcific nodules are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are mild hypertrophic tapering in the end plates of the vertebral corpuscles.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Examination of the upper abdominal organs is partial, and both kidneys are partially observed. The right kidney is smaller than normal. Thoracic aorta diameter is normal. The left kidney is observed to be more voluminous than normal (compansatris?). There is mild hyperemia and edema in fatty planes in the left kidney periphery. It is recommended in clinical correlation for differential diagnosis of an infectious process.\n\nImpression:\nMore than one millimetric calcific nodule in both lungs.  A few millimetric nonspecific nodules subpleural in the posterior and lateral segments of the lower lobes of both lungs.  Both kidneys are partially observed and the left kidney has a voluminous appearance (compensatris?, infectious process?). Clinical laboratory correlation is recommended.  Right kidney is smaller than normal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9508/train_9508_a/train_9508_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Central-peripheral weighted, patchy atelectasis-consolidation areas with crazy paving pattern in both lungs and accompanying widespread linear subsegmental atelectasis were observed in the patient who was learned to have Covid-19 pneumonia. The outlook is consistent with Covid-19 pneumonia in the resolution period.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the examination performed without contrast, the mediastinal could not be evaluated optimally. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the resolution period accompanied by diffuse atelectasis in the lung parenchyma.  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9519/train_9519_a/train_9519_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9521/train_9521_a/train_9521_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. In the left lung, a prominent dense nodular lesion measuring approximately 18x13 mm is observed in the consolidation area at the anterobasal level. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; There are diffuse consolidative density increments and accompanying ground-glass densities in both lungs with a peripheral distribution tending to converge from place to place. A possible pulmonary nodule within the consolidation area cannot be excluded.\n<mediastinum>: Calibration of other mediastinal major vascular structures is natural. Calcific atheroma plaques are observed at the level of the aortic root in the aortic arch, descending aorta, and coronary arteries. Multiple lymph nodes are observed in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area in the mediastinum, the largest of which is measured in the aorticopulmonary window and measures approximately 14x11 mm.\n<heart>: Calibration of the ascending aorta is within the maximal physiological limits. Calcific atheroma plaques are observed at the level of the aortic root in the aortic arch, descending aorta, and coronary arteries. CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the bone structure. In the evaluation of bone structure, local examination is suboptimal due to intense motion artifacts.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. If necessary, control examination is recommended. No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the upper abdominal organs, including sections; A decrease in density consistent with steatosis is observed in the liver. Calcific atheroma plaques are observed at the level of the aortic root in the aortic arch, descending aorta, and coronary arteries.\n\nImpression:\nDiffuse consolidative areas-ground glass-like density increments in both lungs; It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia.  Nodular lesion within the consolidation area at the anterobasal level in the left lung, and a possible pulmonary nodule within the consolidation area cannot be excluded. If necessary, control examination is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9525/train_9525_a/train_9525_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There is a cavitary nodule measuring 17 mm in diameter in the apicoposterior segment of the upper lobe of the left lung. Especially in the upper and lower lobes of the left lung, the findings occupy half of the lung parenchyma. Consolidation and ground-glass appearances, which are more prominent in the peripheral regions, and interlobular septal thickening accompanying the findings are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9525/train_9525_b/train_9525_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: There is stent material in the coronary artery. As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: However, it cannot be evaluated clearly since it is partially in the study area. Evaluation with lumbar spine CT examination is recommended. There is a significant loss of height in the L1 vertebra, which partially enters the examination area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Upper abdominal sections entering the examination area are natural. A hypodense lesion was observed in the upper pole of the left kidney (cyst?).\n\nImpression:\nCardiomegaly.  Atherosclerotic changes.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Degenerative changes in bone structure. There is a significant loss of height in the L1 vertebra, which partially enters the examination area. However, it cannot be evaluated clearly since it is partially in the study area. Evaluation with lumbar spine CT examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9528/train_9528_a/train_9528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, a nodule with a diameter of 4.7 mm is observed in the upper lobe posterior segment of the right lung parenchyma. It was first evaluated as an infection. In addition, an increase in density of 4 mm in diameter is observed in the major fissure localization on the right (intrapulmonary lymph node?). It is nonspecific.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Thickening and density increases are observed in the left lung lower lobe laterobasal segment, subpleural, extending towards the parenchyma.\n<mediastinum>: Right upper paratracheal milimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Bilateral adrenal glands appear natural. In the sections passing through the upper part of the abdomen; liver parenchymal density was diffusely decreased in line with hepatosteatosis.\n\nImpression:\nSubpleural thickening and density increases in the left lung lower lobe laterobasal segment, nonspecific appearance, extending towards the parenchyma; primarily considered as an infection.  Nodule in the right lung upper lobe posterior segment and increased density in the right major fissure localization (intrapulmonary lymph node?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9531/train_9531_a/train_9531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: Sequelae changes are observed in the lingular segment of the left lung. When examined in the lung parenchyma window; both hemithorax are symmetrical. Sequelae changes are observed in the middle lobe of the right lung.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Thoracic aorta diameter is normal. In the case, a venous catheter is observed and extends through the superior vena cava to the right atrium. There are no pathologically sized and configured lymph nodes at the mediastinal and both hilar levels. Calibration of mediastinal major vascular structures is normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal. Surrounding soft tissue plans are natural. A mild steatosis appearance is observed in the liver. There is a fat-protected parenchyma area adjacent to the gallbladder.\n\nImpression:\nMild sequelae changes in both lungs.  Focal consolidation in the subpleural space in the lower lobe laterobasal segment of the left lung; decreased according to its previous review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9531/train_9531_b/train_9531_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are also minimal interlobular septal thickenings in the ground glass areas. Minimal bronchiectasis is observed in the central parts of both lungs. It was learned that the patient was followed in favor of viral pneumonia, and these findings may be compatible with viral pneumonia. Peripheral and centrally located ground glass areas and band-like density increases are observed in both upper and lower lobes of both lungs and right lung middle lobe.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9547/train_9547_a/train_9547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the midline of the trachea, both main bronchi are open. No obstructive pathology was detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration, consolidation or space-occupying lesion was observed in both lungs.\n<pleura>: Pericardial-pleural effusion was not observed.\n<mediastinum>: Lymphadenopathy was not observed in both axilla and retropectoral regions in pathological size and appearance. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the mediastinum, at the level of the aortopulmonary window, and in the upper-lower paratracheal areas, a few fusifoma lymph nodes with a diameter not exceeding 7 mm are observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Other mediastinal main vascular structures, heart contour, size are normal. The precardiac fat pad appears normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fractures, lytic or sclerotic lesions were observed in the bones. Degenerative changes are observed in the bones.\n<abdomen>: No pathology was observed in the upper abdominal organs included in the imaging area. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCalcific atheroma plaques in the aorta and coronary arteries.  Degeneration of bones.  Fusiform lymph nodes in millimeter size in the meidastinal area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9553/train_9553_a/train_9553_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is hypertrophic in the left lobe and its parenchyma is slightly heterogeneous.\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. Findings truncus calibration is 29mm, wider than normal. Lumens are clear.\n<lung>: There is also a parenchymal band at the posterobasal level. There are sequelae changes in the middle lobe. No lymph node reaching pathological size and confirmations at the hilar level was detected. There is a 2mm diameter nodule in the anterior. There is a 4mm diameter nodule in the superior segment of the lower lobe. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. There is a 2mm diameter nodule in the lateral aspect of the apicoposterior-anterior segment entrance in the upper lobe. In the lower zones of both lungs, faint ground-glass-like density increases are observed. Sequelae changes are observed in the lingular segment of the left lung. A 2mm diameter nodule is observed inferiorly. Pleuroparenchymal density increases are observed at the apical level in the right lung.\n<pleura>: Again, a 2mm diameter nodule is observed in the subpleural area. A 3mm diameter subpleural nodule is observed in the dorsal subpleural area in the posterior segment of the upper lobe. Again, there are two nodules with a diameter of 2mm in the subpleural area in the lateral at the anterior-posterior segment transition in the caudally and again with a diameter of 2mm in the anterior. No pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: Calibration of the aortic arch is at the maximal physiological limit. Calibration of mediastinal major vascular structures at other levels is natural. Calcific atheroma plaques are observed in the descending aorta in the aortic arch, and in the coronary arteries in the ascending aorta. In the mediastinum, multiple lymph nodes of millimetric size are observed in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area. The largest lymph node in the mediastinum was measured at the aorticopulmonary window and measures approximately 15x10mm.\n<heart>: Calcific atheroma plaques are observed in the descending aorta in the aortic arch, and in the coronary arteries in the ascending aorta. CTO is within normal limits.\n<esophagus>: Mild hiatal hernia is observed in the esophagus.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: In the upper abdominal organs included in the sections, the liver is full. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calibration of the aortic arch is at the maximal physiological limit. The spleen is natural. Parenchymal millimetric calcifications are observed in the right and left lobes. Calcific atheroma plaques are observed in the descending aorta in the aortic arch, and in the coronary arteries in the ascending aorta. However, exact size measurement is not possible. There is a decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nNodule formations in both lungs, the largest of which is less than 5mm. Hypertrophy of the thyroid gland and parenchymal heterogeneity in the left lobe.  Lymph nodes in the mediastinum, the largest 15x10mm in the aorticopulmonary window. Hepatomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9558/train_9558_a/train_9558_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22709",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Consolidation areas of ground glass density are observed in the middle and lower lobes of the apex, especially in the right lung, and in all lobes of the left lung. Right upper-lower paratracheal, millimetric lymph node is observed. No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the aortic arch and coronary arteries. No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed in the aortic arch and coronary arteries.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Calcific plaques are observed in the aortic arch and coronary arteries. No significant pathology was observed in the sections passing through the upper part of the abdomen.\n\nImpression:\n-Consolidation areas in ground glass density in the middle and lower lobes in the apex, especially in the right lung, and in all lobes in the left lung, Primarily suggestive of viral pneumonia. Clinical and laboratory examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9561/train_9561_a/train_9561_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22715",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. There is diffuse mild ectasia in the bronchial structures of both lungs.\n<lung>: There are millimetric nonspecific nodules in both lungs. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. An area of increase in density consistent with linear atelectasis is observed in the inferior lingular segment of the left lung upper lobe. Ventilation of both lungs is natural. In the examination made in the lung parenchyma window; Multilobar mostly peripherally located ground glass areas are observed in both lungs, and viral pneumonias are considered in the etiology of the findings.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: A millimetric calcific atheroma plaque is observed in the wall of the aortic arch. Mediastinal vascular structures and heart examination IV. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast, and as far as can be observed, the calibration of the vascular structures, heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lymph node was detected No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: Intra-abdominal pathologically enlarged). A millimetric calcific atheroma plaque is observed in the wall of the aortic arch. Intra-abdominal free fluid or loculated collection is not observed. As far as it can be seen within the borders of unenhanced CT in the upper abdominal sections within the image, there is a hypodense lesion measuring 28x20 mm in the left lobe lateral segment of the liver (at the level of segment 2. It cannot be characterized clearly because the examination is uncontrasted.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs. Density increases consistent with linear atelectasis in the left lung inferior lingular segment and a few millimeter-sized nonspecific nodules in both lungs.  Hypodense lesion in the left lobe lateral segment of the liver (at the level of segment 2) due to non-contrast examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9564/train_9564_a/train_9564_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22727",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; A nonspecific subpleural nodule with a diameter of 3 mm is observed in the laterobasal segment of the lower lobe of the right lung. Subpleural retraction is observed in the superior segment of the right lung lower lobe. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No additional significant pathology was detected in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNonspecific subpleural nodule in the right lung lower lobe laterobasal segment . There was no finding in favor of Covid pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9570/train_9570_a/train_9570_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild clarification in bronchial calibrations and mucus impactions are observed in the al zones. When examined in the lung parenchyma window; tracheal calibration is natural. Lumens are clear.\n<lung>: In the posterior segment of the upper lobe of the right lung, there are bud branches and prominence in the interstitial scars. The described appearance is also slightly observed at the apical level on the right. In the lower zones, interstitial scars are evident, slightly more pronounced on the left, slightly frosted glass-like density increments, and bud branch views are present on this ground. Right lung upper lobe anterior segment bud branch view is observed. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: Pleural effusion extending from basal to mid-level in both lungs is slightly more prominent on the left, reaching approximately 11 mm in thickness, and a mild atelectatic lung segment on the left adjacent to it is observed.\n<mediastinum>: CTO is normal. No significant difference was found in the calibration of other vascular structures in the mediastinum. Calibration of the ascending aorta and descending aorta is normal. Calcific atheroma plaques are observed at the level of the descending aorta. The aortic arch calibration is approximately 30 mm and is larger than normal. Calcific atheroma plaques are observed in the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: The esophageal calibration is slightly increased and there are images of food in it.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. Calibration of the ascending aorta and descending aorta is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheroma plaques are observed at the level of the descending aorta. Upper abdominal organs included in the sections are normal. The aortic arch calibration is approximately 30 mm and is larger than normal. Calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\nClarification in the esophagus calibration, food residues in it . Bilateral bronchial clarification in the lower zones and mucus impaction in places . It is recommended to be evaluated together with clinical and laboratory findings in terms of infection, bud branch landscapes, accompanying ground glass-like densities, more prominent in the left lung lower zone (aspiration pneumonia?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9576/train_9576_a/train_9576_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22743",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There are parenchymal nonspecific nodules measuring 2 mm in the posterobasal segment of the lower lobe of the left lung and 4 mm in the anterior segment of the upper lobe. Active infiltration or mass lesion is detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\n2 nonspecific millimetric parenchymal nodules in the left lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9578/train_9578_a/train_9578_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Thick atelectatic sequelae density increases extending posteriorly in the lower lobe basal segments of both lungs, consolidation area with mild air bronchogram sign in the left lung upper lobe inferior lingula, atelectatic changes in the right lung upper lobe inferior and middle lobe medial were evaluated in favor of the infectious process. There was no significant difference in the nonspecific millimetric nodules observed in a few of the previous examinations in both lungs. Clinical laboratory correlation is recommended for the differential diagnosis of an infectious process (viral pneumonia) due to the current pandemic).\n<pleura>: Pleural thickening is observed in the apical lateral of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinum, there are several small, insignificant lymph nodes measuring up to 5 mm in short axis. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Multiple sclerotyl lytic areas are observed in bone structures. It was evaluated in favor of changes secondary to metastases.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no significant difference in a few nonspecific millimetric nodules observed in both lungs in previous examinations. Consolidation area with mild air bronchogram sign in the left lung upper lobe inferior lingula increases in the area of consolidation. Due to the current pandemic, clinical laboratory correlation is recommended for an infectious process).  Pleural thickening without significant dimensional and structural differences is observed in the apical lateral of the upper lobe of the right lung. Mosaic attenuation patterns observed in previous examinations were not detected in the current examination. Recipients of sclerotic lytic lesions secondary to bone metastases that do not differ significantly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9579/train_9579_a/train_9579_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22750",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Apart from this, no mass or infiltrative lesion was detected in both lungs. Consolidation and ground-glass appearance are observed in a small area in the medial segment of the right lung middle lobe. The described appearance, evaluated together with his clinical knowledge, was considered to be pneumonic infiltration.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nConsolidation and ground-glass appearance in a small area in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9580/train_9580_a/train_9580_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9584/train_9584_a/train_9584_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Appearance is nonspecific. It is recommended to be evaluated together with previous examinations, if any. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: A subpleural ground-glass nodule with a diameter of 2 mm was observed in the posterobasal segment of the lower lobe of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. The upper abdominal organs are normal as far as can be observed in the non-contrast examination. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nHiatal hernia . Mosaic atternation pattern in both lungs (small airway disease? small vessel disease?) It is recommended to be evaluated together with clinical and laboratory.  Millimetric subpleural nodule in the posterobasal segment of the left lung lower lobe, the appearance is nonspecific. If present, it is recommended to be evaluated together with previous examinations.  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9588/train_9588_a/train_9588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There are sequelae changes and nonspecific nodules in millimetric dimensions are observed. There are paraseptal emphysematous changes in the upper pole.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes and osteopenia.\n<abdomen>: Thoracic aorta diameter is normal. No pathology was detected in the upper abdominal sections included in the sections.\n\nImpression:\nNo nodular or infiltrative lesion is detected in the lung parenchyma. Sequelae changes, nonspecific nodules in millimetric sizes, paraseptal emphysematous changes in the upper pole.  No lytic or destructive lesion is detected in bone structures. Degenerative changes and osteopenia are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9593/train_9593_a/train_9593_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22788",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is detected.\n<lung>: In both lungs, nonspecific nodules measuring 4 mm in size in the superior lower lobe on the right and 5 mm in size in the posterobasal segment of the lower lobe on the left, some of which are calcified, are millimetric in size. In the examination made in the lung parenchyma window; There are paraseptal emphysematous changes that are more evident in the upper lobe apical segment of both lungs. No infiltrative lesion was detected in the lung parenchyma of both lungs. There are sequelae fibrotic structures in the apical segment of the upper lobe of the bilateral lung, the lingular segment of the left lung, the middle lobe of the right lung, and the posterobasal segment of the bilateral lower lobe of the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In the mediastinal area, lymph nodes that are not in pathological size and appearance are observed, the largest of which is at the prevascular level, with a short diameter of 8 mm, with occasional calcified foci. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural.\n<heart>: Heart contour and size are natural. Calcified atheroma plaques are observed in the main vascular structure and the wall of the coronary artery. The mediastinal vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural.\n<esophagus>: No pathological increase in wall thickness is observed in the esophagus, and a sliding type hiatal hernia is observed at the lower end.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area, and linear reticular density increases consistent with osteopenia are observed in the vertebral corpuscles. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the abdominal sections within the image, millimetric parenchymal calcifications are observed in the posterior segment of the liver right lobe.\n\nImpression:\nParaseptal emphysematous changes observed more prominently in the upper lobe apical segment of both lungs, nonspecific nodules in millimeter sizes in bilateral lung, sequelae fibrotic structures in bilateral lung parenchyma. Lymph node with a short diameter less than 1 cm, which is not pathological in size and appearance in the mediastinal area.  Density increases in reticular fashion consistent with osteopenia in the bony structures within the image."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9594/train_9594_a/train_9594_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; Focal nodular ground glass opacity is observed in the peripheral subpleural area in the superior segment of the right lung lower lobe, and the appearance is suspicious for ultra-early Covid-19 pneumonia.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There is a stent placed in the LAD.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Concentric minimal wall thickness increase was observed in the esophageal wall just proximal to the esophagogastric junction (esophagitis?). Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nA stent placed in the LAD.  Sliding type hiatal hernia.  Suspicious single focus for ultra-early Covid-19 pneumonia in the superior segment of the lower lobe of the right lung; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9595/train_9595_a/train_9595_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22796",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. These findings are also frequently observed in Covid-19 pneumonia. The findings are in favor of viral pneumonia. When examined in the lung parenchyma window; Patchy ground-glass densities are observed in both lungs, especially in the posterobasal parts of the lower lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearance compatible with viral pneumonia. These appearances are also frequently observed findings in Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9597/train_9597_a/train_9597_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. Density increases and minimal structural distortion are observed in the apex of both lungs, which is evaluated in favor of pleuroparenchymal sequelae changes. The described findings were evaluated in favor of infective pathology. There are consolidations with air bronchograms in a small area in the right lung middle lobe medial segment and in the left lung upper lobe lingular segment inferior subsegment. In addition, there are centriacinar nodules, some of which have the appearance of budding trees, more prominently in the upper lobes of both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9600/train_9600_a/train_9600_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22805",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Millimetric calculus images were observed in the gallbladder lumen as far as can be seen in the sections.\n\nImpression:\nPassive atelectatic changes in paracardiac areas in the medial right lung middle lobe and inferior lingular segment of the left lung upper lobe. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9602/train_9602_a/train_9602_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22828",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are millimetric nonspecific nodules in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The diameter of the pulmonary trunk was 30 mm, the diameter of the right pulmonary artery was 27 mm, and the diameter of the left pulmonary artery was 27 mm, and it was wider than normal. In the mediastinum, no lymph node was observed in pathological size and appearance in both axillary regions.\n<heart>: An increase in heart size is observed. There are calcific atheromatous plaques on the wall of the coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: Gall bladder was not observed in the upper abdominal sections within the image and minimal thinning of the parenchyma thickness was noted in the right kidney.\n\nImpression:\nMillimetrically sized nonspecific nodules, sequelae changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Increased calibration of both pulmonary arteries and pulmonary trunk, marked increase in heart size, calcific atheromatous plaques on the wall of coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9613/train_9613_a/train_9613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes and atelectasis in both lungs. Many pathologies can cause similar appearance. Since the patient does not breathe properly during the examination, both lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. Ground glass areas are observed in both lungs, especially in the central part of the left lung upper lobe. The described appearances can also be observed in Covid 19 pneumonia. The appearances of the described ground glass areas are not specific. However, the distribution of the lesions is not as often seen in Covid 19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. When evaluated together with the patient's clinical knowledge, it was thought that this appearance was primarily compatible with infective pathology. No mass was detected in both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. The shortest diameter of the largest of these lymph nodes was 9 mm. Some of the described lymph nodes have lost their fusiform shape. There are lymph nodes in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Atheroma plaques are observed in the aorta and coronary arteries. Heart contours are smooth. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nGround-glass areas in both lungs evaluated in favor of infective pathology when evaluated together with the patient's clinical information. Emphysematous changes in both lungs. Atelectasis in both lungs. Atherosclerotic changes in the aorta and coronary arteries.  Lymph nodes in the mediastinum and hilar regions, some of which have lost their normal shape (if any, it is recommended to evaluate and follow the patient with previous examinations and clinical and laboratory findings)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9614/train_9614_a/train_9614_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. The outlook can be seen in Covid-19 pneumonia. No significant changes were detected in the ground glass areas described from the previous review. When examined in the lung parenchyma window; Density increases in the form of ground glass are observed in both lungs, especially in the central part of the left lung upper lobe. Emphysematous changes-atelectasis are observed in both lungs. However, it is not specific.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. According to the previous examination, there are lymph nodes measuring 9 mm in the short axis of the stable larger one in the mediastinal and hilar region. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<abdomen>: Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9614/train_9614_b/train_9614_b_1.npy"
        ]
    },
    {
        "id": "report_generation_22840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are mild dependent atelectasis in the basal levels of the lower lobes of both lungs and the inferior lingula of the left lung upper lobe. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes, more prominent in the apical levels and upper lobes, are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In cortical located fluid attenuation measuring 34 mm in size, the finding was evaluated in favor of a cyst. Upper abdominal organs included in the sections are normal. The right kidney enters the images partially.\n\nImpression:\nCentrilobular paraseptal emphysematous changes in both lungs, more prominent at the apical levels and in the upper lobes.  Mild dependent atelectasis in both lung lower lobe basal levels and left lung upper lobe inferior lingula.  Suspicious cortical cyst in the right kidney partially observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9617/train_9617_a/train_9617_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral central minimal tubular bronchiectasis and accompanying peribronchial thickness increase are observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several nodules with a diameter of 3.5 mm in both lungs, the largest of which is in the apical segment of the upper lobe of the right lung. There are minimal emphysematous changes in both lungs. In both lungs, there are areas of more prominent, diffuse and locally consolidated ground glass in the lower lobes, accompanying interlobular septal thickness increases and subsegmental atelectasis. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: Bilateral minimal pleural effusion is observed and there are pleural calcified plaques in the right hemithorax.\n<mediastinum>: At the level of the aortic hiatus, there is aneurysmatic dilatation of the aorta reaching 52 mm in diameter. Diffuse calcific atheroma plaques are observed in the coronary arteries and aorta. The diameter of the ascending aorta was 40 mm, the diameter of the aortic arch was 31 mm, and the diameter of the pulmonary trunk was 32 mm and increased. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. Diffuse calcific atheroma plaques are observed in the coronary arteries and aorta.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: The old fracture line, which is displaced and healed with callus formation, is observed in the sternum corpus. There are bridging osteophytes in the thoracolumbar vertebrae within the sections.\n<abdomen>: At the level of the aortic hiatus, there is aneurysmatic dilatation of the aorta reaching 52 mm in diameter. As far as it can be evaluated within the limits of non-contrast CT; There are two low-density hypodense lesions (cyst?) in the right kidney, the largest of which is 25 mm in diameter. Diffuse calcific atheroma plaques are observed in the coronary arteries and aorta. Sliding type hiatal hernia is observed at the esophagogastric junction. The diameter of the ascending aorta was 40 mm, the diameter of the aortic arch was 31 mm, and the diameter of the pulmonary trunk was 32 mm and increased.\n\nImpression:\nWidespread, locally consolidated ground glass areas in both lungs, accompanying interlobular septal thickness increase and areas of subsegmental atelectasis, bilateral minimal pleural effusion, and pleural calcification in the left hemithorax.  Several millimetric nodules in both lungs.  Aneurysmatic dilatation of the aorta.  Right renal several hypodense lesions (cysts?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9618/train_9618_a/train_9618_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There is linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: There is no pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Minimal pericardial effusion was observed. There is a millimetric atheroma plaque in the left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nAtelectasis in both lungs . Minimal pericardial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9627/train_9627_a/train_9627_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are minimal emphysematous changes in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the sections. The neural foramina are open. Vertebral corpus heights were minimally decreased at mid-thoracic level. There is a decrease in density consistent with osteopenia in the bone structures within the sections.\n\nImpression:\nSclerosing cholangitis at follow-up.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9639/train_9639_a/train_9639_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal density increases were observed in both lung apical segments.\n<pleura>: Pleural effusion-thickening was not detected. Nonspecific subpleural nodules with a diameter of 3.1 mm were observed in both lungs, the largest of which was in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Paraaortic, interaortacaval, precaval lymph nodes with a size of 13x8.4 mm were observed in pathological dimensions. Lymphadenopathies, the largest of which were 8x5.4 mm in size, were observed in the mediastinal fatty planes in the midline adjacent to the pericardium. correlation is recommended. Lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed in the mediastinum. Clinic and lab.\n<heart>: Minimal effusion was observed in the pericardial space. Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Type 1 hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Mild degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Paraaortic, interaortacaval, precaval lymph nodes with a size of 13x8.4 mm were observed in pathological dimensions. As far as can be seen in non-contrast sections; Although the cysts are not completely entered, the liver sizes have increased. correlation is recommended. Extrarenal pelvis variation was observed in the right kidney, and pelvis AP diameter was measured as 24 mm. Spleen index was measured as 594 and was above normal (splenomegaly). Gallbladder, pancreas, both adrenal glands are normal. Clinic and lab. Its contours are smooth.\n\nImpression:\nMild pericardial effusion in the right paracardiac area in the mediastinum, paraaortic interaortacaval, precaval lymph nodes reaching pathological dimensions, clinical and laboratory correlation is recommended for infectious-inflammatory and hematological malignancies.  Nonspecific subpleural nodules in both lungs . Hepatosplenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9641/train_9641_a/train_9641_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22893",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Dependent density increases are observed in the bilateral lung. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. There is a 5 mm diameter nodule in the medial segment of the middle lobe of the right lung and subpleural calcific nodules in the right lung.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: A 13 mm cyst was observed in the 8th segment of the liver. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9645/train_9645_a/train_9645_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: No mass nodule or infiltration was detected in both lung parenchyma. When both lung parenchyma windows are evaluated; Bilateral mild peribronchial thickenings were observed.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart contour and size are normal. Pericardial effusion-thickening was not observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. Sliding type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: A few lymphadenopathies, the largest measuring 11x10 mm, were observed in the perigastric fatty planes adjacent to the lesser curvature. In the upper abdominal sections within the study area, a hypodense lesion with a diameter of 15 mm was observed in the peripheral subcapsular neighborhood at the level of the liver segment 8. An asymmetrical increase in wall thickness was observed, protruding into the lumen at the level of the lesser curvature of the stomach. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nAtherosclerotic changes.  Hypodense lesion in the right lobe of the liver.  Mass lesion in the lesser curvature of the stomach, protruding into the lumen, and perigastric lymphadenopathies adjacent to the lesser curvature."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9648/train_9648_a/train_9648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Close monitoring is recommended. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There was no difference in the size and appearance of the nodules detected in the previous examination in both lungs, but there is a 3.8 mm nodule in the anterior segment of the right lung upper lobe, which is observed to have developed skin.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus is in normal calibration.\n<bone>: There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Degenerative changes are observed in the bone structures entering the section area, and the height of the vertebral corpus has decreased in the thoracolumbar region.\n<abdomen>: It is understood that the patient underwent subtotal gastrectomy. There is a gastrojejunostomy anatomosis and no pathological wall thickening was detected in the anastomosis line. No significant massive wall thickening was detected.\n\nImpression:\nOperated gastric Ca, subtotal gastrectomy . No difference was found in the size and appearance of the nodules detected in the previous examination in both lungs, but there is a 3.8 mm nodule in the right lung upper lobe anterior segment, which is observed to have developed skin. Close monitoring is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9658/train_9658_a/train_9658_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. In addition, there are areas of linear atelectasis in the posterobasal sections of both lungs, especially in the lower lobe. Minimal emphysematous changes are observed.\n<pleura>: When examined in the lung parenchyma window; There are common subpleural ground glass densities in both lungs.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the upper abdominal organs included in the sections, liver density was diffusely decreased.\n\nImpression:\nTypical-probable Covid-19 pneumonia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9669/train_9669_a/train_9669_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. A 6 mm diameter parenchymal nodule was observed in the anterior segment of the right lung upper lobe. The described findings were evaluated in favor of interstitial fibrosis.\n<pleura>: More extensive interlobular septal thickenings, subpleural striations and subpleural honeycomb appearance were observed in both lungs on the right. In both hemithorax, sequelae thickening was observed in the posterior costal pleura, which was more prominent on the right.\n<mediastinum>: A focal aneurysmatic dilatation of 39.5x31 mm was observed just after the left subclavian outlet in the aortic arch. Pulmonary artery calibrations are natural. A few lymphadenopathies were observed at the left lower paratracheal and subcarinal level, the short axis of the largest being 15 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. Multiple lymph nodes that did not reach pathological dimensions were observed in other lymph node stations of the mediastinum. As far as can be observed, the calibrations of the ascending and descending aorta are natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Thoracic disc distances are narrowed in places.\n<abdomen>: A focal aneurysmatic dilatation of 39.5x31 mm was observed just after the left subclavian outlet in the aortic arch. Millimetric stones were observed in the gallbladder lumen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 21 mm diameter hypodense nodular lesion area was observed in the middle anterior part of the right kidney (cyst?). Examination for lumen organ perforation is recommended. Minimal free fluid and free air were observed in the abdomen. Diffuse atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. As far as can be observed, the calibrations of the ascending and descending aorta are natural.\n\nImpression:\n· Focal aneurysmatic dilatation in the aortic arch immediately after the left subclavian artery exit, atherosclerotic wall calcifications in the thoracoabdominal aorta and coronary arteries. · A few left lower tracheal and subcarinal lymphadenopathy. · Significant interstitial fibrosis in the lung parenchyma, especially on the right. · Subpleural parenchymal nodule in the anterior segment of the upper lobe of the right lung. Emphysematous changes in both lungs. · Cholelithiasis. · Free fluid-air in the abdomen; Further examination is recommended for lumen organ perforation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9678/train_9678_a/train_9678_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal.\n<lung>: Millimetric lymph nodes are observed at both hilar levels. In both lungs, ground-glass-like density increases in the middle-lower zones and peripheral distribution feature, and occasionally consolidative parenchyma areas are observed. It is recommended to be evaluated for viral pneumonias, including Covid.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Calibration of mediastinal major vascular structures is normal. There are millimetric lymph nodes in the mediastinum.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: There are findings compatible with DISH. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed.\n\nImpression:\nIt is recommended to be evaluated in terms of ground-glass-like density increases in the mid-lower zones and peripheral distribution in both lungs, consolidative parenchyma areas in places, viral pneumonias including Covid.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9685/train_9685_a/train_9685_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Subsegmental atelectatic changes were observed in the left lung inferior lingular segment and right lung middle lobe medial segment. Nonspecific parenchymal nodules with a diameter of 3.9 mm were observed in both lungs, the largest of which was in the laterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in both lung apexes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSubsegmentary atelectatic changes in right lung middle lobe medial and left lung inferior lingular segment . Increases in pleuroparenchymal sequelae in the apices of both lungs . Nonspecific millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9686/train_9686_a/train_9686_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: A slight consolidative increase in density is observed in the middle lobe. It appears atypical for Covid pneumonia. There are diffuse ground-glass-like density increases in the mid-lower zones of both lungs, but the appearance is nonspecific. It is recommended to be evaluated together with clinical-laboratory findings.\n<mediastinum>: Thoracic aorta diameter is normal. There are no pathologically sized and configured lymph nodes in the mediastinum and at both hilar levels. Mediastinal main vascular structures, heart contour, size are normal. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: There is a spleen in the hilum of the diala and an accessory spleen in isodense appearance. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nGround-glass-like density increase in the mid-lower zones of both lungs, the appearance is atypical for Covid pneumonia and is a nonspecific finding. It is recommended to be evaluated together with clinical-laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9691/train_9691_a/train_9691_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. The appearances of the described lesions are in the style frequently observed in Covid 19 pneumonia. Peripheral and central consolidations and ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. When evaluated together with the patient's medical history, it was thought that these appearances were primarily compatible with viral pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9694/train_9694_a/train_9694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_22998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is nonspecific. Correlation with is recommended. However, it is unlikely to be suspicious for Covid-19 pneumonia. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Clinic and lab.\n<pleura>: When the lung parenchyma was examined in the window, faintly limited glass opacities and interlobular septal thickenings were observed in the peripheral subpleural areas of the right lung. Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. CVP catheter was observed on the right.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder has a hydropic appearance and hyperdensity, which gives a level, is observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Mild hironephrosis was observed in both kidneys (distal obstructive pathology?). Correlation with USG is recommended for sludge.\n\nImpression:\nHiatal hernia . Faintly circumscribed glass opacities and interlobular septal thickenings in the peripheral subpleural areas of the right lung, the appearance is nonspecific. However, it is suspicious for Covid-19 pneumonia with a low probability. Clinic and lab. Correlation with is recommended.  Hydropic appearance of gallbladder, hyperdense appearance giving level; correlation with USG for sludge is recommended.  Mild hironephrosis (distal obstructive pathology?) in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9696/train_9696_a/train_9696_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland appears slightly larger than normal.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; right lung upper lobe anterior, right lower lobe apex, bilateral lung lower lobe posterobasal round ground glass densities are present, millimetric sequela calcific nodules are observed in the right middle lobe and lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Pulmonary artery is slightly ectatic (33 mm). Millimetric lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved and anterior osteophytes are present.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Hypodense lesions with a size of 7.5 mm were observed in segments 2 and 4 of the liver that entered the cross-sectional area.\n\nImpression:\nFindings consistent with Covid pneumonia. Sequelae millimetric nodules in the right lung.  Hypodense lesions (cyst?) in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9699/train_9699_a/train_9699_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. When examined in the lung parenchyma window; Density increase areas consistent with multilobar consolidation are observed in both lungs, and viral pneumonias are considered in the etiology of the findings. There are sequela parenchymal changes in both lungs.\n<mediastinum>: It could not be evaluated optimally due to lack of contrast. The transverse diameter of the ascending aorta increased by 42 millimeters, and the transverse diameter of the descending aorta increased by 34 millimeters. Cardiac examination in mediastinal vascular structures IV. In the mediastinum, there are lymph nodes with a fusiform configuration measuring 9.5 millimeters in diameter, the largest of which is at the prevascular level. Pathological size and visible lymph nodes are not observed. There are calcific atheromatous plaques around the aortic arch, descending aorta, and coronary vascular structures.\n<heart>: Minimal pericardial effusion is observed. Heart contour size is natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive is observed in the bone structures within the image and there are widespread degenerative changes.\n<abdomen>: It could not be evaluated optimally due to lack of contrast. The transverse diameter of the ascending aorta increased by 42 millimeters, and the transverse diameter of the descending aorta increased by 34 millimeters. The examination cannot be clearly characterized (cyst?) due to the lack of contrast. There are calcific atheromatous plaques around the aortic arch, descending aorta, and coronary vascular structures. As far as can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; In both kidneys, lesions of hypodense fluid density with a diameter of 40 millimeters are observed, the largest of which is located in the middle zone anterior cortex of the right kidney. The gallbladder was not observed. There are air densities in the left intrahepatic bile ducts.\n\nImpression:\nIncreased caliber of the ascending aorta to the descending aorta, minimal pericardial effusion, calcific atheroma plaques around the aortic arch, descending aorta, and coronary vascular structures. Findings consistent with viral pneumonia in both lungs.  Right diaphragmatic eventeration . Cholecystectomized, left intrapathic air in the biliary tract.  Lesions (cyst?) in hypodense fluid density in both kidneys . Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9700/train_9700_a/train_9700_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, lobar and segmental bronchi of both main bronchi are open.\n<lung>: Radiological findings It was primarily thought that Covid pneumonia belonged to the findings in the recovery period in the basal segments. In some places, areas of inflammatory involvement are also observed in the ground glass density. No mass lesion was observed in the lung parenchyma.\n<pleura>: When the lung parenchyma window is examined; Density increases and septal thickness increases, predominantly subpleural, are observed in both lungs, which become prominent towards the bases.\n<mediastinum>: In the mediastinum, milimetric, reactive mediastinal lymph nodes are observed in the upper and lower paratracheal, subcarinal and hilar locations. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Heart size slightly increased. Pericardial effusion was not detected. Calcific atheroscletoric plaques were observed in LAD. Left ventricular diameter slightly increased.\n<esophagus>: There are two paraesophageal non-specific lymph nodes adjacent to the distal esophagus.\n<bone>: Lytic bone lesions due to the involvement of the primary disease are observed in the left 4th and 6th, right 5th ribs and T8 vertebral corpus, and soft tissue components are evident. No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance.\n<abdomen>: Calculus was observed in the gallbladder lumen. In the upper abdominal sections, there are parapelvic cysts in both kidneys.\n\nImpression:\nRadiologic findings of Coivd-19 pneumonia in the lung parenchyma during the recovery period.  Increased heart size, calcific atherosclerotic plaques in the coronary arteries.  Parapelvic cysts in both kidneys.  Cholelithiasis.  The patient with myeloma has lytic bone involvement of the primary disease in the ribs and vertebrae, and soft tissue components are evident in the defined localizations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9701/train_9701_a/train_9701_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Bilateral mild peribronchial thickenings were observed. In addition, several millimetrically stable lymph nodes in bilateral hilar localization were observed. Significant regression was observed in the current examination in the areas with bud branch appearance evaluated in favor of the infective process observed in the previous examination in the left lung lower lobe laterobasal segment. Structural distortion and pleuroparenchymal sequelae density increases were observed in both lungs apical. Pleuroparenchymal sequelae density increases in the posterobasal segment of the lower lobe of the right lung are noteworthy. When examined in the lung parenchyma window; In the left lung lingular segment and in the lower lobe superior segment, subsegmental atelectasis areas were observed. There are diffuse emphysematous changes in both lungs, evident in the right upper lobes. In both lungs, nonspecific millimetric pulmonary nodules with stable size and appearance were observed in different localizations in both lungs, with a diameter of 3.5 mm in the right lung middle lobe and 3 mm in the posterior segment of the left lung in the left lung.\n<mediastinum>: The main pulmonary artery diameter was 28 mm. No lymph node was detected in mediastinal pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. A stable size and number of lymph nodes were observed in the upper-lower paratracheal area, in the precarinal subcarinal localization and in the aorticopulmonary window, measuring 20x9.2 mm in size in the precarinal localization. Calibration of mediastinal major vascular structures is natural.\n<heart>: Post operative suture materials are observed in the anterior pericardium. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the ascending aorta was 37 mm. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A hypodense lesion with a diameter of 22 mm was observed in the anterior cortex of the left kidney. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections included in the examination area, a hypodense cystic lesion with a lobulated contour HU value of 2 on average was observed in the right kidney midzone anterior cortex (cortical cyst ?). Calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nMediastinal stable lymph nodes. Diffuse emphysematous changes, sequelae changes, and areas of atelectasis in both lungs. In the left lung lower lobe laterobasal segment, bud branch appearance and acinar opacities, which were evaluated in favor of the infectious process in the previous examination, showed significant regression in the current examination.  Lesions evaluated in favor of renal hypodense cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9709/train_9709_a/train_9709_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Ground glass opacities consistent with Covid 19 pneumonia are observed in both lungs. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9710/train_9710_a/train_9710_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23038",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There are fibroatelectatic changes in bilateral lung basals. At this level, atelectatic changes and frosted glass appearances, as well as tree appearances with buds, draw attention. When examined in the lung parenchyma window; Peribronchial thickening and cystic bronchiectasis in the perihilar areas in bilateral lungs are noted. In the anterior segment of the left lung upper lobe, a 6.5 mm diameter nodular lesion with irregular borders is stable. It is stable.\n<pleura>: In the prevascular region, a stable soft tissue lesion reaching 1 cm in thickness, extending along the mediastinal pleura and surrounding the aortic arch, was observed in the anterior neighborhood of the left lung upper lobe.\n<mediastinum>: No lymph node reaching mediastinal pathological dimension was detected. Soft tissue appearance with thymic calcifications just posterior to the sternum in the anterior mediastinum is stable. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<heart>: No obvious pathology was detected. There is minimal pericardial thickening and pericardial effusion reaching approximately 9 mm thickness is observed. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Soft tissue appearance with thymic calcifications just posterior to the sternum in the anterior mediastinum is stable. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nStable soft tissue appearance including calcifications in the thymus lodge in a patient with a pre-diagnosis of Hodgkin's disease and stable soft tissue lesion adjacent to the ascending aorta in the prevascular area. Cystic bronchiectasis in both lungs, peribronchial thickening, ground glass appearances, honeycomb appearances and bud tree appearances in places.  Stable lesion with irregular spiculated contour in the anterior segment of the left lung upper lobe. Minimal pericardial thickening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9716/train_9716_a/train_9716_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23040",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroids are parenchymal hypertrophic.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground-glass densities are observed in both lungs in a diffuse patchy manner with halo marks around it. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Clinical laboratory and USG are recommended. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass densities with diffuse patchy halo marks around both lungs, findings were initially evaluated in favor of Covid-19 viral pneumonia.  Both thyroid parenchymal hypertrophic, slightly extending inferior to the thoracic cavity, Clinical laboratory USG is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9717/train_9717_a/train_9717_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripherally located patchy ground glass densities are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Partial herniation is observed in the anterior abdominal wall, and upper abdomen iv-oral contrast CT is recommended for better differential diagnosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are imaging features commonly reported in Covid-19 pneumonia Upper abdominal organs included in the sections are natural.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia, and other diseases such as influenza pneumonia, organizing pneumonia, and connective tissue disease may cause a similar appearance. Clinical and laboratory correlation is recommended.  Partial herniation in the anterior abdominal wall is observed in the images, CT with iv-oral contrast in the upper abdomen is recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9721/train_9721_a/train_9721_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal millimetric lymph node is observed. In the evaluation of both lung parenchyma; Peripheral and peribronchial ground-glass densities-consolidations are observed in both lung parenchyma in the form of scattered patches.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. Pleural thickening is observed in both lung parenchyma.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIncreased cardiothoracic index in favor of heart. Consolidations in both lung parenchyma in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9729/train_9729_a/train_9729_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; Density increases consistent with pleuroparenchymal sequelae are observed in the middle lobe on the right. There is a 2 mm diameter nodule in the upper lb anterior segment paramediastinal area in the right lung. There was no finding compatible with pneumonia. No pathological size and configuration lymph nodes were detected at both hilar levels. Densities consistent with pleuroparenchymal sequelae are observed at the inferior lingular segment and lower lobe laterobasal level in the left lung.\n<pleura>: Pleural effusion pneumothorax was not observed.\n<mediastinum>: CTO is within the normal range. It is wider than normal. Arch aortic calibration is 35 mm. Calibration of other major vascular structures in the mediastinal is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The ascending aorta calibration is 41 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. It is wider than normal. Arch aortic calibration is 35 mm. When the upper abdominal organs included in the sections were evaluated; There is a decrease in density consistent with mild steatosis in the liver.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9732/train_9732_a/train_9732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: A few nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Ground-glass densities and interlobular septal thickening were observed in the dependent parts of both lungs. Linear atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Appearance is nonspecific.\n<mediastinum>: Calcified atheroma plaques were observed in the abdominal aorta. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Lymph nodes measuring 7.2 mm in the short axis of the right upper paratracheal area were observed in the mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal major vascular structures is natural. No pathological lymph node was detected. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries.\n<heart>: As far as can be observed: The ascending aorta has an ectatic appearance with an anterior-posterior diameter of 38 mm. Heart contour, size is normal. Pericardial effusion-thickening was not observed. It was thought that there were density increases secondary to heart failure.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: Millimetric calculus was detected in the lower pole of the left kidney. Calcified atheroma plaques were observed in the abdominal aorta. Mild hydroureteronephrosis was observed in the right kidney. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. As far as can be seen within the sections; liver, gall bladder, spleen, pancreas, both adrenal glands are normal.\n\nImpression:\nSurgical suture matertals secondary to bypass surgery in the sternum and anterior mediastinum, fusiform ectasia in the ascending aorta, diffuse calcific atheroma plaques in the thoracic aorta, its supraaortic branches and coronary arteries. It was thought to be compatible with the pulmonary loading findings in the plan.  Linear atelectatic changes in both lungs . Millimetric nonspecific parenchymal nodules in both lungs . Mild hydroureteronephrosis in the right kidney . Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9738/train_9738_a/train_9738_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal patchy ground glass density is observed in the basal segment of the lower lobe of the left lung (Onset of infection?, Dependent atelectasis?). Clinical laboratory correlation is recommended for better differential diagnosis.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes with a short axis measuring up to 3 mm in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction and mild degenerative changes are observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal patchy ground glass density in the lower lobe basal segment of the left lung (Onset of infection?, Dependent atelectasis?). Clinical laboratory correlation is recommended for better differential diagnosis.  Small lymph nodes in the mediastinum with a short axis measuring up to 3 mm.  Diffuse density reduction in bone structures, mild degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9745/train_9745_a/train_9745_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular hyperdensity is observed in the tracheal lumen on the left, which may be compatible with the mucus plug.\n<lung>: In the evaluation of both lung parenchyma; Paraseptal emphysemato areas are observed in the upper lobes of both lungs. 1-2 nonspecific nodules with 2-3 mm diameter are observed in the anterior segment of the upper lobe of the right lung and the superior segment of the lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal aortopulmonary millimetric mediastinal lymph nodes are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nParaseptal emphysemato areas in the upper lobes of both lungs. 1-2 nonspecific nodules with 2-3 mm diameter in the right lung upper lobe anterior segment and left lung lower lobe superior segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9749/train_9749_a/train_9749_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass-infiltration was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). When evaluated in the lung parenchyma window; apical paraseptal emphysematous changes were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nEmphysematous changes in both lungs, nonspecific parenchymal nodules of millimeter size. Hepatosteatosis. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9749/train_9749_b/train_9749_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma. A calcified lymph node with a short axis of 5 mm was observed in the left hilar region.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nLeft hilar calcified lymph node. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9754/train_9754_a/train_9754_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9759/train_9759_a/train_9759_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A solid pulmonary nodule with a diameter of 5 mm is observed in the anteromedial segment of the upper lobe of the left lung. Apart from this nodule, a few nonspecific nodules of smaller sizes are observed in both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma. Centriacinar nodular appearances with faint borders are observed in both lungs, which may be compatible with small airway disease.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCentriacinar style, faintly circumscribed nodular appearances in both lungs (small airway disease?).  5 mm diameter nodule in the left lung . Cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9764/train_9764_a/train_9764_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. The outlook is suspicious for early Covid-19 pneumonia. It is recommended to evaluate and follow-up together with previous examinations, if any. When examined in the lung parenchyma window; In the right lung upper lobe posterior, in the middle lobe adjacent to the major fissure, and in the mediobasal segment of the lower lobe, faintly bordered nodular millimetric ground glass areas were observed. No mass lesion with distinguishable borders was detected in the lung parenchyma. A well-circumscribed parenchymal nodule measuring 9.2x7.4 mm was observed adjacent to the right lung lower lobe segment bronchi. There are also smaller parenchymal nodules in both lungs. The described areas are difficult to select.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcifications were observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed in the lower esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and LAD. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and LAD.  Hiatal hernia.  Fibroatelectatic sequelae changes in both lungs.  Suspicious findings in terms of early Covid-19 pneumonia in the right lung; It is recommended to be evaluated together with clinical and laboratory.  Parenchymal nodules in both lungs, the largest in the right basal; It is recommended to evaluate and follow-up together with previous examinations, if any."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9767/train_9767_a/train_9767_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. Millimetric nodules were observed in both lungs. There are sometimes linear atelectasis in other parts of the lung. Atelectasis was observed in the posterobasal segment of the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. The diameters of the pulmonary arteries are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Thoracic vertebral corpus heights are normal. The neural foramina are open. Intervertebral disc distances are narrowed.\n<abdomen>: Pathology that could explain this dilatation was not detected in this examination. Pericholecystic free fluid was not detected. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are present in the aorta and coronary arteries. Gallbladder dimensions and wall thickness are normal. There is a stone in the gallbladder. There is dilatation of the left kidney collecting system and the left ureter within the sections.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries  Hiatal hernia  Atelectasis in both lungs  Emphysematous changes in both lungs  Millimetric nodules in both lungs  Cholelithiasis  Hydroureteronephrosis on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9774/train_9774_a/train_9774_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the evaluation of the lung parenchyma window; Mild sequelae changes are observed at the apical level. A nonspecific nodule with a diameter of approximately 6 mm is observed at the anterobasal level of the lower lobe of the right lung. There was no finding compatible with pneumonia, there is a decrease in density compatible with mild emphysema.\n<pleura>: Pneumonia, pneumothorax, pleural effusion were not detected in the lung.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is slightly prominent. In the sections passing through the upper abdomen, there is a decrease in density consistent with fatty liver.\n\nImpression:\nNo finding compatible with pneumonia, there is a decrease in density compatible with mild emphysema. Nonspecific nodule with a diameter of approximately 6 mm at the anterobasal level of the lower lobe of the right lung. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9775/train_9775_a/train_9775_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Sequela fibrotic changes are observed in the upper lobes. There is a bilateral millimetric nonspecific nodule. When examined in the lung parenchyma window; There are mosaic density differences in both lungs, especially in the lower lobes. There are diffuse peribronchial point densities and budding tree views in the whole lung, more prominently in both upper lobes.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, multiple lymph nodes with a short axis of the larger ones reaching 10 mm are observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific plaques are observed in the aorta and coronary arteries. In the upper abdominal organs, including sections; Diffuse density loss is observed in the liver.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Mediastinal lymph nodes.  Mosaic density differences in both lungs, peribonchial point densities and budding tree views in places (airway related diseases such as bronchiolitis or bronchitis?).  Millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9786/train_9786_a/train_9786_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild emphysematous changes at the apical levels in both lungs. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Small lymph nodes with a short axis measuring up to 8 mm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. A change in favor of steatosis is observed in the liver parenchyma entering the section area.\n\nImpression:\nHepatosteatosis.  Mild emphysematous changes at apical levels in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9786/train_9786_b/train_9786_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; There are sequelae fibrotic changes in bilateral lung apex. The nodular lesion observed in the right lung middle lobe lateral segment showed a significant reduction in size in the current examination. A stable parenchymal nodule of approximately 5.5 mm in diameter is observed in the lateral basal segment of the lower lobe of the right lung. A stable parenchymal nodule with a diameter of about 4 mm is observed in the lingula superior segment of the left lung, and a stable parenchymal nodule with a diameter of about 5 mm is observed in the lateral basal segment of the lower lobe of the left lung. Panlobular emphysema findings and bulla formations are observed in both lungs, more prominently in the upper lobes. No signs of active infiltration were detected. A stable parenchymal nodule with a diameter of approximately 6 mm is observed in the superior segment of the lower lobe of the right lung. Apart from this, no lesion was detected in the current examination, whose borders can be selected in the lung parenchyma. It was measured approximately 7 mm in the previous examination (intraparenchymal lymph node?). It is 3 mm in diameter.\n<mediastinum>: Stable nodules with a short diameter of up to 5 mm are observed in the upper and lower paratracheal areas in the mediastinal prevascular area. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<heart>: Pericardial effusion reaching approximately 4 mm is observed anteriorly. The ascending aorta is 42 mm dilated. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Vertebral corpus heights are preserved.\n<abdomen>: Apart from this, the upper abdominal organs are normal. In the evaluation of the upper abdominal organs included in the sections, a lesion of approximately 7x18 mm in size in the corpus of the left adrenal gland is observed, consistent with an adenoma with a stable hypodense central fat density.\n\nImpression:\nStable parenchymal nodules in both lungs, parenchymal nodule (intraparenchymal lymph node?) showing reduced size in the medial segment of the left lung middle lobe. Mediastinal stable lymph nodes.  Stable appearance consistent with adenoma in the corpus of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9787/train_9787_a/train_9787_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and both main bronchi were in the midline and no obstructive pathology was detected in their lumen.\n<lung>: No mass was detected in both lungs within the sections. Compressive atelectatic changes adjacent to the effusion were observed in the basal segments of the lower lobes of both lungs. Extensive ground glass consolidations were observed in both lungs, forming a perihilar crazy paving pattern. Covid-19 pneumonia and other viral pneumonias were considered in the differential diagnosis due to the pandemic.\n<mediastinum>: On the right, the port chamber on the anterior chest wall and the anterior surface of the pectoral muscles, and the catheter extending to the superior-right atrium junction of the vena cava were observed. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 27 mm. The diameter of the pulmonary trunk was 33 mm and was wider than normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. A prosthesis was observed in the mitral valve.\n<esophagus>: Thoracic esophagus calibration was normal.\n<bone>: Degenerative changes were observed in the bone structure. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Pathologically sized lymph nodes were observed in the paraaortic area. The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 27 mm. As far as can be seen in the sections, liver sizes increased and multiple metastases were observed in both lobes of the liver. The spleen and both adrenal glands are normal. No significant tumoral wall thickening was detected.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum . Cardiomegaly, fusiform aneurysmatic dilatation in the ascending aorta, increase in the diameter of the pulmonary conus, calcific atheroma plaques in the coronary arteries, prosthesis in the mitral valve.  Bilateral pleural effusion, findings in the lung parenchyma that may be consistent with Covid-19 or other viral pneumonias. Hepatomegaly, multiple metastases in the liver.  Paraaortic multiple lymphadenopathy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9790/train_9790_a/train_9790_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23223",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In bilateral bronchial structures, there is diffuse mild ectasia, which is more prominent in the central.\n<lung>: When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma. Ventilation of both lungs is normal.\n<pleura>: Pericardial, pleural effusion-thickening was not observed. In the anterior segment of the upper lobe of the right lung, a subpleural 4 mm nonspecific nodule is observed.\n<mediastinum>: Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. Bilateral hilus level in the mediastinum and pathological size and appearance of lymph nodes in the bilateral axillary region are not observed.\n<heart>: Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. Calibration of vascular structures, heart contour, size is normal.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, no solid mass, free fluid or loculated collection was detected within the borders of non-contrast CT.\n\nImpression:\nDiffuse mild ectasia in bilateral bronchial structures, pleural-based nonspecific millimetric nodules in the anterior segment of the right lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9795/train_9795_a/train_9795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23239",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It was learned from the clinical knowledge of the patient that he had Covid-19 pneumonia, and this finding was thought to be a sequela. It is recommended to follow the described nodule. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended that the patient be evaluated together with previous examinations and tissue diagnosis if indicated. In the central part of the left upper lobe of the left lung (series 2, section 87), there is a nodule measuring 4 mm in diameter with a ground glass area around it. There was no appearance that could be evaluated in favor of pneumonic infiltration in both lungs. There is a mass measuring approximately 46x28 mm in the peripheral area in the posterobasal segment of the lower lobe of the left lung. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the upper lobe of the left lung and the lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric atheroma plaques in the aorta. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nMass in the lower lobe of the left lung.  Mosaic attenuation pattern in both lungs.  Atelectasis in both lungs.  Nodule with a ground glass area in the upper lobe of the left lung.  Atherosclerotic changes in the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9801/train_9801_a/train_9801_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23245",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No mass with distinguishable borders was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: No discernible mass was detected in both lungs. There are ground glass areas and consolidation areas in both lung posterobasal segment, right lung upper lobe lingular segment inferior subsegment and right lung upper lobe apicoposterior segment.\n<pleura>: Pleural effusion reaching 2 cm on the right bilaterally is observed.\n<mediastinum>: There is air extending from this level to the mediastinum (pneumomediastinum). Prevascular, preparatracheal and subcarinal short multiple lymph nodes with a diameter less than 1 cm are observed. The pulmonary trunk is 41 mm, and the left pulmonary artery is 30 mm in diameter and wider than normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: There is minimal pericardial effusion. As far as can be observed: The cardiothoracic ratio increased in favor of the heart. Metallic density is observed at the level of the pulmonary - tricuspid valve.\n<bone>: The findings were evaluated postoperatively. No lytic-destructive lesions were observed in the bone structures within the sections. Cercilage suture materials are observed in the sternum, and minimal displacement is observed on the bone faces adjacent to the sternotomy.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. There is no mass with distinguishable upper abdominal borders within the sections.\n\nImpression:\nMinimal displacement adjacent to sternotomy, pneumomediastinum (postoperative?) . Cardiomegaly, minimal pericardial effusion . Millimetric lymph nodes in the mediastinum . Bilateral pleural effusion . Lingular segment of both lung lower lobes and left lung upper lobe, focal ground-glass areas and accompanying consolidation in the inferior subsegment ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9804/train_9804_a/train_9804_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A pulmonary nodule with a diameter of 5 mm is observed adjacent to the horizontal fissure in the right lung. In both lungs, centriacinar-like faint and barely distinguishable nodular appearances are observed (small airway disease?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. The outlook is not typical for Covid-19. Shoemaker's chest deformity is observed in the sternum. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCentriacinar type nonspecific faint nodular (small airway disease?) in both lungs. 5 mm diameter nodule adjacent to the horizontal fissure in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9810/train_9810_b/train_9810_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The described findings were evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Clinical laboratory correlation is recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: When examined in the lung parenchyma window; Ground-glass density increases with septal thickenings in the peribronchovascular area and subpleural area in both upper and lower lobes of both lungs and focal consolidative areas in the lower lobes were observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nGround-glass density increases with septal thickenings in the peribronchovascular area and perisplenic area in both upper and lower lobes of both lungs and focal consolidative areas in the lower lobes, the described findings were evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia, other viral pneumonias in the differential diagnosis conceivable. Clinical laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9814/train_9814_a/train_9814_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23321",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In both lungs, there are nodules measuring up to 5 mm in the right upper lobe superior lobe of the right lung (in series 2 image 74), with a millimetric nonspecific size measuring up to 5 mm (in series 2 image 74). There are mild emphysematous changes in the basal segment of the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; There are findings consistent with pleural thickening and a small amount of effusion in the right hemithorax. Thickening of the interlobular septa, peribronchial sheathing, and recessions in the pleura are observed in both lungs.\n<mediastinum>: There are lymph nodes in the mediastinum extending up to more than one aorticopulmonary window, with more than one large axis measuring up to 23 mm in the long axis and 12 mm in the short axis in the paratracheal area. Other mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. The findings were initially evaluated in favor of changes secondary to cardiac stasis. The cardiothoracic index increased in favor of the heart. There are findings consistent with calcific atheroma plaques and stent in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. There is a diffuse density decrease in bone structures.\n<abdomen>: The size of the liver entering the cross-sectional area has increased. A small amount of fluid is present in the perihepatic space. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Pelvic fatty tissues in the upper abdomen are mildly edematous, especially in the pararenal areas. Slight tapering is observed in the end plates.\n\nImpression:\nThe findings described in the lung parenchyma were initially evaluated in favor of changes secondary to cardiac stasis. Bilateral large subpleural (in series 2 image 74) 5 mm nodules in the upper lobe of the right lung.  There is an effusion measuring up to 18 mm in thickness in the right hemithorax, which may be loculated. There are recessions in the pleura.  Mediastinal lymph nodes.  Pelvic fatty tissues in the upper abdomen are slightly edematous, especially in the pararenal areas.  Hepatomegaly.  Small amount of fluid in the perihepatic space.  Osteopenic appearance in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9840/train_9840_a/train_9840_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to follow-up the patient with known brain malignant neoplasm in terms of metastasis differential diagnosis after excluding infection. Focal emphysematous changes are observed in the right lung lower lobe superior segment. When examined in the lung parenchyma window; In the basal segment of the lower lobe of the left lung, a patchy ground-glass density is observed, accompanied by dependent atelectasis. Peribronchial centriacinar nodular opacity increases are observed in the posterior area of the upper lobe of the right lung. It was initially evaluated in favor of atelectasis, and clinical laboratory correlation is recommended for the onset of an infectious process due to the current pandemic.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A change consistent with steatosis is observed in the liver parenchyma entering the section area. Thoracic aorta diameter is normal. There is a suspicious cortical cyst in the left kidney with a partial appearance. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFocal emphysematous change is observed in the right lung lower lobe superior segment. In the patient with known brain malignant neoplasm, follow-up is recommended for the differential diagnosis of metastasis after infection has been ruled out.  Patchy ground-glass density accompanied by dependent atelectasis in the basal segment of the lower lobe of the left lung. It was initially evaluated in favor of atelectasis, and clinical laboratory correlation is recommended for the onset of an infectious process due to the current pandemic.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9849/train_9849_a/train_9849_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A significant increase is observed in the findings and it was evaluated in favor of pneumonic infiltration in the first place.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures in the study area has an osteopenic appearance. Vertebral corpus heights are preserved.\n<abdomen>: In the left kidney, there is an oval-shaped finding in hypodense fluid attenuation, the size of which can hardly be distinguished from the parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. An appearance compatible with mild steatosis is observed in the parenchyma of the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal. It was evaluated as suboptimal within the study limits.\n\nImpression:\nThere is a significant increase and progression in the current examination, in the findings that were evaluated in favor of suspected infectious process initiation in the left lung lower lobe basal segment in the previous examination.  Nodules described in the right lung lower lobe superior in the previous examination; Due to the progress in the current infectious process, it was considered as secondary to infection in the first place.  The identified findings were initially evaluated in favor of a bacterial infectious process, and Covid-19 viral pneumonia is also in its differential diagnosis due to the current pandemic. Clinical laboratory correlation is recommended.  New 13 mm thick effusion in the left hemithorax.  The cortical cyst in the left kidney was evaluated as suboptimal within the limits of the examination.  PEG catheter is monitored."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9849/train_9849_b/train_9849_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Air is present in the lumen.\n<lung>: Parenchymal calcified nodules were observed in both lungs, the largest of which was 6 mm in diameter in the posterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Paraseptal emphysema findings are present in both lungs and honeycomb lung is more prominent especially in the posterior zones and especially in the lower lobes. An oval-shaped parenchymal nodule with a diameter of approximately 7 mm in the lateral segment of the right lung middle lobe is stable.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta and pulmonary artery are dilated. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteophyte formations were observed in the vertebral corpus corners. Degenerative osteoarthritis changes and osteophyte formations were observed in the bone structures entering the imaging area. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. A soft tissue mass of 23x14 mm was observed in the subcutaneous adipose tissue in the anterior part of the liver in the right upper quadrant of the abdomen. A stable mass of approximately 34 mm in diameter was observed in the left adrenal gland corpus. Millimetric hypodense lesions were observed in the spleen. It could not be characterized because of its dimensions and the lack of contrast of the examination. Stable hypodense lesions of approximately 8 mm in diameter were observed in the liver, the largest of which was at segment 6 level. It is stable.\n\nImpression:\nParaseptal emphysema findings and honeycomb lung in both lungs. Stable parenchymal nodules in both lungs.  Dilatation of the aorta and pulmonary arteries. Mediastinal stable lymph nodes.  Hypodense lesions in the liver. Left adrenal stable mass. Stable soft tissue mass in subcutaneous adipose tissue in the right upper quadrant of the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9855/train_9855_a/train_9855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Paraseptal-centriacinar emphysema areas are observed in both lungs, and honeycomb appearance is remarkable especially in the lower lobe basal segments of both lungs. Parenchymal calcified nodules, the largest of which is 6 mm in diameter, are observed in the posterobasal segment of the left lung lower lobe in both lungs, and they are stable. An oval parenchymal nodule with a diameter of approximately 7 mm was observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: Atheroma plaques were observed in the wall of the coronary arteries and thoracic aorta. Calcified lymph node was observed in the subcarinal area (secondary to granulomatous infection?). Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta calibration is normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Degenerative osteoarthritis formations were observed in the bone structures entering the imaging area. Osteophyte formations were observed in the vertebral corpus corners. Vertebral corpus heights are preserved.\n<abdomen>: Millimetric hypodense area and nodular calcifications were detected in the spleen, it is stable. Atheroma plaques were observed in the wall of the coronary arteries and thoracic aorta. A soft tissue mass of 23x14 mm was observed in the subcutaneous adipose tissue in the anterior part of the liver in the right upper quadrant of the abdomen. A stable hypodense mass lesion with a diameter of approximately 34 mm was observed in the left adrenal gland corpus. As far as can be observed in the sections, a stable hypodense lesion of 8 mm in diameter was observed in segment 6 of the liver. The right adrenal gland is normal. Thoracic aorta calibration is normal.\n\nImpression:\nFindings consistent with progressive pulmonary fibrosis in both lungs . Stable nodules in both lungs. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9855/train_9855_b/train_9855_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: The increase in tracheal diameter is secondary to restrictive lung parenchymal disease.\n<lung>: Superposed infection may be considered in a patient with a history of fever and cough. It is in the form of a consolidation area. It shows lobar involvement. In the current examination, consolidation was found in the right lung lower lobe superior and posterobasal laterobasal segments in the honeycomb lung appearance areas.\n<pleura>: Significant diffuse emphysematous changes in bilateral upper lobe apical segments and lower lobe basal segments in both lungs and subpleural parenchymal fibrotic ground glass opacities showing apicobasal gradient in both lungs, interlobular septal thickenings, and honeycomb lung appearance in basal segments are present, which is considered compatible with interstitial fibrosis.\n<mediastinum>: There is a dolicolite course in the thoracic aorta. Calcified lymph node is observed in the subcarinal area. Right upper paratracheal and bilateral lower paratracheal subaortic localized short axes and nonspecific mediastinal lymph nodes under 1 cm are present. There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta.\n<heart>: There is stent material in a short segment proximal to the LAD. There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta. Calcified atheroma plaques are observed in the RCA and circumflex. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lymph node was observed in pathological size and appearance in both supraclavicular fossae. Trabecular prominence due to osteoporosis and osteophyte formations leading to bridging were observed in the vertebrae.\n<abdomen>: A 9 mm diameter cyst was observed in the liver segment 7 localization. Contour lobulation is observed in the upper pole of the right kidney, and the presence of a space-occupying lesion in this area could not be excluded due to the lack of contrast in the examination. In the evaluation of upper abdominal sections entering the image area; A adenoma with a diameter of 3.7 cm is observed in the superior part of the left adrenal gland. There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta. There is a dolicolite course in the thoracic aorta. Evaluation with USG would be appropriate.\n\nImpression:\nIn the case with idiopathic pulmonary fibrosis, no difference was observed in the fibrotic parenchymal involvement pattern in the lung, and consolidation areas with lobar involvement in the lower lobe of the right lung are a new finding. Lobar consolidation is observed. Pneumonia? . Calcified atheromatous plaques in the coronary arteries and stent material proximal to the LAD adenoma . Contour lobulation was observed in the upper pole of the right kidney, and the presence of a space-occupying lesion could not be excluded because contrast agent was not given. Examination with USG is recommended.  Cyst in the liver . Osteoporotic appearance in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9855/train_9855_c/train_9855_c_1.npy"
        ]
    },
    {
        "id": "report_generation_23359",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Anteroposterior diameter of the trachea has increased in the current examination. Both main bronchial lumens are open.\n<lung>: When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs, especially in the upper lobe apical segments and lower lobe basal segments.\n<pleura>: Bilateral pleural thickening-effusion was not detected. In both lungs, there are pleural localizations in apicobasal, ground glass opacities, interlobular septal thickenings and honeycomb lung appearance in basal segments.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Mild dilatation was observed in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Pulmonary artery diameter was measured 29 mm.\n<heart>: Densities of stent material were observed in the coronary arteries. Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lymph node was detected in pathological size and appearance in both supraclavicular fossae. No lytic-destructive lesion was detected.\n<abdomen>: A hypodense lesion was observed in the upper pole of the right kidney (cyst?). There is a hypodense lesion measuring approximately 37 mm in diameter in the superior left adrenal gland and evaluated in favor of adenoma in the first plan. As far as can be seen; Mild dilatation was observed in the thoracic aorta. A hypodense lesion with a diameter of 9 mm was observed at the liver segment 7 level (cyst?). Upper abdominal sections entering the examination area are natural.\n\nImpression:\nIn the patient followed up for idiopathic pulmonary fibrosis, ground glass density increases were observed in both lungs. The appearance is nonspecific. However, viral pneumonias cannot be excluded. Clinical and laboratory correlation is recommended.  Left adrenal adenoma?.  Calcific atherosclerotic changes in the coronary arteries and thoracic aorta.  Cyst in the liver, hypodense lesion (cyst?) in the upper pole of the right kidney. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9855/train_9855_d/train_9855_d_1.npy"
        ]
    },
    {
        "id": "report_generation_23361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Anteroposterior diameter of the trachea has increased. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs, especially in the upper lobe apical segments and lower lobe basal segments. More common interlobular septal thickenings and honeycomb appearance were observed in the lower lobe basal segments of both lungs, and it was learned that the patient was followed up for interstitial lung disease. It is recommended to be evaluated together with clinical and laboratory in terms of viral pneumonias.\n<pleura>: In the current examination, newly emerged nodular consolidation areas were observed in the right lung upper lobe posterior segment, adjacent to the major fissure, and in the subpleural area of the lower lobe laterobasal segment. Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. The diameters of the pulmonary trunk, right and left pulmonary arteries increased by 34 mm, 31 mm, and 30 mm, respectively. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries, and an appearance compatible with a stent was observed in the LAD.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries, and an appearance compatible with a stent was observed in the LAD.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. A well-circumscribed hypodense lesion with a diameter of 6 cm with bulging in the contour was observed at the junction of the liver segment 4A-8, and further examination with MRI is appropriate. A stable hypodense lesion with an approximate diameter of 37 mm evaluated in favor of adenoma was observed in the left adrenal gland corpus. The right adrenal gland is normal. A hypodense lesion was observed in the upper pole posterior of the right kidney (cyst?). As far as can be seen within the sections; hypodense lesions, the largest of which is 9 mm in diameter, were observed in segments 7, 6 and 4B of the liver (cyst?). Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries, and an appearance compatible with a stent was observed in the LAD.\n\nImpression:\nIn the case followed up due to idiopathic pulmonary fibrosis; . Newly appeared nodular consolidations in the right lung upper lobe posterior and lower lobe laterobasal segment in the current examination; it is recommended to be evaluated for viral pneumonias.  Stable millimetric hypodense lesions (cyst?) in the liver . Hypodense nodular lesion forming bulging in the contour at the liver segment 4A-8 junction; its characterization For this purpose, further examination with MRI is recommended.  Left stable adrenal adenoma . Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9855/train_9855_e/train_9855_e_1.npy"
        ]
    },
    {
        "id": "report_generation_23363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. It is consistent with typical-probable findings of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. When examined in the lung parenchyma window; In both lungs, ground glass density increases were observed at multiple levels in the right upper lobes and lower lobes, right lung middle lobe and inferior lingular segment.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nDiffuse ground glass density increases and consolidations in both lung parenchyma. Evaluated in agreement with typical-probable findings for Covid-19 pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9856/train_9856_a/train_9856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23366",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Peripheral predominantly interlobular septal thickenings in all lobes of both lungs and ground-glass appearances together with patchy ground-glass densities that sometimes create crazy paving appearance were observed. verification is recommended. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. It is highly suspicious for Covid-19, and other viral pneumonias and acute eosinophilic pneumonia can be considered in the differential diagnosis. Millimetric nonspecific pulmonary nodules were observed in both lungs. Clinic and lab.\n<mediastinum>: Calcified atheroma plaques were observed in the coronary arteries and aortic arch. The diameter of the descending aorta is within normal limits with 28 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The mediastinum could not be evaluated optimally in the non-contrast examination.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; The diameter of the ascending aorta was 40 mm and was wider than normal. Heart contour size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No mass lesion on the gastric wall was distinguished within the CT margins. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Calcified atheroma plaques were observed in the coronary arteries and aortic arch. A few cortical cysts were observed in both kidneys. Liver, spleen, pancreas, and both kidneys are normal as far as can be seen on non-contrast images. The diameter of the descending aorta is within normal limits with 28 mm. Both adrenal glands are normal. In the gastric corpus, the plica structures are observed indistinctly.\n\nImpression:\nDilatation in the ascending aorta . Calcified atheroma plaques in the arcus aorta and coronary arteries . More prominent ground glass densities in peripheral zones scattered in both lungs, ground glass densities characterized by interlobular septal thickening crazy paving pattern on this ground, appearance is highly suspicious for Covid-19. In the differential diagnosis other viral pneumonias and acute eosinophilic pneumonia are considered. It is recommended to be evaluated together with clinical and laboratory.  Nonspecific millimetric nodules in both lungs . Simple cortical cysts in both kidneys . Fainting in the plica structures of the stomach corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9858/train_9858_a/train_9858_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several millimetric nonspecific nodules in both lungs. There are areas of linear atelectasis in both lungs. No mass or infiltrative lesion was observed in both lungs. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. As far as it can be evaluated within the non-contrast CT limits; There is a low density hypodense lesion with a fat density of approximately 12 mm in both adrenal gland corpuscles (adenoma?).\n\nImpression:\nLinear areas of atelectasis in both lungs.  Several millimetric nonspecific nodules in both lungs.  Calcific atheroma plaques in the aorta and coronary arteries.  Low-density hypodense lesion (adenoma?) in both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9865/train_9865_a/train_9865_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23387",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear. Tracheostomy appearance is observed in the trachea.\n<lung>: In both lungs, faint ground-glass-like density increases are observed. Pleuroparenchymal density increases are observed in the right lung middle lobe medial segment, in the upper lobe anterior segment, and in the basal segments, consistent with sequelae changes. No lymph node was detected in pathological size and configuration at both hilar levels.\n<pleura>: Mild pleural thickening in both lungs and fibroatelectatic density increases in the lower lobe of the left lung are observed.\n<mediastinum>: Calcific atheroma plaques are observed at the level of the aortic arch. The aortic arch calibration is 33 mm. Although lymph nodes at prevascular level were observed in the aorticopulmonary window in the lower-upper paratracheal area, the short axis of the largest one was measured as 8.5 mm. It is wider than normal.\n<heart>: CTO increased in favor of the heart. Mild pericardial thickening is observed at the level of the left atrium. The left ventricle is clearly observed.\n<bone>: Bone cortical integrity cannot be evaluated clearly due to intense motion artifacts. Degenerative changes are observed in the bone structure.\n<abdomen>: There is also a hypodense lesion at the level of the inferior pole, which is considered to be compatible with an exophytic cyst of approximately 11 mm in diameter. It is wider than normal. In the upper abdomen sections entering the examination area, an increase in density compatible with calculus with a diameter of 3 mm is observed at the level of the renal pelvis on the right. Calcific atheroma plaques are observed at the level of the aortic arch. At the level of the superior pole of the left kidney, a density compatible with a calculi with a diameter of 3 mm is observed. There is a slight decrease in density consistent with hepatosteatosis in the liver. There is a peripelvic hypodense cyst of approximately 24x21 mm in the right kidney. The aortic arch calibration is 33 mm.\n\nImpression:\nCardiomegaly, increased calibration in the aortic arch.  Ground-glass-like density increases in both lungs, sequelae changes.  Fibroatelectatic density increase in the posterobasal segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9866/train_9866_a/train_9866_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Nonspecific parenchymal nodules, some of which are calcified, are observed in both lungs, the largest of which is 3 mm in diameter in the anterobasal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; Minimal bronchiectatic changes are observed in the perihilar areas of both lungs.\n<mediastinum>: Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally.\n<heart>: No obvious pathology was detected. Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. No pericardial thickening or effusion was detected.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Type 1 hiatal hernia is observed.\n\nImpression:\nMinimal bronchiectatic changes in the perihilar area in both lungs. Nonspecific parenchymal nodules in both lungs.  Type 1 hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9869/train_9869_a/train_9869_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings are consistent with atypical pneumonic infiltration and a pattern consistent with Covid pneumonia was observed. There is bilateral asymmetric and patchy infiltration. Septal thickenings are also observed in places. In lung parenchyma evaluation; In both lungs, central and peripheral ground glass densities and consolidation areas, which are widely observed in all lobes, are observed. It is accompanied by air bronchograms.\n<pleura>: Pleural and pericardial effusion was not observed.\n<mediastinum>: Lymph nodes with diameters less than 1 cm located in the upper paratracheal and subcarinal and located in the paraaortic were observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Heart sizes are slightly increased.\n<esophagus>: No increase in diameter was observed in the esophagus.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is grade I hepatosteatosis in liver parenchyma density.\n\nImpression:\nDiffuse atypical pneumonic infiltration in both lungs, radiological findings are consistent with Covid pneumonia. Grade I hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9870/train_9870_a/train_9870_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a decrease in the volume of the lower lobe of the right lung. Mosaic attenuation patterns are observed in both lungs.\n<mediastinum>: Small lymph nodes with a short axis measuring up to 5 mm were observed in the medistinum. Mediastinal main vascular structures are normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a diffuse density decrease in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA small amount of effusion with a thickness of 32 mm in the right hemithorax accompanied by cardiac stasis  Atherosclerotic changes  Mosaic attenuation patterns are observed, and no gross pathology in favor of the infectious process was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9873/train_9873_a/train_9873_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There may be atypical infectious involvement. It is in a single focus. Clinical follow-up is recommended. Its pattern is consistent with Covid pneumonia but in a single focus.\n<pleura>: When the lung parenchyma window is examined; In the right lung lower lobe superior segment, a focal parenchymal ground-glass density area is observed in the subpleural area.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nIn the lower lobe of the right lung, the parenchyma area of focal ground glass density can be evaluated in favor of atypical pneumonic infection, and it has a pattern consistent with covid pneumonia and has a single focus. Clinical follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9875/train_9875_a/train_9875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground glass density increases with septal thickenings, which show a tendency to coalesce in the lower lobes of both lungs. A nonspecific calcified parenchymal nodule of 3 mm in diameter was observed in the anterobasal segment of the lower lobe of the right lung. Clinical laboratory correlation is recommended for differential diagnosis viral pneumonias. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia.\n<mediastinum>: No dilatation was detected in the thoracic aorta. As far as can be seen; There are lymph nodes in the mediastinal upper-lower paratracheal subcarinal area, the fat hilus measuring 11 mm in the short axis of the larger one. Mediastinal structures were evaluated as suboptimal since the examination was not contracted.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No degenerative changes and lytic-destructive lesions were detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical laboratory correlation is recommended.  Nonspecific calcified parenchymal nodule in the right lung.  Cardiomegaly.  Mediastinal lymph nodes.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9877/train_9877_a/train_9877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is open on both main bronchi.\n<lung>: The presence of mass cannot be excluded. There is a hypodense lesion that causes obstruction in the bronchial structures in the right lung upper lobe posterior, middle lobe lateral segment and lower lobe superior, starting from the paramediastinal area and extending to the periphery along the peribronchial area. A cavitary nodule of approximately 23x18 mm is observed in the superior segment of the lower lobe of the right lung. Diffuse ectasia is observed in both lung bronchial structures.\n<pleura>: In addition, subpleural-parenchymal nodular lesions measuring approximately 12x14 mm in size were observed in both lungs, the largest of which was in the superior segment of the left lung lower lobe. In both pleural spaces, an effusion measuring approximately 50 mm on the left and approximately 30 mm on the right is observed in its deepest part. There is local nodular thickness increase in both pleura.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Lymphadenopathies that have lost their fusiform configuration are observed in the mediastinum, prevascular, aorticopulmonary window, paratracheal, and subcarinal areas, the largest of which is approximately 14x20 mm in size at the prevascular level. Calcified atheroma plaques are observed on the wall of thoracic aorta and coronary vascular structures.\n<heart>: There is minimal pericardial effusion. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: Both adrenal glands are normal. In the upper abdominal sections within the image, free fluid, loculated collection, pathological size and lymph node in appearance were not observed as far as can be observed within the borders of non-contrast CT. Calcified atheroma plaques are observed on the wall of thoracic aorta and coronary vascular structures.\n\nImpression:\nIn the right hilar area, there is a hypodense lesion extending from the central to the periphery along the peribronchial area in the upper lobe posterior, lower lobe superior and middle lobe. Occasionally, it causes obstruction in bronchial structures and the presence of a mass cannot be excluded. Tissue diagnosis is recommended. Bilateral pleural effusion is observed. There is an increase in nodular thickness in the pleura.  Subpleural-parenchymal subpleural-parenchymal nodular lesions in millimeters and a cavitary nodule in the right lung lower lobe superior segment are observed in both lungs.  There are short lymph nodes over 1 cm in diameter that have lost their fusiform configuration in places in the mediastinum.  Calcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9882/train_9882_a/train_9882_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A ground-glass appearance was observed in both lungs, especially in the central parts, and consolidations were observed in the left lung, more prominently on the right. When evaluated together with the patient's medical history, this appearance was thought to be reexpansion pulmonary edema.\n<pleura>: The pleural effusion measured 70 mm on the left at its thickest point. Bilateral pleural effusion, more prominent on the left, was observed.\n<heart>: Pericardial effusion was not detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9882/train_9882_c/train_9882_c_1.npy"
        ]
    },
    {
        "id": "report_generation_23424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: The described findings may be secondary to post RT or may be compatible with an infectious process. In addition, the sizes of the scattered consolidation areas observed in the upper and lower lobes of the left lung and the lower lobes of the right lung decreased. Clinical evaluation is recommended. Sequelae changes were observed in both lungs. When both lung parenchyma windows are evaluated; In the right lung, parenchymal nodules measuring 9x7 mm in size in the lower lobe mediobasal segment, which were also observed in the previous examination, were evaluated in favor of metastases with irregular borders.\n<pleura>: Irregular thickenings were observed in both pleura. The size of the consolidative mass lesions observed in the previous examination decreased at the costal pleura level in the right lung upper lobe anterior segment and adjacent to the fissure in the lower lobe superior segment of the left lung. On the right, there is a pleural effusion measuring 26 mm at its widest point between the pleural leaves.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart contour and size are normal. Pericardial effusion-thickening was not observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits.\n<bone>: Multiple fracture lines, some of which are displaced, are observed in the 6, 7, 8, 9, 10 and 11 dorsal ribs on the left. Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There are stable size and number of lymph nodes in both anterior diaphragmatic regions according to previous examination.\n\nImpression:\nLung Ca in follow-up. Post RT may be of alteration or infectious process. Clinical evaluation is recommended. Metastatic nodules in both lungs.  Irregular thickness increases in both pleura, bilateral stable pleural effusion.  Mediastinal lymphadenopathies, some with increased size.  Atherosclerotic changes.  Stable increase in thickness in both adrenal glands.  Multiple fractures, some displaced, at multiple levels in the left dorsal ribs. It just appeared in the current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9883/train_9883_a/train_9883_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23427",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Similarly, consolidation is observed in the alveolar pattern in an area of approximately 16x15 mm in the left lung lower lobe superior segment, immediately adjacent to the fissure. A few lymph nodes with a narrow diameter of 6 mm in the right upper-bilateral lower paratracheal larger one are observed. The ground glass appearance is observed in a wider area in the vicinity of the lesion. In the evaluation of both lung parenchyma; In the apex of the right lung, massive lesions of 17x13 mm and 8x8 mm in size with spiculated contours are observed and contain air in the form of ground glass around it. In addition, the appearance of lobar pneumonia accompanied by peribronchial infiltrates and ground glass is observed in the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nAlveolar and peribronchial infiltration areas suggestive of lobar pneumonia in the middle lobe of the right lung and ground glass around it, small consolidation area in the superior segment of the left lung lower lobe, . Two irregular spicule contoured masses in the right lung apex, halo sign-shaped ground-glass appearance around it, ground-glass appearance spread over a wider area. Primarily, Aspergillus gini may be compatible with fungal infections. Post-treatment control is recommended in terms of possible mass exclusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9884/train_9884_a/train_9884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, there are ground glass densities in which vascular expansion is observed in a patchy manner, mostly peripherally located and more prominent on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are changes in favor of steatosis in the liver parenchyma entering the section area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass densities in which vascular enlargement is observed in a patchy manner, mostly located peripherally in both lungs and more prominent on the left; findings were evaluated in favor of Covid-19 viral pneumonia.  Changes in liver parenchyma in favor of steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9892/train_9892_a/train_9892_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. Further investigation is recommended. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Millimetric nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Minimal bronchiectasis and peribronchial thickening are observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: If the patient does not have a history of recent surgery, the findings described suggest lumen organ perforation. Free fluid is observed in the perihepatic and perisplenic regions. There are atheromatous plaques in the aorta. There is also intraluminal free air. Detailed interpretation cannot be made as there are only upper abdomen sections.\n\nImpression:\nIntra-abdominal free fluid, intra-abdominal free air (it is recommended to evaluate the patient for luminous organ perforation) . Minimal bronchiectasis and minimal peribronchial thickening in both lungs . Minimal emphysematous changes in both lungs . Millimetric nodules in both lungs . Atheromatous plaques in the aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9894/train_9894_a/train_9894_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. An inverted halo sign is formed in the consolidations in the upper lobe of the right lung and the lower lobe of the left lung in the superior segment and basal segment, and its central is of lower density. Air bronchogram is observed within the consolidation areas in the left lung lower lobe lateobasal segment. In the evaluation of both lung parenchyma; Peripherally located consolidation areas are observed in both lungs, where peripherally located ground glass densities that involve all segments except the right lung lower lobe become more consolidated.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCommonly defined imaging findings for Covid-19 with peripheral localization in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9895/train_9895_a/train_9895_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Active infiltration or mass lesion was detected in the evaluation of both lung parenchyma.\n<pleura>: Atelectasis changes and sequela pleuraparenchymal bands were observed in the right lung middle lobe, left lung lingular segment and bilateral lower lobes. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and CTO increased in favor of the heart. There are calcified atheromatous plaques on the wall of the vascular structures... No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and CTO increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are osteopenia and osteophytic degenerative changes. No lytic or destructive lesions were detected in bone structures.\n<abdomen>: There are calcified atheromatous plaques on the wall of the vascular structures... No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nCTO increase in favor of the heart, calcified atheromatous plaques on the wall of vascular structures . Atelectasis changes in the right lung middle lobe, left lung lingular segment and bilateral lower lobes sequelae pleuraparenchymal bands . Osteopenia and osteophytic degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9898/train_9898_a/train_9898_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9905/train_9905_a/train_9905_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23506",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Viral pneumonias are considered in the etiology of the findings.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9913/train_9913_d/train_9913_d_1.npy"
        ]
    },
    {
        "id": "report_generation_23520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 14x11 mm hypodense nodule was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; segmental-subsegmental peribronchial thickening and narrowing of the bronchial lumens were observed in both lungs. No mass lesion with delineated borders was detected in the lung parenchyma. It is recommended to be evaluated together with clinical and laboratory. The outlook is nonspecific but suspicious for early Covid-19 pneumonia. There is a mosaic attenuation pattern in both lungs. Millimetric sized, nonspecific parenchymal nodules were observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Pleuroparenchymal fibroatelectasis sequelae were observed in the right lung middle lobe medial, right lung lower lobe posterobasal, left lung upper lobe inferior lingular segment.\n<pleura>: Focal ground-glass density with vascular enlargement in the peripheral subpleural area was observed in the superior segment of the lower lobe of the right lung.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. Calcific atheroma plaques were observed in the aortic arch. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A CVP catheter extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. It is recommended to be evaluated together with US.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the aortic arch. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nBilateral gynecomastia  Calcific atheroma plaques in the aortic arch  Mosaic attenuation pattern in both lungs, segmental-subsegmental peribronchial thickening; mosaic attenuation was found to be secondary to small airway stenosis.  Suspicious finding in terms of early Covid-19 pneumonia in the right lung upper lobe posterior; It is recommended to be evaluated together with clinical and laboratory.  Pleuroparenchymal fibroatelectasis sequelae changes in both lungs, millimetric nonspecific nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9920/train_9920_a/train_9920_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23524",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It was evaluated in favor of infectious processes in the first plan, and follow-up is recommended due to the known primary of the patient.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. More than one millimetric small lymph nodes are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver parenchyma.\n\nImpression:\nIn the case of known primary, it was evaluated in favor of infectious processes in the first place. Clinical laboratory correlation monitoring is recommended.  Several small lymph nodes in the mediastinum.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9920/train_9920_c/train_9920_c_1.npy"
        ]
    },
    {
        "id": "report_generation_23528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal tubular bronchiectasis is observed.\n<lung>: There are multiple nodules in both lungs, the largest of which is 8x8 mm (8x8.5 mm in the previous examination), adjacent to the fissure in the left lung lower lobe superior segment, and there are multiple nodules with spiculations in the contours of some of them. There are subsegmental areas of atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment, and there are areas of linear atelectasis in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No significant difference was detected. A few lymph nodes with a short diameter of less than 5 mm are observed in the mediastinum, and no enlarged lymph nodes in pathological size and appearance were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Minimal pericardial effusion is observed.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Sliding type hiatal hernia is observed at the esophagogastric junction. No discernible mass was detected in the upper abdominal organs. As far as it can be evaluated within the limits of non-contrast CT; A few millimetric lymph nodes, the largest of which is 5 mm in diameter, are observed in the paraaortic area and no significant difference was detected.\n\nImpression:\nIn the upper lobe of the left lung, light ground glass densities are attached around the nodule known to have been biopsied before in series 2 image 58.  Areas of subsegmental atelectasis in both lungs, bilateral tubular bronchiectasis.  Stable hypodense nodule in the left lobe of the thyroid gland.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9920/train_9920_e/train_9920_e_1.npy"
        ]
    },
    {
        "id": "report_generation_23542",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<lung>: Although peripherally located consolidation areas are observed in the upper lobes, most of the widespread involvement pattern observed in the previous examination has been resorbed. There is no obvious volume effect. In his previous examination, the peripherally located consolidation areas with air bronchograms observed in the middle and lower lobes, more commonly in the upper lobes of both lungs, have a distinctly regressed appearance. It caused mild fissural retraction. Consolidation areas in the upper lobes may also belong to sequelae changes.\n<mediastinum>: No lymph node was observed in the axilla in pathological size and appearance. Calibrations of mediastinal main vascular structures were followed naturally. No lymph node was observed in the mediastinum in pathological size and appearance. A central venous catheter is available.\n<heart>: There is a slight effusion in the form of plastering between the pericardial leaves. Correlation with his clinic would be appropriate. It measured 5 mm in diameter at its most prominent location. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. No space-occupying lesions in lytic-sclerotic structure were detected in bone structures. In the supraclavicular fossa, no lymph node was observed in pathological size and appearance within the section.\n<abdomen>: Free or loculated fluid was not observed. No lymph node is observed in pathological size and appearance in the section. Gross pathology of solid organs was not noticed. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections.\n\nImpression:\nIn the case who was followed up for ALL, lung infection, most of the extensive consolidation areas observed in the previous examination were almost completely resorbed. Consolidation areas are observed in the upper lobes, which cause mild fissural retraction in the upper lobes. It may belong to the parenchymal changes after treatment. It would be appropriate to correlate the case with the clinic. ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9924/train_9924_d/train_9924_d_1.npy"
        ]
    },
    {
        "id": "report_generation_23548",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). It is recommended to evaluate and follow-up together with previous examinations, if any. Nonspecific parenchymal nodules of 5 mm and 6.2 mm in diameter in the right lung upper lobe anterior segment, adjacent to the minor fissure and in the middle lobe medial segment, respectively, and 5.6 mm in diameter in the left lung upper lobe superior lingular segment were observed. Linear fibroatelectasis sequelae were observed in the anterior mediobasal segment of the left lung lower lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Segmentary-subsegmentary tubular bronchiectasis was observed in both lungs.\n<mediastinum>: In the examination performed without contrast, the mediastinal was not evaluated optimally. Descending aorta and pulmonary artery diameters are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, above normal. Calcified atheroma plaques were observed in LAD. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes in the bone structures in the study area and syndesmophytes bridging each other in the right anterior lateral of the thoracic vertebrae were observed.\n<abdomen>: No intraabdominal free-loculated fluid was detected. Descending aorta and pulmonary artery diameters are normal. No lymph node was detected in pathological size and appearance. Gallbladder, spleen, pancreas, both kidneys and both adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nDilatation in the ascending aorta . Hiatal hernia . Non-specific parenchymal nodules in the right lung upper lobe anterior, middle lobe medial and left lung upper lobe superior lingular segments; if any, it is recommended to be evaluated and followed up with previous examinations.  Mosaic attenuation pattern in both lungs (small airway) disease? small vessel disease?).  Segmentary- subsegmentary tubular bronchiectasis in both lungs . Hepatosteatosis . Degenerative changes in bone structures, syndesmophytes bridging each other in the right anterior lateral of the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9927/train_9927_a/train_9927_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; There is a nonspecific 5 mm nodule in serial image 164 in the superior lingular region of the left lung upper lobe. There is a nonspecific 4 mm nodule in the middle lobe of the right lung in series 2 image 202. Liver parenchyma density shows a slight change in favor of steatosis.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNonspecific nodules measuring up to 4 mm in the right lung superior lingular and right lung middle lobe lateral. Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9934/train_9934_a/train_9934_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?), more prominent in the upper lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9936/train_9936_a/train_9936_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: Even clinical and laboratory evaluation is recommended. No mass lesion with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; In both lungs, patchy-nodular ground glass consolidations with multilobar, multisegmental peripheral weight, crazy paving pattern and vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other vascular structures of the mediastinum is natural. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 38 mm, and the anterior-posterior diameter of the descending aorta was 29 mm, larger than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteoporosis was observed in the thoracic vertebrae. Mild height loss was observed in T4 vertebra superior end plate.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 38 mm, and the anterior-posterior diameter of the descending aorta was 29 mm, larger than normal. In the upper abdominal organs, including sections; Millimetric calculus was observed in the gallbladder lumen.\n\nImpression:\nFusiform ectasia, cardiomegaly in the thoracic aorta.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Cholelithiasis.  Osteoporosis in thoracic vertebrae, minimal height loss in T4 vertebra superior end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9937/train_9937_a/train_9937_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear fibrotic density is observed in the lower lobe of the left lung.\n<pleura>: There are minimal ground glass densities in the subpleural subpleural area in the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLinear fibrotic density in the lower lobe of the left lung.  Paravertebral minimal nonspecific ground glass density in the lower lobe of the right lung. Clinical correlation is recommended for pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9941/train_9941_a/train_9941_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic and osteophytic taperings in the anterior of the vertebra corpus endplate. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9943/train_9943_a/train_9943_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Atelectasis changes were observed in both lungs. Bilateral minimal peribronchial thickening was observed. No mass-nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectatic changes in both lungs.  Bilateral minimal peribronchial thickenings.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9944/train_9944_a/train_9944_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lungs, a large consolidation area with paramediastinal air bronchogram signs, more prominent in the upper lobe anteromedial on the right, and light ground glass densities located peripherally in the right lung are observed. Ground glass densities are observed in the lower lobe and peripherally located in the right lung. In the inferior of the right hilar region, in close proximity to the main vascular structures, there is a finding consistent with a 33 mm oval-shaped, space-occupying lesion in series 201 image 122. Further investigation is recommended. Clinical laboratory correlation and close follow-up of the findings are recommended in terms of differential diagnosis of broncho pneumonia and viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Pathological lymph nodes measuring up to 16 mm are observed in the central necrotic areas in the mediastinum. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nAtherosclerosis. Consolidation with peripherally located patchy mild ground-glass densities, more prominent on the right, in both lungs, accompanied by prominent paramediastinal air bronchogram signs in the upper lobe of the right lung. Close follow-up of clinical laboratory correlation of findings in terms of broncho\\viral Pneumonia (Covid-19) is recommended for better differential diagnosis.  In the inferior of the right hilar region, close to the main vascular structures, there is a finding compatible with a 33 mm oval, space-occupying lesion in series 201 image 122. Further investigation is recommended for a carcinomatous process.  Measured up to 16 mm in necrotic areas in the central part of the mediastinum more than one pathological lymph nodes are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9946/train_9946_a/train_9946_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23595",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: There is sequela parenchymal linear density in the middle lobe. A nodule with a diameter of 4 mm is observed at the apical level in the right lung. There is frosted glass style density in the posterior segment. In the lower lobe of the left lung, a slight ground-glass-like density increase is observed at the anteromediobasal level. A nodule of 4x3 mm is observed at the level of the minor fissure.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: CTO is normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. It is slightly wider than normal. Calibration of other mediastinal major vascular structures is normal. The aortic arch calibration is 33 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure. Peripheral sclerotic radiolucency nonspecific milimetric formation is observed in the 6th rib on the left.\n<abdomen>: Nodular density compatible with cortical cyst is observed in the left kidney. CTO is normal. It is slightly wider than normal. Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, there is a decrease in density consistent with mild hepatosteatosis in the liver. The aortic arch calibration is 33 mm.\n\nImpression:\nFocal ground-glass-like density increases in both lungs are partially significant for Covid-19 pneumonia. Evaluation with clinical and laboratory findings is recommended.  Milmetric nonspecific hypodense lesion with mild sclerotic appearance in the lateral part of the 6th rib on the left . Mild hepatosteatosis . Left renal hypodense lesion that may be compatible with cortical cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9952/train_9952_a/train_9952_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are millimetric osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9953/train_9953_a/train_9953_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Atelectasis changes and slight patchy ground glass densities are observed in the basal segments of the lower lobes of both lungs. Infectious process of findings, depandant atelectasis? Calcific nodules up to 7 mm in size are observed at the apical level of the upper lobe of the right lung, in close proximity to each other.\n<pleura>: There are millimetric nonspecific nodules located in the subpleura in the lateral posterior segment in the lower lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectatic changes and mild patchy ground-glass densities are observed in the basal segments of both lung lower lobes. Infectious process of findings, depandant atelectasis? Correlation with clinical and laboratory is recommended in terms of clinical and laboratory results  At the apical level of the upper lobe of the right lung, calcific nodules measuring up to 7 mm in size are observed in close proximity to each other. There are millimetric nonspecific nodules located in the subpleura in the lateral posterior segment in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9957/train_9957_a/train_9957_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Mild hepatosteatosis is observed in the liver parenchyma. In the upper abdominal organs included in the sections, a 28x27 mm space-occupying finding is observed in the left adrenal gland localization on the lateral leg. It was evaluated as suboptimal within the limits of the study and it was evaluated in favor of adenoma in the first place. In the anterior section of the spleen, there is a finding compatible with an accessory spleen with a diameter of 7 mm.\n\nImpression:\nA few millimetric nonspecific nodules in both lungs  Millimetric lymph nodes in the mediastinum  Nodular mass that does not show significant dimensional differences in the adrenal gland, dynamic adrenal CT correlation and follow-up are recommended.  Hepatosteatosis  Accessory spleen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9962/train_9962_a/train_9962_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Nodules up to 6 mm in size are observed in both lungs. When examined in the lung parenchyma window; There are common ground glass densities, crazy paving appearances, which tend to merge in both lung parenchyma.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the abdominal aorta.\n<heart>: Surgical changes are observed at the aortic valve and mitral valve level. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. There are changes related to sternotomy.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Gallbladder millimetric stone density is observed.\n\nImpression:\nFindings consistent with Covid pneumonia in both lungs. Sternotomy, mitral valve valvuloplasty of the aorta.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9963/train_9963_a/train_9963_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass and infiltrative lesion were detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs. Minimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9964/train_9964_a/train_9964_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Millimetric nodular calcifications consistent with tracheobronchopathy osteochondroplastica were observed in the trachea and the walls of both main bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Paraseptal emphysema areas were observed in the superior segment of both lungs in the upper lobe and in the lower lobe of the right lung. Ground-glass areas tending to be more peripheral were observed in the lower lobes of both lungs, suggesting viral pneumonias. Linear-band atelectatic changes were observed in the basal segments of the lower lobes of both lungs. It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Atelectasis changes, loss of volume and interlobular septal thickening were observed in the left upper lobe of the lung adjacent to the effusion.\n<pleura>: When examined in the lung parenchyma window; A smear-like effusion was observed in the left pleural space and an anky effusion reaching 33 mm in its widest part in the anterior neighborhood of the upper lobe.\n<mediastinum>: Calcific atheroma plaques were observed in the abdominal aorta. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. At the mid-thoracic level, bridging syndesmophytes and left-facing scoliosis were observed. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the abdominal aorta. Calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. A well-defined hypodense nodular lesion area of 22 mm in diameter was observed in the upper pole posterior of the left kidney (cyst?).\n\nImpression:\nAppearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea and both main bronchi. Calcific atheroma plaques in the arcus aorta, supraaortic branches and coronary arteries . Hiatal hernia . Plastering effusion in the left pleural space, structural distortion in the surrounding parenchyma near the upper lobe and ananthesis causing passive atelectasis effusion.  Patchy ground-glass areas more common in both lungs, lower lobes; appearance suggestive of viral pneumonias. Clinical and laboratory evaluation is recommended.  Paraseptal emphysematous changes in both lung upper lobe and right lung lower lobe superior segment . Both lung lower lobe basal linear -band atelectasis sequelae changes in segments . Hypodense well-circumscribed nodular lesion (cyst?) in the upper pole of the left kidney. Mid-thoracic bridging syndesmophytes and left-facing scoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9968/train_9968_a/train_9968_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Patchy ground-glass densities are observed in both lungs, which can hardly be distinguished from the peripheral parenchyma (Covid-19 viral pneumonia?). Clinical laboratory correlation is recommended.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are mild hypertrophic taperings in the anterior of the vertebral corpus endplate.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are processes that can be seen in early stage Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9969/train_9969_a/train_9969_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23638",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Parenchymal sequelae density increases were observed in the middle lobe of the right lung, the inferior ligular segment of the left lung, and the anterobasal segment of the lower lobe. A calcified nonspecific parenchymal nodule with a diameter of 3 mm in the left lung lower lobe mediobasal was observed. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in both upper lobes of the lungs. Minimal peribronchial thickening was observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: Mild degenerative changes were observed in bone structures. In the left hood humeri, there are densities of the fixation material partially entering the examination area. No lytic-destructive lesion was detected.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Calcules measuring 3.5 mm in diameter were observed on the left in the middle zone of both kidneys.\n\nImpression:\nEmphysematous changes, sequelae changes, bilateral peribronchial thickenings in both lungs. Nonspecific calcified parenchymal nodule in the left lung.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9973/train_9973_a/train_9973_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23651",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. Since the patient is not breathing properly during the examination, the lung parenchyma cannot be evaluated clearly, especially in terms of focal lesion. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9980/train_9980_a/train_9980_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Patchy ground glass density increases were observed in both lungs. When examined in the lung parenchyma window; Interlobular septal thickenings were observed in both lungs (secondary to cardiac pathology?). A few calcified nonspecific parenchymal nodules, the largest of which was 2.5 mm in diameter, were observed in the lower lobe of the left lung. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Between the bilateral pleural leaves, there is a free pleural effusion with a thickness of 18 mm on the right and a diameter of 13 mm on the left, extending to the fissure on the right.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the mediastinal upper-lower paratracheal right hilar region, there are calcified lymph nodes in the right hilar region, measuring 8.5 mm in diameter on the short axis of the larger one. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: The ascending aorta measures 55 mm in diameter and shows aneurysmatic dilatation. Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Hemangioma was observed in T8 vertebra. Degenerative changes were observed in the bone structure.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. A hypodense cystic lesion was observed in the left kidney. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. In the upper abdominal sections in the study area; hypodense lesions measuring 35 mm in diameter were observed in both lobes of the liver at the level of segment 4B in the left lobe (cyst?). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nAneurysmatic dilatation in the ascending aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Cardiomegaly.  Interlobular septal thickenings in both lungs (secondary to cardiac pathology?).  Patchy ground glass density increases in both lungs.  Bilateral pleural effusion.  Nonspecific parenchymal nodules in the left lung.  Hypodense lesions (cyst?) in the liver.  Degenerative changes in bone structure.  Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9981/train_9981_a/train_9981_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23663",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Density compatible with 2 mm diameter calculi is observed in the middle part of the right kidney.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9986/train_9986_a/train_9986_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild density increases are observed in the peribronchial sheath.\n<lung>: Findings were not detected in the previous review. Sequelae changes are observed in the lingulated segment in the left lung. In the right lung, there are ground-glass-like density increases that have formed confluence at the posterobasal and laterobasal levels at the basal. There are sequelae changes at the apical level. Emphysematous changes are present in both lungs. A calcific nodule with a diameter of 3 mm is observed in the anterior segment of the upper lobe of the left lung. Again on the left, there are faint ground glass-like density increments adjacent to the interlobar fissure. There are fainter ground-glass-like density increases at the laterobasal level of the left lung. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes, including Covid.\n<mediastinum>: CTO is normal. Calibration of other major vascular structures is natural. Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. No pathologically sized and configured lymph nodes were detected in the mediastinum and in both hilar regions. The aortic arch calibration is 32 mm, wider than normal.\n<heart>: Pericardial effusion-thickening was not observed. Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At the level of the central mesentery, metallic clip appearances are observed around the celiac trunk. CTO is normal. Calibration of other major vascular structures is natural. In the spleen hilum, a millimetric-sized density, which may be compatible with the accessory spleen, is observed. Surrounding soft tissue plans are natural. A defect of approximately 16 mm is observed between the rectus abdominis at the epigastric level in the midline of the abdomen, and it is observed that the periperitoneal fatty planes herniate under the skin. Millimetric calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. The aortic arch calibration is 32 mm, wider than normal. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area.\n\nImpression:\nSequelae changes at the apical level Emphysematous changes in both lungs, slight density increases in the peribronchial sheath,  Sequelae changes in the lingulated rssegment in the left lung.  There are fainter ground glass-like density increases at the laterobasal level of the left lung. Again on the left, there are faint ground glass-like density increments adjacent to the interlobar fissure. Findings were not detected in the previous review. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes, including Covid.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9990/train_9990_a/train_9990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are decreases in the ground glass density increases observed in the previous examination in both lung parenchyma. There are fibroatelectatic changes in both lungs. Emphysematous changes, peribronchial thickenings and bronchiectatic changes were observed in the bilateral lung parenchyma and were evaluated in favor of sequelae changes.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a decrease in density compatible with osteopenia in the bone structures in the study area. It is also observed in the previous examination and no significant change was detected. Height loss was observed in T6 vertebra upper end plate.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Liver contours are irregular. However, no significant changes were detected in their dimensions. In the upper abdominal sections in the study area; liver size and parenchyma density are natural. Since the examination is unenhanced, the lesion observed in the previous examination in the liver cannot be clearly characterized in this examination.\n\nImpression:\nOperated pancreatic Ca in follow-up;  Sequelae changes observed in the previous examination in both lung parenchyma, Ground glass density increases observed in the previous examination have decreased in the current examination.  Hypodense lesion in the left lobe of the liver that cannot be characterized by this examination.  Irregular appearance in liver contours.  Loss of height in T6 vertebra upper end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9990/train_9990_c/train_9990_c_1.npy"
        ]
    },
    {
        "id": "report_generation_23687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A slight increase in the size of both thyroid glands is observed and they have a heterogeneous appearance. There are hypodense nodular lesions. It is recommended to evaluate with USG examination.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are occasional sequela parenchymal changes in both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: Apart from this, degenerative changes were observed in the bone structures within the image. In the bone structures within the image, there are fracture lines that did not cause significant separation or displacement at the 6, 7, 8, 9 and 10 ribs on the right.\n<abdomen>: In the upper abdominal sections within the image, there are nodular thickness increases in which millimeter-sized fat densities are observed in the medial and lateral crus of the left adrenal gland and in the lateral crus of the right adrenal gland (adenoma?). Intra-abdominal free fluid, no loculated collection is detected.\n\nImpression:\nSignificant detachment, fracture lines that did not cause displacement, degenerative changes in bone structures in the right 6,7,8, 9th and 10th ribs.  Sequela parenchymal changes in both lungs.  Increase in thyroid gland size and heterogeneous appearance in the parenchyma is recommended to be evaluated by USG.  Nodular thickness increases (adenoma?) in both adrenal glands, in which fat densities are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_9996/train_9996_a/train_9996_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23727",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In both lungs, areas of increased density consistent with consolidation and ground-glass covering almost the entire lung parenchyma are observed in all segments.\n<mediastinum>: There are lymph nodes in the mediastinum that are not pathological in size and appearance.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10013/train_10013_b/train_10013_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23729",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: A few nonspecific nodules less than 5 mm in diameter are observed in both lungs. When examined in the lung parenchyma window; in both lungs; Widespread centriacinar-paraseptal emphysematous changes are observed in the right apical segment with a panlobular appearance. Segmentary tubular bronchiectasis are present in both lungs. Apart from this, no infiltrative mass with distinguishable borders was detected in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed in the distal esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Both adrenal glands are normal. No calculus was observed in both kidneys within the sections. As far as can be seen on non-contrast sections, the liver is normal within the sections.\n\nImpression:\nEmphysematous appearance with panlobular appearance in the right apex of both lungs, millimetric nonspecific nodules . Segmentary tubular bronchiectasis in both lungs.  Capsular sequela calcification in the superior spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10014/train_10014_a/train_10014_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are diffuse patchy ground-glass densities, atelectatic changes, and prominent bronchovascular structures in both lungs. Findings are consistent with Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinum, more than one lymph nodes measuring up to 10 mm in the pulmonary window to the aorta are observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, increased in size.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an appearance compatible with steatosis in the liver parenchyma entering the section area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nChanges in lung parenchyma consistent with Covid-19 viral pneumonia. Lymph nodes in the mediastinum. Hepatosteatosis, small hiatal hernia. Increase in heart size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10015/train_10015_a/train_10015_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No infiltrative lesion was detected in both lung parenchyma. Several nonspecific nodules are observed in both lungs, the largest of which is 8.5 mm in diameter in the left lung lingular segment. In the examination made in the lung parenchyma window; In the upper lobes of both lungs, in the neighborhood of the bronchovascular structures, indistinctly limited ground glass densities, which have the appearance of a tree with buds, are observed. Infectious pathologies are considered in the etiology and control is recommended after treatment.\n<pleura>: An effusion measuring 52mm in its deepest part in the right pleural area and 38mm in its deepest part in the left pleural area is observed, and areas of increase in density consistent with compressive atelectasis are observed in the adjacent lung parenchyma. No pleural thickening was detected.\n<mediastinum>: The AP diameter of the ascending aorta was 43mm, and the AP diameter of the pulmonary conus was 33mm, and it was wider than normal. There are lymph nodes with a fusiform configuration, measuring 11 mm in short diameter and extending to the fatty hilum, at the paratracheal and aorticopulmonary, prevascular, and subcarinal levels. Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. Calcified atheroma plaques are observed in the abdominal aortic wall. Calcified atheroma plaques are observed in the walls of the ascending aorta, descending aorta, aortic arch and coronary vascular structures.\n<heart>: Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. Calcified atheroma plaques are observed in the walls of the ascending aorta, descending aorta, aortic arch and coronary vascular structures.\n<esophagus>: An increase in pathological wall thickness is observed in the thoracic esophagus, and there is a mild hiatal hernia at the level of the esophagogastric junction.\n<bone>: There are degenerative changes in the bone structures within the image, and reticular density increases secondary to osteopenia in the vertebral corpuscles.\n<abdomen>: The AP diameter of the ascending aorta was 43mm, and the AP diameter of the pulmonary conus was 33mm, and it was wider than normal. In the abdominal sections within the image, a 3mm-sized hyperdense stone is observed in the gallbladder lumen. Calcified atheroma plaques are observed in the abdominal aortic wall. Calcified atheroma plaques are observed in the walls of the ascending aorta, descending aorta, aortic arch and coronary vascular structures.\n\nImpression:\nLymph node with fusiform configuration, the largest of which is at the subcarinal level, with a fatty hilus over 1 cm in diameter, in mediastinal lymph node stations. Ascending aorta, pulmonary conus is wider than normal, and calcified atheroma plaques on the wall of mediastinal vascular structures and coronary vascular structures. Bilateral pleural effusion. Hiatal hernia.  Ground glass densities with bud tree appearance in the neighborhood of the bronchovascular structures in the upper lobe of the bilateral lung; infectious pathologies are considered in the etiology. A few millimetric nodules in both lung parenchyma.  Cholelithiasis.  Degenerative changes in bone structures and increases in reticular density in vertebral bodies considered secondary to osteopenia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10016/train_10016_a/train_10016_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The findings were evaluated in favor of infective pathology. There are millimetric nonspecific nodules in both lungs. There are patchy consolidations in both lungs, areas of ground glass, and centriacinar nodules, some of which have the appearance of budding trees. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion is observed. No pleural thickening was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10016/train_10016_c/train_10016_c_1.npy"
        ]
    },
    {
        "id": "report_generation_23739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology within the lower lobe bronchi was detected in this examination. No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Ground glass areas and centriacinar nodules, some of which have the appearance of budding trees, and consolidations are observed in both aerated lungs. The effusion measured approximately 5 cm at its thickest point. No obstructive pathology within the lower lobe bronchi was detected in this examination. In these localizations, there are consolidations in which air bronchograms are observed. Ventilation of both lower lobes of the lungs is completely lost. When the described appearances were evaluated together with the findings in the lower lobe, they were evaluated in favor of infective pathology. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion is observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position.\n<mediastinum>: No pathologically enlarged lymph node was detected. The diameters of the pulmonary arteries are also larger than normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. The anterior-posterior diameter of the ascending aorta is 40 mm and wider than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. There are appearances evaluated in favor of surgical filling materials in the lower thoracic vertebral bodies within the sections. Widespread low density, consistent with osteopenia, is observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There are calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nMultiple myeloma in follow-up. Findings evaluated primarily in favor of infective pathology in both lungs, bilateral pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10016/train_10016_d/train_10016_d_1.npy"
        ]
    },
    {
        "id": "report_generation_23745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The main bronchial tree is of normal width and no luminal pathology is detected. The trachea is in the midline and in normal calibration.\n<lung>: Bilateral diffuse peribronchial thickenings were observed. Widespread consolidation and frosted glass-like density increases are observed in all segments of both lungs, and the findings show progression.\n<mediastinum>: In the mediastinum, the largest pre-paratracheal lymph nodes are observed, with a short diameter of 12 mm at the level, and there is an increase in their size. Mediastinal and hilar structures appear natural.\n<heart>: Cardiac chambers are of normal width.\n<abdomen>: Liver parenchyma density is observed to be diffusely decreased secondary to steatosis. In the sections passing through the upper abdomen, no gall bladder was observed. Clip materials were seen in the pouch lodge.\n\nImpression:\nSigns of progressive pneumonic infiltration, enlarged mediastinal lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10019/train_10019_a/train_10019_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Some of the consolidations are round in shape. The findings described are of the type frequently encountered in Covid-19 pneumonia. Widespread focal consolidations and ground glass areas are observed in both lungs, especially in the upper lobes. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. It is recommended that the patient be evaluated for liver parenchymal disease. There are atheromatous plaques in the aorta. There is lobulation in the liver contours.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs.  Atherosclerotic changes in the aorta . Hiatal hernia . Lobulation in liver contours (recommended to evaluate for liver parenchyma disease)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10025/train_10025_a/train_10025_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A millimetric-sized nonpsessive parenchymal nodule was observed in the laterobasal segment of the lower lobe of the left lung. No mass lesion-active infiltration was detected in the lung parenchyma.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative osteophytic taperings were observed in the right end plates of the vertebra corpus.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nMillimetric sized nonpsessive parenchymal nodule in the left lung lower lobe laterobasal segment.  Degenerative osteophytes in vertebral corpus corners."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10034/train_10034_a/train_10034_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a parenchymal coarse calcification focus in the interpolar localization. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The upper pole is observed. No dilatastone was detected in the collecting system. Examination with USG will be appropriate. The right kidney is partially sectioned. In the sections passing through the upper abdomen, medullary edema is observed in the right kidney. Perirenal fatty planes are obvious.\n\nImpression:\nMedullary edema in the right kidney is recommended to be evaluated by sonography of the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10035/train_10035_a/train_10035_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23789",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Localization is generally observed in the right lung and upper lobes. When examined in the lung parenchyma window; diffuse and patchy ground-glass opacities are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10042/train_10042_a/train_10042_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Other than that, no significant difference was found in the findings. There is almost complete loss of ventilation in the lower lobe of the right lung, except for the superior segment. There was no appearance that could be evaluated in favor of a mass or infiltrative lesion in both lungs.\n<pleura>: Bilateral pleural effusion and loss of aeration in the lung adjacent to the pleural effusion are observed, more prominently on the right.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not observed.\n<abdomen>: No intraabdominal free fluid-collection was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10043/train_10043_b/train_10043_b_1.npy"
        ]
    },
    {
        "id": "report_generation_23797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea calibration is natural. Mild sequelae changes in both lungs and slight clarification in bronchial structures. Calibration of bronchial structures in the central and subzones was mildly evident.\n<lung>: A few millimetric nonspecific nodule formations in both lungs that did not differ significantly from previous examination. Conclusion. Mild sequelae changes in both lungs and slight clarification in bronchial structures. No pathological size and configuration lymph nodes were detected at both hilar levels. Mild sequela changes are observed in the medial segment of the middle lobe of the right lung.\n<pleura>: A subpleural nodule with a diameter of 3 mm is observed in the lower lobe laterobasal segment and cannot be evaluated clearly in the previous examination due to the difference in section thickness.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. Millimetric sized calcific atheroma plaque is observed at the level of the brachiocephalic trunk. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: CTO is within the normal range.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Nodular formation is observed in the spleen hilum, which is considered to be compatible with the accessory spleen with a diameter of about 10 mm.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10045/train_10045_a/train_10045_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When both lungs are evaluated in the parenchyma window: Mosaic attenuation pattern is observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Ground glass density increases were observed in the posterior segment of the right lung upper lobe. (small airway disease?, small vessel disease?). Emphysematous changes are present in both lungs. A similar appearance is also found in the apicoposterior segment of the left lung upper lobe. Appearance is nonspecific.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: According to the previous examination, several stable lymph nodes were observed in the left axillary region.\n<bone>: In the vertebrae included in the study area, lytic bone lesions were observed at multiple levels in the sternum.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In addition, hypodense lesions, which may be compatible with millimetric metastases, were observed in both lobes of the liver. It is recommended to be evaluated together with contrast-enhanced MR examination. Mild calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Since the examination at the level of the liver segment 5-8 was unenhanced, a hypodense lesion that could not be clearly distinguished from the liver parenchyma borders was observed.\n\nImpression:\nEmphysematous changes in both lungs, mosaic attenuation pattern (small airway disease?, small vessel disease?). Left axillary stable lymph nodes.  Multiple metastases in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10047/train_10047_a/train_10047_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi.\n<lung>: However, nodules observed in both lungs in the previous examination are not detected in the current examination. When both lung parenchyma windows are evaluated; Fibroatelectatic changes were observed in both lungs.\n<pleura>: In the posterobasal segment of the lower lobe of the left lung, a 23x14 mm sized pleural-based nodule with irregular borders was observed in the current examination. There is bilateral minimal pleural effusion.\n<mediastinum>: The diameter of the aortic arch measures 41 mm and shows slight dilatation. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Other mediastinal major vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Pericardial effusion - no thickening was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Other mediastinal major vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits.\n<bone>: Fracture lines at multiple levels and callus formations around it were observed in both ribs anteriorly. In the current examination, the dimensions of the soft tissue lesion showing paravertebral extension that destroys the vertebral corpus between the T12-L3 vertebrae partially entering the examination area in the upper abdominal sections in the examination area have decreased in the current examination. Transpeduncular fixation screws were observed at the level of T12-L1 vertebrae. There is widespread destruction in the L2-L3 vertebrae, which is partially in the study area. It is also observed in the previous examination, and it was found that callus formations increased in the current examination.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the aortic arch measures 41 mm and shows slight dilatation. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nAtherosclerotic changes, mild fusiform dilatation of the ascending aorta.  Bilateral minimal pleural effusion. However, a newly emerged parenchymal nodular mass lesion was observed in the current examination in the lower lobe of the left lung.  The dimensions of the paravertebral soft tissue mass at the level of T12-L3 vertebrae have decreased in the current examination. There is destruction in the vertebrae at this level. Fracture lines and callus formations at multiple levels in the ribs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10050/train_10050_a/train_10050_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. There is a 2 mm diameter non-specific nodule in the lower lobe of the right lung. In the evaluation of lung parenchyma; No pneumonic infiltration or consolidation area was observed in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibration of the main mediastinal vascular structures is natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10055/train_10055_a/train_10055_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thymic remnant was observed in the anterior mediastinum and no mass with distinguishable borders was observed at this level.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver, spleen, gallbladder, both adrenal glands, both kidneys and pancreas are normal as far as can be seen on non-contrast images.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10056/train_10056_a/train_10056_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both lobes of the thyroid gland are prominent.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a parenchymal band in the laterobasal segment. There was no finding compatible with pneumonia. An air cyst is observed at the posterobasal level of the lower lobe. When examined in the lung parenchyma window; 4 mm diameter nodule is observed in the anterior segment of the right lung upper lobe. Air cyst is observed in the middle lobe.\n<pleura>: A subpleural nodule with a diameter of 3 mm is observed in the apicoposterior segment of the upper lobe of the left lung. Pleural effusion or pneumothorax is not observed.\n<mediastinum>: CTO is within normal limits. Thoracic aorta diameter is normal. The aortic arch calibration is 35 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of other mediastinal major vascular structures is normal.\n<heart>: Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: 5.6 on the right. In the rib, oval-configured lesions with pefiferi sclerotic appearance are observed. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: CTO is within normal limits. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is adjacent to the spleen and the accessory spleen in isodense appearance is observed. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Hepatosteatosis is present in the liver entering the cross-sectional area. The aortic arch calibration is 35 mm.\n\nImpression:\nNo findings compatible with pneumonia were detected . Degenerative changes in bone structure . Pefipheri, sclerotic oval-shaped lesions in the right 5th and 6th ribs . Mild hepatosteatosis . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10059/train_10059_a/train_10059_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was observed in the trachea and both main bronchi.\n<lung>: Central and peripheral ground-glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. However, it is recommended that the patient be evaluated for viral pneumonia (Covid 19 pneumonia). The views described are nonspecific. In addition, locally enlarged vascular structures and minimal interlobular septal thickening are observed in ground glass. There is no mass in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nExtensive ground-glass areas in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10061/train_10061_a/train_10061_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Examination secondary to motion artifacts is suboptimal. As far as can be seen; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits except for hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10065/train_10065_a/train_10065_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are occasional atelectasis in both lungs. There are millimetric nonspecific nodules in both lungs. In addition, emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Interverterbal disc distances are narrowed. The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs, linear atelectasis in both lungs . Millimetric nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Hiatal hernia . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10078/train_10078_a/train_10078_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In the thyroid gland, the parenchyma is slightly heterogeneous in both lobes.\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; tracheal calibration is natural.\n<lung>: The lower lobe continues towards the superior segment and focal consolidation is observed medially. Mild sequelae changes are observed at the apical level on the right. Again on the right, there is a ground glass-like density increase around the consolidation area in the middle lobe. Soft tissue density compatible with the secretion with a dependent position is observed in the lumen starting from the bifurcation level on the left, the lumen cannot be seen in the lower lobe, and the appearance of consolidation-atelectasis, which is occasionally found in the air bronchograms, is observed within the lower lobe segments. In the right lung, consolidative density increases at the posterobasal level and adjacent branches with buds are observed. Both hiluses cannot be evaluated in the non-contrast examination. In the evaluation of both lungs in the parenchyma window; tracheal calibration is natural.\n<pleura>: On the left, there is a pleural effusion extending from the basal to the apex and approximately 33 mm thick at its thickest point. There is a thin smear-like pleural effusion at the basal level on the right.\n<mediastinum>: Multiple lymph nodes are observed in the subcarinal area in the aprticopulmonary window at the prevascular level in the upper-lower paratracheal area in the mediastinum, the largest of which is measured in the subcrainal area and measures approximately 20x14 mm. It is wider than normal. Calcific atheroma plaques-metallic densities are observed in the aortic arch, its main branches, coronary arteries and mitral valve. It is above normal. The descending aorta calibration is slightly above normal. Pulmonary trubcus calibration is 29 mm. The aortic arch calibration was 39 mm.\n<heart>: Calcific atheroma plaques-metallic densities are observed in the aortic arch, its main branches, coronary arteries and mitral valve. CTO increased in favor of the heart. The ascending aorta is calibrated 46 mm and wider than normal.\n<bone>: Hemangiomatous focus is observed in D7 vertebra. Degenerative changes are observed in the bone structure.\n<abdomen>: Calcific atheroma plaques-metallic densities are observed in the aortic arch, its main branches, coronary arteries and mitral valve. It is above normal. The descending aorta calibration is slightly above normal. The aortic arch calibration was 39 mm.\n\nImpression:\nBasal consolidation-atelectasis in the left lung, adjacent large pleural effusion extending to the apex. Consolidation areas in the basal and middle lobe of the right lung.  Density increases in the left main bronchus consistent with secretion at a dependent level, the lumen cannot be distinguished in the segments leading to the lower lobe. Intense degenerative changes in bone structure.  Lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10080/train_10080_a/train_10080_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23894",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are pleuroparenchymal density increases in the inferior lingular segment, which were evaluated in favor of sequelae, which was also observed in the previous examination. When examined in the lung parenchyma window; There are findings consistent with emphysema in both lungs. At this level, the nodular density observed in the sequelae regressed in the current examination. Sequelae changes are observed in the middle lobe. Pleuroparenchymal sequela changes are observed in the anterior segment of the left lung upper lobe.\n<pleura>: In the anterior segment of the upper lobe of the right lung, a partial focal consolidative density is observed in the lateral subpleural area with lobulated contours and heterogeneous internal structure with more solid parts in places. There was no finding compatible with pleural effusion or pneumothorax.\n<mediastinum>: CTO is within normal limits. Calibration in the aortic arch was 30 mm, slightly above normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other mediastinal vascular structures are normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure in the examination area. There are findings compatible with DISH. Vertebral corpus heights are preserved.\n<abdomen>: CTO is within normal limits. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calibration in the aortic arch was 30 mm, slightly above normal. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta and coronary arteries.\n\nImpression:\nFindings compatible with emphysema in both lungs . Heterogeneous internal structure with lobulated contour in the lateral subpleural area in the anterior segment of the right lung upper lobe, partially focal consolidative density containing more solid parts from place to place, . Left lung upper lobe pleuroparenchymal sequelae changes in the anterior segment and the nodular soft tissue appearance observed in the previous examination on this background regressed in the current examination.  No findings compatible with pneumonia were detected.  Mild degenerative changes in bone structure and findings compatible with DISH . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10090/train_10090_a/train_10090_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and mediastinum are deviated to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In both lungs, parenchymal nodules of 6.2x5.8 mm in size and stable in size were observed, the largest of which was in the left lung lower lobe laterobasal segment. Diffuse linear pleuroparenchymal sequelae atelectatic changes were observed in the lower lobe of the right lung. Pleuroparenchymal sequela atelectatic changes were observed in the left lung lower lobe anteromediobasal and upper lobe inferior lingular segment. It was understood that the patient underwent right upper-middle lobectomy due to lung Ca. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: In addition, surgical suture materials secondary to the intervention accompanied by fibrotic recessions and pleural thickening were observed in the anterior. Pleural effusion reaching 2 cm in its deepest part was observed between the pleural leaves on the right.\n<mediastinum>: No significant difference was detected. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and the walls of the coronary arteries. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Trachea and mediastinum are deviated to the right. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches.\n<heart>: As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. A smear-like effusion was observed in the pericardial space. It is also present in the patient's previous examination.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lymph nodes in pathological size and appearance were observed in bilateral supraclavicular and axillary fossae. Height losses were observed in T5 and T7 vertebra superior end plates.\n<abdomen>: No significant difference was detected. Upper abdominal organs are normal as far as can be seen in the sections. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and the walls of the coronary arteries. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches.\n\nImpression:\n· Atherosclerotic wall calcifications in thoracic aorta-supraortic branches and coronary artery walls, cardiomegaly. · Right pleural effusion in the right upper-middle lobectomized case; new to current review. · Sequelae atelectatic changes in the lower lobe of the right lung, post-op sequelae change in the anterior. · Parenchymal nodules of stable number and size in both lungs. · Loss of height in T5 and T7 vertebra superior end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10095/train_10095_a/train_10095_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23933",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Typical radiological findings for Covid-19 pneumonia. Nodules with a diameter of 5 mm in the anterior segment of the upper lobe of the right lung and 7 mm in diameter adjacent to the fissure in the middle lobe are stable. No mass-nodule was detected in both lungs. In the evaluation of both lung parenchyma; In both lung parenchyma, there are ground glass densities in the peripheral lung parenchyma, which are more prominent in the lower lobes, and crazy paving appearances formed by interlobular septal thickenings in ground glass densities. In the left lung lingular segment, fissure-based nodular density of approximately 10 mm in diameter is also observed in the previous examination and is stable.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal, subcarinal narrow lymph nodes less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. There are calcific plaques in the aortic arch and coronary artery walls.\n<heart>: There are calcific plaques in the aortic arch and coronary artery walls.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. In the sections passing through the upper part of the abdomen, the size of the liver partially entering the examination area appears to be increased. No significant pathology was detected in the abdominal sections. There is a decrease in density consistent with hepatosteatosis. There are calcific plaques in the aortic arch and coronary artery walls.\n\nImpression:\nStable nodules in the right lung upper lobe anterior segment and the middle lobe, the largest of which reaches 7 mm in diameter . Nodular density of approximately 1 cm in diameter based on the superior fissure of the left lung lower lobe . Crazy paving consolidations in both lung parenchyma compatible with Covid-19 pneumonia . Hepatomegaly, hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10107/train_10107_a/train_10107_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lungs, patchy ground glass consolidations forming a more common central-peripheral crazy paving pattern were observed in the lower lobe basal segments, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Subsegmental atelectatic changes were observed in the vicinity of consolidations in the right lung middle lobe left, lung inferior lingular and both lung lower lobe basal segments. No nodular lesions were detected in both lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Pancreas, spleen, both adrenal glands, both kidneys are normal. In the upper abdominal organs included in the sections, the liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. 2.5 cm diameter hypodense nodular lesion area (cyst?) in fluid density in the upper pole of the right kidney.\n\nImpression:\nTracheobronkopatia osteochondroplastica in the walls of the trachea and both main bronchi. Cardiomegaly, diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Hepatosteatosis . Hypodense nodular lesion (cyst?) of fluid density in the upper pole of the right kidney.  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10116/train_10116_a/train_10116_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: Active infiltration, consolidation, and space-occupying lesions were not observed in both lungs. Linear atelectasis is observed in the upper lobe inferior lingular segment in the left lung. When examined in the lung parenchyma window; Nonspecific pulmonary nodules are observed in both lungs, the largest of which is 4 mm in diameter in the anterior segment of the right lung upper lobe.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected. Nodular nonspecific thickness increases are observed in the subpleural areas of both lungs. On the left, a 34x30 mm lipoma is observed adjacent to the diaphragm and pleura.\n<mediastinum>: The diameters of the mediastinal vascular structures are normal within the limits of the non-contrast examination. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the mediastinum, in both axillae, and in the retropectoral regions, no lymphadenopathy was observed in pathological size and appearance.\n<heart>: Heart size contours are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. The precardiac fat pad has a natural appearance.\n<esophagus>: Thoracic esophageal wall thickness is normal.\n<abdomen>: Liver density decreased in favor of hepatosteatosis. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific pulmonary nodules in both lungs.  Pleural-based nodular thickness increases in both lungs; evaluated nonspecifically.  Minimal atelectatic changes.  Sequelae of calcific pulmonary nodules in the mediastinum.  Calcific plaques in the aorta and coronary arteries.  Lipoma adjacent to the diaphragm-pleura on the left.  Hepasteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10117/train_10117_a/train_10117_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea calibration is natural.\n<lung>: Pleuroparenchymal sequela changes are observed in the left lung laterobasal segment. Consolidative density with faint air bronchogram is observed in the medial segment of the middle lobe of the right lung. There are faint acinar nodular appearances in the upper-middle zone of the right lung, and there are scattered faint ground-glass-like density increases in both lungs. There is also a branch with bud view in the inferior lingular segment of the left lung. In the non-contrast examination, no prominent lymph nodes were observed at both hilar levels. At the apical level, there are sequelae changes on both sides. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Focal bud branch views are observed in the superior segment of the lower lobe of the right lung, and when evaluated together with the clinic, it was evaluated as compatible with pneumonic infiltration.\n<pleura>: In the middle-lower zones of the right lung, pleural effusion reaching a thickness of approximately 25 mm at the base at its thickest point and a thin atelectatic lung segment adjacent to it are observed.\n<mediastinum>: There are calcific atheroma plaques in the aortic arch, descending-ascending aorta, and main branches of the aortic arch. It is wider than normal. Calcific atheroma plaques are observed in the descending aorta. Multiple lymph nodes are observed in the mediastinum, the largest size being at the level of the aorticopulmonary window and measuring 14x13 mm. Pulmonary trunk calibration is 36 mm. Calibration of other mediastinal major vascular structures is normal. The aortic arch calibration is 33 mm.\n<heart>: Dense calcific atheroma plaques are observed in the left coronary artery and there are postoperative changes at the pericardium level. CTO increased in favor of the heart.\n<esophagus>: There are also millimetric lymph nodes in the paraesophageal area.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: There are calcific atheroma plaques in the aortic arch, descending-ascending aorta, and main branches of the aortic arch. The stomach antrum-pylorus level is observed as full. It is wider than normal. Calcific atheroma plaques are observed in the descending aorta. Surrounding soft tissue plans are natural. However, it cannot be evaluated clearly in non-contrast examination. The aortic arch calibration is 33 mm.\n\nImpression:\nFocal bud branch views in both lungs, acinar faint millimetric nodular appearances in the right lung and bilateral ground-glass-like density increases, mild pleural effusion in the right lung; it is recommended to evaluate the case together with clinical and laboratory findings in terms of pneumonic infiltration.  Cardiomegaly . In mediastinal main vascular structures calibration increments and atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10131/train_10131_a/train_10131_a_1.npy"
        ]
    },
    {
        "id": "report_generation_23994",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Emphysematous changes are observed in both lungs. No mass or infiltrative lesion was observed in both lungs. There are sometimes linear atelectasis in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: In the previous examination of the patient, it was understood that the focal consolidation observed in the anterior segment of the right lung upper lobe and the pleural effusion observed on the right disappeared. No pleural effusion or thickening was detected.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. Aorta diameter is normal. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: The heart is larger than normal. There is no pericardial effusion.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Aorta diameter is normal. No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nStable millimetric nodules in both lungs . Emphysematous changes in both lungs . Localized atelectasis in both lungs . Atherosclerotic changes in aorta and coronary arteries, increase in pulmonary artery diameter, cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10131/train_10131_b/train_10131_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. In addition, round-shaped consolidations are observed in the left lung lower lobe and upper lobe lingular segment. Peripheral ground glass areas and minimal consolidation are observed in the posterobasal and anterobasal segments of the left lung upper lobe apicoposterior posterior segment and right lung lower lobe. The described manifestations were evaluated in favor of viral pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given.\n<heart>: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10135/train_10135_a/train_10135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed on the walls of the coronary artery. The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. In the sections passing through the upper part of the abdomen, coarse calcification is observed in the liver parenchyma.\n\nImpression:\nSlight increase in cardiothoracic index . Calcifications in the walls of the coronary artery . No mass, nodule, infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10138/train_10138_a/train_10138_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; There are ground-glass-like density increments in both lungs with a slight convergence tendency and reticulonodular density increments on the ground. Focal consolidation areas are observed in the middle lobe and lower lobe laterobasal segment on the right. However, since other viral pneumonias are included in the differential diagnosis, evaluation together with clinical and laboratory findings is recommended. It has been evaluated as compatible with Covid pneumonia. There is a focal consolidative increase in density in the lingular segment. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: A 2 mm diameter nodule is observed in the right lung upper lobe posterior segment and subpleural area.\n<mediastinum>: CTO is within the normal range. It is wider than normal. Calibration of other major vascular structures in the mediastinal is natural. Arch aortic calibration is 34 mm. Millimetric calcific atheroma plaques are observed in the descending aorta of the aortic arch, ascending aorta and coronary arteries. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: Millimetric calcific atheroma plaques are observed in the descending aorta of the aortic arch, ascending aorta and coronary arteries.\n<esophagus>: Mild hiatal hernia is observed in the esophagus.\n<bone>: There are findings compatible with DISH in Oguda. There are degenerative changes in the bone structures in the study area.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; There is a decrease in density compatible with mild adiposity in the liver. In the anterior neighborhood of the spleen, nodular formation in millimeters compatible with the accessory spleen is observed. Left adrenal in natural appearance. CTO is within the normal range. It is wider than normal. At the level of the right adrenal genu, there is a nodular hypodense lesion of approximately 12x16 mm in size and an average density of 3 HU. Arch aortic calibration is 34 mm. Millimetric calcific atheroma plaques are observed in the descending aorta of the aortic arch, ascending aorta and coronary arteries. It was evaluated as compatible with adenoma.\n\nImpression:\nFindings suggestive of Covid pneumonia in the case and plan. However, since other viral pneumonias are included in the differential diagnosis, clinical-laboratory correlation is recommended.  Hypodense millimetric lesion evaluated primarily in favor of adenoma at the level of the right adrenal genu.  Hiatal hernia. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10139/train_10139_a/train_10139_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are minimal density increases in the anterior segment and middle lobe of the right lung upper lobe, which were also selected in previous examinations, and a slight budding tree appearance, which may be secondary to infection. Metastatic nodules were not distinguished in both lung parenchyma.\n<pleura>: There is a pleural effusion measuring 2.8 cm in the thickest part of the right hemithorax and 6. Pleural plaque-like calcifications are observed on the left (secondary to pleurodesis?).\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: There is pericardial effusion in the form of thin smears. The heart and mediastinal vascular structures have a natural appearance.\n<breast>: The left breast was not observed (operated). In the mastectomy site, no mass with a clear contour was detected in both axillae in the left breast lodge.\n<bone>: Sclerotic lesions are observed in the T3, T4, T5 and T10 vertebrae. In sections passing through the upper part of the west; Bone lesions observed in the previous examination are also present in the previous CT examination and appear stable.\n<abdomen>: Liver metastases selected in the previous examination cannot be evaluated as clearly optimal in the current examination due to the lack of contrast.\n\nImpression:\nMetastatic nodules were not distinguished in the lung parenchyma. Stable consolidation areas in the upper lobe anterior segment, lingular segment and lower lobe in the left lung . Liver metastases could not be evaluated clearly in the non-contrast examination. Stable sclerotic bone metastases"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10148/train_10148_a/train_10148_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; A calcific parenchymal nodule with a diameter of 4 mm was observed in the medial segment of the right lung middle lobe. No mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum. Calcific precarinal and right hilar lymph nodes were observed.\n<heart>: The heart is in natural appearance.\n<esophagus>: The esophagus is within normal limits.\n<bone>: Appearances of degenerative osteophytes were observed in the vertebra corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCalcific lymph nodes in the mediastinum Atherosclerosis Calcific parenchymal nodule in the right lung Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10149/train_10149_a/train_10149_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is larger than normal and has a slightly nodular appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In both lungs, the bronchial walls appear thickened, more prominently in the central part.\n<lung>: Peribronchial minimal band atelectasis and suspicious consolidation were observed in the lower lobe of the lung on the right. There are mosaic density differences in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; There are minimal band-shaped pleural effusions and adjacent atelectasis in bilateral lungs.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is ectatic (39 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes and anterior osteophytes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; gallbladder is operated. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAscending aortic ectasia, aortic and coronary artery atherosclerosis.  Clarification of bronchovascular structures and thickening of bronchial walls (chronic bronchitis?).  Mosaic density differences in the lung (airway disease? perfusion defect?).  Bilateral pleural effusion, peribronchial band atelectasis and consolidation in the right lower lobe (secondary to aspiration?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10151/train_10151_a/train_10151_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24038",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: Image resolution is low due to motion artifact. Radiological findings were primarily evaluated in favor of Covid pneumonia. An inverted halo pattern is observed in places.\n<pleura>: When examined in the lung parenchyma window; Bilateral asymmetric subpleural localized ground-glass density or patchy infiltrates in the form of consolidation area are observed in both lungs. No pleural effusion was observed.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Cardiac pacemaker catheter is monitored. Left ventricular diameter slightly increased.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In upper abdominal sections; In the liver parenchyma, there is a hypodense appearance compatible with moderate adiposity. No loculated or free fluid was observed in the section.\n\nImpression:\nPacemaker, increase in left ventricular diameter.  Atypical areas of pneumonic infiltration in both lungs; Radiological findings were primarily evaluated as compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10153/train_10153_a/train_10153_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Round-shaped ground-glass appearances were observed in the peripheral regions of both lungs. The described findings involve only a few of the lobes. During the pandemic process, these findings were evaluated in favor of Covid-19 pneumonia. There are minimal emphysematous changes and occasional linear atelectasis in both lungs. Pleuroparenchymal sequelae changes were observed in both lung apex. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the parenchyma density of the liver, a decrease in density consistent with advanced fat was observed. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs.  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10162/train_10162_a/train_10162_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the left lung upper lobe lingular segment, bronchiectasis is accompanied by volume loss. Bronchiectasis is observed in the lower lobe of both lungs and in the central part of the left lung upper lobe lingular segment. There are several millimetric nonspecific nodules in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs. Bronchiectasis has become cystic.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are atheroma plaques in the aorta. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheroma plaques in the aorta.\n\nImpression:\nBronchiectasis in both lungs.  Mosaic attenuation pattern in both lungs.  There are millimetric nodules in both lungs.  Atheroma plaques in the aorta.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10163/train_10163_a/train_10163_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24069",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is minimal central bronchiectasis and accompanying peribronchial thickening. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 6 mm in diameter in the right tracheal area. No mass or infiltrative lesion was detected in both lungs. There are several nonspecific nodules in both lungs with a diameter of 2.5 mm, the largest of which is in the superior segment of the lower lobe of the right lung.\n<pleura>: No bilateral pleural thickening or effusion was detected. There are areas of atelectasis accompanied by ground glass areas and pleural retraction in both lungs lower lobe medial segment, left lung upper lobe lingular segment inferior subsegment and lower lobe superior segment, more prominently in the right lung middle lobe medial segment.\n<mediastinum>: In the anterior mediastinum, an appearance of soft tissue density compatible with the thymic remnant is observed. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 6 mm in diameter in the right tracheal area. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. A 5.5 mm diameter lymph node is observed within the pericardial fat pad. Minimal pericardial effusion is observed.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type minimal hiatal hernia is present at the esophagogastric junction.\n<breast>: There is an appearance compatible with gynecomastia in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the contrast CT limits; There is no discernible mass in the upper abdominal organs. Sliding type minimal hiatal hernia is present at the esophagogastric junction.\n\nImpression:\nMinimal central bronchiectasis and accompanying peribronchial thickening.  Subsegmental atelectasis areas in both lungs, more prominent in the medial segment of the lower lobe of the right lung, accompanied by pleural retraction and occasional ground glass.  Several millimetric nonspecific nodules in both lungs.  Mediastinal millimetric lymph nodes.  Minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10168/train_10168_a/train_10168_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Subsegmental linear atelectasis were observed in the upper-middle and lower lobes of the right lung, and in the lingular segment of the left lung. When the lung parenchyma window is examined; There are bronchiectatic changes in both lungs. Several nodules were observed in both lungs, the largest of which was 6.5 mm in diameter in the superior segment of the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). Thoracic aorta diameter is normal. There are metallic clip materials in the operation lodge. In the upper abdominal organs, including sections; Two hypodense lesions were observed in the left kidney, the largest of which was 32 mm in diameter, which was evaluated in favor of an exophytic extension cyst.\n\nImpression:\nBronchiectatic changes in both lungs. Several subcentimetric nodules in both lungs. Subsegmental linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10169/train_10169_a/train_10169_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the right lung lower lobe superior segment-laterobasal segment, a slightly irregularly circumscribed nodule of approximately 7x6 millimeters was observed in the peripheral area. Linear atelectasis and minimal pleuroparenchymal sequelae changes are observed in both lungs. This nodule is also present in the patient's examination dated 2017. However, minimal increase in size was observed. Apart from this, there are also millimetric nodules of nonspecific value in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There are 2 stones measuring 5 millimeters in diameter in the middle part of the right kidney.\n\nImpression:\nMild irregularly circumscribed nodule with minimal increase in size in the lower lobe of the right lung (tissue diagnosis or close follow-up is recommended).  Millimetric nodules in both lungs. Atelectasis of both lungs. Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10169/train_10169_b/train_10169_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are minimal band atelectasis in the left lung lingula and right lung lower lobe. No newly developed nodule was observed and no significant difference was detected. When examined in the lung parenchyma window; There are nodules in both lungs, the largest of which reaches 6 mm in diameter in the lower lobe of the right lung. While the large nodule in the previous examination was 7x6 mm, it is 6x5 mm in this examination.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph node in mediastinal pathological dimensions was detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; gallbladder is operated. There is a cortical cyst in the left kidney.\n\nImpression:\nMillimetric nodules in both lungs that do not differ significantly.  Band atelectasis in both lungs.  Cholecystectomy.  Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10169/train_10169_c/train_10169_c_1.npy"
        ]
    },
    {
        "id": "report_generation_24081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Multilobar, multisegmental, peripheral weighted, crazy paving pattern and ground glass consolidations with signs of vascular enlargement were observed in both lungs. The outlook is consistent with Covid-19 pneumonia. In the lung parenchyma, no distinguishable mass lesion-active infiltration was detected. Consolidations are accompanied by linear atelectasis.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. As far as can be seen: the aortic valve is calcified.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCalcification in the aortic valve.  Findings consistent with Covid-19 pneumonia in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10172/train_10172_a/train_10172_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24083",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Inspection is recommended. Atelectatic changes were observed in the left lung lower lobe and upper lobe lingular segment, and the left lung volume was minimally reduced. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). In terms of specific (fungal inf.?) infection, lab. Peribronchial cuffing was observed in both lungs. In the upper lobe of the right lung, nodules with a diameter of 5.5 mm with a ground glass area were observed. The appearance is nonspecific.\n<pleura>: Effusion was observed in the bilateral pleural space, reaching a thickness of 27 mm at its widest point on the right and 56 mm at its widest point on the left.\n<mediastinum>: The diameters of the pulmonary trunk and both pulmonary arteries increased by 32 mm and 28 mm, respectively. Surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum. Multiple spherical lymph nodes that did not reach pathological dimensions were observed in the bilateral axillary region. Prevascular, right upper paratracheal, bilateral lower paratracheal, aortopulmonary, 11 mm in size in the short axis of the nodular form, multiple lymph nodes were observed. Thoracic aorta calibration is natural. Clinical and lab results in terms of pulmonary hypertension.\n<heart>: It is recommended to be evaluated together with Calcified atheroma plaques were observed in the coronary arteries. Pericardial effusion-thickening was not observed. Heart sizes were significantly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: In the right anterolateral corners of the thoracic vertebra, there are long segment spur formations that bridge with each other. Surgical suture materials secondary to bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Clinic and lab in terms of parenchymal disease. Perihepatic, perisplenic free fluid is present. It is recommended to be evaluated together with Spleen size increased. Both adrenal glands and pancreas are normal. As far as can be observed in contrast-enhanced examinations; There are irregularities in liver contours, hypertrophy in the caudate lobe and an increase in liver size. Intense edema is observed in the subcutaneous fat planes within the sections. Thoracic aorta calibration is natural. Millimetric calculi were observed in the gallbladder lumen.\n\nImpression:\nIt is recommended to be evaluated together with clinical and laboratory in terms of metallic sutures, cardiomegaly, increase in pulmonary trunk and main pulmonary artery diameters, pulmonary hypertension secondary to by-pass surgery in the sternum and anterior mediastinum. , spherical lymph node in both axillae that cannot reach pathological dimensions . Hiatal hernia . Bilateral pleural effusion, mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?) . Nodules with a ground glass area around the upper lobe of the right lung, The appearance is nonspecific. Lab. examination is recommended for specific (fungal inf.?) infection.  Atelectatic changes in the left lung and a decrease in the left lung volume secondary to this . Hepatosplenomegaly . Cholelithiasis . Free fluid in the abdomen . Intense edema in subcutaneous fatty planes within the sections . Long segment bridging spur jersey sides (DISH?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10173/train_10173_a/train_10173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Minimal bronchiectasis is observed at the central level.\n<lung>: In the left lung, calcific millimetric nonspecific nodules, some of which reach 2 mm in diameter, are seen. No parenchymal infiltration or mass was observed.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there are predominantly subpleural emphysematous appearances, more prominent in the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysema and central bronchiectasis in both lungs.  Millimetric nonspecific nodules in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10177/train_10177_a/train_10177_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No nodules were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion measuring 15 mm in diameter on the right and 16 mm on the left in both lung parenchyma and atelectatic changes in the adjacent lung parenchyma were observed.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial minimal effusion was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The incision line was observed in the midline of the abdomen. No dilatation was detected in the thoracic aorta. In the left adrenal gland, a hypodense lesion of 37x35 mm with a HU value of 4 was observed (adenoma?). In the upper abdominal sections in the study area; gall bladder was not observed (cholecystectomized).\n\nImpression:\nBilateral pleural effusion.  Atelectatic changes in both lungs.  Minimal pericardial effusion, atherosclerotic changes.  Cholecystectomized left adrenal gland adenoma?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10178/train_10178_a/train_10178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: A stable parenchymal nodule with a diameter of 5 mm was observed in the upper lobe of the right lung. Fibroatelectatic changes were observed in the middle lobe of the right lung. Areas of atelectasis, which were also observed in the previous examination, showed significant regression in the current examination.\n<pleura>: When both lung parenchyma windows are evaluated; Pleural effusion observed in the previous examination in both lung parenchyma was not detected in the current examination.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Other mediastinal major vascular structures, heart contour, size are normal. Mediastinal and hilar pathological size and appearance of the lymph node were not detected within the limits of non-enhanced examination.\n<heart>: As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the coronary artery. Other mediastinal major vascular structures, heart contour, size are normal. Pericardial minimal effusion was observed. Pericardial thickening was not detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nOperated ovarian Ca.  Minimal sequelae changes in both lungs.  Bilateral pleural effusion observed in the previous examination was not detected in the current examination.  Stable parenchymal nodule in the upper lobe of the right lung.  Minimal pericardial effusion, atherosclerotic changes.  Cholecystectomized, stable hypodense lesion in the left adrenal gland, adenoma?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10178/train_10178_b/train_10178_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Prominence of interlobular septa was observed in both lung parenchyma. When examined in the lung parenchyma window; In both lungs, ground-glass densities and peribronchial thickenings were observed along the peribronchovascular interstitium, accompanied by patchy areas of consolidation.\n<pleura>: Atelectatic changes were observed in bilateral pleural effusion and adjacent lung parenchyma. No pleural effusion was detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size increased. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly . Fusiform dilatation in the anterior aorta . Calcified atherosclerotic changes in the wall of the coronary artery and thoracic aorta . Widespread consolidation areas in both lung parenchyma, increases in ground glass density, peribronchial thickening; The appearance may be compatible in a patient with a preliminary diagnosis of ARDS.  Bilateral pleural effusion and atelectatic changes . Prominence of interlobular septa in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10193/train_10193_a/train_10193_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: The described findings are among the findings frequently observed in Covid-19 pneumonia and it is recommended to be evaluated together with clinical and laboratory findings. The bilateral hilus was not evaluated optimally.\n<pleura>: When examined in the lung parenchyma window; Multilobar, peripheral, subpleural ground-glass density areas are observed in both lung parenchyma, and viral pneumonias are considered in the etiology of the findings. Pericardial-pleural effusion was not detected.\n<mediastinum>: Calcified atheroma plaques are observed on the walls of the ascending aorta, descending aorta, aortic arch and coronary vascular structures. Multiple lymph nodes are observed in the mediastinum, the largest of which is at the level of the aorticopulmonary window, with a short diameter of 12 mm, with a fusiform configuration. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was performed without IV contrast material. As far as can be seen; Mediastinal main vascular structures, heart contour, size is natural.\n<heart>: Calcified atheroma plaques are observed on the walls of the ascending aorta, descending aorta, aortic arch and coronary vascular structures. As far as can be seen; Mediastinal main vascular structures, heart contour, size is natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. In the supraclavicular fossa, no lymph node is observed in pathological size and appearance.\n<abdomen>: Calcified atheroma plaques are observed on the walls of the ascending aorta, descending aorta, aortic arch and coronary vascular structures. In the upper abdomen sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. Liver parenchyma density has a diffuse hypodense appearance secondary to hepatosteatosis. In the gallbladder lumen, a hyperdense stone in millimeters is observed.\n\nImpression:\nMultilobar, peripheral, subpleural localized ground-glass densities in both lungs; viral pneumonias are considered in the preliminary diagnosis. Findings are frequently observed in Covid-19 pneumonia and it is recommended to be evaluated together with clinical and laboratory findings.  Calcified atheromatous plaques on the wall of mediastinal vascular structures and coronary vascular structures .  Lymph nodes with a short fusiform configuration exceeding 1 cm in diameter, the largest of which is observed at the level of the aorticopulmonary window in the mediastinum. Hepatosteatosis.  Cholelithiasis. Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10195/train_10195_a/train_10195_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24149",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Fibroatelectasis changes are observed in the left lung inferior lingular segment. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: A subpleural 10 mm diameter nodular lesion was observed in the posterior upper lobe of the right lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: In the upper abdominal sections in the study area; The liver parenchyma density was diffusely decreased in line with their fat. Liver sizes increased. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in left lung. Subpleural nodular lesion in right lung upper lobe posterior.  Hepatosteatosis. Hepatomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10199/train_10199_a/train_10199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: There is a small amount of effusion in both hemithorax, more prominent on the right, and diffuse thickening in the interlobular septa, accompanied by the described thickenings, there is minimal subpleural patchy ground-glass density in the middle lobe of the right lung.\n<mediastinum>: There are multiple lymph nodes measuring up to 10 mm in the mediastinum. There are calcific atheroma plaques in the dorsal aorta and coronary arteries.\n<heart>: There is minimal pericardial effusion. Suspected Early Covid-19 viral pneumonia accompanied by cardiac stasis? In terms of clinical laboratory correlation, follow-up is recommended. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes are observed in bone structures.\n<abdomen>: There are calcific atheroma plaques in the dorsal aorta and coronary arteries. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nEarly stage Covid-19 viral pneumonia with mild patchy ground glass density in the middle lobe of the right lung accompanied by diffuse interlobular septal thickening in both lung parenchyma secondary to cardiac stasis? Clinical laboratory correlation is recommended.  Multiple lymph nodes measuring up to 10 mm in mediastinum are present . Cardiomegaly. Few A small amount of pericardial effusion. A small amount of effusion, more prominent on the bilateral right. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10201/train_10201_a/train_10201_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease? Vascular pathology?). A few nonspecific pulmonary nodules below 3 mm are observed in both lungs. Peribronchial thickening is present in both lung lower lobes. The outlook was evaluated in favor of sequelae. Apart from this, there are occasional calcifications in the calcific parenchyma of both lungs. There are pleuroparenchymal fibrotic sequelae changes in the left lung lingular segment and right lung middle lobe medial.\n<pleura>: In the left apex posterior, thickening and calcification are observed extending to the major fissure of the pleura, and there are tufts and peribronchial thickenings in the upper lobe posterior segment bronchus in this area. Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The diameter of the aorta from the pattern increased by 32 mm. There are calcific plaque formations in the coronary arteries and aortic arch.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. The diameter of the ascending aorta is 39 mm. CTO increased in favor of the heart. There are calcific plaque formations in the coronary arteries and aortic arch. There is minimal effusion in the pericardial area.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are widespread osteodegenerative changes in bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A nodular lesion with a diameter of 9 mm is observed adjacent to the lower pole of the spleen (accessory spleen? Lymph node?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. When the upper abdominal organs included in the sections were evaluated; There are metallic suture materials in the gallbladder lodge. The diameter of the aorta from the pattern increased by 32 mm. There are calcific plaque formations in the coronary arteries and aortic arch.\n\nImpression:\nCaridiomegaly, dilatation of the aorta.  Mosaic attenuation pattern in both lungs (small airway disease? Vascular pathology?).  Peribronchial thickening in both lungs, focal thickening and sequelae extending to the major fissure accompanied by calcifications in the left lung upper lobe pleura. Nonspecific some calcific pulmonary nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10203/train_10203_a/train_10203_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Linear atelectatic changes were observed in the right lung middle lobe and left lung inferior lingular segment, and in the left lung lower lobe basal. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Patchy consolidations with crazy paving pattern and reverse halo sign were observed in both lungs, accompanied by interlobular septal thickenings that tended to be more peripheral in the lower lobes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart dimensions have increased. As far as can be seen; The anterior posterior diameter of the ascending aorta is 38 mm and wider than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Syndesmophytes bridging with each other are observed on the right anterolateral surface of the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; subcapsular sequela coarse calcification was observed in the posterior segment of the right lobe of the liver. No stones were observed in both kidneys that entered the cross-sectional area.\n\nImpression:\nEctasia of the ascending aorta, cardiomegaly. Patchy consolidations in both lungs with a crazy paving pattern and an inverted halo sign, accompanied by interlobular septal thickenings that tend to be more peripheral in the lower lobes; The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Linear atelectatic changes in right lung middle lobe, left lung inferior lingular and basal segments. Subcapsular sequelae calcification in liver right lobe posterior segment.  Syndesmophytes bridging each other at the mid-thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10208/train_10208_a/train_10208_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24173",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is open on both main bronchi.\n<lung>: When examined in the lung parenchyma window; both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). No active infiltration or mass lesion was detected in both lungs. Locally, sequela parenchymal changes were observed. A millimetric nonspecific nodule was observed in the apicoposterior segment of the upper lobe of the left lung.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: In the mediastinum, lymph nodes with a fusiform configuration with a short diameter of 11 mm at the precarinal level, which were not pathological in size and appearance, were observed. Calcified atheroma plaques were observed on the walls of the aortic arch and heart valves. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of mediastinal vascular structures is natural. No lymph node was detected in pathological size and appearance in both axillary regions.\n<heart>: There is an increase in heart size, more prominent on the left. Calcified atheroma plaques were observed on the walls of the aortic arch and heart valves. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. There is minimal pericardial effusion.\n<esophagus>: There is a minimal sliding hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. Calcified atheroma plaques were observed on the walls of the aortic arch and heart valves.\n\nImpression:\nIncreased heart size, minimal pericardial effusion.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?), parenchymal changes in places with sequelae and millimetric nonspecific nodules in the apicoposterior segment of the left lung upper lobe.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10209/train_10209_a/train_10209_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24181",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: However, linear passive atelectatic changes were observed in both lung lower lobe basal segments. When examined in the lung parenchyma window; Parenchyma could not be evaluated optimally due to motion artefacts.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. No lytic-destructive lesion in favor of metastasis was observed in the vertebrae.\n<abdomen>: Intense reticulonodular density increases are observed in the omentum, consistent with the omental cake. As far as can be seen in non-contrast sections; liver contours are irregular. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Correlation is recommended. Perihapatic perisplenic free fluid was observed. The pancreas is normal. Parenchyma disease clinic and lab. In bilateral paracardiac fat pad, portal hilus, pancreatic head circumference, esophagogastric junction at the level of small curvature between perigastric fatty planes; 16x10 mm nodular soft tissue lesions were observed on the anterior surface of the liver in the right paracardiac area (implant? lymphadenopathy?). No stones were observed in both kidneys within the sections. Edema-inflammatory density increases were observed in all subcutaneous fatty planes within the sections.\n\nImpression:\nMinimal passive atelectatic changes in the basal segments of both lung lower lobes . Hypodense mass lesion forming capsule retraction in the left lobe of the liver, peritoneal carcinomatosis, free intra-abdominal fluid, nodular solid lesions in the paracardiac fat pad, portal hilus, peripancreatic and perigastric level (implant? lymphadenopathy? )"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10213/train_10213_a/train_10213_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up of the findings in terms of early viral pneumonia (Covid-19) are recommended. No nodular lesions were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Left lung apicoposterior subpleural and fissure localized patchy ground glass density is observed. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Multiple calcific lymph nodes measuring up to 5 mm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground-glass density in the left lung apicoposterior subpleural and fissure localized. Clinical laboratory correlation and close follow-up of the findings in terms of early viral pneumonia, (Covid-19) is recommended.  Mediastinal calcific small lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10226/train_10226_a/train_10226_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There was no significant change in the size and appearance of the other nodules. The right upper lobe of the lung was not observed secondary to the operation. In the lower lobe of the right lung, semisolid nodules with a diameter of 9 mm were observed. However, a newly emerged nodule with a diameter of 13 mm was observed in the anterobasal segment of the lower lobe of the right lung in the current examination. Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe and lower lobe. In addition, millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right kidney is normal. The left kidney is atrophic. Soft tissue density, which was 3 cm in the thickest part of the operation site, was not significantly different from the previous examination. There are postoperative suture materials at this level.\n\nImpression:\nOperated lung ca, right upper lobectomized at follow-up. Stable soft tissue density based on previous examination at the operating site.  Newly revealed semi-solid nodule in the anterobasal segment of the lower lobe of the right lung in the current examination. There was no significant change in the size and appearance of the other nodules.  Millimetric nonspecific nodules in both lungs.  Fibroatelectatic changes in the right lung.  Atherosclerotic changes.  Left renal atrophy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10227/train_10227_a/train_10227_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: No newly emerging nodule-infiltration was detected in the current examination. Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe and lower lobe. According to the previous examination, stable semi-solid nodules were observed in the lower lobe of the right lung, the largest of which was 9 mm in diameter. When examined in the lung parenchyma window; The right upper lobe of the lung was not observed secondary to the operation. Postop suture materials were observed at this level.\n<pleura>: Bilateral pleural thickening effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: The right kidney is normal. Soft tissue density, which was 3 cm in the thickest part of the operation site, was not significantly different from the previous examination. There is a stable increase in thickness in the right adrenal gland and it was evaluated in favor of hyperplasia rather than adenoma. When the upper abdominal organs included in the sections were evaluated; The left kidney is atrophic.\n\nImpression:\nStable, semi-solid nodules in the right lung based on previous examination.  Fibroatelectatic changes, atherosclerotic changes in the right lung.  Left renal atrophy.  No new findings were detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10227/train_10227_b/train_10227_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Focal ground-glass densities are observed in the upper lobes of both lungs, the largest of which is in the anterior segment of the right lung upper lobe, and in the basal segments of the lower lobe of the right lung. No mass nodule infiltration was detected in both lungs. Right upper-bilateral lower paratracheal, aorticopulmonary lymph node in millimetric size is observed. There are atelectasis in the posterobasal segment of the lower lobe of the left lung adjacent to the diaphragm. There are calcific nodules in millimeter size.\n<pleura>: No pleural effusion was detected in both lung parenchyma. In addition, atelectasis pleuroparenchymal densities in the middle lobe of the right lung and posterobasal segment subpleural lines in the lower lobe of the right lung are observed. In the evaluation of both lung parenchyma; Plaque-like pleural calcifications are observed in the lower parts of the right hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed on the wall of the coronary artery. The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: No lithc-destructive lesion was observed in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPlaque-like pleural thickening and calcifications in the right hemithorax . Ground-glass densities evaluated in favor of Covid-19 pneumonia in both lung parenchyma and subpleural lines in the right lung lower lobe posterobasal segment . Elevation in the left hemidiaphragm, Elevation in the left lung lower lobe posterobasal segment, adjacent to the diaphragm, .atelectasis Calcifications in the artery wall . Mild cardiomegaly . Examination partially hypodense cyst in the medial segment of the left lobe of the liver that entered the postcontrast"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10249/train_10249_a/train_10249_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Concentric wall thickness increase was observed in this examination in the distal part of the thoracic esophagus. However, this appearance may be false due to insufficient distension.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: It is recommended to evaluate the patient together with the clinical findings and if there is an indication, endoscopy is recommended. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No enlarged lymph nodes in pathological dimensions were detected. There are stones with a diameter of 4 mm in the middle part of the right kidney and 5 mm in the middle part of the left kidney. No upper abdominal free fluid-collection was detected in the sections. Liver parenchyma density decreased in line with fatty deposits.\n\nImpression:\nMillimetric nodules in the right lung . Increased wall thickness in the distal esophagus . Bilateral nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10258/train_10258_a/train_10258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal, no nodular or infiltrative lesion is detected in the lung parenchyma, sequelae changes and a few nonspecific nodules in millimetric dimensions are observed. Follow-up is recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Also, a right supraclavicular short lymph node with a diameter of 12 mm is observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. In the meditasten, there are lymphadenopathies, the largest of which is in the pre-paratracheal area, with a short diameter of up to 15 mm.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are lymphadenopathies with a short diameter of up to 15 mm in the meditasten, the largest of which is in the pre-paratracheal area. Also, a right supraclavicular short lymph node with a diameter of 12 mm is observed. Follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10262/train_10262_a/train_10262_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24306",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Emphysematous appearance and sequela fibrotic changes are observed in both lungs. There are bronchiectasis in both lungs, mainly central. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are calcific atheroma plaques in the aortic arch. Other mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes in the mediastinum, the short axis of the larger ones reaching 11 mm. Thoracic aorta diameter is normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are present in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Anterior osteophytes were observed in the thoracic vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Other organs are natural. There are calcific atheroma plaques in the aortic arch. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, a 21 mm hypodense lesion with a cortical location was observed in the middle part of the right kidney (cyst?).\n\nImpression:\nAortic and coronary artery atherosclerosis  Mediastinal lymph nodes  Emphysema, sequelae fibrotic changes, bronchiectasis in both lungs  Millimetric nonspecific nodules in both lungs  Right renal cortical hypodense lesion (cyst?)  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10265/train_10265_a/train_10265_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24315",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; In the lower lobe basal segments of both lungs, areas of increased density are observed in ground glass density with indistinct borders. There are minimal emphysematous changes in both lungs. Apart from this, there are sequela parenchymal changes in the medial segment of the right lung middle lobe, and in the left lung upper lobe inferior lingular segment. Although the described findings may be related to increases in intensity, viral pneumonias cannot be excluded.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Particularly, a significant increase in left heart dimensions was noted. As far as can be seen; heart size increased significantly.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n<abdomen>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nIncrease in heart size.  Calcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Areas of increased density in the peripheral subpleural areas in the superior and posterobasal segments of both lower lobes of the lung, with indistinctly circumscribed ground glass density; Although the findings may be related to increases in intensity, viral pneumonias cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.  Locally sequela parenchymal changes and minimal emphysematous changes in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10270/train_10270_a/train_10270_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24319",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Viral pneumonias are suggested in the etiology of the findings.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, multilobar, mostly peripheral subpleural localized, vaguely defined, ground glass and density increase areas consistent with consolidation were observed. Pericardial, pleural effusion was not detected. Pleural effusion-thickening was not detected.\n<mediastinum>: In both axillary regions, supraclavicular fossa and mediastinum, no lymph nodes were observed in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10271/train_10271_b/train_10271_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation patterns of both lungs were observed (small airway disease? small vessel disease?).\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Other upper abdominal organs are normal. No dilatation was detected in the thoracic aorta. Liver parenchyma density was slightly decreased in the upper abdominal sections in the study area, in line with the adiposity.\n\nImpression:\nCardiomegaly.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10275/train_10275_b/train_10275_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Left-facing scoliosis is observed in the dorsal vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10289/train_10289_a/train_10289_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It could be a sequel. There are fibrotic extensions around it. In addition, there are millimetric nodules in both lungs, the larger of which reaches 4 mm in diameter.\n<pleura>: When examined in the lung parenchyma window; There are subpleural linear atelectasis fibrotic changes in both lungs, more prominent in the left lower lobe. In the right lung, a 6 mm, slightly lobulated contoured nodule was observed in the upper lobe anterior subpleural.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 39 mm and slightly ectatic.\n<esophagus>: Minimal hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There is a stone density of 2 mm in the upper pole of the left kidney. A 14 mm stone was observed in the gallbladder.\n\nImpression:\nMild ectasia in the ascending aorta.  Linear atelectasis, fibrotic changes, nonspecific nodules in both lungs.  Subpleural 6 mm minimally lobulated nodule in the anterior upper lobe of the right lung.  Cholelithiasis.  Left nephrolithiasis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10297/train_10297_a/train_10297_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10299/train_10299_a/train_10299_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Patchy consolidation and ground-glass density areas are observed in both lungs, mostly peripherally, and viral pneumonias are considered in the etiology of the findings.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the transverse diameter of the ascending aorta increased by 42 mm, the transverse diameter of the descending aorta by 34 mm, and the transverse diameter of the pulmonary crus by 37 mm.\n<heart>: Heart contour and size are natural. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the transverse diameter of the ascending aorta increased by 42 mm, the transverse diameter of the descending aorta by 34 mm, and the transverse diameter of the pulmonary crus by 37 mm.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. In the upper abdominal sections within the image, within the limits of non-contrast CT; A diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density. No solid mass was detected. A hyperdense stone with a diameter of 7 mm is observed in the lower pole of the left kidney. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the transverse diameter of the ascending aorta increased by 42 mm, the transverse diameter of the descending aorta by 34 mm, and the transverse diameter of the pulmonary crus by 37 mm. Minimal ectasia is observed in the left kidney pelvicalyceal system.\n\nImpression:\nIncreased caliber of the ascending aorta, descending aorta, and pulmonary crus . Findings consistent with viral pneumonia in both lungs.  Hepatosteatosis. Left nephrolithiasis and ectasia in the left renal pelvicalyceal system."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10305/train_10305_a/train_10305_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. There are band-like sequela fibrotic density increases in the left lung inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Anterior pericardial minimal effusion was observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: As far as can be observed: soft tissue density compatible with gynecomastia was observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric-sized nonspecific parenchymal nodules in both lungs, minimal calcified atherosclerotic changes in the wall of the thoracic aorta. Hepatosteatosis.  Hiatal hernia. Sequelae changes in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10308/train_10308_a/train_10308_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24411",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings described in the upper and lower lobes of the right lung involve more than 50% of the lobe. Diffuse ground-glass appearances and interlobular septal thickenings accompanying ground-glass appearances were observed in both lungs. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10314/train_10314_a/train_10314_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24420",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described views were evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. In both lungs, ground glass appearances and consolidations accompanying the ground glass appearance, and linear density increases in places, were observed in the posterior parts of the lower lobes and peripheral areas, more prominently. The views described are not specific. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10319/train_10319_a/train_10319_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Diffuse patchy ground glass densities in both lungs, expansion in vascular structures, mild air bronchogram changes in ground glass densities described findings were evaluated in favor of Covid-19 viral pneumonia. The images of the previous examination cannot be observed and the differential diagnosis of progression and regression cannot be made.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nA differential diagnosis of progression-regression cannot be made.  Atherosclerotic changes in the aorta and coronary arteries.  Hepatosteatosis.  Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10322/train_10322_a/train_10322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes in both lungs and linear atelectesis in both lungs are observed. No mass or infiltrative lesion was detected in both lungs. There is minimal bronchiectasis in both lungs, especially in the central part.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Some have calcifications lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. Intercerebral disc spaces are narrowed. There are osteophytes in the corners of the thoracic vertebral corpus. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. It is recommended that the patient be evaluated together with previous examinations, if any, and contrast-enhanced examination if indicated. There is a lesion measuring approximately 10 mm in diameter, with exophytic extension in the cortex posterior to the upper pole of the left kidney, but solid-cystic differentiation cannot be made because contrast agent is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs  Atelectasis in both lungs  Atherosclerotic changes in the aorta and coronary arteries  Lesion that cannot be distinguished from solid-cystic in the left kidney  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10324/train_10324_a/train_10324_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24445",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, mild parenchymal fibrosis findings are observed. The described findings suggest in favor of early stage interstitial lung disease. Subsegmental atelectasis areas are observed in both lungs. No mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural effusion was not detected. When examined in the lung parenchyma window; Peripheral subpleural localized interlobular septal thickenings and parenchymal ground glass opacity increases are observed in both lung parenchyma.\n<mediastinum>: The diameter of the pulmonary artery was 33 mm and showed fusiform dilatation. The diameter of the ascending aorta is 49 mm and shows aneurysmatic dilatation. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. No lymph node was detected in mediastinal pathological size and appearance. No lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Postop suture materials are observed in the pericardium.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: A thick-walled collection measuring 12 mm in thickness was observed in the left operated breast lodge in the patient who had a history of operation due to breast ca.\n<bone>: Metallic suture materials belonging to sternotomy are observed in the sternum. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration is normal. Intra-abdominal free-loculated fluid was not detected at the levels entering the section area. Interposition between the liver of the colon loops and the diaphragm was observed in the abdominal sections included in the examination area (chilaiditi syndrome). A 9 mm diameter calculus was observed in the gallbladder lumen. There are calcifications in the bilateral renal artery. The diameter of the ascending aorta is 49 mm and shows aneurysmatic dilatation. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. Calcules with a diameter of 2.5 mm in the upper pole of the left kidney and 1 cm in diameter in the lower pole are observed.\n\nImpression:\nThick-walled collection in left breast and left axilla with changes from previous surgery. Fusiform aneurysmatic dilatation in the ascending aorta, calcified atherosclerotic changes in the wall of the thoracoabdominal aorta-coronary artery.  Changes secondary to previous bypass operation.  Findings consistent with interstitial lung disease in both lung parenchyma.  Cholelithiasis, left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10326/train_10326_a/train_10326_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the underlying parenchyma, emphysema, septal thickening, parenchymal fibrosis and mild traction bronchiectasis are observed along with findings consistent with early interstitial lung disease. It creates consolidation areas from place to place and shows a tendency to merge. Right hemidiaphragm elevation is observed. In his current examination, there are atypical pneumonic infiltration areas in the form of more prominent ground glass density and septal thickening in the basals of both lungs on this background. Radiological findings were evaluated as compatible with covid pneumonia.\n<mediastinum>: It causes deviation of the mediastinum to the left. There is fusiform aneurysmatic dilatation in the ascending aorta and its diameter is 47 mm. Findings secondary to a previous bypass operation are observed.\n<heart>: It caused pushing in the right atrium. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections; There is an image of calculus in the gallbladder lumen. There is fusiform aneurysmatic dilatation in the ascending aorta and its diameter is 47 mm. Findings secondary to a previous bypass operation are observed.\n\nImpression:\nNewly developed pneumonic infiltration areas in the background of interstitial lung disease are compatible with covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10326/train_10326_c/train_10326_c_1.npy"
        ]
    },
    {
        "id": "report_generation_24451",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In terms of early onset of interstitial fibrosis in the lung parenchyma where the described infectious processes are followed, its clinical correlation and follow-up are recommended. Interstitial signs are prominent at lower lobe basal levels. When examined in the lung parenchyma window; There are mild honeycomb-like findings in the basal segments of both lung lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. It causes pushing in the right atrium and deviates to the left in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Fusiform aneurysmatic dilatation is observed in the ascending aorta, measuring 47 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere is regression and resolution in the areas of pneumonic infiltration in the onset and background of interstitial lung disease. Follow-up is recommended.  Elevation in the right hemidiaphragm  Fusiform aneurysmatic dilatation is observed in the ascending aorta, measuring 47 mm."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10326/train_10326_d/train_10326_d_1.npy"
        ]
    },
    {
        "id": "report_generation_24453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The bronchial walls are thickened.\n<lung>: When examined in the lung parenchyma window; bronchovascular structures are evident. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: Interlobular septal thickenings and reticular densities, predominantly peripheral subpleural, are observed in both lung parenchyma.\n<mediastinum>: The main pulmonary artery is 32 mm and is ectatic. Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The heart is larger than normal. Pericardial effusion-thickening was not observed. In the ascending aorta, it is 51 mm at its widest point and wider than normal. Calcific plaques are present in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic vertebrae have a degenerative appearance. Sternum and surgical changes are observed.\n<abdomen>: An 8 mm stone embedded in the calyx was observed in the middle part of the left kidney. On the right, the diaphragm herniates anteriorly, and the abdominal structures herniate towards the hemithorax. A stone of 12 mm in size was observed in the gallbladder. At this level, the hepatic flexure of the colon is located anterior to the liver and there is pressure on the liver.\n\nImpression:\nSurgical changes in the anterior mediastinum and sternum.  Aneurysmatic dilatation in the ascending aorta.  Ectasia in the pulmonary artery, atherosclerosis in the coronary arteries.  Findings in favor of interstitial lung disease in both lungs.  Millimetric nonspecific nodules in both lungs.  Wide hernia on the right diaphragm anterior.  Chiliaditi syndrome.  Cholelithiasis.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10326/train_10326_e/train_10326_e_1.npy"
        ]
    },
    {
        "id": "report_generation_24457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The aeration of the paransal sinuses entering the cross-sectional area is natural.\n<lung>: The bulbus, pons, mesencephalon, both cerebellar hemispheres and vermis are normal. Basal cisterns are normal.\n<heart>: Three and both lateral ventricles are in the midline and of normal width. The fourth ventricle is in the midline and of normal width. No pathological density change or mass occupying space was detected in the cerebral parenchyma.\n<breast>: There is swelling under the skin adjacent to the parietal bone on the right, which may be compatible with a minimal hematoma. Aeration of mastoid cells is natural.\n<bone>: No lytic destructive lesion was detected in the cranial bone structures.\n<abdomen>: The bulbus, pons, mesencephalon, both cerebellar hemispheres and vermis are normal.\n\nImpression:\nSwelling under the skin adjacent to the parietal bone on the right, which may be compatible with minimal hematoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10328/train_10328_a/train_10328_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Sequelae changes are observed in the lingular segment on the left. A nodule with a diameter of approximately 3 mm is observed in the anterior and posterior segments of the upper lobe of the right lung. A 2 mm diameter calcific nodule is observed in the superior segment of the lower lobe. There are sequelae changes in the middle lobe.\n<pleura>: There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia.\n<mediastinum>: CTO is normal. It is slightly above normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of other mediastinal major vascular structures is natural. There are mediastinal millimetric lymph nodes, the largest of which is in the aorticopulmonary window and 8 mm short axis. The aortic arch calibration is 30 mm.\n<heart>: Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: CTO is normal. It is slightly above normal. In the upper abdomen sections within the examination area, there is a 7 mm diameter hyperdense nodular appearance in the left kidney superior pole (hemorrhagic cyst?). Surrounding soft tissue plans are natural. The aortic arch calibration is 30 mm. There is also a hypodense lesion with a diameter of approximately 10 mm in the posterior of the superior pole (cortical cyst?).\n\nImpression:\nNo findings consistent with pneumonia were observed.  Two possible cysts in the left kidney, one of which may be hemorrhagic, . Mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10331/train_10331_a/train_10331_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No infiltration was detected in both lung parenchyma. A mosaic atteniation pattern is observed in both lung parenchyma (small airway disease?, small vessel disease?). Mild millimetric non-specific parenchymal nodules are observed in different localizations in both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial minimal effusion was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: 'S' shaped scoliosis was observed in the thoracic vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; A non-specific hypodense lesion of 1 cm in diameter was observed at the liver segment 8 level.\n\nImpression:\nMillimetric sized non-specific parenchymal nodules in both lungs.  Mild mosaic atteniation pattern in both lungs (small airway disease?, small vessel disease?).  Non-specific hypodense lesion in the liver.  Minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10334/train_10334_a/train_10334_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: Atherosclerotic calcification is observed in the walls of the coronary artery. The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass nodule infiltration was detected in both lung parenchyma.  Calcific plaques in the walls of the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10342/train_10342_a/train_10342_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up are recommended. The findings were evaluated for early onset of viral pneumonia. When examined in the lung parenchyma window; In the lower lobe and upper lobe of the right lung, and in the upper lobe of the left lung, more than one patchy ground glass densities with CT halo signs are observed.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are diffuse degenerative changes and decrease in density in the bone structures in the examination area. Vertebral corpus heights are normal.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Upper abdominal organs are partially included in the study, and diverticula are observed in the splenic flexure. Thoracic aorta diameter is normal. There was no finding in favor of diverticulitis.\n\nImpression:\nSmall patchy ground glass densities with CT halo marks around more than one in the lower lobe and upper lobe of the right lung, and the upper lobe of the left lung are observed. The findings were evaluated for the onset of early viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10344/train_10344_a/train_10344_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae change was observed in the right lung middle lobe medial segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is at the upper limit of normal. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, the liver parenchyma density decreased in line with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is at the upper limit of normal.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta  Hiatal hernia  Pleuroparenchymal fibroatelectasis sequelae change in the medial segment of the right lung middle lobe  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10345/train_10345_b/train_10345_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; More than one millimetric subpleural nonspecific nodules are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A change in favor of steatosis is observed in the liver parenchyma.\n\nImpression:\nHerpatic steatosis. Millimetric nonspecific subpleural nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10346/train_10346_a/train_10346_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24497",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Verification by USG is recommended.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; A few parenchymal air cysts were observed in the right lung middle and lower lobe basal segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Accessory spleen with a diameter of 12 mm was observed in the medial neighborhood of the lower pole of the spleen. No stones were observed in both kidneys within the sections. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in the non-contrast examination.\n\nImpression:\nHypodense nodule in the left thyroid lobe; verification with USG is recommended.  Several parenchymal air cysts in the basal segment of the right lung middle and lower lobe . Accessory spleen in the lower pole medial of the spleen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10347/train_10347_a/train_10347_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Motion artifacts are also present in the examination. In the evaluation of both lung parenchyma; Consolidation is observed in all segments in the right lung, in the upper lobe apicoposterior segment in the left lung, and minimally in the lower lobe in ground glass density.\n<pleura>: Placing pleural effusion is observed in both hemithorax.\n<mediastinum>: Atherosclerotic calcific plaques are observed in the aortic arch, descending aorta, coronary artery walls and abdominal aorta and its branches. Mediastinal lymph nodes with a narrow diameter of less than 1 cm are observed, the right upper-lower paratracheal one being larger.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Right renal atrophy is observed in the sections passing through the upper part of the abdomen. Atherosclerotic calcific plaques are observed in the aortic arch, descending aorta, coronary artery walls and abdominal aorta and its branches. It is recommended to evaluate with CT examination.\n\nImpression:\nGround glass consolidations in both lungs prominent on the right, distinguishable from motion artifacts. Typical findings for Covid-19 pneumonia. Cardiomegaly.  Bilateral smear-like pleural effusion. Hypodense lesions (cyst?) in the liver, which were also observed in the previous examination. Evaluation with US and, if necessary, MRI with contrast is recommended. Right renal atrophy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10354/train_10354_a/train_10354_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A mild mosaic attenuation pattern is observed at the lower lobe basal levels in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild mosaic attenuation pattern (small airway disease?, small vessel disease?) at lower lobe basal levels in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10359/train_10359_a/train_10359_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24530",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. Focal consolidation area is observed in the lower pole posterobasal segment of the left lung. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lung parenchyma (small airway disease? small vessel disease?). Imaging features can be seen in covid pneumonia. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. However, it is not specific.\n<pleura>: Ground-glass density increases are observed in the peripheral subpleural area in the posterior left lung upper lobe and in the perivascular area in the lower superior segment.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal calcified atherosclerotic changes are observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; Densities of the stent material are observed on the wall of the coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Minimal calcified atherosclerotic changes are observed in the wall of the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nImaging features described in the report can be seen in Covid-19 pneumonia. However, it is not specific and can also be seen in other infectious - non-infectious diseases. It is recommended to be evaluated together with clinical and laboratory data.  Mosaic attenuation pattern in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10362/train_10362_a/train_10362_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Except as described, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Millimetric non-specific nodule and few emphysematous changes at the superior level of the left lung lower lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. As far as can be observed: There are corrugated lymph nodes measuring 20 mm in the aorticopulmonary window in the mediastinum, clinical correlation and follow-up are recommended. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric non-specific nodule and a small amount of emphysematous change at the superior level of the left lung lower lobe. There are corrugated lymph nodes with contours measuring 20 mm in the aorticopulmonary window in the mediastinum, clinical correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10369/train_10369_a/train_10369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24546",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland is atrophic. There is a 12 mm diameter nodular lesion in the left thyroid lobe. It is recommended to evaluate with USG.\n<trachea_and_bronchie>: It is not accompanied by an increase in bronchial wall thickness.\n<lung>: If the clinic does not improve after symptomatic treatment, repeat imaging would be appropriate since early infections may lead to similar radiological patterns. Etiologies such as reactive airway, hypersensitive pneumonia, and airway involvement of the patient are recommended to be evaluated in the differential diagnosis. Pleuroparenchymal linear linear density increases and parenchymal calcification foci in the posterior segment of the right lung upper lobe favor the sequelae of previous tuberculosis infection. Respiratory bronchiolitis or allergic alveolitis are included in the differential diagnosis of this pattern. In the upper lobe of the right lung, there is a nonspecific nodular lesion with a diameter of 5.5 mm, adjacent to the segmental bronchi. Mosaic attenuation pattern is observed in the lower lobes of the lung parenchyma. Centriacinar ground glass nodules are observed in the upper lobes of both lungs. There is a linear subsegmental atelectasis area in the left lung lower lobe anterobasal segment. There was no difference in vascular branching in parenchyma areas with attenuation difference. The spectrum of differential diagnosis is quite wide.\n<pleura>: Subpleural air cyst is observed in the lower lobe of the right lung.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings in favor of previous TB sequelae in the upper lobe of the right lung Acinar ground-glass nodules in the upper lobe of both lungs and mosaic attenuation pattern in the lower lobes of both lungs. Pathologies affecting the small airways such as allergic alveolitis, hypersensitive pneumonia, reactive airway should be considered in the differential diagnosis, symptomatic treatment If the clinic does not improve afterwards, it would be appropriate to repeat the imaging, since early infections may lead to similar radiological patterns."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10370/train_10370_a/train_10370_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24550",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal, there is no lesion or infiltrative lesion in both lungs.\n<pleura>: There is bilateral minimal pleural effusion. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nBilateral minimal pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10372/train_10372_a/train_10372_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10374/train_10374_a/train_10374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Fissures are evident in both lungs. No nodular lesion was detected in both lungs. In the posterobasal segment of the lower lobe of the left lung, it extends from the heart to the periphery and there is a linear density including micro airbronchograms (atelectasis?pneumonic infiltration?). When examined in the lung parenchyma window; Fibrotic densities consistent with sequelae change were noted in the upper lobe apical segments in both lungs.\n<pleura>: Effusion reaching 1.5 cm on the left and 0.5 cm on the right in both pleural spaces and atelectasis in the accompanying parenchyma are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral pleural effusion . Linear density (atelectasis?pneumonic infiltration?), extending from the heart to the periphery in the posterobasal segment of the lower lobe of the left lung and containing airbronchograms."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10387/train_10387_a/train_10387_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24583",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Subsegmental atelectasis areas were observed in the lower lobes of both lungs and in the ligular segment of the left lung.\n<pleura>: Free pleural effusion measuring 23 mm in thickness on the left and 13 mm on the right was observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. There are densities of air images in mediastinal structures. Calcific atherosclerotic changes in the thoracic middle and pulmonary artery walls and stent materials in the coronary artery were observed.\n<heart>: Pericardial effusion was observed. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. Suture materials of the sternatomy were observed on the anterior thorax wall. No lytic-destructive lesion was detected.\n<abdomen>: In the upper abdominal sections in the study area; Linear calcifications were observed in the splenic capsule. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nAtelectatic changes in both lungs, bilateral pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10387/train_10387_b/train_10387_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24587",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Lumens are clear. Calibration of the trachea and both main bronchi are normal.\n<lung>: In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical.\n<pleura>: Pneumonia, pleural effusion or pneumothorax were not detected in both lungs.\n<mediastinum>: There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: In the right breast, there is a 10x6 mm nodular lesion with oval configuration in the deep plane under the areola (fibroadenoma?).\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10389/train_10389_a/train_10389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24656",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Patchy icy densities, atelectatic changes, mild bronchiectasis are observed in both lungs, especially in the basal segments of the upper lobe inferiors and lower lobe basal parts.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Atherosclerotic changes are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Atherosclerotic changes are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are stent materials in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The neural foramina are open. Other thoracic vertebral heights are normal. There is a diffuse density decrease in the bone structures in the examination area, and a loss of compression height is observed in the T7 vertebral body. The height loss is around 50%.\n<abdomen>: Atherosclerotic changes are observed in the aorta and coronary arteries. Upper abdominal organs are included in the study partially, and millimetric hyperdense findings in the gallbladder were evaluated in the direction of suspicious calculi. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. There is a small adenoma measuring 14 mm in size in the left adrenal gland.\n\nImpression:\nBilateral atelectasis and patchy ground-glass densities accompanied by emphysematous changes in both lungs.  Osteolopenic appearance in bone structures, Compression fracture and degenerative changes in the T7 vertebral body . Athersclerotic changes in the aorta and coronary arteries . Suspected cholelithiasis . Adenoma in the left adrenal gland measuring 14 mm in size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10421/train_10421_a/train_10421_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph node in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions was observed. In the non-contrast examination, the mediastinal could not be evaluated optimally.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nAppearance compatible with tracheobronchopathic osteochondroplastica in the walls of the trachea and both main bronchi.  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10428/train_10428_a/train_10428_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24681",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No active infiltration or mass lesion was detected in both lungs. Structural distortion and volume loss in the posterior segment of the left lung upper lobe are accompanied by increases in density consistent with linear atelectasis. In addition, there are areas of increased density consistent with linear atelectasis in the left lung upper lobe inferior lingular segment and lower lobe posterobasal segment, right lung lower lobe, middle lobe and upper lobe posterior segment.\n<pleura>: Minimal effusion was observed in the bilateral pleural space and measured 15 mm on the right at its deepest point.\n<mediastinum>: There are calcified atheromatous plaques in the wall of the aortic arch. Calibration of mediastinal vascular structures is natural. No lymph node was detected in pathological size and appearance in the mediastinum. Mediastinal vascular structures and heart examination IV.\n<heart>: An increase in heart size is observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<breast>: In addition, multiple lymph nodes, some of which have a round configuration, were observed in the left axillary region, the largest of which was 14 mm in diameter. In the lower outer quadrant of the left breast, an area of increased asymmetric density in asymmetric soft tissue density of 23x18 mm was noted.\n<bone>: There are osteophytic degenerative changes in the vertebral corpus corners, which tend to merge in the right anterolateral. No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: No solid mass was detected as far as can be observed within the limits of unenhanced CT. The contour sharpness is decreased, it has an irregular irregular appearance. Evaluation for liver parenchymal disease is recommended. Evaluation with USG examination is recommended. An increase in the dimensions of the caudate lobe and left lobe is observed. There is minimal free fluid in the perihepatic and perisplenic areas. There are calcified atheromatous plaques in the wall of the aortic arch. There is a diffuse density decrease secondary to hepatosteatosis in liver parenchyma density as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image.\n\nImpression:\nIncreased heart size, bilateral minimal pleural effusion.  There are no signs in favor of active infiltration in both lungs, and there are areas of increased density consistent with linear atelectasis.  Appearance compatible with gynecomastia in both breasts and asymmetrical soft tissue density in the lower outer quadrant of the left breast, and multiple lymph nodes, some in round configuration and some with a short diameter over 1 cm, in the left axillary region. Evaluation with USG examination is recommended.  Increased liver size, decreased diffuse density secondary to hepatosteatosis in parenchymal density, irregular contour, increase in caudate lobe and left lobe dimensions; Evaluation for liver parenchymal disease is recommended.  Intrabdominal minimal free fluid.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10432/train_10432_a/train_10432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a mosaic attenuation pattern in both lungs. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Linear segmental atelectasis areas are observed in the central and peripheral areas of both lungs.\n<mediastinum>: Occasionally, calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, there is an appearance in the liver that may be compatible with chronic liver parenchymal disease. Occasionally, calcific atheroma plaques are observed in the aorta and coronary arteries. Free fluid is observed in the abdomen.\n\nImpression:\nNo difference was observed in lung findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10432/train_10432_b/train_10432_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24685",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, interlobular - interstitial septal thickness increases in all segments, more prominently in the upper lobes of both lungs, and accompanying increases in density in the centracinary ground glass density are observed. The described findings may be related to pneumonic infiltration as well as cardiac pathologies, interstitial lung diseases.\n<abdomen>: Intra-abdominal minimal free fluid observed in the previous CT examination was not detected in the current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10432/train_10432_c/train_10432_c_1.npy"
        ]
    },
    {
        "id": "report_generation_24703",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: However, indistinguishable lymph nodes-lymphadenopathies are observed in the mediastinal area and at the level of both lung hilum. In addition, linear subsegmental atelectasis areas are observed in both lungs. The largest measurable lymphadenopathy was observed at the level of the right lung hilum, and its short axis was approximately 12 mm. No consolidation area was detected in both lungs that could be compatible with a pulmonary nodule or mass lesion. There are centracinar nodules of ground-glass density with faint borders, especially in the apical part of the left upper lobe of the lung.\n<pleura>: Pleural effusion reaching 1 cm in thickness and compression atelectasis are observed in the left lung.\n<mediastinum>: However, indistinguishable lymph nodes-lymphadenopathies are observed in the mediastinal area and at the level of both lung hilum. Apart from this, no lymphadenopathies in pathological size and appearance were detected in both axillary regions. The evaluation of solid organs and vascular structures was suboptimal because the examination was unenhanced, and mediastinal lymph nodes could not be clearly distinguished. Mediastinal main vascular structures are normal.\n<heart>: The heart dimensions appear to be increased secondary to pericardial effusion. An appearance of a port catheter extending to the right atrium-right ventricle is observed on the anterior chest wall. Pericardial effusion is observed in the pericardial area, reaching approximately 15 mm in its thickest part.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Liver sizes included in the review were increased. The skin and subcutaneous structures included in the examination are natural. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nALL patient in follow-up  Suspicious lymphadenopathy appearances that cannot be clearly differentiated from the surrounding structures due to unenhanced examination in the mediastinal area and pericardial effusion  In the apical part of the left lung upper lobe, faint nodules of ground-glass density with a centracinar location that can hardly be distinguished, clinical and lab findings secondary to the infective process. control is recommended.  Hepatosteatosis, hepatomegaly  Pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10440/train_10440_a/train_10440_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the left lung, there is a branch with bud view in the upper lobe apicoposterior segment. When examined in the lung parenchyma window; Mild sequelae changes are observed in the middle lobe on the right.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBranch with buds in the upper lobe apicoposterior segment of the left lung, the appearance is atypical for Covid pneumonia. Evaluation with clinical and laboratory findings is recommended for bacterial and viral pneumonias, including Covid, in general."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10442/train_10442_a/train_10442_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Millimetric subpleural bullae are observed in the lower lobe of the left lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. A few millimetric lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10444/train_10444_a/train_10444_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24724",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Millimetric sized calcific plaques are present in the aortic and bronchial walls. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; A few nonspecific nodules with 2-3 mm diameter are observed in the anterior segment of the right lung upper lobe, the left lung lingular segment, and the left lung upper lobe apicoposterior segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric sized calcific plaques are present in the aortic and bronchial walls. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch.\n<heart>: Pericardial effusion is present in a minimal thin plaster style.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. Millimetric sized calcific plaques are present in the aortic and bronchial walls. Both kidneys partially entered the examination area. In the sections passing through the upper part of the abdomen, suspicious microcalculus magma is observed in the gallbladder. A hypodense appearance, which may belong to parapelvic cysts, is observed.\n\nImpression:\nA few nodules 2-3 mm in diameter in the right lung upper lobe anterior segment, left lung lingular segment, left lung upper lobe apicoposterior segment, nonspecific appearance"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10447/train_10447_a/train_10447_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibrations of the trachea and main bronchi are normal. There is a tracheal diverticulum on the right posterolateral at the level of the thoracic inlet.\n<lung>: There is a ground-glass nodule of approximately 4 mm in diameter at the junction of the upper lobe anterior-posterior segment in the right lung. There is a 2 mm diameter calcific nodule in the laterobasal sgement. No pathological size and configuration of lymph nodes were detected at both hilar levels. Densities compatible with pleuroparenchymal sequelae are observed in the inferior lingular segment of the left lung. Clinical and lab in terms of infective processes. In the upper lobe of the right lung, in the middle lobe, in the basal levels, in the upper lobe of the left lung and in the lingular segment, a more faint appearance of branches with buds is observed.\n<pleura>: No significant pleural effusion or pneumothorax was detected.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. In the mediastinum, there are lymph nodes in the upper-lower paratracheal area, the largest of which is 12x9 mm in the aorticopulmonary window.\n<heart>: CTO is normal.\n<esophagus>: Hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: There is a heterogeneous hypodense nodular appearance of approximately 10 mm in diameter at the level of the adrenal genus on the left. Surrounding soft tissues are normal.\n\nImpression:\nGround-glass-like faint density increases in both lungs. It is recommended to evaluate clinical and laboratory findings together in terms of infective processes.  Uniformly circumscribed hypodense in the right surrenal, prominent hypodense-looking lesions on the right at the genu level in both adrenals, which are evaluated primarily in favor of adenoma, but cannot be clearly evaluated on the left. If necessary, evaluation with upper abdomen MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10450/train_10450_a/train_10450_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24760",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10463/train_10463_a/train_10463_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath is observed. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There are nodules with 2 mm diameter and 4 mm diameter superposed on the minor fissure on the right, and nodules with 4 mm diameter in the middle lobe adjacent to the minor fissure. Pleuroparenchymal sequelae changes are observed in the inferior lingular segment. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a 2 mm diameter nodule in the right lung at the laterobasal level. A nodule of approximately 5 mm in diameter with irregular borders is observed in the anterior segment of the upper lobe of the right lung. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: There is a subpleural nodule with a diameter of 3 mm at the laterobasal level of the lower lobe of the right lung. Bilateral pleural effusion, pneumothorax, prominent pneumonia appearance were not observed.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. Lymph nodes are observed in the mediastinum, the largest of which is in the aorticopulmonary window and 13x5 mm in size. The largest of these is in the subcarinal area and 14x9 mm lymph nodes are observed.\n<heart>: CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. If necessary, US examination is recommended. There is a hiatal hernia.\n\nImpression:\n· No finding compatible with pneumonia was detected. · Nonspecific millimetric nodules were observed in both lungs. · Hiatal hernia. · The hypodense lesion observed at the level of the right lobe of the liver was evaluated as compatible with the partial volume effect of the gallbladder. If necessary, US examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10469/train_10469_a/train_10469_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density consistent with moderate to severe adiposity.\n\nImpression:\nMillimetric nodules in both lungs  Hiatal hernia  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10471/train_10471_a/train_10471_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A mild mosaic attenuation pattern is observed in the basal segments of the lower lobes of both lungs. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was observed in both lung parenchyma. No mass or nodular space-occupying lesion was detected in the lung parenchyma. Withdrawal did not occur in deep inspiration.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. The diaphragm is elevated. Heart dimensions and compartments appear natural.\n<breast>: There is bilateral gynecomastia.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: It is recommended to examine the upper abdomen with MRI. In the upper abdominal sections; The craniocaudal dimension of the right lobe of the liver was measured 219 mm and increased. In the hepatic right lobe segments 8-7 and 5 localization, a slightly hypodense area is observed that is geographically separated from the normal parenchyma. It could not be characterized by this examination.\n\nImpression:\nIncrease in liver size.  Hypodense-appearing area in liver right lobe parenchyma density, upper abdomen MRI examination for the liver is recommended.  Mosaic attenuation pattern in lower lobe basal segments"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10475/train_10475_a/train_10475_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. Pleuroparenchymal fibroatelectatic sequelae changes were observed in both lungs lower lobe basal, left lung upper lobe inferior lingular and left lung upper lobe posterior segment. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, central-peripheral localized, more common, crazy paving pattern and nodular patchy wide ground-glass consolidations showing signs of vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia. Parenchymal nodules of 8.9x7.6 mm and 7.5x5 mm were observed in the left lung upper lobe apicoposterior and lower lobe superior segment, respectively.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma.  Linear subsegmental atelectatic changes in both lungs.  Pulmonary nodules in the left lung upper lobe apicoposterior and lower lobe superior segment; If there is, it is recommended to be evaluated together with previous examinations.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10491/train_10491_a/train_10491_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In addition, there are ground-glass-like density increases in the upper lobe and middle lobe on the right, and partially on the left, partially consolidating in the lingular segment, and thickening of the interlobular septa on the ground. In the right hemithorax, there is a thorax tube extending from the lung basal to the upper lobe posterior segment, and its interior is dense. When examined in the lung parenchyma window; There are dense consolidative areas with air bronchograms in the posterobasal segments and upper lobe posterior levels in the lower-middle zones of both lungs, with ground-glass-like density increases around it (aspiration pneumonia?). It may be compatible with secretion. There is no lymph node in pathological size and configuration that can be distinguished from consolidative areas at both hilar levels. The appearance is suggestive of viral pneumonia (Covid-19 pneumonia?).\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The significant compression effect is not seen in the current review. Calibration of vascular structures in the mediastinum is natural. In the retrosternal area, there is a collection that starts from the thorax inlet in the anterior superior mediastinum and extends to the level of the pulmonary artery outlet, with the largest axial plane dimensions measuring 58x33 mm and giving a density value of approximately 19HU. With the described collection, the intermediate fatty planes of the mediastinal vascular structures are clear. No lymph node with pathological size and configuration was detected in the mediastinum. There is a catheter appearance that extends from the anterior of the abdomen to the mediastinum on the right and terminates in the neighborhood of the right atrium.\n<heart>: CTO is normal. In the post-op case, postoperative changes are observed in the presternal soft tissue planes in the sternum and in the pericardium. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mild irregularity and thickening are observed in the pericardium, more prominently in the anterior. There is a catheter appearance that extends from the anterior of the abdomen to the mediastinum on the right and terminates in the neighborhood of the right atrium.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: In the post-op case, postoperative changes are observed in the presternal soft tissue planes in the sternum and in the pericardium. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. In the upper abdominal organs included in the sections, the spleen is lobulated.\n\nImpression:\nWidespread consolidative areas with air bronchograms in the mid-lower zones of both lungs and diffuse but diffuse ground-glass-like density increments in the upper-middle zones-thickening of the inerlobular septa in the floor. The appearance suggests aspiration pneumonia and accompanying viral pneumonia (Covid pneumonia?). It is recommended to be evaluated together with clinical and laboratory findings.  Fluid collection in the anterior-superior mediastinum in a post-op case"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10493/train_10493_b/train_10493_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There are several hypodense nodules in the thyroid gland, the largest of which is 15 mm in diameter at the junction of the isthmus-left lobe, some of which have calcifications.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes and parenchymal air cysts in both lungs. A few millimetric nodules are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. In the upper lobe of the right lung, the middle lobe and the lower lobe of both lungs, there are subsegmental atelectasis areas accompanied by nonpsesific ground glass areas in the lower lobes, and interlobular septal thickness increases are present in places (sequelae?).\n<pleura>: Minimal pleural effusion is observed on the right.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. The diameter of the pulmonary trunk was 30 mm and increased.\n<heart>: Pericardial effusion was not observed. There is a metallic prosthesis at the aortic and mitral valve level. The cardiothoracic ratio increased in favor of the heart.\n<breast>: There is a 5 mm diameter nodular lesion with peripheral punctate calcification in the lower outer quadrant of the right breast.\n<bone>: There are cerclage suture materials in the sternum. No lytic-destructive lesions were detected in bone structures. No segregation or displacement is observed.\n<abdomen>: Minimal microlobulation is observed in liver contours. There are occasional nodular density increases in the omental fatty tissue. Calcific atheroma plaques are observed in the aorta. There is diffuse free fluid in the abdomen. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nCardiomegaly, metallic prosthesis in the aortic and mitral valve, dilatation in the pulmonary trunk.  Emphysematous changes in both lungs, millimetric nonspecific nodules.  Areas of subsegmental atelectasis in both lungs, minimal pleural effusion on the right.  Diffuse intra-abdominal free fluid, minimal microlobulation in liver contours, nodular density increases in the omentum; It is recommended that the patient be evaluated together with previous examinations or further examination, if any.  Several hypodense nodules, some of them calcific, in the thyroid gland.  Nodular solid lesion with peripheral punctate calcification in the right breast."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10498/train_10498_a/train_10498_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are a few nodules in millimetric sizes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma, no active infiltration or mass lesion was detected, and there are a few nodules in millimeter sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10499/train_10499_a/train_10499_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24868",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Dependent atelectatic changes are observed in the posterior lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the right kidney, a 3 mm hyperdense finding in the pelvicalyceal structure was evaluated in favor of calculus. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric calculus in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10505/train_10505_a/train_10505_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24872",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are pleuroparenchymal sequelae changes at the apex of both lungs. There are emphysematous changes in both lungs. In addition, linear atelectasis was observed in both lungs from place to place. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs . Pleuroparenchymal sequelae changes in both lung apexes . Atelectasis in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10507/train_10507_a/train_10507_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. Apart from this, linear subsegmnter atelectasis is observed in the lower lobe mediobasal sections of both lungs. The appearance is compatible with pneumonic infiltration.\n<pleura>: When examined in the lung parenchyma window; Focal consolidation and ground glass densities are observed in the posterior subpleural areas in the lower lobe superior segments of both lungs. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPneumonic infiltration areas are observed in both lungs. It is recommended to be evaluated together with clinical and lap findings in terms of covid-19 pneumonia.  Sequelae of fibrotic densities in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10509/train_10509_a/train_10509_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific nodules in both lungs. Density increase areas consistent with linear atelectasis were observed in the left lung upper lobe inferior lingular segment and right lung middle lobe. No active infiltration or mass lesion was detected. When examined in the lung parenchyma window; Minimal emphysematous changes and a mosaic attenuation pattern are observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Minimal pleural effusion is observed on the left.\n<mediastinum>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. There are lymph nodes in the mediastinum, the largest of which is short at the precarinal level, with a fusiform configuration reaching 10 mm in diameter, with fatty hilus, and without pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; calibration of vascular structures is natural.\n<heart>: An increase in heart size is observed. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; calibration of vascular structures is natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. In addition, no lymph node in pathological size and appearance was observed in bilateral supraclavicular fossa and both axillary regions. There are degenerative changes.\n<abdomen>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. No lymph nodes were observed in intraabdominal free fluid, loculated collection, pathological size and appearance. In the upper abdominal sections within the image, diffuse thickness increase was observed in the left adrenal gland as far as can be observed within the borders of non-contrast CT. No solid mass was detected in other organs. There is a diffuse decrease in liver parenchymal density consistent with hepatosteatosis.\n\nImpression:\nIncreased heart size, calcified atheroma plaques on the walls of the thoracic aorta and coronary vascular structures  Minimal right pleural effusion  Lymph nodes in the mediastinum that are not pathological in size and appearance  Emphysematous changes in both lungs, nonspecific nodules in millimetric sizes, parenchymal changes in places with sequelae, mosaic attenuation pattern (small airway disease?, small vessel disease?); No active infiltration or mass lesion was detected.  Minimal hepatosteatosis  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10521/train_10521_a/train_10521_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCT findings indicative of pneumonia are not available. (Note: CT may be negative in the early phase of COVID-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10527/train_10527_a/train_10527_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24912",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook was evaluated in favor of Covid pneumonia.\n<pleura>: When examined in the lung parenchyma window; Nodular ground-glass opacities are observed in both lungs, especially in the subpleural areas of the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10528/train_10528_a/train_10528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration or mass lesion was detected in both lungs. When examined in the lung parenchyma window; There are sequela parenchymal changes in the apex of both lungs in the medial segment of the left lung upper lobe, inferior lingular segment, right lung middle lobe. There are minimal emphysematous changes in both lungs. A millimetric nonspecific nodule is observed in the posterior segment of the right lung upper lobe.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo active infiltration or mass lesion is observed in both lungs, and there is one millimetric nonspecific nodule in the posterior segment of the right lung upper lobe. Sequela parenchymal changes and minimal emphysematous changes are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10529/train_10529_a/train_10529_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. No lymph node was detected in bilateral hilar pathological size and appearance. No mass nodule-infiltration was detected in both lung parenchyma. When both lungs are evaluated in the parenchyma window: Increases in pleuroparenchymal sequelae density were observed in the left lung inferior lingular segment in the middle lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. (remnant thymus). Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. In the anterior mediastinum, granular soft tissue density was observed.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. 8 mm diameter calculus was observed in the gallbladder lumen. In the upper abdominal sections that entered the examination area, a 3.5 mm diameter calculus was observed in the middle zone of the left kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMild emphysematous changes in both lungs, sequelae changes. Soft tissue density in the anterior mediastinum (remnant thymus?).  Calcified atreosclerotic changes in the wall of the thoracic aorta.  Cholelithiasis, left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10538/train_10538_a/train_10538_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There are density increases in dependent areas due to temporary atelectasis.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Osteoma?. There are degenerative changes in bone structures. A sclerotic lesion of 11x7 mm was observed in the costal protrusion of the T5 vertebra.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. The left kidney is not in its normal location in the sections that can be seen. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10542/train_10542_a/train_10542_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. The examination is suboptimal because of motion artifacts. As far as can be seen; Trachea and main bronchi are open.\n<lung>: The CT uptake index is more than 90%.\n<pleura>: Bilateral pleural effusion distant In the evaluation of both lung parenchyma; In both lungs, patchy, peripheral-subpleural, ground glass densities were observed on the emphysema ground, and crazy paving appearances and consolidations were observed in a few places.\n<mediastinum>: No pathological lymph node was detected in the mediastinum. There are calcific atheromatous plaques in the main vascular structures.\n<heart>: Global enlargement of the cardiac cavities was observed.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Appearances of degenerative osteophytes were observed in the vertebra corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There are calcific atheromatous plaques in the main vascular structures.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Cardiomegaly Bilateral pleural effusion Atherosclerosis Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10543/train_10543_a/train_10543_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: However, it cannot be evaluated clearly in non-contrast examination. When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: There is a slight increase in size. Both hilar levels are full. In the case, there are consolidative areas accompanied by air bronchograms observed in almost all segments with a common tendency to coalesce in both lungs, and ground glass-like density increases around it.\n<pleura>: Mild smearing pleural effusion is observed in both lungs.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. In the old review it is 6 mm. CTO is normal. It is larger than normal. The aortic arch calibration was measured as 33 mm. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, in the subcarinal area, and the short axis of the largest is measured in the aorticopulmonary window and measures approximately 10 mm.\n<heart>: Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the old review it is 6 mm. CTO is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. It is larger than normal. Surrounding soft tissue plans are natural. The aortic arch calibration was measured as 33 mm.\n\nImpression:\nThere are consolidative areas including air bronchograms in both lungs with a common confluence. Bilateral smear-like pleural effusion is observed, which is a new finding and mild protrusion in mediastinal lymph nodes is observed. Described findings may be compatible with the natural course of Covid-19 pneumonia. However, it is recommended to evaluate the lymph nodes in the mediastinum together with clinical and laboratory findings in terms of the progression of the disease due to pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10551/train_10551_b/train_10551_b_1.npy"
        ]
    },
    {
        "id": "report_generation_24966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. In the anterior mediastinum, thymic tissue with trigonal configuration, which does not show any mass effect, is observed. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Upper abdominal organs included in the sections are normal.\n\nImpression:\n· No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10554/train_10554_a/train_10554_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickenings were observed in segmental-subsegmentary bronchi in both lungs. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. When examined in the lung parenchyma window; Linear subsegmentary atelectasis changes were observed in the inferior lingular segment of the left lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A sequela of millimetric calcific focus was observed in segment 6 of the liver that entered the section area. Apart from this, liver, gall bladder, spleen, pancreas, both adrenal glands and both kidneys are natural. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Linear subsegmental atelectatic change in left lung upper lobe inferior lingular segment . Peribronchial thickenings in segmental-subsegmental bronchi in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10556/train_10556_a/train_10556_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, both main bronchi are open.\n<lung>: No mass-infiltration was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Nonspecific pulmonary nodules with a diameter of 3 mm in the posterior of the right lung upper lobe, calcified with a diameter of 2.5 mm in the lingular segment of the left lung upper lobe, and nonspecific pulmonary nodules with a diameter of 5 mm located subpleural in the laterobasal segment of the left lung lower lobe and 2.5 mm in diameter located subpleural in the anterior segment of the right lung upper lobe. Pleural effusion-thickening was not detected.\n<mediastinum>: No dilatation was detected in the pulmonary arteries. In addition, a few millimetric lymph nodes in prevascular localization were observed between the anterior pericardial fatty planes. The descending aorta calibration is natural. No lymph node was detected in pathological size and appearance. The AP diameter of the ascending aorta is 40 mm and shows fusiform dilatation. A few calcified lymph nodes with a short axis smaller than 5 mm were observed in the right hilar and alr paratracheal area.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected in the non-contrast examination margins.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The descending aorta calibration is natural. The AP diameter of the ascending aorta is 40 mm and shows fusiform dilatation.\n\nImpression:\nFusiform dilatation of the ascending aorta, calcified lymph nodes with mediastinal-right hilar size. Nonspecific pulmonary nodules, some of which are calcified, in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10558/train_10558_a/train_10558_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24986",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. In both lungs; Patchy-nodular ground glass consolidation, which creates a more common central-peripheral crazy paving pattern, is observed in the lower lobe basal segments, and the appearance is compatible with Covid-19 pneumonia. Linear subsegmentary atelectatic changes were observed in the right lung middle lobe and both lung lower lobe basal segments.\n<pleura>: There is subpleural striation in the posterior segment of the right lung upper lobe.\n<mediastinum>: Pulmonary trunk right and left pulmonary artery diameters are above normal with 34 mm, 28 mm and 27 mm, respectively. Diffuse calcific atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be observed: The anterior-posterior diameter of the ascending aorta was 45 mm, and the aortic anterior-posterior diameter of the descending aorta was 30 mm. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches, which did not cause significant stenosis. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Minimal effusion was observed in the pericardial space. Heart size increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure.\n<abdomen>: As far as can be observed in the sections, sequela nodular calcification was observed adjacent to the falciform ligament in liver segment 4B. Diffuse calcific atheroma plaques were observed in the aortic arch, supraaortic branches and coronary arteries. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. A sequela of linear calcification in the capsule was observed in the lateral spleen. As far as can be observed: The anterior-posterior diameter of the ascending aorta was 45 mm, and the aortic anterior-posterior diameter of the descending aorta was 30 mm. Calcific atheroma plaques were observed in the abdominal aorta and visceral branches, which did not cause significant stenosis.\n\nImpression:\nFusiform aneurysmatic dilation in the thoracic aorta, Pulmonary trunk and increase in the diameter of both pulmonary arteries, cardiomegaly, minimal pericardial effusion, diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries. Findings consistent with Covid-19 pneumonia in the lung parenchyma, bilateral minimal pleural effusion. Atelectatic changes in both lungs. Nodular sequela calcification in liver segment 4B.  Linear sequela calcification in the spleen capsule.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10561/train_10561_a/train_10561_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs. (small airway disease?, small vessel disease?). Mosaic attenuation pattern is observed in both lungs. It is recommended to be evaluated together with previous examinations, if any. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe left lung upper lobe inferior lingular segment.\n<pleura>: When examined in the lung parenchyma window; Subpleural nodules with a diameter of 5.2 mm in the lower lobe posterobasal segment, the largest in the left, and 7.3 mm in diameter in the posterobasal segment of the lower lobe, were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other vascular structures of the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the left coronary arteries. As far as can be seen: the ascending aorta is ectatic with an anterior-posterior diameter of 37mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 2 mm diameter calculus was observed in the lower pole of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nFusiform ectasia in the ascending aorta.  Millimetric subpleural nodules in both lungs; It is recommended to be evaluated together with previous examinations, if any.  Pleuroparenchymal fibroatelectasis sequelae changes in the right lung middle lobe and left lung upper lobe inferolingular segment.  Mosaic attenuation pattern in the lung parenchyma (small airway disease?, small vessel disease?).  There was no finding in favor of pneumonia-mass in the lung parenchyma.  Left microlithiasis.  Mild degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10562/train_10562_a/train_10562_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheomegaly is observed due to loss of elasticity in the lung parenchyma.\n<lung>: In the right lung, two nodules of similar size, the largest 6.5 mm in diameter, were observed in the lower lobe superior segment. There is more prominent emphysema in the upper lobes of the lung parenchyma. Although they could not be characterized in this examination, these nodules were evaluated as suspicious in the case with a primary one. Paraseptal emphysema areas and pleuroparenchymal sequelae fibrotic density increases are observed in the upper lobe apical segments. In addition, there are several nonspecific nodules in both lungs.\n<pleura>: In the right lung lower lobe superior segment, linear cicatricial density increase extending from segment bronchi to pleura was evaluated in favor of sequelae change.\n<mediastinum>: There is a new double lumen appearance in the anterior of the aorta. The diameter of the ascending aorta was 53 mm, the diameter at the widest part of the aortic arch was 43 mm, and the diameter at the widest part of the thoracic aorta was 36 mm in the proximal part. Diffuse calcified atherosclerotic plaques are observed in the ascending aorta, aortic arch and thoracic aorta. No lymph node was observed in the mediastinum in pathological size and appearance. In the lower pole of the SMA outlet, the abdominal aorta appears to be totally thrombosed. Fusiform enlargement is observed in the ascending aorta, aortic arch, and thoracic aorta.\n<heart>: Diffuse calcific atherosclerotic plaques are observed in the coronary arteries. Pericardial effusion was not detected. The diameter of the ascending aorta was 53 mm, the diameter at the widest part of the aortic arch was 43 mm, and the diameter at the widest part of the thoracic aorta was 36 mm in the proximal part. Diffuse calcified atherosclerotic plaques are observed in the ascending aorta, aortic arch and thoracic aorta. Heart size increased. Fusiform enlargement is observed in the ascending aorta, aortic arch, and thoracic aorta.\n<bone>: No lytic-destructive space-occupying lesion was detected in the bone structures entering the cross-sectional area. In the axilla and supraclavicular fossa, no lymph node in pathological size and appearance was observed within the section.\n<abdomen>: Peritoneal nodular lesions located in the lower neighborhood of the splenic hilum and at the anterior border of the spleen may belong to the accessory spleen. No lymph node in pathological size and appearance was observed in the portal hilus, retroperitoneum, paraaortic, paracaval localization, main iliac chain, internal iliac chain and right external iliac chain in the abdomen. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. Nodular thickness increases are observed in both adrenal glands. Diffuse calcified atherosclerotic plaques are observed in the ascending aorta, aortic arch and thoracic aorta. Intra and extrahepatic bile ducts are normal. No dilatation was detected in the collecting system of both kidneys. There is a nodule of 18 mm in diameter in the medial dryness of the left adrenal gland, which cannot be characterized by this examination. A few simple cysts were observed in both kidneys, the largest of which was 55 mm in diameter on the right. No lymph node in pathological size and appearance was observed in the obturator chain. Focal parenchymal loss sequelae change is observed in the upper pole anterior of the left kidney. Fusiform enlargement is observed in the ascending aorta, aortic arch, and thoracic aorta. It is recommended to be examined with MRI. There is a new double lumen appearance in the anterior of the aorta. No solid lesion was detected in the kidney parenchyma. Both kidney sizes are normal. No space-occupying solid or cystic mass lesion was detected. In the lower pole of the SMA outlet, the abdominal aorta appears to be totally thrombosed. No space-occupying lesion was detected in the intestinal and colonic anus lumens that can be distinguished by this examination. No space-occupying solid or cystic mass lesion is observed. Millimetric calculi were observed in the gallbladder lumen. The stomach appears collapsed. It is nonspecific. No dilatation was detected in the common bile duct. The contour, size, parenchyma density of the spleen is normal. The diameter of the ascending aorta was 53 mm, the diameter at the widest part of the aortic arch was 43 mm, and the diameter at the widest part of the thoracic aorta was 36 mm in the proximal part. Contour, size, parenchymal density of the liver are normal. No loculated or free fluid was detected in the abdomen. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nBladder tumor, tumoral lesion on the bladder lateral walls, full thickness involvement of the lesion on the right wall in the bladder wall and its extension to the suspected millimetric perivesical adipose tissue are observed. Further examination with MRI is recommended for T staging.  Metastatic lymph node adjacent to the left external iliac vascular structures  Suspected millimetric nodules in the lower lobe of the right lung  Sequelae loss of parenchyma in the left kidney  Cholelithiasis  Fusiform diameter increase in the ascending aorta, aortic arch  Neolumen appearance in the abdominal aorta, extending to the main femoral.  Millimetric nodules adjacent to the spleen were thought to belong to the accessory spleen.  Uncharacterized nodular lesion in left adrenal gland  Emphysema in both lungs  Diffuse calcific atherosclerotic plaques in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10563/train_10563_a/train_10563_a_1.npy"
        ]
    },
    {
        "id": "report_generation_24992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; The calibration of the trachea and both main bronchi is normal and their lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A slight focal consolidative increase in density is observed in the medial segment of the middle lobe of the right lung. Mild thickening of the peribronchovascular sheath is observed in the lower zones. No pathologically sized and configured lymph nodes were detected at both jugular hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No pathological size or configured lymph node was detected in the mediastinum. There is a calcific atheroma plaque in the descending aorta. The aortic arch was calibrated at 30 mm and was wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Brachiocephalic vein, superior jugular vein, azygos vein appear full. Calibration of the pulmonary conus and both pulmonary arteries is normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. CTO increased in favor of the heart. Right and left atria are slightly prominent.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the case.\n<bone>: Cortical integrity loss compatible with fracture and periostreal reaction-calus formation are observed in the posterior of the 11th rib on the left. Degenerative changes are observed in the bone structure.\n<abdomen>: There is marked lobulation in the contours. It was evaluated as compatible with collateral vascular structures. There is a calcific atheroma plaque in the descending aorta. Intense increase in vascularization is observed in the mesenteric planes. Pericholecystic oily planes are lightly soiled. The liver was evaluated as compatible with S. The aortic arch was calibrated at 30 mm and was wider than normal. The gallbladder appears contracted. In the evaluation of upper abdominal organs including sections; As far as the dimensions of the right lobe of the liver can be observed, the left lobe and the caudate lobe are clearly observed. Portal vein calibration, splenic vein calibration increased. However, the wall thickness increased. The pancreas has a natural appearance. The spleen appears larger than normal. Brachiocephalic vein, superior jugular vein, azygos vein appear full. Sonographic evaluation is recommended. A nodular formation of approximately 13x9 mm is observed adjacent to the spleen ridge (Accessory spleen?).\n\nImpression:\nNo significant infiltration was detected in both lungs. No significant finding suggestive of TB was observed. Findings consistent with liver 'S'.  Loss of cortical integrity and periostreal reaction-calus formation consistent with fracture are observed in the posterior of the 11th rib on the left. Hiatal hernia.  The gallbladder appears contracted. However, its wall thickness has increased. Pericholecystic fatty planes are slightly soiled. Sonographic evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10564/train_10564_a/train_10564_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the lung parenchyma, more prominent diffuse centracinar emphysema is observed in the upper lobes of both lungs. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Linear density increases in pleuroparenchymal sequelae are observed in the upper lobe apical segments.\n<mediastinum>: Calibrations of mediastinal main vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. At the infrarenal level, a slight increase in diameter is observed in the abdominal aorta, which is partially sectioned. Its diameter was measured 32 mm in the traceable section.\n<heart>: Pericardial effusion is not detected. Heart size increased. Diffuse calcified atherosclerotic plaques are observed in the coronary arteries. Left ventricular diameter increased.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: A few pure calcified nodules were observed in the parenchyma. No loculated or free fluid was detected in the upper abdominal section. In the upper abdomen sections, cortical cysts are observed in both kidneys. At the infrarenal level, a slight increase in diameter is observed in the abdominal aorta, which is partially sectioned. Its diameter was measured 32 mm in the traceable section.\n\nImpression:\nIncrease in heart size, increase in left ventricular diameter, diffuse calcified atheromatous plaques in the coronary arteries . Extensive centracinar emphysema . Cysts in both kidneys . Intimal calcifications in the thoracic aorta and slight increase in diameter in the thoracic aorta at the infrarenal level are partially sectioned. Its distal segment could not be evaluated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10585/train_10585_a/train_10585_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25041",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Apart from these, there are nodules in both lungs, especially peripherally located, with a ground-glass appearance around them. The described findings are the findings frequently observed in Covid-19 pneumonia. The right lung is present in consolidation within the ground glass area observed in the upper lobe apical segment. These manifestations may be due to sequelae changes or interstitial lung disease. The described views can be observed in the peripheral and central parts. Minimal interlobular septal and interstitial thickenings are observed in the peripheral areas of both lung lower lobes. There are areas of ground glass in the peripheral areas of both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are atheromatous plaques in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There are atheromatous plaques in the aorta.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10586/train_10586_a/train_10586_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The largest of these lymph nodes is observed in the anterior of the right main bronchus, and its short axis is measured as 15 mm. Trachea is in the midline, both main bronchi are open.\n<lung>: Apart from this, mosaic attenuation pattern is observed in both lungs. There are nonspecific millimetric pulmonary nodules in both lungs. These lymph nodes are prominent in the upper pretracheal-lower pretracheal areas, in the subcarinal area, and at the level of the right lung hilum. There are bronchiectasis in the lower lobe of each lung, more prominent on the right. These views were evaluated in favor of sequelae change.\n<pleura>: When examined in the lung parenchyma window; In both lungs, interlobar, interlobular septal thickness increases are observed, which are more prominent especially in the subpleural areas and may be compatible with interstitial lung disease. No pericardial-pleural effusion or increased thickness was detected. These appearances are more prominent especially in the lower lobes of both lungs, subpleural areas.\n<mediastinum>: Evaluation of mediastinal structures, vascular structures and solid organs is suboptimal because the examination is non-contrast. Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Numerous lymph nodes are observed in the mediastinal area. There was no lymphadenopathy in pathological size and appearance in both axillae and retropectoral regions.\n<heart>: Heart contour and size are normal. The ascending aorta diameter was 37 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in the bones.\n<abdomen>: Other upper abdominal organs included in the sections are normal. When the upper abdominal organs included in the imaging are evaluated; spleen size increased. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Skin/subcutaneous fatty tissues have a natural appearance. Hypodense lesions with a diameter of 25 mm are observed in the anterior part of the spleen parenchyma, the larger of which cannot be characterized due to the lack of contrast of the examination.\n\nImpression:\nNumerous lymph nodes are observed in the mediastinum, the largest of which is 15 mm in diameter at the level of the right lung hilum.  Interlobar and interlobular septal thickness increases in the subpleural areas, bronchiectatic changes in the lower lobes of both lungs, and a mosaic lung pattern are observed in both lungs, which may be compatible with interstitial lung disease. These views were primarily interpreted in favor of sequelae change.  Splenomegaly, multiple hypodense lesions in the spleen parenchyma; It could not be characterized due to the lack of contrast of the examination.  Calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10586/train_10586_b/train_10586_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Peribronchial thickenings are seen in the bronchial wall, especially in the posterobasal areas of the lower lobes.\n<lung>: Peribronchial thickenings are seen in the bronchial wall, especially in the posterobasal areas of the lower lobes. Belkirgin parenchymal consolidation was not observed.\n<pleura>: When examined in the lung parenchyma window; mosaic density differences and subpleural fibrotic densities are observed in both lungs. There is minimal pleural effusion reaching 9 mm on the right at its widest point bilaterally.\n<mediastinum>: Minimal calcific plaques were observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes located in the right paratracheal mediastinum with a short axis reaching 12 mm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are seen in the vertebrae. Thoracic kyphosis slightly increased.\n<abdomen>: Minimal calcific plaques were observed in the aorta and coronary arteries. There is a hiatal hernia in the upper abdominal sections. The spleen is approximately 160 mm, larger than normal, and a heterogeneous appearance is observed within the spleen. Thoracic aorta diameter is normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Mosaic density differences in both lungs, peribronchial thickening, subpleural fibrotic densities.  Bilateral minimal pleural effusion.  Splenomegaly and hypodense lesions in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10586/train_10586_c/train_10586_c_1.npy"
        ]
    },
    {
        "id": "report_generation_25051",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Paracardiac subsegmental atelectasis in the right middle lobe and left lingula in both lung parenchyma and linear atelectasis in the posterobasal lower lobes are observed. Some calcific millimetric nodules are observed in both lung parenchyma. There are bilateral mosaic density differences from place to place.\n<pleura>: In the upper lobes, there are nonspecific subpleural minimal focal non-shape ground glass densities.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anterior osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A cortical hypodense lesion was observed in the middle part of the left kidney.\n\nImpression:\nMosaic density differences in both lungs, sequelae changes and subsegmental atelectasis. Minimal nonspecific ground glass densities in the upper lobes. Bilateral nonspecific some calcific nodules.  Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10589/train_10589_a/train_10589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Mild atelectatic changes are observed in the upper lobes of both lungs, more prominently in the lingula inferior on the left and in the paracardiac area on the right.\n<pleura>: A calcific nodule is observed in the right lung upper lobe posterior in series 202 image 71, and there is pleural recession adjacent to the described calcific nodule.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Hepatosteaosis is observed in the liver parenchyma entering the section area. Upper abdominal organs included in the sections are normal. There is a 2.2 mm calcification in the pelvicalyceal structure in the mid-level posterior of the left kidney.\n\nImpression:\nLeft nephrolithiasis . Hepatosteatosis . Atelectasis in the basal parts of both lungs, especially in the left inferior lingula, calcific nodule in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10591/train_10591_a/train_10591_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: More prominent compressive atelectasis were observed on the right in the lower lobe basal segments of both lungs. Ground glass densities and focal consolidation areas were observed in the right lung upper and lower lobe basal segments. No significant difference was detected. The appearance is compatible with pneumonic infiltration. Linear atelectasis and interlobular septal thickening were observed in both lungs. It is recommended to evaluate clinical and laboratory together.\n<pleura>: A pleural effusion measuring 7.1 cm in its thickest part and 5.5 cm in its thickest part in the left hemithorax, which entered the major fissure in the right hemithorax and caused a thickening of the major fissure, was observed.\n<mediastinum>: Calcific atheroma plaques were observed in the abdominal aorta. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 43 mm, and the anterior-posterior diameter of the descending aorta is 33 mm, which is larger than normal. Prevascular, right upper-lower paratracheal, aortopulmonary lymph nodes measuring 11 mm in the short axis in the right lower paratracheal, some of which reached pathological dimensions, were observed. The diameters of the pulmonary trunk, right and left pulmonary arteries were measured as 37 mm, 32 mm and 26 mm, respectively.\n<heart>: Minimal pericardial effusion was observed. Heart size increased. On the left, the ICD and electrodes extending to the apex of the right ventricle are observed on the anterior chest wall. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Syndesmophytes bridging each other were observed in the right anterolateral corner of the thoracic vertebra. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta. An increase in density was observed in the plastering style that gives a level in the neck of the gallbladder (calculus?/sludge?). Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 43 mm, and the anterior-posterior diameter of the descending aorta is 33 mm, which is larger than normal.\n\nImpression:\nCardiomegaly, minimal pericardial effusion, fusiform aneurysmatic dilation in the ascending aorta, increase in pulmonary conus and right pulmonary artery diameters . More pronounced bilateral pleural effusion on the right, cardiac stease in the lung parenchyma.  Pneumonic infiltration in the basal segment of the upper and lower lobes of the right lung. Linear atelectatic changes in both lungs. Increased density (calculus?sludge?) in the form of plastering in the neck of the gallbladder. Diffuse idiopathic bone hyperostosis in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10597/train_10597_a/train_10597_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25069",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Verification with US is recommended. The sizes of both thyroid glands have increased and they have a heterogeneous appearance.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Linear atelectasis was observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). Minimal peribronchial thickening and secondary luminal narrowing were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Mosaic attenuation may be secondary to small airway stenosis.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. Bilateral pleural effusion was not detected.\n<mediastinum>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 43 mm, and the anterior-posterior diameter of the descending aorta is 33 mm, which is larger than normal. The diameters of the pulmonary trunk, right and left pulmonary arteries were measured as 32 mm, 27 mm and 23 mm, respectively.\n<heart>: Heart size increased. On the left, electrodes extending to the ICD and right ventricular apex are observed on the anterior chest wall. Pericardial effusion was observed in minimal plastering style. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: As far as can be observed, the anterior-posterior diameter of the ascending aorta is 43 mm, and the anterior-posterior diameter of the descending aorta is 33 mm, which is larger than normal. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n\nImpression:\n· Thoracic aortic aneurysm, cardiomegaly, minimal pericardial effusion, calcific atheroma plaques in thoracic aorta and coronary arteries · Minimal peribronchial thickening, luminal narrowing and mosaic attenuation pattern in both lungs; mosaic attenuation was thought to be secondary to small airway stenosis. · In both hemithorax, posterior costal pleura sequela thickening, linear atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10597/train_10597_b/train_10597_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25086",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the evaluation of both lungs in the parenchyma window; Sequelae changes are observed in the left lung inferior lingular segment. No lymph node with pathological size and configuration is observed at the hilar level.\n<pleura>: There was no finding compatible with pleural effusion, pneumothorax or pneumonia in both lungs.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. There is thymic tissue in the anterior mediastinum, in which hypodense areas compatible with fat involution are observed in a conical configuration that does not show mass effect.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a well-defined hypodense nonspecific lesion with a diameter of approximately 13 mm is observed in the left lobe lateral segment of the liver.\n\nImpression:\nNo finding compatible with pneumonia. Well-defined hypodense nonspecific lesion in the left lobe lateral segment of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10605/train_10605_a/train_10605_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltrating mass or nodular lesion was observed in both lungs. There are minimal emphysematous changes in both lungs. When examined in the lung parenchyma window; There are areas of increased ground glass density in the lower lobe basal segments of both lungs, primarily considered secondary to the dependent effect.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were observed in pathological size and appearance. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: As far as can be observed within the limits of non-contrast CT in the upper abdominal organs included in the sections; A hyperdense stone in millimetric sizes was observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal emphysematous changes in both lungs, areas of increased density of ground glass density in both lung lower lobe basal segments considered primarily secondary to the dependent effect.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10612/train_10612_a/train_10612_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a hypodense nodule with a diameter of 8.5 mm in the right thyroid lobe.\n<lung>: When examined in the lung parenchyma window; Widespread peripheral and centrally located ground glass opacity areas and areas of consolidation are observed in all segments of both lungs. There is a linear subsegmental atelectasis area in the left lung upper lobe lingula inferior segment. The pattern of involvement was evaluated as compatible with Covid pneumonia.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPneumonic infiltration in both lungs radiologically compatible with Covid pneumonia . Sliding type hiatal hernia . Nodule in the right thyroid lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10617/train_10617_a/train_10617_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25132",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Prominent interstitial signs are observed in both lungs. The soft tissue mass with irregular borders, which was described in his previous examination in the apicoposterior segment of the left lung upper lobe, cannot be distinguished in his current examination. Clinical and laboratory correlation and follow-up are recommended. When examined in the lung parenchyma window; Peribronchial thickenings, mild bronchiectasis, and ground-glass densities in a patchy crazy paving pattern are observed at basal levels of the lower lobes of both lungs. The findings were initially evaluated in favor of the infectious process. Numerous millimetric and some calcific lymph nodes with spherical configuration are observed in the prevascular area and at the level of the left hilum. The described findings can also be seen in Covid-19 viral pneumonia. Emphysematous changes are present in both lungs, especially in the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: At the junction of the pancreatic head and body, there is a voluminous, oval-shaped appearance up to 46 mm in size that cannot be clearly distinguished from the pancreatic parenchyma (voluminous pancreatic parenchyma?, space-occupying lesion?). Thoracic aorta diameter is normal. Space-occupying lesions measuring 34 mm on the left and 32 mm on the right are observed in both adrenal gland sites. There are findings consistent with steatosis in the liver parenchyma entering the section area. Dynamic contrast-enhanced upper-abdominal MRI or contrast-enhanced CT is recommended for further differential diagnosis of the findings described in the upper abdomen. Upper abdomen organs are partially included in the examination and were evaluated as suboptimal in the non-contrast examination.\n\nImpression:\nFindings of lung parenchyma consistent with infectious processes Findings consistent with infectious process, which can also be seen in Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended.  Small lymphadenopathies, some necrotic, some calcific, with spherical configuration in the mediastinum.  Space-occupying lesions in both adrenal lobes.  Increase in pancreatic parenchyma volume, Voluminous appearance? Space-occupying lesion? Clinical core, histopathological correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10626/train_10626_a/train_10626_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There are osteophytes in the vertebrae and fibrotic changes are observed in the lung paraenchyma adjacent to the osteophyte. When examined in the lung parenchyma window; Minimal thickening of the bronchial walls is observed in the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a hiatal hernia.\n<bone>: There are osteophytes in the vertebrae and fibrotic changes are observed in the lung paraenchyma adjacent to the osteophyte.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules in bilateral lungs, sequela fibrotic changes, minimal thickening of lower lobe bronchi.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10641/train_10641_a/train_10641_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the previous examination of the patient, the majority of the nodules, the largest of which reached 11 mm in diameter in the left lung, were not observed in this examination. No pneumonic infiltration was detected in the lung parenchyma. When examined in the lung parenchyma window; A 3 mm nonspecific nodule was observed in the posterobasal region of the lower lobe of the left lung. No newly developing nodule was observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gastric fundus is herniated from the hiatus. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRegressed nodules in the lung  Left lung lower lobe millimetric nonspecific nodule  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10641/train_10641_c/train_10641_c_1.npy"
        ]
    },
    {
        "id": "report_generation_25172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical laboratory correlation follow-up is recommended for the onset of the early infectious process. The findings are not typical for Covid-19 viral pneumonia. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A slight patchy ground-glass density is observed around the inferior lingula of the left lung upper lobe, which can hardly be distinguished from the atelectatic changes with Halo sign. When examined in the lung parenchyma window; There are mild atelectasis changes at basal levels in both lung lower lobes. It was initially evaluated in favor of pneumonia, and clinical laboratory correlation is recommended in terms of early infectious process.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There is a venous catheter in the superior vena kva.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: There is a hiatal hernia in which intraperitoneal fatty tissues are observed at the level of the esophagogastric junction.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There is a hiatal hernia in which intraperitoneal fatty tissues are observed at the level of the esophagogastric junction. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nHiatal hernia in which fatty planes are observed at the level of the esophagogastric junction. It does not differ significantly.  Atelectatic changes and suspicious consolidation areas described in the left lung upper lobe inferior lingula and lower lobes. Covid-19 is not typical for viral pneumonia. Initially, pneumonic infiltration was evaluated in favor of infectious processes. Clinical laboratory correlation is recommended for better differential diagnosis.  No significant difference was detected in a few millimetric nonspecific nodules observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10641/train_10641_d/train_10641_d_1.npy"
        ]
    },
    {
        "id": "report_generation_25174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Interlobular septa were clearly observed in both lungs. Patchy icy life density increases were observed in both lungs (secondary to cardiac pathology?). No mass or infiltration was detected in both lung parenchyma.\n<pleura>: Between the bilateral pleural leaves, there is a free pleural effusion measuring 10 mm in thickness on the right and 14 mm on the left.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Catheter images extending superiorly to the vena cava were observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural.\n<heart>: There is an effusion measuring 17 mm in the widest part of the pericardium. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. Thoracic kyphosis has increased.\n<abdomen>: No significant pathology was detected in the upper abdominal sections that entered the examination area.\n\nImpression:\nLymphoma on follow-up.  Cardiomegaly, pericardial effusion.  Mist type hiatal hernia.  Patchy ground-glass density increases in both lungs and prominent interlobular septa (secondary to cardiac pathology?). Clinical and lab correlation is recommended.  Bilateral pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10641/train_10641_e/train_10641_e_1.npy"
        ]
    },
    {
        "id": "report_generation_25176",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Uniform interlobular septal thickenings were observed in both lungs. The largest of these nodules is observed in the anterior segment of the upper lobe of the right lung, and its longest diameter is approximately 4 mm. Millimetric nodules were observed in both lungs. It is understood that most of these nodules have newly appeared. There was no evidence of mass or pneumonic infiltration in both lungs. The appearance of the nodules is not specific, but the fungal infection indicated in the clinical preliminary diagnosis may be characterized by these nodular lesions.\n<pleura>: Minimal pericardial effusion and bilateral minimal pleural effusion were observed.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10641/train_10641_f/train_10641_f_1.npy"
        ]
    },
    {
        "id": "report_generation_25178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheal diverticulum is observed on the right posterolateral at the level of the thoracic inlet. There is mild thickening of the peribronchial sheath.\n<lung>: Again, focal ground-glass-like density increase is observed at the anterobasal level on the right and was not detected in the previous examination. Sequelae changes are observed in the middle lobe on the right. Sequelae changes are observed bilaterally at the apical level. A nodule with a diameter of approximately 5 mm, which was also observed in the previous examination, is observed at the laterobasal level in the right lung. Focal consolidation area is observed in the middle lobe of the right lung and was not detected in the previous examination. It is stable. No lymph node with pathological size and configuration was detected at the left hilar level. There are sequelae changes in the right lung basal. At its thickest point, it is 15 mm on the right and 16 mm on the left. At the level of the right hilum, there is a lymph node with a size of approximately 13x10 mm, with a light fatty hilus in the central part. There is also regression in the effusion observed in the previous examination in interlobar fissures.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion is observed in both lungs.\n<mediastinum>: It measured 18x14 mm in his previous review. No lymph node with pathological size and configuration was detected in the mediastinum. Catheter appearances are observed extending from both subclavian veins to the superior vena cava and right atrium.\n<heart>: Pericardial effusion is observed. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mixed type hiatal hernia is observed in the case.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: There is a mild effusion in the pericholecystic area, which was also observed in the previous examination. Surrounding soft tissue planes are normal. The gallbladder is contracted. It was not clearly selected in the previous review. A nonspecific, hypodense lesion measuring approximately 20x11 mm is observed in the anterior segment of the right lobe of the liver. In the upper abdominal organs, including sections; A decrease in density consistent with mild steatosis is observed in the liver. It is recommended to be evaluated together with USG.\n\nImpression:\n1-2 stable, millimetric, nonspecific nodules in the right lung.  Focal consolidation in the middle lobe of the right lung and ground-glass-like density increase at the anterobasal level; not detected in the previous review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10641/train_10641_g/train_10641_g_1.npy"
        ]
    },
    {
        "id": "report_generation_25182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is recommended to be evaluated together with clinical and laboratory findings in terms of bronchiolitis. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Pleuroparenchymal focal consolidation and sequela changes are observed at the posterobasal level in the lower lobe of the left lung. There is a view of branches with faint buds around it. At other levels, the parenchyma is natural on both sides. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: Pleural effusion, pneumothorax were not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of the main mediastinal vascular structures is natural. A catheter view extending from the left subclavian vein to the superior vena cava is observed.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: degenerative changes in bone structure are observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Since it partially enters the image field and the examination is uncontrast, it cannot be evaluated clearly. The spleen is full. Apart from these, other upper abdominal organs are normal. In sections passing through the upper west; mild steatosis appearance is observed in the liver. The surrounding soft tissue plans within the study area are natural. There is a hypodense lesion extending along the parenchyma at the middle part of the right kidney (cortical cyst?). Calcific atheroma plaques are observed in the aortic arch and coronary arteries. The gallbladder is observed as distant.\n\nImpression:\nIt is recommended to evaluate the pleuroparenchymal focal consolidation and sequela changes at the posterobasal level in the lower lobe of the left lung, the appearance of a branch with a faint bud around it, together with clinical and laboratory findings in terms of bronchiolitis.  The gallbladder appears distended, there is a hypodense lesion in the area partially visible in the right kidney (cortical cyst?). If necessary, it is recommended to be evaluated together with USG."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10642/train_10642_a/train_10642_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25186",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheal diverticular 13x8x12 mm in size was observed at the mediastinal inlet on the right posterolateral side of the trachea. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Patchy ground-glass consolidations with multilobar, multisegmental, diffuse interlobular septal thickenings were observed in both lungs. The outlook is consistent with Covid-19 pneumonia.\n<mediastinum>: Tracheal diverticular 13x8x12 mm in size was observed at the mediastinal inlet on the right posterolateral side of the trachea. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Minimal effusion was observed in the pericardial space. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: A mild degree of scoliosis was observed at the thoracic level with the left opening. Minimal osteodegenerative changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nTracheal diverticulum  Minimal pericardial effusion.  Findings consistent with Covid-19 pneumonia accompanied by linear atelectasis in the lung parenchyma.  Minimal osteodegenerative changes in bone structures, mild dextroscoliosis with left-facing opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10643/train_10643_a/train_10643_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10648/train_10648_a/train_10648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Nodular calcifications were observed in the lumen of the trachea and both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are pleuroparenchymal sequelae density increases in the left lung inferior lingular segment and lower lobes. Patchy ground glass density increases were observed in the lower lobes of both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Bilateral peribronchial thickenings were observed. Minimal prominence was observed in bilateral interlobular septa (secondary to cardiac pathology?). The outlook can also be seen for Covid-19 pneumonia. However, it is not specific.\n<mediastinum>: Calcified atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal and hilar millimetric lymph nodes were observed. No lymph node was detected in mediastinal and hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; The diameter of the ascending aorta was 41 mm and showed fusiform dilatation. Heart size increased. Calcified atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. There is stent material in the coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There is metallic suture material belonging to sternotomy on the anterior thorax wall.\n<abdomen>: There is coarse calcification of 7 mm in diameter at the level of liver segment 8. A hypodense lesion with a diameter of 28 mm was observed in the left kidney (cyst?). Clinical and laboratory correlation is recommended. Calcified atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Liver parenchyma density was slightly decreased in the upper abdominal sections in the study area, in line with the adiposity.\n\nImpression:\nFusiform dilatation of the thoracic aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Cardiomegaly . Hiatal hernia . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Bilateral peribronchial thickenings.  Minimal interlobular septa in both lungs (secondary to cardiac pathology?). Sequelae changes in both lungs. Patchy ground-glass density increases were observed in the lower lobes of both lungs. The outlook can be seen in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended. Mild hepatosteatosis. Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10649/train_10649_a/train_10649_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ventilation of both lungs is natural, and there is no active infiltration, consolidation or space-occupying lesion in the bilateral lungs. A few nonspecific nodules of ground glass density are observed in the anterior segment of the left lung upper lobe, the largest of which is 4 mm in diameter.\n<mediastinum>: Mediastinal main vascular structures appear normal. Several lymph nodes with a short axis reaching 1 cm are observed in the aortopulmonary window. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Heart contours are regular. No pericardial effusion or increased thickness was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific nodules in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10662/train_10662_a/train_10662_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Multiple nodular ground glass ansite increases are observed in both lung parenchyma.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Lymph nodes with short axes not exceeding 1 cm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nAorta and coronary artery atherosclerosis.  Findings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10665/train_10665_a/train_10665_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific nodules in the anterior upper lobe of the right lung. When examined in the lung parenchyma window; Suspicious ground glass densities are observed at all levels in both lung parenchyma with no definite or vague borders.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anterior osteophyte forms are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLight ground glass densities without diffuse borders in both lung parenchyma (findings may be compatible with regressed Covid pneumonia involvement in the patient who was reported to have Covid in his clinic)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10668/train_10668_a/train_10668_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; no mass-nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Pulmonary artery calibration is natural. In the thoracic aorta, in the distal neighborhood of the subclavian artery, there is an appearance compatible with aortic coartation at the junction of the aortic arch and descending aorta. No lymph node was detected in mediastinal pathological size and appearance.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the thoracic aorta, in the distal neighborhood of the subclavian artery, there is an appearance compatible with aortic coartation at the junction of the aortic arch and descending aorta. In the upper abdominal sections in the study area; Intraparenchymal millimetric calculus was observed in the middle zone of the left kidney. Extrarenal pelvis variation is observed on the left.\n\nImpression:\nFindings compatible with aortic coartation . Pectus carinatus deformity . Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10676/train_10676_a/train_10676_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline and no obstructive pathology was detected in both main bronchi.\n<lung>: No nodules or masses were detected in both lungs. No active infiltration or consolidation was detected in the bilateral lungs. When examined in the lung parenchyma window; aeration of both lung parenchyma is natural.\n<pleura>: No pleural or pericardial effusion was detected. No pericardial-pleural thickening or effusion was observed.\n<mediastinum>: No enlarged lymph nodes reaching pathological dimensions were observed in the paravascular, subcarinal, both hilar and both axillary regions in the preaortic area. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. In the upper abdominal organs included in the sections, 2 calculi with a size of 5 mm were observed in the middle part of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits. Nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10676/train_10676_b/train_10676_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes measuring up to 13 mm in the mediastinum that do not differ significantly. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Millimetric hyperdense finding in the left kidney was evaluated in favor of stone.\n\nImpression:\nLymph node in the mediastinum anterior to the trachea that does not show significant dimensional difference.  Thoracic CT examination within normal limits  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10676/train_10676_c/train_10676_c_1.npy"
        ]
    },
    {
        "id": "report_generation_25285",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several millimetric nonspecific nodules in the right lung. Ventilation of both lungs is normal and there is no mass or appearance compatible with pneumonic infiltration in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are solid masses in the left adrenal gland corpus and lateral leg, and in the right adrenal gland corpus. Among these masses, there are areas of fat density and were primarily evaluated in favor of adenomas. The largest of these masses is observed in the left adrenal gland and the longest diameter was measured as 20 mm.\n\nImpression:\nMillimetric nonspecific nodules in the right lung.  Adenomas in both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10684/train_10684_a/train_10684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The distribution and appearance of the described lesions are non-specific. Nodular-nodular consolidations with ground glass areas are observed in both lungs. Apart from these, there are millimetric nonspecific nodules in both lungs. However, during the pandemic process, these appearances were thought to be compatible with Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. The port catheter terminates in the right atrium.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10692/train_10692_a/train_10692_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A focal increase in aeration was observed in the posterior segment of the right lung upper lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Subsegmental atelectatic changes were observed in the upper lobe of the left lung and the middle lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nFocal air trapping in the posterior segment of the right lung upper lobe . Right lung middle lobe and left lung upper lobe inferior ingular subsegment and subsegmentary atelectatic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10699/train_10699_a/train_10699_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Any distal airway disease can cause this appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. The described appearance is nonspecific. Atelectasis was observed in the left lung upper lobe lingular segment and left lung lower lobe. Budding tree appearances are observed in the upper lobe of the right lung. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: The heart is larger than normal. Pacemaker electrodes terminate in the right atrium and ventricle.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in the left lung . Budding tree appearances in the upper lobe of the right lung . Atherosclerotic changes in the aorta and coronary arteries, cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10702/train_10702_a/train_10702_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There are hypodense nodules in the thyroid gland parenchyma.\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Mild bronchial wall thickness increases are observed in segmental bronchi.\n<lung>: The finding is nonspecific. Centriacinar emphysema areas are observed in both lungs. It should be evaluated in terms of early interstitial lung disease. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are bilateral asymmetric intralobular septal thickenings that become prominent towards the lower lobe. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: It is recommended to evaluate for pulmonary hypertension together with pulmonary parenchymal findings. Intimal calcifications are observed in the aorta and its branches. Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Left atrium and left ventricle diameters are slightly increased. Pericardial effusion was not detected. There are findings secondary to previous coronary bypass surgery. Cardiac Pace Maker catheter is monitored. Heart size increased.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Intimal calcifications are observed in the aorta and its branches. In the upper abdominal sections, thinning of the parenchyma thickness of both kidneys and cortical cysts in both kidneys are present.\n\nImpression:\nCardiac PAce Maker catheter, findings secondary to previous coronary bypass surgery, increase in left ventricle and left atrium diameter.  Simple kidney cysts, thinning of both kidney parenchyma thickness."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10702/train_10702_b/train_10702_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25333",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Increased tracheal AP diameter (COPD?).\n<lung>: In addition, thin linear septal thickenings are observed in both lungs and peripheral lung parenchyma in the peripheral lung parenchyma. Centriacinar and paraseptal emphysematous areas are present in both lung parenchyma. In the evaluation of both lung parenchyma; Interlobular septal thickenings and accompanying ground glass density are observed in the right lung upper lobe apicoposterior segment and less frequently in the upper lobe anterior segment, and minimally in the right lung middle lobe.\n<pleura>: In both hemithorax, bilateral pleural effusions measuring 3.3 cm on the right and 3.4 cm on the left, entering the major fissure in both lungs, and passive atelectasis in the lung parenchyma adjacent to the effusion are observed.\n<mediastinum>: The main pulmonary artery AP diameter is 3.2 cm, the right pulmonary artery diameter is 3 cm, and the left pulmonary artery AP diameter is 2.8 cm. Right upper-bilateral lower paratracheal, aortopulmonary narrow mediastinal lymph nodes with a diameter of less than 1 cm are observed.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures. There are suture materials secondary to bypass surgery in the sternum.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIt may be compatible with interstitial pneumonia / interstitial lung disease or infective processes. Clinical evaluation is also recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10702/train_10702_c/train_10702_c_1.npy"
        ]
    },
    {
        "id": "report_generation_25335",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; central bronchovascular structures are evident.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific plaques are observed in the coronary artery and aorta.\n<heart>: The heart is larger than normal. Pericardial effusion-thickening was not observed. Calcific plaques are observed in the coronary artery and aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes and osteoporotic density losses were observed in the thoracic vertebrae. Changes related to sternotomy are observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There is an NG probe extending into the stomach. Calcific plaques are observed in the coronary artery and aorta.\n\nImpression:\nBilateral reduced pleural effusions.  Peribronchial interlobular septal thickenings and reductions in parenchymal opacities in both lungs; Apart from this, no significant difference was found between the examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10702/train_10702_d/train_10702_d_1.npy"
        ]
    },
    {
        "id": "report_generation_25337",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; Patchy ground glass density increases were observed in both lungs. Bilateral interlobular septa are prominent (secondary to cardiac pathology?).\n<pleura>: Between the bilateral pleural leaves, a free pleural effusion measuring 18 mm in thickness on the right and 17 mm in diameter on the left was observed.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal, pericarinal, aorticopulmonary window and subcarinal area. No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is height loss in the T7 vertebra, which is evaluated in favor of partial compression sequelae. A large Schmorl nodule causing height loss was observed in the lower end plate of the T11 vertebra. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Upper abdominal sections entering the examination area are natural. No dilatation was detected in the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCardiomegaly.  Atherosclerotic changes.  Mediastinal millimetric lymph nodes.  Patchy ground-glass density increases and interlobular septal thickenings in both lungs (secondary to cardiac pathology?).  Diffuse atelectatic changes in both lungs.  Bilateral pleural effusion.  Degenerative changes in bone structure.  Partial compression in T7 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10703/train_10703_a/train_10703_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25350",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There was no suspicious infiltration in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10710/train_10710_a/train_10710_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes are observed in both lungs. No mass or infiltrative lesion was observed in both lungs. There are linear atelectasis in the left lung upper lobe lingular segment and left lung lower lobe anteromediobasal segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta. There are millimetric stones in the gallbladder.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Atelectasis in the left lung.  Atherosclerotic changes in the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10713/train_10713_a/train_10713_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Bronchiectasis and peribronchial wall thickening are observed in the lower lobes of both lungs. In the middle lobe of the right lung, a nonspecific millimetric nodule, which was also observed in the previous examination, is observed. In the apex of the right lung, interlobular septal thickenings, which are evaluated as secondary to radiotherapy, and interlobular septal thickenings with densities compatible with post-RT fibrosis are observed in the paramediastinal area. No nodule in favor of metastasis was detected in both lungs. It is 3.5x1 cm in the current examination and 4.8x1.1 cm in the previous examination, and its size continues to decrease. Sentracinar and paraseptal emphysemato areas are observed in the upper lobes of both lungs, more prominently in the upper lobe of the right lung at the apex of both lungs.\n<pleura>: In the first examination, a mass with the pleural floor is observed in the paramediastinal localization of the right lung apex.\n<bone>: According to previous studies, metastases are additional findings. In bone structures, widespread bone metastases are observed in the vertebrae and bilateral ribs.\n<abdomen>: Exophytic cortical cysts are observed in the right kidney in the examination area and punctate microcalculus is present in the renal pelvis.\n\nImpression:\nParamediastinal mass progressively decreasing in size at right lung apex  Extensive bone metastases  Right renal cortical cysts and microcalculus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10714/train_10714_a/train_10714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It obstructs the upper lobe segment bronchi.\n<lung>: Consolidation area and centrilobular nodules, which are more prominent especially in the lower lobe basal segment, are observed secondary to narrowing in bronchial calibrations. There is panacinar emphysema in the apical segment of the upper lobe of the right lung. Peribronchial mass lesion is observed in the right lung. In the right major fissure, there is an increase in fissure thickness showing slight nodularity in places. The findings were evaluated in favor of postobstructive pneumonia. Left lung total collapse is observed. Fissuritis is observed in the right major fissure. Intermediate bronchus narrows lower lobe and middle lobe segment bronchi calibrations. Consolidation areas in the upper lobe of the right lung may be secondary to infection, and the presence of parenchymal metastases could not be excluded.\n<pleura>: There is an effusion reaching 5.5 cm in diameter between the leaves of the pleura on the left.\n<bone>: In the right retroclavicular fossa, several lymph nodes with short diameters up to 1 cm are observed. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No loculated or free fluid was detected in the upper abdominal sections.\n\nImpression:\nA few lymph nodes located in the right retroclavicular . Malignant infiltration of the left main bronchus is caused by total collapse of the left lung. There is pleural effusion.  Right peribronchial mass lesion obstructs the prominent segmental bronchi in the upper lobe and the air passage. Consolidation areas in the right lung that are partly nodular and partly confluent were primarily evaluated in favor of obstructive pneumonia. Metastatic infiltration cannot be ruled out in irregularly circumscribed nodular consolidations in the aerated right lung parenchyma. Post-check is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10719/train_10719_a/train_10719_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25381",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: A thin-walled air cyst of 5.5 cm in diameter is observed in the middle lobe of the right lung. There are sequelae parenchymal changes in both lung lower lobe posterobasal segment, left lung upper lobe inferior lingular segment, lower lobe anteromedial and lateral segment, and right lung middle lobe medial segment. In the examination made in the lung parenchyma window; No pneumonic infiltration or mass lesion was detected in both lung parenchyma.\n<pleura>: No bilateral pleural effusion or increase in thickness was detected.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance. Mediastinal vascular structures and cardiac examination IV. The port chamber is observed on the right anterior chest wall, and there is a catheter extending to the superior right atrium junction of the vena cava.\n<heart>: Pericardial effusion was not detected. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and cardiac examination IV. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection is observed.\n\nImpression:\nAcute infiltration, mass or nodular lesions are not observed in both lungs. There are parenchymal changes in places and an air cyst with a thin wall structure of 5.5 cm in the middle lobe of the right lung. The described findings are stable in the comparative evaluation made with the CT examination dated 25.7.2020, and newly developed no finding was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10724/train_10724_a/train_10724_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25396",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. Bilateral peribronchial thickening was observed. Branches with buds and acinar opacities are observed in the lower lobe of the left lung and in the inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be observed: Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be observed: Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No lytic-destructive lesion was detected. As far as can be observed: Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections that entered the examination area, millimetric-sized multiple calcules were observed in both kidneys.\n\nImpression:\nMosaic attenuation pattern in both lungs. Bilateral peribronchial thickenings, bud branch appearances and acinar opacities in the left lung. The outlook is atypical for Covid pneumonia. Other bacterial pathologies should be considered in the differential diagnosis. However, in the presence of a pandemic, Covid pneumonia cannot be ruled out. It is recommended to be evaluated together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10731/train_10731_a/train_10731_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Findings and sequelae changes consistent with interstitial lung disease are observed in both lungs. A low-density nodular lesion with a diameter of 3 mm located peripherally is observed in the medial segment of the right lung middle lobe. Centrilobular emphysema areas are remarkable in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the diameter of the thoracic aorta is 41 mm at the aortic root, and it is slightly dilated. No pathological LAP was detected in the mediastinum. There are calcified atheroma plaques on the walls of the vascular structures.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the diameter of the thoracic aorta is 41 mm at the aortic root, and it is slightly dilated.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are osteodegenerative changes in the vertebrae.\n<abdomen>: No pathology was detected in the sections passing through the upper abdomen. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the diameter of the thoracic aorta is 41 mm at the aortic root, and it is slightly dilated. There are calcified atheroma plaques on the walls of the vascular structures.\n\nImpression:\nInterstitial lung disease and sequelae changes in both lungs, more prominent on the right Centrilobular emphysema areas and millimeter-sized nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10732/train_10732_a/train_10732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25420",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10743/train_10743_a/train_10743_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. In favor of pneumonic infiltration. Correlation with clinical and laboratory is recommended. When examined in the lung parenchyma window; There is an area of consolidation in the posterobasal segment of the lower lobe of the right lung. Bacterial-Covid pneumonia distinction could not be made.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. No features were detected in the upper abdomen sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nPneumonic consolidation area in the posterobasal segment of the lower lobe of the right lung. Bacterial-Covid pneumonia cannot be differentiated. Correlation with clinical and laboratory is recommended"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10748/train_10748_a/train_10748_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is minimal focal thickening in the major fissure in the upper part of the left lung. Viral pneumonic infiltrates present in both lungs are totally regressed. Apart from this, no newly developed pathology was detected.\n<bone>: Vertebrae are degenerative.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10750/train_10750_b/train_10750_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A stable nodule with a diameter of 4 mm is observed in the superior segment of the right lung lower lobe. A stable 2 mm diameter nodule is observed at the posterobasal level in the lower lobe of the right lung. A little more caudally, there is another stable 4 mm diameter nodule. No pathological size and configuration of lymph nodes were detected at both hilar levels. Density reduction consistent with emphysema is observed in both lungs. When examined in the lung parenchyma window; both hemithorax are symmetrical. There is a stable 4 mm diameter nodule at the laterobasal level.\n<pleura>: Density compatible with pleural parenchymal sequelae is observed in the lingula segment of the left lung. In the right lung, a stable nodule with a diameter of 4 mm is observed, superposed subpleural over the minor fissure. There are densities in the middle lobe that are considered compatible with pleural parenchymal linear sequelae. In the middle lobe, a stail-like subpleural 4 mm nodule is observed.\n<mediastinum>: CTO is within the normal range. The aortic arch calibration is 30 mm, slightly wider than normal. Calibration of other mediastinal major vascular structures is natural. Thymic tissue is observed in the anterior mediastinum without mass effect, in which hypodense areas compatible with fatty hemodilution are observed. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: The thoracic esophagus calibration is normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: There is a decrease in density consistent with steatosis in the liver that entered the cross-sectional area of the upper abdominal organs included in the sections. CTO is within the normal range. The aortic arch calibration is 30 mm, slightly wider than normal. A fat-protected parenchyma area is observed adjacent to the gallbladder.\n\nImpression:\nReview evaluated together with previous legacy IRs.  Nonspecific nodule formations with a stable appearance and the largest of which does not exceed 4 mm in both lungs  Mild emphysema appearance in both lungs, few sequela changes  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10756/train_10756_b/train_10756_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Lung parenchymal aeration is normal, and no infiltrative lesion is detected in the lung parenchyma. The image is consistent with typical-probable Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; Subpleural ground-glass opacities are observed in both lungs, especially in the lower lobes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia should be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10764/train_10764_a/train_10764_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25513",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Minimal thickenings are observed in the bronchial walls at the central level.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Degenerative changes in the vertebrae, osteophytes tending to merge anteriorly are observed.\n<abdomen>: Upper abdominal organs included in sections; the volume of the left lobe of the liver has decreased and a slight undulation is observed in the contours of the right lobe. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal.\n\nImpression:\nMinimal thickening of the bronchial walls (chronic bronchitis?)  Early liver parenchymal disease?  Degenerative changes in the vertebrae, osteophytes tending to merge anteriorly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10764/train_10764_b/train_10764_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are linear atelectasis in the lower lobe of both lungs, the upper lobe lingular segment of the left lung, and the middle lobe of the right lung. There are emphysematous changes in both lungs. Millimetric nonspecific nodules are observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: In the left axilla, an increase in density, which may be compatible with edema-infiltration, is observed more prominently in the vicinity of the subclavian artery and vein. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The described appearance is nonspecific. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are no pathologically enlarged lymph nodes in the right axilla and bilateral rectopectoral regions. Atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph node in pathological size and appearance was detected in bilateral internal mammary artery traces.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<breast>: In the left axilla, an increase in density, which may be compatible with edema-infiltration, is observed more prominently in the vicinity of the subclavian artery and vein.\n<bone>: Mixed lytic-sclerotic bone lesions are observed in almost all bone structures within the sections. No soft tissue component accompanying metastases was detected. These appearances are understood to be metastases.\n<abdomen>: There are millimetric hyperdense appearances in the gallbladder and it was evaluated in favor of stones. Gallbladder wall thickness is normal. There are hypodense lesions in the medial and lateral segments of the left lobe of the liver. Pericholecystic free fluid was not detected. No pathologically enlarged lymph nodes were observed. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. These views are nonspecific. The gallbladder measures 50 mm and is hydropic.\n\nImpression:\nMetastatic breast ca in the follow-up, nonspecific increase in density that may be compatible with edema-infiltration in the fat tissue in the left axilla, metastatic lesions in the bone structures within the sections, liver metastases . Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia. Emphysematous changes in both lungs. Atelectasis in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10766/train_10766_a/train_10766_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25522",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: No mass, nodule-infiltration was detected in both lung parenchyma. There was no finding compatible with pneumonia. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion or pneumothorax is not observed.\n<mediastinum>: There is thymic tissue in the anterior mediastinum without mass effect. Calibration of other major mediastinal vascular structures is natural. CTO is normal. It is slightly wider than normal. The aortic arch calibration is 30 mm. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural.\n<abdomen>: CTO is normal. Apart from this, the sections passing through the upper abdomen are natural. In the sections passing through the upper abdomen, nodular formation is observed in the neighborhood of the spleen, which is considered compatible with the accessory spleen. It is slightly wider than normal. Surrounding soft tissue plans are natural. The aortic arch calibration is 30 mm.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10769/train_10769_a/train_10769_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the trachea, both main bronchi and segmental bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Two calcified nodules were observed in the left lung. A linear subsegmental atelectatic change was observed in the basal part of the lower lobe of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Passive atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe.\n<pleura>: When examined in the lung parenchyma window; A smear-like effusion was observed between the leaves of the pleura in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. An effusion measuring 16 mm was observed in the thickest part of the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Calcific atheroma plaques were observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nCardiomegaly, wall calcifications in the aorta and coronary arteries, pericardial effusion.  Bilateral smear-like pleural effusion.  Two calcified nodules in the left lung.  Atelectasis changes in left lung upper lobe lingular and right lung middle lobe medial segment.  Locally degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10774/train_10774_a/train_10774_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal. There is an appearance compatible with thymic remnant in the anterior mediastinum.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nNon-contrast thoracic CT findings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10778/train_10778_a/train_10778_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Linear atelectasis areas are observed in the lower lobe of the left lung.\n<mediastinum>: Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nLinear atelectasis in the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10784/train_10784_a/train_10784_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical-laboratory correlation is recommended. Thickening of the interlobular septa was observed in the lower lobes of both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Fibroatelectasis sequela changes were observed in the lower lobes of both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Focal minimal bud branch appearance-acinar nodular opacities are observed in the peripheral subpleural area in the posterobasal segment of the left lung lower lobe and the mediobasal segment of the right lung lower lobe (infectious process?). When both lungs are evaluated in the parenchyma window; Subpleural paraseptal emphysema was observed in the upper lobe of the right lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Port chamber and catheter image extending to the superior vena cava were observed on the right chest anterior wall.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nBilateral peribronchial thickenings.  Subpleural emphysematous changes in the right lung.  Thickening of the interlobular septa in the lower lobes of both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Focal minimal bud branch appearance in the peripheral subpleural area in the lower lobe of the left lung-acinar opacities (infectious process?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10784/train_10784_b/train_10784_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Peribronchial weighted centriacinar nodular infiltrates-budding tree view are present in the right lung upper lobe posterior, middle and lower lobe basal segments, left lung upper lobe lingular and lower lobe basal segments. Segmentary-subsegmental peribronchial thickening was observed in both lungs. When examined in the lung parenchyma window; Paraseptal emphysema was observed in the upper lobe of the right lung. Fibroatelectasis sequela changes were observed in the lower lobes of both lungs. There are interlobular septal thickenings in the lower lobes of both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. The findings described are in favor of pneumonic infiltration.\n<pleura>: The peripheral subpleural areas of the lower lobe basal segments of the left lung are accompanied by areas of focal nodular consolidation.\n<mediastinum>: A catheter inserted from the left internal jugular vein extending to the superior-right atrium junction of the vena cava was observed. Thoracic aorta diameter is normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atherosclerotic changes were observed in the aortic arch and RCA. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion in favor of metastasis was observed in the bone structures within the sections.\n<abdomen>: Minimal irregularity was observed in liver contours. A 5 mm diameter nodular lesion area was observed in the subcutaneous fat tissue in the right upper quadrant, and it was learned from previous examinations that there was metastasis in the anterior abdominal wall. Cysts were observed in both kidneys. Thoracic aorta diameter is normal. Left and caudate lobes are prominent. Calcific atherosclerotic changes were observed in the aortic arch and RCA. It is recommended to be evaluated together with clinical and laboratory in terms of chronic parenchymal disease.\n\nImpression:\nFindings favoring pneumonic infiltration in both lungs.  Bilateral peribronchial thickenings.  Subpleural emphysematous changes in the right lung.  Interlobular septal thickenings in the lower lobes of both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10784/train_10784_d/train_10784_d_1.npy"
        ]
    },
    {
        "id": "report_generation_25570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are subsegmental atelectasis in the middle lobe of the right lung and the lingular segment of the left lung. Right upper-bilateral lower paratracheal lymph nodes with millimetric size are observed. In addition, subsegmental atelectasis in the posterobasal segment of the left lung lower lobe or mild protrusion in the bronchi are observed. Side-by-side nodules with a size of 8x3.5 mm are observed in the middle lobe of the right lung, 4.5 mm in diameter in the left lung lingular segment, and 4 and 3.5 mm in diameter on the fissure plate of the left lung lower lobe superior segment. In the evaluation of both lung parenchyma; Focal ground-glass densities are observed in the peripheral lung parenchyma and peribronchial parenchyma in the middle lobe and lower lobe of the left lung, diffuse in the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: There is no lytic-dextuffric lesion in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nFocal ground-glass densities in the right lung, lingular segment in the left lung, peripheral in the lower lobe, and occasionally in the peribronchial location, were evaluated as significant for Covid-19 pneumonia in the presence of a pandemic. Nonspecific nodules with a diameter of 8 mm in both lungs. Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10790/train_10790_a/train_10790_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<breast>: The described lesion could not be characterized again in this examination. There is a nodular lesion measuring 12 mm in diameter in the upper inner quadrant of the left breast.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: It is recommended that the patient be evaluated together with their medical history. There is a hypodense lesion measuring 35 mm in diameter in segment 8 of the liver. The described lesion could not be characterized as no contrast agent was given. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nHypodense lesion in the anterior segment of the right lobe of the liver that cannot be characterized by this examination . Nodular lesion in the upper inner quadrant of the left breast . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10794/train_10794_a/train_10794_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion with distinguishable borders was detected in both lungs. An increase in linear fibroatelectasis sequela density was observed in the basal segment of the left lung lower lobe. Interlobular septal thickenings were observed in the basal sections of the right lung middle lobe (changes secondary to post-treatment). When examined in the lung parenchyma window; Parenchymal nodules with a diameter of 4.2 mm were observed in both lungs, the largest of which was in the anterior segment of the upper lobe of the right lung.\n<mediastinum>: Mediastinal was not evaluated optimally in the examination performed without contrast. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No pathologically enlarged lymph nodes were detected in the mediastinal and hilar regions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Metallic densities in the tail of the right breast and irregularly limited density increases that did not create a mass effect extending to the skin were observed in the patient who was learned to have operated breast Ca (changes secondary to surgery). The right breast skin is thicker than normal.\n<bone>: No lytic destructive lesion in favor of metastasis was observed in bone structures within the sections. Hemangioma focus was observed in the left half of the T11 vertebra corpus.\n<abdomen>: Millimetric calculus was observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nSurgical metallic densities compatible with postoperative changes in the axillary tail of the right breast, thickening of the skin of the right breast . Stable cystic lesions at the retroareolar level of both breasts . Stable nonspecific pulmonary nodules in both lungs . Interlobular septal thickenings in the basal sections of the middle lobe of the right lung (changes secondary to post-treatment) . Linear fibroatelectasis sequelae changes in the basal segment of the lower lobe of the left lung . Cholelithiasis . Hemangioma focus in the left half of the T11 vertebra corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10801/train_10801_a/train_10801_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules in nonspecific millimetric sizes in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper abdomen.\n\nImpression:\nNonspecific millimetric nodules were observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10816/train_10816_a/train_10816_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25623",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; A few millimetric nonspecific subpleural nodules are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Cyst leine was evaluated in the first plan within the limits of the study. Miimetric hypodense findings are present in the small hypodense segment 3 of the liver parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nSeveral millimetric nonspecific subpleural nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10818/train_10818_a/train_10818_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; more peripherally located patchy ground glass densities are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical laboratory correlation is recommended.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Millimetric calcific focus is observed at the level of segment 5 of the right lobe of the liver. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMore peripherally located patchy ground glass densities are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical laboratory correlation is recommended. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10824/train_10824_a/train_10824_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25651",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Multiple subpleural ground-glass densities are present in both lung parenchyma.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: The bone structures in the examination area are normal. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, a 4 mm hypodense lesion was observed in the liver segment 8 (cyst?).\n\nImpression:\nFindings compatible with Covid pneumonia . Simple cyst in liver segment 8?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10829/train_10829_a/train_10829_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25655",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear atelectasis is observed in the right lung lower lobe mediobasal segment and left lung lingula inferior segment. No occlusive pathology was detected in the lung. A parenchymal nodule with a diameter of approximately 5.5 mm is observed in the superior segment of the left lung lower lobe.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. In the mediastinal prevascular area, oval-shaped lymph nodes with a short diameter of up to 5 mm are observed in the paratracheal area.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the lower thoracic region, loss of height secondary to degeneration in the vertebral corpus height and osteophyte formations in the vertebral corpus corners are observed. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region.\n<abdomen>: Multiple stones are present in the gallbladder lumen in the evaluation of the upper abdominal organs that enter the imaging field.\n\nImpression:\nLymph nodes that do not reach mediastinal pathological size. Parenchymal nodule in the superior segment of the left lung lower lobe.  Cholelithiasis. Osteodegenerative bone disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10831/train_10831_a/train_10831_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes increased. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). When examined in the lung parenchyma window; Central-peripheral weighted crazy paving pattern and large patchy consolidation areas with signs of vascular enlargement were observed in both lungs. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in the lung parenchyma. A calcific nodule with a diameter of 5.8 mm was observed at the junction of the anterior segment-middle lobe of the right lung upper lobe.\n<mediastinum>: The anterior-posterior diameter of the ascending aorta is 45 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, larger than normal. As far as can be seen; The thoracic aorta is tortoised and elongated. The main pulmonary artery is wider than normal with a diameter of 36 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the descending aorta.\n<heart>: Heart size slightly increased. The aortic valve is calcified. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anteroposterior diameters of the vertebral corpus have decreased and mild height loss has been observed at multiple levels. Irregularity and sclerosis were observed in the end plateaus facing the disc. Disc distances at the mid-thoracic level have decreased.\n<abdomen>: The anterior-posterior diameter of the ascending aorta is 45 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, larger than normal. No gall bladder was observed in the upper abdominal organs included in the sections (operated). As far as can be seen; The thoracic aorta is tortoised and elongated. Calcific atheroma plaques were observed in the descending aorta.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta - tortuous and elongated appearance, increase in the diameter of the pulmonary artery, cardiomegaly, atherosclerotic wall calcifications in the descending aorta, calcification in the aortic valve  Hiatal hernia  Findings compatible with Covid-19 pneumonia in the lung parenchyma  Small airway defect in the lung disease?, small vessel disease?).  Nonspecific calcific nodule adjacent to the fissure in the upper lobe of the right lung  Cholecystectomized  Degenerative changes in bone structure and mild loss of height at multiple levels"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10836/train_10836_a/train_10836_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and obstructive pathology.\n<lung>: Clinical and laboratory evaluation is recommended for Covid-19 pneumonia.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected. In the examination made in the lung parenchyma window; In the upper lobe of the right lung and in the lateral and posterobasal segments of the lower lobe of the left lung, consolidation and ground glass density areas, mostly located in the peripheral subpleural, are observed, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: There are no lymph nodes in pathological size and appearance in both axillary regions and mediastinum. It could not be evaluated optimally due to the lack of contrast, and the calibration of mediastinal vascular structures, heart contour and size are normal. Mediastinal vascular structures and heart examination IV.\n<heart>: It could not be evaluated optimally due to the lack of contrast, and the calibration of mediastinal vascular structures, heart contour and size are normal. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion is observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Hyperdense stones in millimetric sizes are observed in the gallbladder lumen.\n\nImpression:\nAreas of consolidation and ground glass density evaluated in favor of viral pneumonia in both lungs; Evaluation is recommended for Covid 19 pneumonia. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10838/train_10838_a/train_10838_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10839/train_10839_a/train_10839_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A tracheal diverticulum, approximately 9x9x13 mm in size, associated with the lumen was observed in the right posterolateral part of the trachea at the mediastinal intrusion. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. Calibration of pulmonary vascular structures is natural. As far as can be seen; The anterior-posterior diameter of the descending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 27 mm. Calcific atheroma plaques are observed in the thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mitral and aortic valve are calcified. A smear-like effusion was observed in the pericardial space. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Evaluation for diffuse idiopathic bone hyperostosis is recommended. Spur formations bridging with each other are observed in the right anterolateral corner of the thoracic vertebra.\n<abdomen>: Other upper abdominal organs are normal. As far as can be seen within the sections; A nonspecific hypodense lesion of 6 mm in diameter was observed in the lateral subcapsular at the junction of the liver segment 7-6 (cyst?). As far as can be seen; The anterior-posterior diameter of the descending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 27 mm. Calcific atheroma plaques are observed in the thoracic aorta. Diffuse thickening was observed in the left adrenal gland.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta, smear-like pericardial effusion, calcification in the mitral and aortic valve.  Hiatal hernia.  Mosaic attenuation pattern in the lung parenchyma (small airway disease?small vessel disease?).  Millimetric nonspecific hypodense lesion (cyst?) in the lateral right lobe of the liver.  Diffuse thickening of the left adrenal gland.  Findings consistent with diffuse idiopathic bone hyperostosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10845/train_10845_a/train_10845_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. There are clips in the mediastinum. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance. Aortic valve replacement was observed.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are metallic sutures in the sternum. There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10855/train_10855_a/train_10855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In lung parenchyma evaluation; The air passages of the trachea, lobar and segmental bronchi of both main bronchi are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is an increase in liver size and moderate hepatosteatosis in parenchyma density.\n\nImpression:\nNon-contrast Thorax CT examination within normal limits.  Hepatomegaly and moderate hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10856/train_10856_a/train_10856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25711",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10859/train_10859_a/train_10859_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are sequelae fibrotic bands in the lung. Minimal emphysema is observed in the upper lobes. Bilateral millimetric nonspecific nodules are observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific plaques were observed in the abdominal aorta in the thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific plaques and coronary stents are present in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. There is a view of aortic valve surgery. Mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is slightly ectatic (36 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Sternatomy was observed. Bone structures in the study area are natural. There are degeneration anterior osteophytes in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques were observed in the abdominal aorta in the thoracic aorta. Calcific plaques and coronary stents are present in the aorta and coronary arteries.\n\nImpression:\nSternatomy, aortic valve surgery.  Aortic and coronary artery atherosclerosis and coronary stents.  Sequelae of fibrotic changes in the lung, bilateral minimal emphysema and bilateral millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10860/train_10860_a/train_10860_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25714",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; There are diffuse asymmetrical, mostly consolidation areas, ground glass opacity in both lungs, and pneumonic infiltration areas in the form of increased septal thickness. Radiological findings were evaluated in favor of lung parenchymal involvement of Covid. Parenchymal involvement is quite common. It is more prominent in the right lung.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. Numerous mediastinal lymph nodes with diameters less than 1 cm located paraaortic, prevascular, bilateral upper and lower paratracheal interaortacaval and peribronchial are observed in the mediastinum.\n<heart>: Calcified atheroma plaques are present in LAD. Perikerdial effusion is observed in the form of mild smearing. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a siliding type hiatal hernia.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. When the upper abdominal organs included in the sections were evaluated; A millimetric calculus image was detected in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nAsymmetric prominent diffuse parenchymal pneumonic infiltration on the right in both lungs, radiological findings are compatible with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10861/train_10861_a/train_10861_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25721",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are interlobar and interseptal thickness increases and pleuroparenchymal band formations in all lobes and all segments. No evidence of active infiltration or consolidation was found. Traction bronchiectasis are present especially in the lower lobes of both lungs. First of all, it was evaluated as compatible with Covid sequelae.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Thoracic aorta diameter is normal. No enlarged lymph nodes were detected in prevascular, paratracheal, subcarinal, hilar and both axillae with pathological size and appearance. Mediastinal main vascular structures appear natural.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. The size and contours of the heart appear natural, and no pericardial effusion or increase in wall thickness is detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLung findings consistent with the sequelae changes of previous Covid. No finding in favor of active infiltration-consolidation was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10865/train_10865_a/train_10865_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Thickening and irregularity are observed in the interlobular septa around it and it was evaluated as compatible with lymphangitis carcinomatosis. There are bulla-bleb formations in the upper lobes. Identified parenchymal changes are also observed in the previous review. There are findings consistent with emphysema in both lungs. A nodule with a diameter of approximately 5 mm is observed in the left lung in the lower lobe laterobasal segment. Pleuroparenchymal sequelae change is observed in the middle lobe. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. It is recommended to be evaluated for interstitial lung disease. There are mild sequelae changes in the lower lobe. Pathological size and configuration of lymph nodes are not observed at both hilar levels. A stable appearance of 5 mm in diameter is observed at the posterobasal level. It was measured as 8 mm in his previous examination.\n<pleura>: There was no bilateral pleural effusion, pneumothorax or apparent pneumonia. The contours of the mass lesion are irregular and their spicular extensions towards the pleura are observed. There are thickenings in the peripheral subpleural -interlobular septa, which were observed more prominently in the upper-middle zones of both lungs in the previous examination as well.\n<mediastinum>: CTO is within normal limits. The aortic arch calibration is 32 mm. Calibration of other major vascular structures is natural. Pulmonary trunk calibration is at the maximal physiological limit. The aortic arch is larger than normal. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. There is a 17x10 mm nodular lesion at the level of the left adrenal genu. The aortic arch calibration is 32 mm. There is a slight reduction in size. Calibration of other major vascular structures is natural. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. The aortic arch is larger than normal. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. In the case, a hiatal hernia is observed, and it is observed that there is a significant herniation towards the thorax in the preperitoneal fatty planes around the hernia sac. A hypodense lesion is observed in the left kidney, which may be compatible with a partially visible cortical cyst.\n\nImpression:\nThe examination was evaluated together with PET-CT dated 6.11.2020. No findings in favor of pneumonia were detected.  Findings compatible with emphysema in both lungs, thickening of the interlobular septa at the peripheral level, it is recommended to be evaluated in terms of interstitial lung disease. Findings compatible with emphysema.  A few nodule formations are observed in both lungs and are generally stable. However, there is a slight reduction in the size of the nodule observed at the lower lobe laterobasal level.  Significant hiatal hernia.  Cortical cyst in the left kidney, 17x11 mm nodular lesion in the left adrenal. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10867/train_10867_a/train_10867_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, diffuse ground glass densities, which tend to merge, being more prominent in the middle and lower parts, and thickening of the bronchial wall in the central are observed.\n<mediastinum>: Lymph nodes up to 15x8 mm in size are observed in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nStable lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10871/train_10871_b/train_10871_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are diffuse ground glass densities with faint peribronchial borders, predominantly central in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques are present in the aorta and coronary arteries. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. The ascending aorta is 41 mm and is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anteriorly extending osteophytes were observed in the thoracic vertebrae.\n<abdomen>: Other upper abdominal organs are normal. In the upper abdominal sections, cortical hypodense lesions with a size of 34 mm were observed in both kidneys. Calcific plaques are present in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly.  Ectasia in the ascending aorta.  Aortic and coronary artery atherosclerosis.  Diffuse faintly circumscribed ground-glass density increases in both lungs (pulmonary edema?).  Thoracic spondylosis.  Cortical hypodense lesions (cyst?) in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10873/train_10873_a/train_10873_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings were evaluated as compatible with Covid infection parenchymal involvement. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma.\n<pleura>: It is observed in the basal and subpleural areas. When the lung parenchyma window is examined; In both lungs, atypical pneumonic infiltration areas in the form of more prominent ground-glass density and consolidation areas and occasional septal thickness increases are observed in the basal segments located in the subpleural region.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nSlightly more prominent atypical pneumonic infiltration areas in the posterior, basal, subpleural areas in both lungs, radiological findings are compatible with Parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10875/train_10875_a/train_10875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Mosaic attenuation is observed in the left lung (small airway disease? Small vessel disease?). In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in the parenchyma of both lungs in the trauma patient.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in the bones.\n<abdomen>: No obvious pathology was detected. In the sections passing through the upper part of the abdomen, the intra-abdominal fat appears suboptimal with bilateral adrenal glands due to the markedly low level of intra-abdominal fat.\n\nImpression:\nTraumatic pathology was not distinguished in both lung parenchyma.  Mosaic attenuation in left lung (small airway disease? Small vessel disease?).  No lytic-destructive lesion was detected in the bones."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10877/train_10877_a/train_10877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Parenchymal sequela atelectatic changes were observed in the inferior lingular segment of the left lung upper lobe. In the central parts of the right lung middle lobe and left lung lingular segment, and in the basal segments of both lung lower lobes, there is a centracinar nodular infiltration and budding tree view. Millimetric sized parenchymal nodules, some of them calcified, were observed in both lungs. When examined in the lung parenchyma window; More extensive centriacinar-paraseptal emphysema areas were observed in the upper lobes of both lungs. There is segmental-subsegmental peribronchial thickening and luminal narrowing in both lungs. The described findings were evaluated in favor of bronchopneumonia. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 42 mm, and the descending aorta is 30 mm in diameter, which is larger than normal. Apart from this, a large number of lymph nodes that did not reach pathological dimensions were observed in other stations of the mediastinum and in the bilateral hilum. One or two pathologically sized lymph nodes measuring 13 mm on the short axis of the left lower paratracheal subcarinal larger one were observed. Calibration of pulmonary arteries is natural. Atherosclerotic wall calcifications and stent materials placed in the coronary arteries were observed in the aortic arch and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications and stent materials placed in the coronary arteries were observed in the aortic arch and coronary arteries. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta is 42 mm, and the descending aorta is 30 mm in diameter, which is larger than normal. Atherosclerotic wall calcifications and stent materials placed in the coronary arteries were observed in the aortic arch and coronary arteries. As far as can be seen within the sections; An accessory spleen with a diameter of 2 cm was observed in the inferior of the splenic hilus.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the aortic arch and coronary arteries, and stent applied to the coronary arteries.  Left lower lobe paratracheal and subcarinal lymph nodes in the mediastinum with pathological dimensions.  Hiatal hernia.  Bronchopneumonia in both lungs.  Emphysematous changes in lung parenchyma, atelectasis change in left lung lingular segment sequelae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10879/train_10879_a/train_10879_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10883/train_10883_a/train_10883_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In the right lung middle lobe lateral segment and lower lobe superior segment, adjacent to the fissure, nonspecific parenchymal nodules with a diameter of 4.9 mm were observed in the left lobe, the largest of which was observed. Apart from this, no mass lesion-active infiltration with selectable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Irregularity and occasional Schmorl nodule impressions were observed in the vertebral endplates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, no space-occupying lesion was detected in the liver that entered the section area.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in the right lung.  Minimal degenerative changes in the vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10884/train_10884_a/train_10884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. There are dependent densities in the posterior parts of both lungs. There are millimetric nonspecific nodules in both lungs. No mass or appearance compatible with infiltrative lesion was detected in both lungs. This appearance was primarily thought to be a sequelae change. It is recommended to be evaluated and followed up together with the physical examination findings. Density increases, structural distortion and volume loss, which are evaluated in favor of pleuroparenchymal sequela fibrotic changes, are observed in both lung apexes, more prominently on the right. There are sometimes linear atelectasis in both lungs. In addition, there is a nonspecific increase in density adjacent to the posterobasal-laterobasal segment in the lower lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries. The diameters of the pulmonary arteries are normal.\n<heart>: The ascending aorta measured 40 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights and alignments within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs  Pleuroparenchymal sequelae changes in both lung apexes  Atelectasis in both lungs  Dependent densities in the posterior segments of both lungs  Nonspecific density increase in the lower lobe of the right lung  Millimetric nodules in both lungs  Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10885/train_10885_a/train_10885_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A 5 mm nodule was observed adjacent to the major fissure in the anterior lower lobe of the left lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric ground glass nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10888/train_10888_b/train_10888_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: It is recommended to evaluate or follow-up with old-dated CT examinations, if any. Apart from this, a few millimeter-sized nonspecific nodules were observed in both lungs. When examined in the lung parenchyma window; In the lower lobe of the left lung, there is an area of increase in density consistent with consolidation in which air bronchograms are also observed. It suggests pneumonic infiltration in its etiology. There is a well-circumscribed parenchymal nodule measuring approximately 8x6 mm in size, adjacent to the pneumonic infiltration described in the left lung lower lobe laterobasal segment. No mass lesions were detected in both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: No lymph node was detected in intraabdominal pathological size and appearance. Free fluid, loculated collection is not observed. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nDensity increase area compatible with consolidation in the lower lobe of the left lung, in which air bronchograms are also observed; Pneumonic infiltration was considered in its etiology.  Millimetric nodule in the laterobasal segment of the lower lobe of the left lung. It is recommended to evaluate or follow-up together with old-dated CT examinations, if any. Apart from this, there are a few nonspecific nodules in millimetric sizes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10895/train_10895_a/train_10895_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: At the right hilar level, several lymph nodes are observed in calcific appearance, the largest of which is 10 mm in the short axis. Densities compatible with pleuroparenchymal sequelae are observed in the lingular segment. There is a mosaic attenuation pattern in both lungs (small airway disease? small airway disease?). When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in both lungs. Sequelae changes are observed at the middle lobe level in the right lung. In the superior segment of the lower lobe of the right lung, two adjacent calcifications, the largest of which is 10 mm in diameter, and adjacent pleuroparenchymal density increases are observed. No pathological size and configuration lymph nodes were detected at both hilar levels. There are millimetric calcific nodules at the posterobasal level. There are nodules with a diameter of 2 mm at the laterobasal and posterobasal level of the left lung, and a nodule with a size of 3x2 mm at the posterobasal level. Sequelae were evaluated as compatible with calcific nodule.\n<pleura>: No pleural effusion or pneumothorax was detected in both lungs compatible with pneumonia.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; Steatosis is observed in the liver.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10896/train_10896_a/train_10896_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Multilobar, multisegmental central-peripheral crazy paving pattern and nodular patchy ground glass consolidations showing vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Pleuroparenchymal fibroatelectasis sequelae change was observed in the right lung apex, medially. A 4.5 mm diameter calcific nonspecific nodule was observed anteriorly in the apical segment of the right lung.\n<mediastinum>: Calibration of the pulmonary arteries is normal. The anterior-posterior diameter of the ascending aorta is 45.9 mm, and the anterior-posterior diameter of the descending aorta is 32 mm, which is above normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Right upper-lower paratracheal and right hilar calcific lymph nodes were observed.\n<heart>: Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Pericardial effusion-thickening was not observed. Heart sizes are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected.\n<bone>: As far as can be observed: Surgical suture materials secondary to bypass surgery in the anterior mediastinum of the sternum were observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A fascia defect of approximately 4 cm was observed in the area of suture materials at the subxiphoid level in the epigastric region, and herniation of the ometallic adipose tissue to the anterior abdominal wall was observed. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The anterior-posterior diameter of the ascending aorta is 45.9 mm, and the anterior-posterior diameter of the descending aorta is 32 mm, which is above normal. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the anterior mediastinum of the sternum, fusiform aneurysmatic dilation in the thoracic aorta, diffuse atherosclerotic wall calcifications in the thoracic aorta and coronary arteries.  Sliding type hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Millimetric calcific nodule and pleuroparenchymal fibroatelectasis sequelae change in the right lung apex.  Epigastric hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10909/train_10909_a/train_10909_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Subsegmental atelectasis is observed in the lingular segment of the left lung. In addition, alveolar interstitial density increases are observed in the peripheral lung parenchyma in the left lung lower lobe laterobasal segment. In the evaluation of both lung parenchyma; azygos lobe variation is observed on the right. In addition, minimal density increases are observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Metallic artifacts are observed in the bilateral femoral heads. A distinct osteopenic appearance is observed in bone structures. Height losses and degenerative changes are observed in the vertebrae in the middle dorsal localization.\n<abdomen>: Bowel loops extend towards the anterior abdominal wall. A few calculi are observed in the left kidney, the largest of which is 5-6 mm in diameter. Pathology was not distinguished with Bt in its lumen. The gallbladder is large in volume. Ectasia is not distinguished. Parenchyma density is normal. There is a colostomy in the left lower quadrant. Hepatic and portal venous systems are normal. Right renal 2.2 cm diameter parapelvic cyst is observed. Intra and extrahepatic bile ducts are normal. No space-occupying solid or cystic mass lesion was detected. Spleen size and parenchyma density are natural. The size, contour, parenchyma densities of both kidneys are normal. Angiomyolipoma of approximately 5 mm in diameter is observed in the left kidney. The craniocaudal size of the liver is normal. According to the previous examination, a stable hypodense lesion with a diameter of approximately 2 cm located posteriorly in the body of the pancreas is observed (cyst?). The bilateral adrenal gland appears natural. Diastasis recti is observed on the anterior abdominal wall.\n\nImpression:\nSubsegmental atelectasis in the left lung upper lobe lingular segment, alveolar interstitial density increases in the lower lobe (accompanying infective process?), does not suggest viral pneumonia, but cannot be excluded. Clinical and lab correlation is recommended.  According to previous examination, approximately 2 cm in diameter located posteriorly in the pancreatic body part stable hypodense lesion . Right renal cyst . Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10910/train_10910_a/train_10910_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: Smooth interlobular septal thickness increases are observed in both lungs, and when evaluated together with the increase in cardiothoracic ratio, it is thought to be primarily secondary to heart failure. There are mild emphysematous changes in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected. When examined in the lung parenchyma window; Bilateral lung parenchyma secondary to breath artifact could not be evaluated optimally, and nonspecific nodules of 12x10 mm in size with a pleural base in the apicoposterior segment of the left lung upper lobe and 3 mm in intrapulmonary localization in the upper lobe anterior segment are observed.\n<mediastinum>: There are calcified atheromatous plaques on the walls of the mediastinal main vascular structures and coronary arteries. Lymph nodes with a fusiform configuration in millimeters with fatty hilus are observed. There are calcified atheroma plaques in the wall of the abdominal aorta and bilateral renal artery celiac trunk. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the diameter of the ascending aorta AP was 41 mm and the pulmonary conus AP diameter was 32 mm, and it was wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the diameter of the ascending aorta AP was 41 mm and the pulmonary conus AP diameter was 32 mm, and it was wider than normal. There are calcified atheromatous plaques on the walls of the mediastinal main vascular structures and coronary arteries. An increase in the cardiothoracic ratio in favor of the heart is observed.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion is observed in the bone structures within the image, and degenerative changes are present.\n<abdomen>: A nodular lesion of 14x8 mm fat density is observed in the left adrenal gland and it was evaluated in favor of myelolipoma. There are calcified atheroma plaques in the wall of the abdominal aorta and bilateral renal artery celiac trunk. In the abdominal sections within the image, there are extended bowel loops anterior to the liver (chiliaditi syndrome). The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the diameter of the ascending aorta AP was 41 mm and the pulmonary conus AP diameter was 32 mm, and it was wider than normal.\n\nImpression:\nEnlargement of the ascending aorta and pulmonary artery, increase in cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of mediastinal vascular structures and coronary arteries. When evaluated together with the increase in cardiothoracic ratio, smooth interlobular septal thickness increases in both lungs were evaluated as secondary to heart failure.  Mild emphysematous changes in both lungs . Nonspecific nodules with pleural base in the apicoposterior segment of the left lung upper lobe and intrapulmonary localized in the upper lobe anterior segment . Calcific atheroma plaques in the abdominal aorta bilateral renal artery and celiac trunk wall . Nodular lesion in the right adrenal gland compatible with myelolipoma . In bone structures degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10914/train_10914_a/train_10914_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: Further evaluation of the abdomen in elective conditions after infection would be appropriate. The gallbladder is operated. In the sections passing through the upper part of the abdomen, a central cystic, thick-walled mass, which was evaluated as 3.4x2 cm in sagittal reformat images, was observed in the right hemidiaphragm posterior crus localization, posterior to the liver.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. A mass defined in the right hemidiaphragm. Further evaluation of the abdomen in elective conditions after infection would be appropriate. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10923/train_10923_a/train_10923_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae changes and nonspecific nodules.\n<pleura>: Pleural effusion with a depth of 15 mm on the right and 10 mm on the left was detected in both hemithorax.\n<mediastinum>: There are lymph nodes in the mediastinum that are short, not exceeding 1 cm in diameter. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheromatous plaques on the walls of the aorta and coronary vascular structures.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheromatous plaques on the walls of the aorta and coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheromatous plaques on the walls of the aorta and coronary vascular structures.\n\nImpression:\nBilateral pleural effusion. Sequelae changes and nonspecific nodules in both lung parenchyma . Calcified atheroma plaques in the wall of aortic and coronary vascular structures . Lymph nodes with a short diameter not exceeding 1 cm in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10926/train_10926_a/train_10926_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Variational azygos lobe and fissure were observed in the upper lobe of the right lung. A few millimeter-sized nonspecific parachymal nodules were observed in both lungs. Atelectatic changes were observed in the lower lobes of both lungs, the inferior lingular segment of the left lung, and the middle lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial minimal effusion is present.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density was diffusely decreased in line with mild adiposity. Other upper abdominal sections within the examination area are normal.\n\nImpression:\nMinimal pericardial effusion.  Atelectatic changes in both lungs.  Several millimetric nonspecific parenchymal nodules in both lungs.  Variational azygos lobe and fissure in the upper lobe of the right lung.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10927/train_10927_a/train_10927_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule with a diameter of 13 mm was observed in the right lobe of the thyroid.\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: According to the previous examination, stable millimetric lymph nodes were observed in the mediastinal, upper-lower paratracheal area and bilateral hilar region. Subsegmentary atelectatic changes were observed in the lower lobe of the right lung. Appearance is nonspecific. Apart from this, the focal consolidation area in the posterobasal segment of the left lung lower lobe, which was also observed in the previous examination, was not detected in the current examination.\n<mediastinum>: According to the previous examination, stable millimetric lymph nodes were observed in the mediastinal, upper-lower paratracheal area and bilateral hilar region. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. A catheter image extending superiorly to the vena cava was observed. US control is recommended. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Pathological fracture due to metastatic lytic bone lesion was observed in the right 4,5,6,7,9 ribs. In addition, there is a lytic bone lesion and an appearance of pathological fracture in the right acromion. In the current examination, the fracture line has just emerged. There are lytic lesions at multiple levels in the bone structures within the study area.\n<abdomen>: A slight diffuse increase in thickness was observed in both adrenal glands in the upper abdominal sections that entered the examination area. No significant pathology was detected in the upper abdominal segments in the non-contrast scan limits.\n\nImpression:\nMultiple myeloma at follow-up.  Mediastinal stable lymph nodes, atherosclerotic changes.  Ground-glass density increases and atelectatic changes in both lungs.  Scattered focal atelectasis-consolidation area in the left lung lower lobe laterobasal segment.  The area of focal consolidation observed in the posterobasal segment of the left lung lower lobe in the previous examination was not detected in the current examination.  Lytic bone lesions that have caused multiple, locally pathological fractures in bone structures.  The pathological fracture line observed in the right acromion has just emerged in the current examination.  Diffuse thickness increase in both adrenal glands, stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10930/train_10930_a/train_10930_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25863",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No nodule-infiltration was detected in both lungs. There are bilateral emphysematous changes. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Peribronchial thickenings are noted in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<bone>: Multiple lytic mass lesions that cause pathological fractures in different localizations were observed in all bone structures in the study area.\n<abdomen>: No significant pathology was detected in the upper abdominal sections that entered the examination area.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10930/train_10930_b/train_10930_b_1.npy"
        ]
    },
    {
        "id": "report_generation_25865",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation patterns are observed in both lungs and mild emphysematous changes are present.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall airway disease?, small vessel disease? in lung parenchyma? compatible findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10930/train_10930_c/train_10930_c_1.npy"
        ]
    },
    {
        "id": "report_generation_25867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Linear atelectasis of both lungs were also observed. There are several millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Emphysematous changes are observed in both lungs. Atelectasis was observed adjacent to the effusion in the lower lobes of both lungs.\n<pleura>: It is understood that the pleural effusion has just appeared. Bilateral pleural effusion was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. As far as can be seen: Central venous catheter is seen on the right. The catheter terminates in the right atrium-vena cava superior neighborhood.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. The catheter terminates in the right atrium-vena cava superior neighborhood.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the lower end of the esophagus.\n<bone>: The described lesions are consistent with the multiple myeloma diagnosis stated in the clinical preliminary diagnosis of the patient. Lytic bone lesions are observed in almost all bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nMultiple myeloma in follow-up, lytic bone lesions in bone structures.  Bilateral pleural effusion.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10930/train_10930_d/train_10930_d_1.npy"
        ]
    },
    {
        "id": "report_generation_25878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; observed with emphysematous changes in both lungs. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: In addition, similar natural calcified pleural plaques were observed in the right diaphragmatic pleura. Calcified pleural plaques were observed in the lower lobe of the left lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Diffuse thickening was observed in the left adrenal gland body part. In the upper pole of the left kidney, a hypodense lesion with a diameter of 30 mm was observed, which could not be clearly characterized, partially entering the examination area. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. No dilatation was detected in the thoracic aorta. US control is recommended.\n\nImpression:\nEmphysematous changes in both lungs, sequelae changes in both lungs, peribronchial thickening, calcified pleural plaques in the lower lobes of both lungs.  Hepatosteatosis.  Hypodense lesion in the upper pole of the left kidney that cannot be characterized because it partially penetrates the examination area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10936/train_10936_a/train_10936_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In the left lung inferior lingulcer segment, band-like sequela fibrotic density increases were observed. When examined in the lung parenchyma window; Nonspecific parenchymal nodules with a diameter of 4 mm in the inferior lingular segment of the left lung and 3.5 mm in diameter in the upper lobe of the right lung were observed.\n<mediastinum>: As far as can be seen; Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: As far as can be seen; Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in the left lung, millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10938/train_10938_a/train_10938_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, there are peripheral subpleural localized diffuse ground glass densities with a tendency to merge.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse density loss in the liver is observed in upper abdominal sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric stone densities in the gallbladder.\n\nImpression:\nFindings consistent with Covid pneumonia in both lung parenchyma. Hepatosteatosis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10947/train_10947_a/train_10947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Prominence in interstitial signs, thickening of interlobular septa, mosaic attenuation patterns are observed in both lungs. Patchy ground glass densities are observed in the perihilar region and lower lobe of the left lung. At the apical level of the upper lobe of the right lung, fibrotic sequelae changes, millimetric nodules, and ground glass densities with spiculated contours are observed. There are bronchiectasis with extension to the upper lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nThe findings described in both lungs were evaluated in favor of infectious processes accompanied by cardiac stasis. Clinical and laboratory correlation and follow-up are recommended.  A small amount of bilateral effusion.  Cylindrical bronchiectasis extending to the upper lobe of the right lung, thickening of the bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10948/train_10948_a/train_10948_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, there are findings evaluated in favor of steatosis in the liver parenchyma.\n\nImpression:\nHepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10952/train_10952_a/train_10952_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: In the pandemic process, although it is thought to be covid-19 pneumonia in the first place, other viral pneumonias and organizing pneumonia are included in the differential diagnosis. Consolidation has been seen in places. Clinical laboratory correlation is recommended. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a decrease in density consistent with emphysema in both lungs. In almost all zones, there are ground-glass-like density increments, which show great confluence and reduce lung aeration from place to place. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<mediastinum>: There are millimetric lymph nodes in the mediastinum. It is wider than normal. Both pulmonary artery calibrations are normal. Pulmonary citrus calibration is 31 mm. The aortic arch calibration is 30 mm. Calcific atheroma plaques are observed in the subcalvian artery, aortic arch, descending aorta, and left coronary artery. In the case, aberrant right subclavian artery is observed.\n<heart>: Calcific atheroma plaques are observed in the subcalvian artery, aortic arch, descending aorta, and left coronary artery. CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: It is wider than normal. Surrounding soft tissue plans are natural. There is a decrease in density consistent with steatosis in the liver. The aortic arch calibration is 30 mm. Hiatal hernia is observed in the sections that pass through the upper abdomen, including the sections. Calcific atheroma plaques are observed in the subcalvian artery, aortic arch, descending aorta, and left coronary artery. There is also moderate hypodensity, which is considered to be compatible with a cortical cyst with an exophytic appearance and a diameter of approximately 15 mm. In the left kidney superior pole anterior, a 5 mm diameter hypodense nonspecific formation is observed that causes exophytic lobulation in the contour.\n\nImpression:\nWidespread, confluent ground-glass-like density increases in both lungs that appear to be consolidating in the basals from time to time suggest covid-19 pneumonia in the first place during the pandemic process, but other viral pneumonias and organizing pneumonia are included in the differential diagnosis. Clinical laboratory correlation is recommended.  Hapatosteatosis, hiatal hernia . 5 mm diameter hypodense nonspecific formation causing exophytic lobulation in the contour in the left kidney superior pole anterior, hypodensity at the moderate level, which is considered to be compatible with a cortical cyst of approximately 15 mm diameter with an exophytic appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10959/train_10959_a/train_10959_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Consolidated density increases are observed in both lungs, being more prominent in the mid-lower zones. No lymph node with pathological size and configuration was detected at the hilar level. In terms of infective processes, evaluation together with clinical and laboratory findings is recommended.\n<pleura>: There is a smear-like effusion in the right pleural space.\n<mediastinum>: Calcific atheroma plates are observed in the aortic arch and descending aorta. Although lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area, the short axis of none of them exceeds 1 cm. It is wider than normal. The descending aorta calibration is natural. Mediastinal and midline structures are deviated to the right. The aortic arch calibration is 34 mm. Pulmonary trunk calibration is natural.\n<heart>: The ascending aorta calibration is 45 mm. CTO is at the maximal physiological limit. Left atrium and left ventricle are slightly prominent.\n<esophagus>: Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Calcific atheroma plates are observed in the aortic arch and descending aorta. It is wider than normal. The descending aorta calibration is natural. Both adrenals are natural. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. The aortic arch calibration is 34 mm.\n\nImpression:\nIt is recommended to be evaluated together with clinical and laboratory findings in terms of consolidated density increases, infective processes that are more prominent in the mid-lower zones of both lungs.  Increased aneurysmatic calibration, atherosclerotic changes in the ascending aorta, aortic arch, . Plastering effusion in the right pleural space"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10965/train_10965_a/train_10965_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Secondary to this, bronchiectasis foci observed in the previous examination cannot be evaluated very clearly due to bronchial collapse. The wall thickness increase in the bronchial walls is stable. It is tubular bronchiectasis.\n<lung>: Linear atelectasis areas in the right lung middle lobe medial segment and left lung upper lobe lingulainferior segment were also present in the previous examination and were stable. When examined in the lung parenchyma window; The subsegmental linear atelectasis area in the anterior segment of the right lung upper lobe was also present in the previous examination and was stable. The lower lobes were visualized in expiration. There is no space-occupying nodular lesion or infiltrative lesion in the parenchyma. In the current examination, there is a breath artifact in the patient's imaging. There are foci of bronchiectasis in the anterior and posterior bronchi of the upper lobe of the right lung. In his previous examination, mild bronchiolar dilatation in the basal segments of the lower lobes of both lungs and foci of bronchiectasis in the lower lobe mediobasal segment are observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. There are wall calcifications in the thoracic aorta and aortic arch.\n<heart>: Pericardial fat pad is prominent. Calcified atheroma plates are observed at the level of coronary artery outlets and in the circumflex. Heart sizes are slightly increased. There is stent material in LAD.\n<bone>: In the section, no lymph nodes were observed in pathological size and appearance in both subraclavicular fossae. Degenerative changes are observed in the end plateaus of the vertebrae entering the image area. There are degenerative changes in both glenohumeral joints. Kyphosis has increased at the thoracic level. Osteophyte formations leading to bridging are observed in the anterolateral corners of the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a nodular lesion consistent with an adenoma measured at negative density with 8 mm diameter in the right adrenal gland corpus. Suture materials were observed in the lodge. The gallbladder was not observed (operated). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. There are wall calcifications in the thoracic aorta and aortic arch. In the left kidney, the thickness of the parenchyma in the section in the left pole is slightly thinner than the right.\n\nImpression:\nWall calcifications in thoracic aorta, aortic arch and abdominal aorta, increase in heart size, calcific atheroma plaques in coronary arteries, short stent material in LAD . Cholecystectomized.  Slight thinning of the left kidney parenchyma thickness . Subsegmental linear atelectasis areas in the right lung upper lobe anterior, middle lobe medial and left lung upper lobe lingulainferior segment are stable. Tubular bronchiectasis foci are stable in the anterior and posterior bronchi of the upper lobe of the right lung.  In his previous examination, mild bronchial dilatation and wall thickness increases are observed in the basal segments of both lungs. The right lung lower lobe is more prominent in the mediobasal segment. In the current examination, the bronchi appear collapsed because images are obtained in the expiratory phase in the basal segments localization. Therefore, the evaluation is suboptimal. Increases in bronchial wall thickness .Significant degenerative changes in bone structures and osteoporotic appearance.  Increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10973/train_10973_a/train_10973_a_1.npy"
        ]
    },
    {
        "id": "report_generation_25978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The described appearance was considered compatible with viral pneumonia. Clinical and laboratory correlation is recommended. When examined in the lung parenchyma window; There are ground-glass-like density increases in the peripheral subplebral area, which are prominent in the common lower lobes and basal segments of both lungs, and ground-glass density increases accompanied by interlobular septal thickening in the lower lobes.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In T9 vertebra, Schmorl nodule causing height loss in the upper end plate was observed. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Hiatal hernia was observed. Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nAreas in both lung parenchyma evaluated as compatible with viral pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10976/train_10976_a/train_10976_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: Presence of a possible space-occupying lesion could not be excluded with this imaging because of accompanying atelectasis. It would be appropriate to rule out possible space-occupying lesion with follow-up imaging after treatment. No nodular or mass-occupying lesions were detected in other segments of the lung parenchyma. Parenchymal atelectasis and consolidation area were observed in the laterobasal and anterobasal segments of the left lung lower lobe. There are bronchopneumonic infiltrates around the consolidation area in the form of a budding tree view.\n<pleura>: No pleural effusion was observed on the right. It is accompanied by an effusion reaching 3 cm in diameter between the leaves of the left pleura.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Heart size increased. Pericardial effusion was not detected. Findings of previous coronary by-pass surgery are observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections; There is an asymmetrical increase in thickness in the left adrenal gland. There is nodular hyperplasic appearance in the medial crus of the right adrenal gland and its diameter is 10 mm.\n\nImpression:\nFindings secondary to previous bypass surgery.  Increase in heart size.  Left pleural effusion.  Bronchopneumonic infiltration in and around the consolidation area causing parenchymal atelectasis in the basal segment of the lower lobe of the left lung; Radiological findings were evaluated as compatible with pneumonia. However, the presence of a mass cannot be excluded in consolidation. It will be appropriate to exclude it with control imaging after antibiotic therapy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10992/train_10992_a/train_10992_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: However, in terms of the presence of an underlying mass, it is recommended that the patient be evaluated together with the laboratory findings and not followed up. There is consolidation in the anteromediobasal segment-laterobasal segment in the lower lobe of the left lung. No mass was observed in both lungs. This consolidation can also be observed in the previous examination of the patient. The described appearance was primarily evaluated in favor of pneumonic infiltration. Apart from this, no appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10992/train_10992_b/train_10992_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearance was first evaluated in favor of sequelae change. Volume loss and structural distortion are observed in the left lung upper lobe lingular segment inferior subsegment. Apart from this area, both lung aerations are normal, and no mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density consistent with moderate to severe adiposity.\n\nImpression:\nAppearance evaluated in favor of sequelae change in left lung upper lobe lingular segment  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10995/train_10995_a/train_10995_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26028",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are a few nonspecific nodules in millimeter sizes.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid or loculated collection is observed.\n\nImpression:\nThere is no finding in favor of pneumonic infiltration in both lungs, and there are a few nonspecific nodules in millimetric sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10997/train_10997_a/train_10997_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation monitoring is recommended. When examined in the lung parenchyma window; Multiple ground glass densities are observed in both lungs, especially in the middle lobe on the right, upper lobe inferior lingula and superior lingula on the left, and upper lobe inferior lingula and superior lingula on the right lung lower lobe superior-posterior, the largest of which is measured up to 8 mm in serial 2 image192. The findings were evaluated in favor of an infectious process in the patient who was known to be covid positive 15 days ago.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodular ground glass densities, mostly located in the subpleura, described in the lung parenchyma, were evaluated in favor of the infectious process in the patient who was known to be Covid positive 15 days ago. Clinical laboratory correlation monitoring is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10997/train_10997_b/train_10997_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A small tracheal diverticulum is observed on the right lateral at the level of the thoracic inlet. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A nodule with a diameter of 3 mm is observed in the superior segment of the lower lobe. Sequelae changes are observed in the inferior lingular segment. When examined in the lung parenchyma window; A slight consolidative focal density increase is observed in the middle lobe. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: There was no finding consistent with bilateral pleural effusion pneumothorax pneumonia.\n<mediastinum>: In the anterior mediastinum, thymic tissue with trigonal configuration and no mass effect is observed. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_10999/train_10999_a/train_10999_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the natural CTO increased in favor of the heart and calcified atheroma plaques are observed on the wall of the coronary vascular structures. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the natural CTO increased in favor of the heart and calcified atheroma plaques are observed on the wall of the coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIncreased CTO in favor of the heart and calcified atheroma plaques on the wall of coronary vascular structures Sliding hiatal hernia at the lower end of the esophagus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11000/train_11000_a/train_11000_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: However, the underlying pneumonic infiltration is not excluded. When examined in the lung parenchyma window, no active infiltration or mass lesion was detected in the right lung. In the left lung upper lobe inferior lingular segment and lower lobe medial segment, there is an area of increased density evaluated primarily in favor of compressive atelectasis. In the left lung, aeration is observed in the upper lobe anterior, inferior lingular segment and lower lobe medial segment.\n<pleura>: On the left, locally embedded massive pleural effusion is observed. Pericardial, right pleural effusion was not detected.\n<mediastinum>: Calcific atheroma plaques are observed on the wall of the thoracic aorta and coronary vascular structures. There are lymph nodes in the mediastinum, the largest of which is at the right paratracheal level, with a short diameter of up to 10 mm, with a fusiform configuration and fatty hilus, which are not pathological in size and appearance. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There are osseophyte degenerative changes that tend to merge in the right anterolateral corners of the vertebral corpus. No lytic or destructive lesion was observed in the bone structures within the image.\n<abdomen>: Calcific atheroma plaques are observed on the wall of the thoracic aorta and coronary vascular structures. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. No free fluid-loculated collection was observed.\n\nImpression:\nOn the left, massive pleural effusion in an anus, aerated left lung upper lobe inferior lingular segment and lower lobe medial segment, an area of increased density evaluated primarily in favor of compressive atelectasis; underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.  Calcified atheromatous plaques in the wall of coronary vascular structures in the thoracic aorta.  Lymph nodes in the mediastinum, the largest at the right paratracheal level, with a short diameter reaching 1 cm, with a fusiform configuration and fatty hilus, which are not in pathological size and appearance.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11007/train_11007_a/train_11007_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26051",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive parotology was observed in the lumen of the trachea and both main bronchi.\n<lung>: When examined in the lung parenchyma window; Randomly distributed sand-shaped calcifications are observed in all segments of both lungs, and the appearance is consistent with pulmonary alveolar microlithiasis. A parenchymal nodule measuring 8. In the current examination, newly developed ground glass densities and nodular ground glass densities are observed in the left lung lower lobe and inferior lingular segment and right lower lobe posterobasal segment. Evaluation is recommended in terms of pneumonic infiltration. Liner pleuroparenchymal fibrotic recessions, which cause mild structural distortion in the parenchyma, were observed in the right lung middle lobe, left lung lingular and both lung lower lobe basal segments.\n<mediastinum>: Calcific atromous plaques were observed in the aortic arch and coronary arteries. Other mediastinal vascular structures, heart contour, size are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atheroma plaques were observed in the abdominal aorta and iliac arteries.\n<heart>: Calcific atromous plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal vascular structures, heart contour, size are normal. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 41 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Vertebral corpus heights are preserved. Osteoporosis was observed in bone structures.\n<abdomen>: The distance between the two rectus muscles on the anterior abdominal wall was measured as 5.5 cm, and minimal protrusion of the intraperitoneal adipose tissue to the anterior abdominal wall was observed. Calcific atromous plaques were observed in the aortic arch and coronary arteries. No intraabdominal free-loculated fluid was detected. The gallbladder was not observed (operated). A well-circumscribed nodular lesion with a diameter of 6.5 cm was observed in the lower pole of the right kidney (cyst?). Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. As far as can be observed in the sections, the colon is observed on the anterior surface of the liver (Chilaiditi syndrome). Calcified atheroma plaques were observed in the abdominal aorta and iliac arteries.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, calcified atheromatous plaques in the aortic arch and coronary arteries Hiatal hernia Appearance compatible with alveolar microlithiasis in the lung Solitary nodule with reduced posterobasal size of the lower lobe of the right lung Linear fibrotic recessions causing structural distortion in the parenchyma of both lungs and pulmonary recessions in the left lower lobe Current review Newly developed ground glass densities and nodular ground glass densities are observed in the inferior lingular segment and right lower lobe posterobasal segment, and evaluation in terms of pneumonic infiltration is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11009/train_11009_b/train_11009_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26068",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular and left lung lower lobe basal segments. When examined in the lung parenchyma window; The left hemidiaphragm is elevated. A mass lesion with distinguishable borders-active infiltration was not detected in the lung parenchyma. Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. On the right, a lesion area of 28x29 mm, lobulated contour, fluid density was observed adjacent to the pericardium (pericardial cyst?).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Slight scoliotic angulation with left-facing opening was observed at the thoracic level in the bone structures in the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and LAD. Geographic fat was observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and LAD  Lobulated contoured lesion in fluid density adjacent to the heart right lateral (pericardial cyst?)  Linear subsegmental atelectatic changes in both lungs  Tubular bronchiectasis changes evident in the center of both lungs, peribronchial thickening  Geographical  hepatoscal mild scoliotic angulation with left-facing opening at the level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11016/train_11016_a/train_11016_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline. Both main bronchi are open.\n<lung>: Interstitial thickness increases, especially in the right and upper lobes of both lungs, have honeycomb appearance and were evaluated in favor of interstitial lung disease. In the mediastinal area, lymph nodes with a short axis of 11 mm are observed in the upper right paratracheal region and at the level of the right lung hilum.\n<pleura>: Apart from this, there is a pleural effusion reaching approximately 2 cm in the right lung and an increase in pleural thickness. In the posterior part of the upper lobe of the right lung, a focal consolidation area with atelectasis areas is observed around the pleural base. When examined in the lung parenchyma window; In the upper lobe of the right lung, there is a pleural-based mass lesion measuring 80x74 mm in size, although its dimensions cannot be measured precisely because the examination is unenhanced and the mass has an infiltrative character, and atelectasis areas are observed in the vicinity of the lesion, especially along the middle and lower lobes.\n<mediastinum>: The pulmonary artery has an ectatic appearance and measures 44 mm at its widest point. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pulmonary artery branches are also ectatic.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta diameter was measured as 40 mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLung Ca in follow-up.  Reticular density and consolidation area are observed in the upper lobe posterior part of the right lung. It is appropriate to evaluate the patient with the clinical findings in terms of pneumonia.  Interstitial lung disease.  Stable lymphadenomegaly in the mediastinum and right hilar region when evaluated together with the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11020/train_11020_a/train_11020_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26083",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimally blurred ground glass densities are observed at the level of the mediobasal segments in the lower lobes of both lungs. There are several millimetric nodules in both lungs, the largest of which is 3 mm in diameter.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimally blurred ground glass densities in the lower lobe mediobasal segments of both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11021/train_11021_a/train_11021_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26105",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook may be compatible with Covid-19 pneumonia. Bacterial pneumonia is included in the differential diagnosis. When the lung parenchyma is examined in the window, consolidation areas are observed at the level of the upper lobe lingular segment in the left lung, and the consolidation areas involving all segments of the left lung lower lobe and the middle lobe of the right lung and the superior parts of the lower lobe. In addition, nodular consolidation areas are observed in both lungs, which are scattered and contain areas of ground glass density around them.\n<pleura>: Pleural effusion reaching approximately 1.5 cm in thickness is observed in the left hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPneumonic consolidation areas are observed in the lower lobes of both lungs.  There are scattered nodular consolidation areas in both lungs and ground glass densities around these areas. It may be compatible with Covid-19 pneumonia. Bacterial pneumonia is included in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11032/train_11032_a/train_11032_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation follow-up is recommended for the infectious process.\n<pleura>: When examined in the lung parenchyma window; In the lower lobe of the right lung, there is a small patchy ground-glass density that can hardly be distinguished from the subpleural posterior, and mild bronchiectasis in the middle lobe of the right lung. In the left lung lower lobe lateral, subpleural localized patchy ground glass densities are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described above can be seen in Covid-19 viral pneumonia. It is in the differential diagnosis of other infectious processes. clinical and laboratory correlation monitoring is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11032/train_11032_b/train_11032_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A 3 mm nodule was observed in the medial side of the right lung middle lobe.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver entering the section area. In the upper abdominal organs included in the sections, two stones with a size of 5 mm were observed in the middle part of the left kidney.\n\nImpression:\nMillimetric nonspecific nodule in the right lung. Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11034/train_11034_a/train_11034_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). In the right lung middle lobe medial segment, left lung lower lobe posterobasal and upper lobe inferior lingular segment, there are areas of increase in density consistent with atelectesis in a linear band style. No active infiltration or mass lesion was detected in both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: Diffuse calcified atheroma plaques are observed on the wall of the abdominal aorta and the main vascular structures originating from the aorta. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The diameter of the pulmonary trunk was 37 mm and increased. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. In the mediastinum, lymph nodes with a fusiform configuration, the largest of which reaches 12 mm in diameter at the precarinal level, are observed.\n<heart>: An increase in heart size is observed.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: In bone structures within the image; There is right-facing scoliosis in the lumbar vertebral column. Intervertebral disc heights have decreased and degenerative changes are observed in the end plateaus adjacent to the disc distances. There are osteophytic degenerative changes in the vertebral corpus corners and vacuum phenomena are observed in the intervertebral disc distances from place to place.\n<abdomen>: No intraabdominal free liqu- ulated collection was detected. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Free fluid-loculated collection is not observed. There are multiple numbers of stones in the gallbladder lumen. Diffuse calcified atheroma plaques are observed on the wall of the abdominal aorta and the main vascular structures originating from the aorta. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nIncreased pulmonary citrus caliber, increased heart size, diffuse calcified atheroma plaques in the wall of thoracic aorta, coronary vascular structures, abdominal aorta and anavascular wall originating from the aorta  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)  Right Sequela parenchymal changes in lung middle lobe medial segment, left lung upper lobe inferior lingular segment and lower lobe posterior basal segment  Cholelithiasis  Diffuse degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11036/train_11036_a/train_11036_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26117",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a tracheostomy cannula in the trachea. Trachea and both main bronchi are open.\n<lung>: There are minimal emphysematous changes in both lungs. Basal segments are especially atelectic. The distribution of ground glass appearances is not specific, but when evaluated together with other findings, it was thought that they may be due to cardiac pathology. In addition, ground glass appearances are observed in the upper lobes of both lungs. Linear atelectesis was observed in both ventilated lungs. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion and atelectesis were observed in the lower lobes of both lungs adjacent to the pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest of these lymph nodes is observed in the paratracheal region and its short diameter is 15 mm. The diameters of the aortic arch and descending aorta are normal. The diameter of the main pulmonary artery was measured 35 mm in diameter and was wider than normal. There are diffuse atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions.\n<heart>: The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: The heart is larger than normal. Pericardial effusion was not detected.\n<esophagus>: There is a nasogastric tube in the esophagus that terminates in the stomach. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are millimetric stones in the gallbladder. Pericholecystic free fluid was not detected. The diameters of the aortic arch and descending aorta are normal. There are diffuse atheromatous plaques in the aorta and coronary arteries. No free fluid-collection was detected in the upper abdominal organs within the sections. It is recommended that the patient be evaluated for cholecystitis together with the physical examination findings. There is a nasogastric tube in the esophagus that terminates in the stomach. Gallbladder wall thickness increased. The gallbladder diameter measures 45 mm and is hydropic.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increase in pulmonary artery diameters, bilateral pleural effusion, ground glass appearance in both upper lobes of both lungs  Atelectasis in both lungs  Emphysematous changes in both lungs  Hydropic gallbladder, increase in gallbladder wall thickness, cholelithiasis (It is recommended that the patient be evaluated for cholecystitis)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11036/train_11036_b/train_11036_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11042/train_11042_a/train_11042_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Sequela fibrotic changes are observed in both lung parenchyma. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: There are nodular ground glass densities with faint borders in the subpleural area of both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific plaques are observed in the coronary arteries and aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Coronary stents are available.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are osteophytes that tend to merge anteriorly in the thoracic vertebrae. On the right, prominent non-displaced fractures are observed in the 3rd rib lateral and anteriorly in the 4th, 6th and 7th ribs. An anterior 25% height loss is observed in the T11 vertebral body.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the coronary arteries and aorta.\n\nImpression:\nAorta and coronary artery atherosclerosis, coronary stents.  Sequelae changes in both lungs.  Minimal ground glass densities in both lungs (viral pneumonia?).  Millimetric nonspecific nodules in both lungs.  Right rib fractures.  Thoracic spondylosis.  25% loss of height anteriorly in the T11 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11043/train_11043_a/train_11043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26136",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Linear fibroatelectatic sequelae changes were observed in both lower lobe posterobasal segments of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. 1-2 calcified lymph nodes that did not reach pathological dimensions were observed in the right upper and lower paratracheal area.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; A calculi image with a diameter of 2 mm was observed in the upper pole of the left kidney. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nHiatal hernia. Linear fibroatelectasis sequelae changes in the posterobasal segments of the lower lobes of both lungs.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11045/train_11045_b/train_11045_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Respiratory artifacts are present.\n<lung>: When examined in the lung parenchyma window; Peripheral weighted ground glass densities, which tend to merge in both lung parenchyma, are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11052/train_11052_a/train_11052_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Compatible with pneumatic infiltration. In the right lung middle lobe medial segment, an infiltration area in the form of a ground glass opacity is observed. When examined in the lung parenchyma window; Nodular consolidation areas are observed in both lungs. The predominant pattern is pneumonic consolidation, and covid pneumonia was considered primarily in the differential diagnosis under pandemic conditions.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPneumonic infiltration predominantly in the form of consolidation area in both lungs, covid pneumonia was considered primarily in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11053/train_11053_a/train_11053_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Cystic bronchiectasis is observed in the apicoposterior segment of the left lung upper lobe. There are linear atelectasis in both lungs and minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nCystic bronchiectasis in the upper lobe of the left lung.  Emphysematous changes in both lungs. Linear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11065/train_11065_a/train_11065_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are areas of linear-subsegmentary atelectasis in both lungs. There are several nodules in both lungs with a short diameter of less than 3 mm. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. No mass or infiltrative lesion was observed in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There is an intramedullary sclerotic nonspecific lesion that causes minimal expansion in the posterior part of the left 8th rib. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Within the limits of non-contrast BT; There is no discernible mass in the upper abdominal organs. Hyperdense stone with a diameter of 3.5 mm is observed in the upper pole calyces of the right kidney.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs  Linear atelectasis areas in both lungs  Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11072/train_11072_a/train_11072_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules are observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Soft tissue densities are observed in the retromammarian area, which may be compatible with more prominent gynecomastia on the right.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. USG control is recommended.\n\nImpression:\nSoft tissue densities compatible with more prominent gynecomastia on the right in the bilateral retromammarian area; US control is recommended.  Millimetric nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11073/train_11073_a/train_11073_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; According to the previous examination, a few nodules smaller than 5 mm with stable nonspecific appearance are observed in the left lung middle lobe in the superior segment of both lung lower lobes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: A central venous catheter is observed. In the non-contrast examination, no pathological LAP was observed in the mediastinum.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nStable nodules of nonspecific appearance less than 5 mm in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11073/train_11073_b/train_11073_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: The size of the nodule in the superior segment of the left lung lower lobe has decreased. In addition, a faintly circumscribed nodule with a diameter of approximately 4.4 mm in the medial aspect of the left lung lower lobe superior segment has just developed. The upper lobe apicoposterior segment bronchus terminates within the fungal lesion (bronchial fistulization). In the evaluation of both lung parenchyma; The central cavitary thick-walled lesion observed in the previous examination in the apicoposterior segment of the left lung upper lobe decreased in size and became more solid. It is newly developed. However, in the middle lobe of the right lung, there is a newly developed nodule of approximately 5x4 mm in size, which was not observed in the previous examination, with a ground glass observed around it. Other nodules appear stable. It shows spiculated extensions to the fungal lesion and parenchyma, this appearance was also present in the previous examination. Apart from this, millimetric nodules are observed in both lung parenchyma, and in the previous examination, nodules in the right lung lower lobe laterobasal segment and right lung upper lobe posterior segment disappeared.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Central venous catheter is seen on the right. No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Other foci observed in the previous review are not selected. In the previous examinations, one of the abscess foci observed in the liver parenchyma in the contrast examination is selected. Hepatosteatosis is observed in the liver in the sections passing through the upper part of the abdomen. No significant pathology was detected in the bilateral adrenal sites.\n\nImpression:\nNewly developed nodules in the right lung mid-lobe and left lung lower lobe superior segment (follow-up for fungal new lesion is recommended). Apart from this, nodules smaller than 5 mm in bilateral lung whose molars are stable and some of them are reduced in size.  Abscess regression in the liver, which was observed in the previous examination, and no other lesion that can be distinguished in the non-contrast examination was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11073/train_11073_g/train_11073_g_1.npy"
        ]
    },
    {
        "id": "report_generation_26219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric nodules, the largest of which reach 5 mm in diameter at the level of the left lingula, are observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are osteophytes that tend to merge anteriorly in the thoracic vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatient with RCC.  Millimetric nonspecific nodules in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11077/train_11077_a/train_11077_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26221",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mild atelectatic changes are observed in the left lung upper lobe inferior lingula. When examined in the lung parenchyma window; Emphysematous changes are observed at the apical levels in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nEmphysematous changes in the upper lobes of both lungs.  Mild atelectasis in left lung upper lobe inferior lingula.  Hepatosteatosis.  The left thyroid lobe was evaluated in favor of a hypodense nodule with a size of 11 mm in the mid-level anterior."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11078/train_11078_a/train_11078_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes are observed in both lungs, there are peribronchial thickness increases observed more clearly at the central level. There are widespread patchy ground glass densities in all segments of the bilateral lung in the peribronchial area, and it is observed that it has recently developed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibrations of the vascular structures are natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour and size are natural. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibrations of the vascular structures are natural.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a mild hiatal hernia at the lower end.\n<bone>: No lytic-destructive lesion was detected in the bone structures in the study area, and vertebral corpus heights were preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 28x32 mm nodular lesion with slightly hyperdense cortical location with exophytic extension was detected in the upper pole of the left kidney (hemorrhagic cyst?). No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround glass densities, evaluation in terms of infective events, follow-up CT examination after treatment are recommended.  Nodular lesion with slightly hyperdense cortical exophytic extension in the left kidney upper pole in the abdominal sections within the image, (hemorrhagic cyst?) USG verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11086/train_11086_a/train_11086_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, slight ground-glass density increases are observed in the basal segments, mild atelectasis sequela parenchymal changes are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. No obvious infectious process or space-occupying finding was detected in both lungs.\n<mediastinum>: A few lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum, which do not show significant dimensional differences. Calcific atheroma plaques are present in the aortic arch and coronary arteries.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are present in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In bone structures, especially in the vertebral corpus end plates, hypertrophic osteophytic tapering and a few millimeter-sized bone islets are observed.\n<abdomen>: A newly developed hypodense lesion, which was described in the liver dome localization in the upper abdomen in the previous examination, cannot be distinguished in the current non-contrast examination. Calcific atheroma plaques are present in the aortic arch and coronary arteries. There is a partial cystic finding in the left kidney. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nNo significant difference was found in the findings described above in the lung parenchyma.  The hypodense finding in the liver dome localization, which was described as new in the previous examination, cannot be distinguished in the current non-contrast examination.  No new infectious process or space-occupying finding was detected in both lung parenchyma.  Partial cyst in the left kidney. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11098/train_11098_a/train_11098_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. Apart from these, consolidation and ground glass area are observed in a small area in the left lung upper lobe apicoposterior segment. There are atelectasis in the lower lobe of both lungs, the middle lobe of the right lung and the lingular segment of the left lung upper lobe. This appearance was evaluated in favor of infective pathology. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a mixed type hiatal hernia at the lower end of the esophagus.\n<bone>: Other vertebral body heights are normal. The height loss is about 75%. Height loss is observed in the L1 vertebral corpus, especially in the central and anterior parts. Vertebral anteroposterior diameter is normal.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. The liver is smaller than normal and there is irregularity in the contours of the liver. It is recommended that the patient be evaluated for chronic liver parenchymal disease.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in the apicoposterior segment of the upper lobe of the left lung. Atelectasis in both lungs.  Emphysematous changes in both lungs. Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia. Smaller than normal liver, irregularity in liver contours (recommendations to evaluate the patient for liver parenchymal disease).  Significant loss of height in the T12 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11100/train_11100_a/train_11100_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26279",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are parenchymal bands in the left lung lower lobe laterobasal segment. When examined in the lung parenchyma window; parenchymal band is observed in the middle lobe of the right lung (sequelae change? band atelectasis?). There was no finding in favor of pneumonia. There are sequelae changes to the posterior basal segment in the lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding in favor of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11104/train_11104_a/train_11104_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26299",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Emphysematous changes were observed in both lungs. Nonspecific parenchymal nodules with a diameter of 6.4 mm were observed in both lungs, the largest of which was adjacent to the minor fissure in the middle lobe of the right lung. Apart from this, no new findings were detected in the current examination. Segmentary-subsegmental peribronchial sheath thickening and luminal narrowing were observed in both lungs. Mosaic attenuation has been found to be secondary to small airway disease. Mucus plugs are observed in the bronchial lumen in the mediobasal segment of the left lung lower lobe. Pleuroparenchymal fibroatelectasis sequelae were observed in the medial segments of the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobes basal segments. There is a mosaic attenuation pattern in both lungs.\n<mediastinum>: Millimetric calcified atherosclerotic plaques were observed in the aorta. Calibration of pulmonary arteries is natural. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta measures 41 mm in diameter and is wider than normal. Heart contour size is normal. Metallic densities compatible with aortic valve replacement are available.\n<bone>: Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Millimetric calcified atherosclerotic plaques were observed in the aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11111/train_11111_d/train_11111_d_1.npy"
        ]
    },
    {
        "id": "report_generation_26309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). Pleuroparenchymal sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). In the upper abdominal organs included in the sections, the liver parenchyma density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nHiatal hernia  Mosaic attenuation pattern in lung parenchyma (small airway disease?, small vessel disease?).  Sequela parenchymal changes in the right lung middle lobe and left lung upper lobe inferior lingular segment.  Hepatosteatosis  Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11115/train_11115_a/train_11115_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the lower lobes of both lungs. No mass or infiltrative lesion was detected in both lungs. There is a nodule measuring approximately 4 mm in diameter in the superior segment of the left lung lower lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<bone>: Apart from this, lytic bone lesions are also observed in other bone structures. Vertebral corpus height is minimally decreased. In a patient with multiple myeloma, these appearances are compatible with the diagnosis of multiple myeloma. There are lytic bone lesions in the T10 vertebral body and left peduncle.\n<abdomen>: There is minimal free fluid in the perihepatic region.\n\nImpression:\nMultiple myeloma on follow-up, lytic bone lesions in bone structures within sections.  Linear atelectasis in both lungs.  Millimetric nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11119/train_11119_a/train_11119_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. There is also a band atelectatic change in the inferior lingular segment of the left lung upper lobe. When examined in the lung parenchyma window; Pleuroparenchymal sequelae changes were observed in the left lung upper lobe inferior lingular and right lung middle lobe mediobasal segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is height loss secondary to multiple myeloma involvement in the T10 vertebral body. In the case, which was learned to have multiple myeloma, multiple lytic bone lesions were observed in the bone structures within the sections.\n<abdomen>: The gallbladder was not observed (operated). Thoracic aorta diameter is normal. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nSequelae of atelectatic changes in both lungs.  There was no finding in favor of pneumonic infiltration in the lung parenchyma.  Hepatosteatosis.  Height loss due to multiple myeloma involvement in T10 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11119/train_11119_b/train_11119_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; There is diffuse mild ectasia in the bronchial structures of both lungs. Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There are sequela parenchymal changes in the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment in bilateral apex. No active infiltration or mass lesion was detected. Ventilation of both lungs is normal.\n<pleura>: No pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour, and size were normal. There were no lymph nodes in pathological size and appearance in both axillary regions and mediastinum.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour, and size were normal. Minimal pericardial effusion is observed and measured as 7 mm at its deepest point.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDiffuse mild ectasia in the bronchial structures of both lungs. Sequela parenchymal changes in the apex of both lungs, medial segment of the right lung middle lobe and inferior lingular segment of the left lung upper lobe; There was no finding in favor of pneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11121/train_11121_a/train_11121_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Minimal cylindrical bronchiectasis was observed in bilateral lung basals. A millimetric calcific parenchymal nodule was observed in the medial segment of the right lung middle lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: The esophagus was evaluated as normal.\n<bone>: Appearances of degenerative osteophytes were observed in the vertebral plateaus.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Nodular appearances suggestive of accessory spleen were observed in the upper pole anterior neighborhood and hilum of the spleen.\n\nImpression:\nBronchiectasis? Calcific parenchymal nodule on the right Accessory spleen? Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11122/train_11122_a/train_11122_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule or mass was detected in both lungs. Indeterminate density increases were observed in the posterior parts of the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Clinical and laboratory evaluation is recommended. There is diffuse free peritoneal fluid in the abdomen. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIndeterminate density increases were observed in the posterior parts of the lower lobes of both lungs. Clinical and laboratory evaluation is recommended. Acid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11123/train_11123_a/train_11123_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; cocoon attenuation pattern in both lungs (small airway disease? small vessel disease?). Subsegmental atelectatic changes are observed in the lower lobes of both lungs. Clinical and laboratory correlation is recommended. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Peripheral subpleural nonspecific focal ground glass density increase was observed in the middle lobe of the right lung.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. In the mediastinal upper-lower paratracheal subcarinal area, the short axis of the larger one is 6 mm, some of which are calcified lymph nodes. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. As far as can be seen; Calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls.\n<esophagus>: A suspicious increase in wall thickness was observed in the distal esophagus. Hiatal hernia was observed.\n<bone>: Left-facing scoliosis was observed in the thoracic vertebrae. Degenerative changes are observed in bone structures.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Hiatal hernia was observed. It was evaluated in favor of hyperplasia rather than adenoma. Diffuse thickening of the bilateral adrenal gland was observed in the upper abdominal sections within the examination area. As far as can be seen; Calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Subsegmental atelectatic changes in both lungs, peribronchial thickenings.  Suspicious increase in wall thickness in the distal esophagus, Hiatal hernia. Subpleural nonspecific ground-glass density increases in the middle lobe of the right lung. Clinical - laboratory correlation is recommended. Mild emphysematous changes in both lungs. Diffuse thickening of both adrenal glands was judged to favor hyperplasia rather than adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11131/train_11131_a/train_11131_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There was no appearance that could be evaluated in favor of pneumonic infiltration. However, relatively normal aeration of the lung parenchyma can be observed in the apical segment of the upper lobes of both lungs. No mass was detected in both lungs.\n<pleura>: Interlobular septal and interstitial thickening, most prominent in the lower lobe of both lungs and the middle lobe of the right lung, and a honeycomb appearance consistent with end-stage lung disease are observed in both lungs, especially in the lower lobes and peripheral subpleural areas. There is no pleural effusion.\n<mediastinum>: In the mediastinum and hilar regions, the largest have lymph nodes measuring 10 mm in short diameter. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. The diameters of the aortic arch and descending aorta are normal. The main pulmonary artery diameter was 38 mm and it was ectatic. Atheroma plaques are observed in the aorta and coronary arteries. The main pulmonary artery diameter was 34 mm and wider than normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Other vertebral heights are normal. There is minimal height loss in the central parts of the T11 and T12 vertebra corpus.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with interstitial lung disease in both lungs. Atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters, cardiomegaly, minimal pericardial effusion.  Mediastinal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11135/train_11135_a/train_11135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26367",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When both lung parenchyma windows are evaluated; In the upper upper lobe and lower lobe of the right lung, patchy consolidation areas that tend to merge from place to place and are accompanied. Why are ground glass density increases observed? The appearance is primarily suggestive of an infectious process. Clinical and laboratory correlation is recommended.\n<pleura>: Bilateral pleural thickening was not observed. Between the bilateral pleural leaves, there is a free pleural effusion measuring 43 mm thick on the right and 16 mm thick on the left, and atelectatic changes in the adjacent lung parenchyma.\n<mediastinum>: No lymph node was detected in the mediastinal pathological dimension and appearance. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal millimetric lymph nodes were observed. There are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size increased. The diameter of the ascending aorta is 40 mm and shows fusiform dilatation. Calcifications were observed in the aortic valve.\n<esophagus>: Sliding type hiatal hernia was observed. Fractured thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lymph node was detected in the supraclavicular region in pathological size and appearance. Degenerative changes were observed in the bone structures within the examination area. Trabeculation increase consistent with osteopenia was observed in bone structures. Thoracic kyphosis has increased.\n<abdomen>: An accessory spleen with a diameter of 2 cm was observed adjacent to the upper pole of the spleen in the upper abdominal sections that entered the examination area. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. There are calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nFusiform dilatation in the thoracic aorta, cardiomegaly . Patchy areas of consolidation and accompanying ground-glass areas in the upper lobe - lower lobe of the right lung (clinical and laboratory correlation is recommended in terms of infectious process.)  Significant bilateral pleural effusion on the right.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11140/train_11140_a/train_11140_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26373",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is significant narrowing in bronchial calibration in the proximal intermediate bronchus. Tracheostomy cannula is available. The appearance was not detected in the previous review.\n<lung>: In addition, reticulonodular density increases are observed in the upper lobe anterior segment of the right lung, in the peripheral area, giving the appearance of a partially budded branch, and it is recommended to evaluate it together with clinical and laboratory findings in terms of bronchiolitis. Mild sequelae of pleuroparenchymal changes are observed in both lungs. In the old examination, it is 7.5 cm. At this level, occlusive pathology could not be ruled out. The lower lobe of the right lung has a colobe appearance. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion is observed in both lungs prominent on the right and extends from the basal to the apex on the right and reaches 9 cm at the level of the lower lobe at its thickest point.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. When the calibration of the mediastinal main vascular structures is evaluated, the aortic arch is 31 mm wider than normal. Millimetric sized lymph nodes are observed in the mediastinum.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. CTO is normal. Calibration of other major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is an increase in kyphosis in the thoracic region. Degenerative changes are observed in the bone structure.\n<abdomen>: An isodense appearance is observed, with parenchyma of approximately 30 mm in diameter, partially contoured and slightly exophytic in the anterior part of the left kidney mid-section anterior. When the calibration of the mediastinal main vascular structures is evaluated, the aortic arch is 31 mm wider than normal. Control is recommended. Left adrenal genus is full. There is a hyperdense appearance with a diameter of approximately 9 mm (hemorrhagic cyst?) in the posterior upper pole of the left kidney. Nodular formation compatible with accessory spleen is observed in the spleen hilum. There is an appearance compatible with the peg in the anterior of the stomach. First, sonographic evaluation is recommended. Contours of both kidneys show lobulation. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. In the upper abdominal organs, including sections; sections are observed with artifacts. It is also observed in the old review.\n\nImpression:\nThe lower lobe of the right lung has a colobe appearance. There is significant narrowing in bronchial calibration in the proximal intermediate bronchus. At this level, occlusive pathology could not be ruled out. The appearance was not detected in the previous review. Control is recommended.  Mild pleuroparenchymal sequelae changes in both lungs, reticulonodular density increases in the upper lobe anterior segment of the right lung, giving the appearance of a partial bud branch in the peripheral area; It is recommended to be evaluated together with clinical and laboratory findings in terms of bronchiolitis. It was not detected in his previous examination.  Millimetric hemorrhagic cyst in the left kidney? and a suspicious, partially contouring appearance that cannot be clearly evaluated on non-contrast examination in the anterior and middle zone; sonographic examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11140/train_11140_d/train_11140_d_1.npy"
        ]
    },
    {
        "id": "report_generation_26377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; nodular ground glass densities with patchy-style small halo marks are observed in the lower lobe of the right lung and the upper lobe of the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCovid-19 pneumonia has widely known imaging features. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease can cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11142/train_11142_a/train_11142_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric calcifications are observed in the right lung. A few calcific nonspecific nodules are also observed in the left lung. Apical fibrotic recessions and calcific foci in the upper lobe of the right lung were evaluated in favor of changes secondary to TB. The large density increase in the left hilar region, which was observed in the previous examination, and calcific foci were detected in it, shows a regression close to the total in the current study. Changes of findings secondary to TB? New space-occupying mass lesions? Histopathological examination is recommended for differential diagnosis. In the current study, three paravertebral and centrally located in the posterior and lateral segment of the right lung lower lobe, 18 mm in series 2 image 253, 10 mm in series 2 image 240, anterior segment in the right lung upper lobe posteriorly in the paramediastinal area in series 2 image 148. Oval-shaped hypodense lesions, 7 mm in size, showing new radial recessions are observed. A few nodular nonspecific calcific nodules are observed in the left lung.\n<mediastinum>: There are millimetric lymph nodes in the mediastinum, which also contain a few calcific foci. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDimensional total regression in the calcific sequelae change observed in the right hilar region . In the right lung lateral and posterior segment and in the right lung upper lobe anterior segment posteriorly, new hypodense lesions measuring up to 18 mm are observed. Histopathological examination of the findings is recommended for better differential diagnosis.  A few millimetric calcifications in the right lung, a few nodular nonspecific calcific nodules in the left lung.  Millimetric lymph nodes, including several calcific foci in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11164/train_11164_b/train_11164_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. There are emphysematous changes in both lungs. There is an irregularly circumscribed nodule measuring approximately 23x14 mm in the apical segment of the upper lobe of the right lung. In the described findings, it was evaluated in favor of Covid-19 pneumonia. Apart from this, there are other nodules, most of which are calcific, in both lungs. Ground glass areas are occasionally accompanied by interlobular septal thickenings. These nodules can be observed in the previous examination of the patient and no significant difference was found in their number and size. Ground glass areas, most of which are located peripherally, are observed in both lungs. There is minimal bronchiectasis in both lungs, especially in the central parts. Calcification is observed in the central part of the described nodule. No mass was detected in both lungs.\n<pleura>: There is no pleural effusion on the left. Pleural effusion is observed on the right.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11164/train_11164_c/train_11164_c_1.npy"
        ]
    },
    {
        "id": "report_generation_26435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Mild paraseptal emphysematous changes are observed at the left apical level.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11165/train_11165_a/train_11165_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lungs, ground-glass-like density increases and consolidations in the lower lobes were observed in the upper and lower lobes, prominent in the lower lobes and tending to coalesce in the lower lobes. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11167/train_11167_a/train_11167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26445",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of its findings.\n<pleura>: When examined in the lung parenchyma window; In both lungs, multilobar indistinct borders, mostly peripheral subpleural consolidation and density increases in ground glass density were observed.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No free fluid-loculated collection was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11169/train_11169_a/train_11169_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Pneumonic infiltration, infiltrative involvement, nodular or mass-occupying lesion was not detected in both lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11170/train_11170_a/train_11170_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are minimal thickening of the bronchial wall and minimal mosaic density differences in the lower lobes of both lungs. Bilateral large ones reaching 3 mm in diameter, some of them calcific nonspecific nodules are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the vertebrae included in the study area, osteophytes with a tendency to merge anteriorly are observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic densities in the lungs (airway disease?).  Bilateral some calcific millimetric nonspecific nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11185/train_11185_a/train_11185_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11190/train_11190_a/train_11190_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There is occasional fusion between the vertebral corpuscles.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSome fusion between the vertebral corpuscles"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11191/train_11191_a/train_11191_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Thickening of peripherally located interlobular septa and mild mosaic attenuation patterns are observed in both lungs. There are mild emphysematous changes in the upper lobes of both lungs. There is a calcific nodule measuring 5 mm in size in the lower lobe of the left lung. A few millimetric calcific lymph nodes are observed in both hilar regions.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is diffuse density reduction in bone structures.\n<abdomen>: Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nMild thickening of the interlobular septa, more prominent in the peripheral and lower lobes of both lungs, mosaic attenuation patterns (small airway disease? small vessel disease?).  Findings consistent with liver parenchymal disease.  Mild atherosclerosis.  Diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11194/train_11194_a/train_11194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26515",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When the described appearances were evaluated together with the clinical preliminary diagnosis, they were evaluated in favor of viral pneumonia. More prominent on the right, consolidations, some of which are round in shape, and areas of ground glass are observed in both lungs, especially in the peripheral areas. The findings described in Covid-19 pneumonia are frequently observed. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections. There are osteophytes in the vertera corpus corners.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11198/train_11198_a/train_11198_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26532",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural crazy paving appearances were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. An accessory spleen with a diameter of 23 mm was observed anterior to the spleen.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11207/train_11207_a/train_11207_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11217/train_11217_a/train_11217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings are compatible with lung parenchymal involvement of Covid infection and widespread parenchymal involvement is observed. Consolidation areas are monitored from place to place. In both lung parenchyma, there are atypical infiltration areas in the form of increased ground glass density and increased septal thickness.\n<mediastinum>: Right upper paratracheal and bilateral lower paratracheal milimetric reactive mediastinal lymph nodes are observed. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections. There are suture materials for sleeve gastroectomy operation.\n\nImpression:\nFindings consistent with Covid pneumonia. Widespread parenchymal involvement is observed.  Prior sleeve gastroectomy and mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11224/train_11224_a/train_11224_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings were evaluated in accordance with the infectious process and the involvement of the lung parenchyma of Covid infection. When examined in the lung parenchyma window; Peribronchially located in the lower lobe of both lungs, infiltration areas in several foci in the form of nodular ground glass density are observed. There is a 6 mm diameter nonspecific nodule in the superior segment of the lower lobe of the right lung. A few irregularly circumscribed millimetric non-specific nodular density increases in both lungs are nonspecific.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. In coronary arteries, calcific atherosclerotic plaques are observed most prominently in LAD. Heart dimensions and compartments appear natural.\n<esophagus>: Normal calibration of the esophagus is observed. Slippery type mild hiatal hernia is observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: There is moderate hepatosteatosis in the liver. In the upper abdomen sections, cortical cysts with a diameter of 41 and 29 mm were observed in the left kidney.\n\nImpression:\nAtypical pneumonic infiltration areas in the lower lobes of both lungs. Radiological findings are consistent with Covid infection parenchymal involvement . Nonspecific nodule in the lower lobe of the right lung . Calcific atheromatous plaques in the coronary arteries . Moderate hepatosteatosis . Cortical cysts in the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11232/train_11232_a/train_11232_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26593",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: No discernible mass was detected in both lungs. In both lungs, patchy ground glass areas and peribronchial thickness increase are observed in the right lung middle lobe lateral segment and left lung upper lobe lingular segment, which shows confluence more prominently in places.\n<pleura>: There is a 2 cm thick pleural effusion on the right hemithorax, minimal pleural effusion on the left, and a consolidation-atelectasis complex in which air bronchograms are observed in the posterior segments of the lower lobes of both lungs.\n<mediastinum>: There are several lymph nodes in the pre-paratracheal area with a short diameter of less than 5 mm.\n<heart>: The diameter of the ascending aorta was 42 mm and increased. Pericardial 6 mm thick effusion is observed. The cardiothoracic ratio increased in favor of the heart. There is a metallic mitral valve valve.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Diffuse degenerative changes are observed in the thoracic vertebrae within the sections, and no lytic-destructive lesion with distinguishable borders was detected.\n<abdomen>: A hypodense area of 10x20 mm is observed in the subcapsular area in liver segment 3-4b (area of focal fat?). Within the limits of non-contrast BT; liver AP diameter was measured as 197 mm and increased.\n\nImpression:\nWidespread patchy ground-glass areas in both lungs, right pleural effusion, atelectasis-consolidation complex in the posterior segment adjacent to the effusion.  Cardiomegaly, minimal pericardial effusion.  Dilatation of the ascending aorta.  Hepatomegaly, hypodense area in the subcapsular area at the junction of segment 3-4b (area of focal fat?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11238/train_11238_a/train_11238_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26596",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There is linear atelectasis in the lingular segment of the upper lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No enlarged lymph nodes in pathological dimensions were detected. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11240/train_11240_a/train_11240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26598",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Several nonspecific nodules are observed in both lungs, the largest of which is approximately 5 mm in diameter in the fissure of the left lung. No active infiltration, consolidation or space-occupying lesion was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fractures or lytic-sclerotic lesions were detected in the bone structures included in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; Diffuse density reduction in the liver was interpreted in favor of hepatosteatosis.\n\nImpression:\nA few non-specific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11240/train_11240_b/train_11240_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Ground glass densities are observed in both lungs, especially in the subpleural areas, more prominently in the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical/probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11240/train_11240_c/train_11240_c_1.npy"
        ]
    },
    {
        "id": "report_generation_26602",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; In the left lung lower lobe basal segment and right lung lower lobe basal segment, there are several nodular ground glass densities measuring up to 4 mm with a halo mark around it.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. The gallbladder is operated. In the upper abdominal organs included in the sections, there are cysts measuring up to 38 mm in the left kidney, and smaller cysts measuring up to 10 mm in the right kidney with cortical location.\n\nImpression:\nImaging features can be seen in Covid-19 pneumonia. However, the dimensions of the described findings are too small to be characterized. Close follow-up is recommended primarily due to the current pandemic in terms of Covid-19 pneumonia. Findings can be seen in other early infectious diseases.  Mild atherosclerosis . Bilateral cortical cysts . Minimal perdial effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11241/train_11241_a/train_11241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26614",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Ventilation of both lung parenchyma is normal and no mass-infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; 3 mm diameter nodule is observed in the anterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, a density compatible with three adjacent and partially superposed calculi, the largest of which is 9 mm in diameter, is observed at the level of the gallbladder neck.\n\nImpression:\nThere was no finding in favor of pneumonia. Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11247/train_11247_a/train_11247_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26628",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described findings are the findings frequently observed in Covid-19 pneumonia. Peripheral and central consolidations and ground glass areas are observed in both lungs, being more prominent in the lower lobes and peripheral areas. There are also interlobular septal thickenings within the ground glass areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. In the described findings, linear density increases in peripheral areas parallel to the pleura are also accompanied.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is moderate to severe fat in the liver parenchyma density. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11253/train_11253_a/train_11253_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When the described findings were evaluated together, interlobular septal thickening observed in both lungs was primarily thought to be due to cardiac pathology. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Uniform interlobular septal thickenings are observed in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are present in the aorta and coronary arteries. The diameter of the pulmonary artery was 29 mm and was minimally wider than normal. There are calcific atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: There is also minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Atheroma plaques are present in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. Aorta diameter is normal. There are calcific atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, minimal increase in pulmonary artery diameter, bilateral minimal pleural effusion and minimal pericardial effusion, uniform interlobular septal thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11255/train_11255_a/train_11255_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule of 10x7 mm was observed in the right thyroid lobe.\n<trachea_and_bronchie>: It is recommended to be evaluated together with USG. Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Several subcentimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Other mediastinal vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; The ascending aorta was observed wider than normal with an anterior posterior diameter of 42 mm. Other mediastinal vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHypodense nodule in the right thyroid lobe, it is recommended to be evaluated together with USG.  Fusiform aneurysmatic dilation in the ascending aorta . Calcific atheromatous plaques in the LAD . Several subcentimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11258/train_11258_a/train_11258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Appearance is not specific. Emphysematous changes are present in both lungs. There are smooth interlobular septal thickenings in both lung lower lobes. No mass or infiltrative lesion was detected in both lungs. It is recommended to follow. The largest of these nodules is observed in the upper lobe of the right lung and measured approximately 8 mm in diameter. There are nodules in both lungs.\n<pleura>: There is bilateral minimal pleural effusion. The pleural effusion measured 35 mm on the right at its thickest point.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions, some of which are calcific. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary artery. Aorta diameter is normal. The diameter of the main pulmonary artery was 28 mm and was at the upper limit of normal.\n<heart>: There is minimal pericardial effusion. However, when evaluated together with other findings, it was primarily thought to be due to cardiac pathology. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary artery. Aorta diameter is normal.\n\nImpression:\nNodules in both lungs (follow-up recommended).  Atherosclerotic changes in the aorta and coronary arteries  Bilateral pleural effusion  Smooth interlobular septal thickenings in both lower lobes of both lungs  Emphysematous changes in both lungs  Mediastinal and hilar lymph nodes  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11263/train_11263_a/train_11263_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: As far as can be seen; A calcified nodule with a diameter of 16 mm was observed in the right lobe of the thyroid. A hypodense nodule with a diameter of 7 mm was observed in the left thyroid inferior lobe.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The findings described include typical-probable manifestations of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral minimal pleural effusion was observed. When examined in the lung parenchyma window; In both lungs, ground-glass-like density increases with a tendency to coalesce in the peripheral subpleural area in the upper lobes and lower lobes, and subsegmental atelectatic changes in the lower lobes were observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nTypical-probable findings of Covid-19 pneumonia in bilateral lung parenchyma, other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Subsegmental atelectatic changes in both lungs. Bilateral minimal pleural effusion. Hepatosteatosis.  Mild degenerative changes in bone structure. Nodules in both thyroid lobes, US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11265/train_11265_a/train_11265_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: A 25x22 mm peripelvic cyst was observed in the upper pole of the left kidney.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. Left renal peripelvic cyst?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11275/train_11275_a/train_11275_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland tissue partially entering the examination area has preserved its normal density and its size is normal.\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: Tubular bronchiectatic appearance is observed in the segmental bronchi of both lungs, more prominently on the right. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae changes with air cysts in the right lung apex. Reticular-like interstitial density increases are observed in the posterobasal segments of the lower lobes of both lungs, more prominently in the right lung. Paraseptal emphysema is observed. There are partial calcific millimetric lymph nodes in the right hilum. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Calcific plaque formations are observed in the aortic arch. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be evaluated in the non-contrast series, mediastinal main vascular structures are observed in normal calibration.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the thoracic vertebral column and other bones forming the thorax. Right lateral syndesmophytes are present in the thoracic vertebral column. In addition, a shallow Schmorl nodule, which was also selected in the previous examination, is observed in the superior end plateau of the T12 vertebral body. Significant osteopenia is observed.\n<abdomen>: In the upper abdominal organs included in the study area; liver size contour parenchyma density is normal. The gallbladder is normal. Amorphous calcification is observed in the subcapsular area in the medial segment of the left lobe of the liver. Bilateral adrenal glands are normal. Calcific plaque formations are observed in the aortic arch. Thoracic aorta diameter is normal. The pancreas is normal. Bilateral kidneys are normal. The size of the spleen is normal. Sliding type hiatal herniation is observed. Linear contaminations are observed in both perirenal fatty tissues.\n\nImpression:\nMild tubular bronchiectatic enlargements of segmental bronchi in both hemithorax.  Pleuroparenchymal sequelae changes in right apex, paraseptal emphysema and accompanying air cysts. Interstitial density increases in reticular fashion in both lower lobe posterobasal segments of both lungs. The described findings are stable.  Amorphous calcification in the medial segment of the left lobe of the liver.  Mild sliding type hiatal herniation.  Newly formed large lytic lesion in the T7 vertebral body and accompanying impression on the inferior end plateau. No pathological fracture or lytic-destructive lesion was detected in other bones in the examination area except the described area. Further examination of the patient is recommended in terms of lytic metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11282/train_11282_a/train_11282_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are millimetric nonspecific nodules and sequela fibrotic changes in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in the vertebrae.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; mild irregularity and undulation are observed in liver contours. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal sequela changes and nonspecific millimetric nodules in both lungs.  Findings consistent with chronic liver parenchymal disease.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11283/train_11283_a/train_11283_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26695",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, there are diffuse ground glass densities that tend to merge as nodular layers in the upper lobes and a posterior weighted layer in the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal within other sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, the gallbladder is operated.\n\nImpression:\nFindings consistent with Covid pneumonia. Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11284/train_11284_a/train_11284_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Linear atelectasis was observed in both lungs. There are minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Minimal bronchiectasis is observed in both lungs.\n<pleura>: In both hemithorax, pleural plaques, one of which is calcified, are observed at the level of the upper lobes of the lung. No pleural effusion was detected. The largest of these pleural plaques measured approximately 8 mm thick.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: No pericardial effusion or thickening was detected. The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. It is understood that the patient underwent valve surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the sections. There are osteophytes in the vertebral corpus corners. Intervertebral disc spaces and neural foramina are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nPleural plaques in both hemithorax.  Minimal emphysematous changes in both lungs.  Linear atelectasis in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11287/train_11287_a/train_11287_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with Covid 19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, subpleural, irregularly circumscribed consolidation areas are observed in the superior segments of the lower lobes and the lateral segments of the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid 19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11291/train_11291_a/train_11291_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nMinimal atelectasis changes in the upper lobe of the right lung, findings outside the normal limits as described."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11299/train_11299_a/train_11299_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: Outlook is consistent with commonly reported image features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: When both lung parenchyma windows are evaluated; There are ground-glass density increases and consolidations in both lungs with septal thickenings with a tendency to coalesce that become prominent in the diffuse peripheral subpleural area.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. There are lymph nodes, the largest measuring 25x12 mm, in the mediastinal upper-lower paratracheal, prevascular and subcarinal areas. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not detected. As can be seen: Heart sizes slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The echo of liverparenchyma entering the cross-sectional area has decreased diffusely in line with the adiposity. Upper abdominal organs included in the examination area are normal.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonia may be considered in the differential diagnosis. Correlation with clinical and laboratory is recommended.  Mediastinal lymph nodes.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11303/train_11303_a/train_11303_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Tubular bronchiectasis and basal fibro atelectasis were observed in the medial segment of the right lung middle lobe. When examined in the lung parenchyma window; In the medial segment of the middle lobe of the right lung, two oval-shaped nodular appearances were observed, the largest of which was 4 mm in diameter. They were considered stable compared to previous CT.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. Mediastinal main vascular structures, heart contour, size are normal. In the prevascular area, short lymph nodes reaching 7 mm in the aortopulmonary window were observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative osteoarthritic changes and osteophyte formations were observed in the bone structures in the study area.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. No space-occupying lesion was detected in the liver that entered the cross-sectional area. An appearance thought to belong to a low-density cyst of approximately 2 cm in diameter was observed in the middle zone of the right kidney.\n\nImpression:\nStable nodules, tubular bronchiectasis, fibroatelectasis in the medial segment of the right lung middle lobe Cyst in the right kidney?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11304/train_11304_b/train_11304_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles in the bone structures within the study area.\n<abdomen>: In the upper abdominal organs included in the sections, in the attenuation of the cortical location in the right kidney with a dimension of 35 mm, the oval-shaped finding was evaluated in favor of a cyst.\n\nImpression:\nDegenerative changes in bone structures  Cortical cyst in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11304/train_11304_c/train_11304_c_1.npy"
        ]
    },
    {
        "id": "report_generation_26753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are sequela parenchymal changes in the lower lobes of both lungs, left lung upper lobe inferior lingular segment, right lung middle lobe medial segment. In terms of the location and distribution of the consolidation areas, the findings primarily suggest Covid-19 pneumonia.\n<pleura>: Pericardial, pleural effusion was not detected. When examined in the lung parenchyma window; In both lung lower lobes, right lung upper lobe posterior segment and left lung upper lobe anterior segment, there are peripheral, subpleural areas of increase in density consistent with consolidation.\n<mediastinum>: Mediastinal vascular structures, calibration, heart contour and size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal vascular structures, calibration, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: Evaluation for liver parenchymal disease is recommended. In the upper abdominal sections within the image, there is a lobulated appearance in the liver contour and there is an increase in the dimensions of the left lobe, as far as can be seen within the borders of non-contrast CT. No solid mass was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs and local sequela parenchymal changes in both lungs. Findings consistent with liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11305/train_11305_a/train_11305_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26759",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Fibroatelectatic changes in the bases of both lungs and ground-glass appearance in dependent areas were observed. Low-density nonspecific parenchymal nodules, some of them calcified, were observed in both lungs, the largest of which was 7 mm in diameter in the medial segment of the right lung middle lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In the mediastinal paratracheal area, there are oval-shaped lymph nodes with a short diameter of up to 3 mm. The diameter of the descending aorta is 30 mm at its widest point, and it has a dilated and tortoised course. Calcified atheroma plaques were observed in the mediastinal main vascular structures.\n<heart>: No pericardial effusion or thickening was detected. No obvious pathology was detected. The heart was evaluated as suboptimal since there was no contrast-enhanced imaging. The diameter of the ascending aorta at this stage was 34 mm.\n<esophagus>: No pathological wall thickening was detected. Type I hiatal hernia was observed distal. The thoracic esophagus is in normal calibration.\n<bone>: There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Sequelae changes are observed in the 2nd rib on the right. Thoracic kyphosis was increased in the evaluation of bone structures. Vertebral corpuscles have decreased in height and osteophyte formations are noted in the vertebral corpus corners. Bamboo cane appearance was observed in the thoracic vertebrae.\n<abdomen>: The diameter of the descending aorta is 30 mm at its widest point, and it has a dilated and tortoised course. In the evaluation of the upper abdominal organs entering the imaging field; In both kidneys, appearances compatible with hypodense cortical cyst were observed, the largest of which was approximately 6.5 cm in diameter in the middle zone of the left kidney.\n\nImpression:\nNonspecific parenchymal nodules in both lungs. Ground-glass appearances in dependent areas and fibroatelectatic changes at the bases of both lungs.  Tortiosity and dilatation of the aorta.  Osteodegenerative bone disease.  Renal cortical cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11307/train_11307_a/train_11307_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Blep formations measuring 27 mm in size are observed in both lungs, especially in the upper lobe of the left lung. When examined in the lung parenchyma window; Diffuse patchy ground-glass densities in both lungs, consolidation areas with air bronchogram sign were evaluated in favor of diffuse infectious process.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch and coronary artery. In the mediastinum, lymph nodes measuring up to 12 mm in size at the carinal level are observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch and coronary artery.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes, especially at the level of the shoulder joints, are observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and coronary artery.\n\nImpression:\nDiffuse infectious findings in the lung parenchyma were evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical and laboratory correlation is recommended.  Bullous blebs, more prominently in the left lung  Calcific atheromatous plaques in the aortic arch and coronary artery  Multiple small lymph nodes in the mediastinum  Diffuse density reduction, degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11311/train_11311_a/train_11311_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Evaluation is suboptimal because of respiratory artifacts. Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Size and numbers of 13x9.5 mm anterior to the upper lobe of the right lung (measured 12x9.5 mm in the previous examination), 5.4 mm at the level of the major fissure (measured 5.4 mm in the former examination) and 4.5 mm in diameter (measured as 4.4 mm in the former examination) in the posterior of the right lung upper lobe Stable pulmonary nodules are present. There are pleuroparenchymal fibrotic bands in the lingular segment of the left lung and medial of the middle lobe of the right lung. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are calcific plaque formations in the aortic arch and coronary arteries. The diameter of the ascending aorta increased by 42 mm, and the descending aorta by 34 mm. There are several LAPs in the paratracheal, pretracheal, aortopulmonary and prevascular areas with a short diameter of 12x5 mm, the largest of which is 12x5 mm.\n<heart>: There are calcific plaque formations in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are hypodense lesions with a diameter of 26 mm in liver segment 4B and 10 mm in 4A. There are calcific plaque formations in the aortic arch and coronary arteries. Bilateral adrenal glands are normal and no space-occupying lesion was detected. The diameter of the ascending aorta increased by 42 mm, and the descending aorta by 34 mm.\n\nImpression:\nCardiomegaly, dilatation of the aorta . Stable pulmonary nodules in the right lung . Sequelae changes in both lungs . Hypodense lesions in the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11313/train_11313_a/train_11313_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Lymph nodes with a calcified short axis smaller than 1 cm were observed in the mediastinal and upper-lower paratracheal, subcarinal area and right hilar region. Clinical and laboratory correlation is recommended. Other viral pneumonias can be considered in the differential diagnosis. Subsegmental atelectasis was observed in both lungs. When both lungs are evaluated in the parenchyma window: Focal consolidation areas, which tend to merge from place to place, are observed in the upper and lower lobes of both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). It was evaluated in agreement with the frequently reported imaging features of Covid-19 pneumonia.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: The diameter of the main pulmonary artery was 8 mm, the diameter of the right pulmonary artery was 29 mm, and the diameter of the left pulmonary artery was 30 mm. Lymph nodes with a calcified short axis smaller than 1 cm were observed in the mediastinal and upper-lower paratracheal, subcarinal area and right hilar region. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. It shows dilatation.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. As far as can be observed: The diameter of the ascending aorta is 42 mm and shows fusiform dilatation. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed type hiatal hernia was observed.\n<bone>: Degenerative changes were observed in bone structures. Vacuum phenomena were observed in the thoracic vertebrae.\n<abdomen>: A hypodense lesion was observed in the right kidney (cyst?). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. It shows dilatation. In the upper abdominal sections included in the study area, the liver parchymal density decreased diffusely in line with the adiposity.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Subsegmental atelectasis in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Cardiomegaly.  Dilatation of the thoracic aorta and pulmonary artery.  Mediastinal calcified lymph nodes.  Mixed hiatal hernia.  Degenerative changes in bone structure.  Hepatosteatosis.  Right renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11316/train_11316_c/train_11316_c_1.npy"
        ]
    },
    {
        "id": "report_generation_26801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several millimetric nonspecific nodules with a diameter of 3.5 mm are observed in both lungs, the largest of which is in the lateral segment of the right lung middle lobe. There are multiple lymphadenopathies in the mediastinum and hilar regions, the largest in the right lower paratracheal region and measuring 15 mm in diameter, and the largest in both axillae, 14 mm in diameter on the left. It is recommended that the patient be evaluated for infectious processes. Mosaic attenuation pattern is observed in both lungs. Consolidation-ground glass areas and an increase in interlobular septal thickness are observed in the posterior segment of both lung atl lobes adjacent to it.\n<pleura>: There is a 10x10 mnm sclerotic hyperdense lesion with peripheral minimal pleural thickness increase in the left second rib (FDG +, metastasis?). No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: The diameter of the pulmonary trunk was 40 mm, the right main pulmonary artery was 27 mm, and the left main pulmonary artery diameter was 28 mm and increased. Aorta diameter is normal. There are multiple lymphadenopathies in the mediastinum and hilar regions, the largest in the right lower paratracheal region and measuring 15 mm in diameter, and the largest in both axillae, 14 mm in diameter on the left.\n<heart>: Heart contour and size are normal. Stent in the descending coronary artery and calcific atheroma plaques in other coronary arteries are observed.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<abdomen>: Aorta diameter is normal. No upper abdominal free fluid-collection was observed in the sections. Within the limits of non-contrast CT; liver AP diameter was 185 mm, spleen AP diameter was 150 mm and increased.\n\nImpression:\nBilateral pleural effusion, consolidation and ground glass areas in the posterior segment of both lung lower lobes adjacent to the effusion, increased interlobular septal thickness; appeared in the interval. It is recommended that the patient be evaluated for infectious processes.  Millimetric stable nonspecific nodules in both lungs.  Mediastinal, bilateral hilar and axillary multiple lymphadenopathies.  Dilatation of pulmonary arteries.  Hepatosplenomegaly.  Hyperdense sclerotic lesion (metastasis?) in the left 2nd rib."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11317/train_11317_a/train_11317_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the lower lobe of the left lung and the middle lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. The largest of these nodules is observed in the right lung middle lobe and its longest diameter is approximately 12 mm. Millimetric nodules, which were found to be metastases, were observed in both lungs.\n<pleura>: There is minimal pleural effusion on the left.\n<heart>: Minimal pericardial effusion was observed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11334/train_11334_a/train_11334_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26852",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are fibroatelectasis changes in the inferior lingular segment of the left lung. Diffuse atelectatic changes were observed in the upper and lower lobes of the right lung.\n<pleura>: When examined in the lung parenchyma window; There is a pleural effusion measuring 13 mm at its widest point in the right lung.\n<mediastinum>: As far as can be seen; There are post-op suture materials in the anterior mediastinum and pericardium. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural. Multiple lymph nodes with a short axis of 1 cm were observed in the mediastinal, upper-lower paratracheal, precarinal, prevascular, and subcarinal areas.\n<heart>: There are stent materials-post-op changes in the coronary arteries. Evaluation together with contrast-enhanced examination is recommended. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A cystic lesion with a diameter of about 3.5 cm was observed on the posterior wall of the upper pole of the right kidney, containing hyperdense areas with a diameter of 17 mm that may be compatible with calcification-calculus. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nDiffuse atelectatic changes in both lungs prominent on the right, pleural effusion on the right.  Post-op changes in the mediastinum.  Mediastinal lymph nodes.  A cystic lesion with a diameter of about 3.5 cm, containing hyperdense areas that may be compatible with calcification-calculus with a diameter of 17 mm in the posterior wall of the upper pole of the right kidney, calyceal diverticulum cannot be excluded in this examination. Calicial diverticulum cannot be excluded in this examination. Evaluation together with contrast-enhanced examination is recommended.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11338/train_11338_a/train_11338_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Dependent atelectasis areas are observed in both lung lower lobes. There is paraseptal emphysema in the apical segment of the upper lobe of the right lung.\n<pleura>: In the medial segment of the middle lobe of the right lung, a pleural-based nonspecific nodule with a long diameter of 6 mm is observed. No pleural effusion was observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of the mediastinal major vascular structures are of normal width. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. There are suture materials in the coronary arteries. Heart sizes are slightly increased. A slight diverticular diameter increase is observed. Findings secondary to a previous bypass operation are observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In upper abdominal sections; In the distal transverse colon, the lumen of the colon is partially sectioned. There is 17 mm diameter myelolipoma in the left adrenal gland. It is recommended to examine the patient with abdominal CT. No suspicious slight increase in wall thickness was observed in this localization.\n\nImpression:\nFindings secondary to previous bypass operation.  Nonspecific millimetric nodule in the right lung, dependent atelectasis in the basal sections of both lungs.  In the distal transverse colon, the lumen of the colon is partially cross-sectioned. No suspicious slight increase in wall thickness was observed in this localization. It is recommended to examine the patient with abdominal CT."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11340/train_11340_a/train_11340_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The described manifestations were evaluated primarily in favor of infective pathology. In the upper lobe of the right lung, consolidation in the posterior segment, minimal ground glass area and centriacinar nodules are observed around it. In addition, there are millimetric centriacinar nodules and minimal ground glass area in the right lung lower lobe superior segment and laterobasal segment. Correlation with laboratory findings is recommended. There was no mass in both lungs and no infiltrative lesion in the left lung.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: There is minimal pericardial effusion. There is no pericardial thickening. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There are no pathologically enlarged lymph nodes. Both kidneys are atrophic.\n\nImpression:\nFindings evaluated in favor of infective pathology in the right lung. Minimal pericardial effusion. Hiatal hernia. Atrophic kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11354/train_11354_a/train_11354_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lungs, ground glass density increases and consolidative appearances were observed in the upper and lower lobes, which tend to coalesce from place to place, especially in the lower lobes. The nodules described are consistent with typical-likely findings for Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: The diameter of the main pulmonary artery is 30 mm and it shows mild dilatation. In the upper-lower paratracheal, subcarinal, prevascular, right hilar region, there are lymph nodes measuring 12 mm in the short axis of the larger one, some of which are calcified. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; The diameter of the ascending aorta is 39 mm and shows slight dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized). Multiple parapelvic cysts were observed in the left kidney.\n\nImpression:\nMild dilatation of the thoracic aorta and pulmonary artery . Minimal calcific atherosclerotic changes in the wall of the thoracic aorta . Mediastinal lymph nodes, some of which are calcified . Typical-probable findings for Covid-19 pneumonia in both lung parenchyma. Clinical and laboratory correlation is recommended.  Left renal multiple parapelvic cysts . Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11360/train_11360_a/train_11360_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11367/train_11367_a/train_11367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Clinical - laboratory correlation is recommended for viral pneumonias (Covid-19 pneumonia).\n<abdomen>: No significant change was found in the other findings in the current examination. In the upper abdominal sections in the study area; hepatic parchymal density decreased diffusely in line with the adiposity.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11372/train_11372_b/train_11372_b_1.npy"
        ]
    },
    {
        "id": "report_generation_26932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Minimal sequelae changes were observed in both lungs. No mass-nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: Thoracic kyphosis has decreased. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, the liver parenchyma density decreased slightly, consistent with adiposity.\n\nImpression:\nMinimal sequelae changes in both lungs. Hepatosteatosis. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11374/train_11374_a/train_11374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Central bronchovascular structures are prominent.\n<lung>: There are lymph nodes that tend to merge in the bilateral hilar region. When examined in the lung parenchyma window; Widespread ground glass densities are observed in both lung parenchyma, starting from the central and extending to the periphery. No nodular or infiltrative lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In the mediastinum, lymph nodes, especially located in the right paratracheal region, whose short axis reaches 17 mm, are observed. Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. Diffuse calcific plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are changes related to sternotomy. There are osteophytes extending anteriorly in the vertebrae. Thoracic kyphosis slightly increased.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSternotomy, cardiomegaly  Aortic and coronary artery atherosclerosis  Mediastinal and hilar lymphadenomegaly  Diffuse ground glass densities in both lungs (viral pneumonia?, pulmonary edema?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11383/train_11383_a/train_11383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal emphysematous changes were observed in the right lung apex. Correlation with is recommended. Patchy ground glass densities were observed in the upper and middle lobes of the right lung. No nodular or infiltrative lesion was detected in both lung parenchyma. It is recommended to be evaluated together. There are mosaic perfusion defects in both lungs (small airway disease?small vessel disease?). The described findings are highly suspicious for ultra-early Covid-19 pneumonia. Clinic and lab.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. As far as can be observed: the diameter of the ascending aorta was 38.7 mm and it was observed wider than normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Scoliosis with the thoracic opening facing left and syndesmophytes bridging each other were observed on the anterior surfaces of the vertebrae. Vertebral corpus heights were preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDilatation in the ascending aorta . Hiatal hernia . Minimal emphysematous changes in the apex of the right lung . Mosaic perfusion defect in both lungs (small airway disease?small vessel disease?). Clinic and lab. It is recommended to be evaluated together.  Patchy ground-glass densities in the upper and middle lobes of the right lung; findings are highly suspicious for Covid-19 pneumonia. Correlation with clinic and laboratory is recommended.  Scoliosis with the thoracic opening facing left, syndesmophytes bridging each other on the anterior vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11384/train_11384_a/train_11384_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: The described appearance was first evaluated in favor of pleuroparenchymal sequela fibrotic change. Diffuse emphysematous changes were observed in both lungs. Bronchiectasis is observed in both lungs. Structural distortion, loss of volume and many calcific nodules were observed in and around the soft tissue density in the apicoposterior segment of the left lung upper lobe. Bronchiectasis is most prominently observed in the left lung upper lobe apicoposterior segment and lingular segment. The presence of an underlying mass cannot be completely excluded. Although it was evaluated primarily in favor of compressive atelectasis, pneumonic infiltration could not be completely excluded. Structural distortion and volume loss, diffuse pleuroparenchymal fibroatelectasis sequelae changes were observed in both lungs, especially in this localization. When examined in the lung parenchyma window; The effusion reaching 4.5 cm in the thickest part in the right hemithorax and 2.5 cm in the thickest part in the left hemithorax was observed. Consolidation areas were observed in the right lung middle lobe and lower lobe basal segments in the areas adjacent to the effusion. Millimetric nonspecific nodules, some of which are calcific, were observed in both lungs. No mass was detected in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fracture or lytic-destructive lesion was observed in the bone structures in the study area.\n<abdomen>: It is also present in the previous examination of the patient. No significant difference was detected. The appearance was thought to be due to surgery. Calcific atheroma plaques were observed in the aorta and coronary arteries. The left lobe of the liver is minimally hypertrophied and its contours are slightly irregular. In the upper abdominal organs included in the sections, volume loss is observed in the right lobe of the liver. A nonspecific hypodense lesion with 7.8 mm diameter was observed in segment 8 at the level of the liver dome. It is recommended to be evaluated for liver parenchymal disease.\n\nImpression:\nBronchiectatic changes in both lungs, structural distortion and volume loss, appearance evaluated primarily in favor of pleuroparenchymal sequela fibrotic change in the left lung upper lobe apicoposterior segment . Multiple millimetric nonspecific nodules in both lungs . Diffuse emphysematous changes in both lungs . New in both lungs emerging bilateral pleural effusion and consolidative areas adjacent to the effusion in the left lung lower lobe basal segments; firstly, it was evaluated in favor of atelectatic changes. However, pneumonic infiltration could not be excluded. It is recommended to be evaluated together with clinical and laboratory. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11391/train_11391_a/train_11391_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Air bronchograms are available within the consolidation areas.\n<lung>: These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. This outlook favors viral pneumonia.\n<pleura>: Pleural effusion reaching approximately 2 cm is observed in the left lung. Ground-glass densities and consolidation areas, which are more prominent especially in the subpleural areas of the bilateral lungs, are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia.  Emphysematous changes in both lungs.  Pleural effusion in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11395/train_11395_a/train_11395_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: No active infiltration or mass lesions were detected in both lung parenchyma. There are minimal emphysematous changes in both lungs. In the evaluation made in the lung parenchyma window; Structural distortion in the medial and lateral segments of the right lung middle lobe, left lung upper lobe inferior lingular segment and lower lobe, an area of increase in density consistent with atelectasis accompanied by volume loss, and appearances compatible with cystic-tubular bronchiectasis in the adjacent bronchial structures.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: As far as can be seen; Calibration of mediastinal vascular structures, heart contour, size is natural. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. There is no lymph node in the mediastinum in pathological size and appearance. No lymph node is detected in pathological size and appearance.\n<heart>: As far as can be seen; Calibration of mediastinal vascular structures, heart contour, size is natural. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: Degenerative changes were observed. No lytic or destructive lesions are detected in the bone structures within the image, and there is an increase in thoracic kyphosis.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass is detected, and no intra-abdominal free liqu- ulated collection is observed.\n\nImpression:\nStructural distortion in the right lung middle lobe, left lung upper lobe inferior lingular segment and lower lobe, areas of increased density consistent with atelectasis accompanied by volume loss, and cystic-tubular bronchiectasis in adjacent bronchial structures; There was no finding in favor of active infiltration or mass lesion in both lungs.  Sliding type hiatal hernia at the lower end of the esophagus.  Increase in thoracic kyphosis and degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11396/train_11396_a/train_11396_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Pneumonic infiltration? Basals have bronchiectasis. In the evaluation of both lung parenchyma; In the bilateral lungs, especially in the middle and lower zones, consolidations and ground-glass densities were observed with prominent patches of air bronchogram with a tendency to coalesce.\n<pleura>: Bilateral minimal pleural effusion was observed.\n<mediastinum>: In the mediastinum, there are paratracheal, prevascular, and bilateral hilar lymph nodes, the largest with a short axis of 8 mm.\n<heart>: Pericardial effusion is observed. Aortic valve calcification was observed. There are calcific atheroma plaques in the main vascular structures and coronary arteries. Global enlargement of the cardiac cavities was observed.\n<esophagus>: The esophagus is dilated, and fluid densities were noted in the esophagus and stomach lumen.\n<bone>: Rotoscoliotic changes were observed in the vertebral column. There are degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: There are atrophic changes in both kidneys. The esophagus is dilated, and fluid densities were noted in the esophagus and stomach lumen. In the sections passing through the upper part of the abdomen, stones were observed in the gallbladder lumen.\n\nImpression:\nBilateral pneumonic infiltration? Bronchiectasis Identified mediastinal lymph nodes Cardiomegaly Aortic valve calcification Pericardial effusion Atherosclerosis Esophageal dilatation and fluid densities Cholelithiasis Renal atrophy Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11399/train_11399_a/train_11399_a_1.npy"
        ]
    },
    {
        "id": "report_generation_26983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up of the findings in terms of the onset of an infectious process (Covid 19) is recommended. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; In both lung lower lobe basal segments, consolidation areas are observed in posterobasal segments, which also cause pleural retraction. Pleural effusion-thickening was not detected.\n<mediastinum>: It is consistent with crescentic-style calcific atheroma plaques in the ascending arch and descending aorta. A few lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum anterior to the trachea.\n<heart>: Pericardial effusion measuring up to 9 mm in size is observed. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Density decreases are observed in bone structures. Hypertrophic -osteophytic taperings were observed in the end plates of the vertebral corpuscles.\n<abdomen>: There is thinning of cortical structures in both kidneys. It was evaluated in the direction of stones (cholelithiasis). It is consistent with crescentic-style calcific atheroma plaques in the ascending arch and descending aorta. In the fluid attenuation measuring 18x17 mm in the anterior aspect of the lower pole of the right kidney, the oval-shaped finding was evaluated in the direction of cortical cyst. Left kidney dimensions are reduced. A small amount of free fluid was observed in the perihepatic area. Multiple hyperdense findings are observed in the gallbladder in the upper abdominal organs included in the sections.\n\nImpression:\nInfectious process (Covid 19) ? bronchopneumonia? Compatible findings in both lower lobe posterobasal segments of both lungs, clinical and laboratory correlation and follow-up is recommended.  Pericardial effusion in the form of smearing.  Osteopenic appearance in bone structures, hypertrophic and osteophytic findings in the end plates of the vertebral corpuscles. Atherosclerosis.  Multiple hyperdense findings are observed in the gallbladder. Evaluated for stones (cholelithiasis). A small amount of free fluid is observed in the perihepatic area.  Pericardial effusion measuring up to 9 mm in thickness.  A few lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum anterior to the trachea. Right cortical cyst.  Decrease in size of both kidneys, more prominent on the left. Clinical and laboratory correlation is recommended for CRF."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11399/train_11399_b/train_11399_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27027",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, regression is observed in the density increase areas in the ground glass density in the lower lobes observed in the previous CT examination of the patient, there are areas of increase in density consistent with subsegmental-linear atelectasis in these localizations, and sequelae fibrotic structures have become evident in the current examination.\n<pleura>: However, in the current examination of the upper lobes of both lungs, newly developed mostly peripheral, subpleural ground glass and indistinct limited density increase areas consistent with consolidation were observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11418/train_11418_b/train_11418_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Other findings are stable. In the case followed up due to Covid-19 pneumonia; In the current examination, there is a progression of consolidation areas in both lungs and it is accompanied by widespread subsegmental-linear atelectasis.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11418/train_11418_c/train_11418_c_1.npy"
        ]
    },
    {
        "id": "report_generation_27031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: However, the consolidations in all other segments of the lung were found to be progressive. There is also an increase in sequela fibrotic structures and linear atelectasis accompanying consolidations. In the case followed up due to Covid-19 pneumonia; In the current examination, regression of the consolidation areas in the posterobasal and mediobasal segments of the left lung lower lobe is observed. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11418/train_11418_d/train_11418_d_1.npy"
        ]
    },
    {
        "id": "report_generation_27033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal linear densities are observed in both lungs. Nodular densities with pleuroparenchymal extensions are observed in the upper lobe lateral lingular segment of the left lung, and it was interpreted in favor of sequelae change. No nodular infiltrative lesion was detected in both lungs. Ventilation of the lungs is normal.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Ecalcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Hiatal hernia is observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLinear densities are observed in bilateral lungs. Nodular densities with pleuroparenchymal extensions are observed in the lateral lingular segment of the upper lobe of the left lung, and this is primarily interpreted in favor of sequelae change."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11419/train_11419_a/train_11419_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Millimetric nonspecific parenchymal nodules were observed in both lungs. Atelectatic changes were observed in the left lung upper lobe lingular and right lung middle lobe medial segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; azygos fissure variation was observed in the upper lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Nonspecific parenchymal nodules in both lungs . Linear atelectatic changes in right lung middle lobe medial and left lung upper lobe inferior lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11420/train_11420_a/train_11420_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis was observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. There are millimetric osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. Atelectasis in both lungs.  Millimetric nodules in both lungs. Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11425/train_11425_a/train_11425_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is bilateral minimal tubular bronchiectasis. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 4 mm. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. A few lymph nodes are observed in the mediastinum and bilateral hilar regions with a short diameter of less than 4 mm. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is present at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. There is an appearance compatible with an intraosseous lipoma in the posterior part of the right 10th rib.\n<abdomen>: Sliding type minimal hiatal hernia is present at the esophagogastric junction. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is no mass with discernible borders as far as it can be observed within the borders of non-enhanced CT. Two hyperdense stones, the largest of which is 7.5 mm in diameter, are observed in the lower pole calyces of the left kidney.\n\nImpression:\nPectus excavatum  Bilateral minimal tubular bronchiectasis  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11426/train_11426_b/train_11426_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Consolidations and subsegmental atelectasis are observed, the first of which is accompanied by mild ectasia in the bronchi in the posterobasal segment of the lower lobe of the lung. In the evaluation of both lung parenchyma; Dominant focal ground glass densities are observed in the peripheral lung parenchyma in both lungs. In the presence of a pandemic, the outlook was evaluated in favor of Covid-19 pneumonia. Apart from this, no nodules were detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal aortopulmonary lymph nodes smaller than 1 cm are observed.\n<bone>: No lytic destructive lesion was observed in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDominant focal ground-glass densities in the peripheral lung parenchyma of both lungs, consolidations and subsegmental atelectasis in the lower lobe posterobasal segment of each lung accompanied by mild ectasia in the bronchi. In the presence of a pandemic, the outlook was evaluated in favor of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11429/train_11429_a/train_11429_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<mediastinum>: Minimal calcific atherosclerotic changes were observed in the abdominal aortic wall. Millimetric sized lymph nodes were observed in the mediastinal upper-lower paratracheal, prevaccular, and subcarinal areas. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; Accessory spleen with a diameter of 16 mm was observed at the level of the splenic hilum. Minimal calcific atherosclerotic changes were observed in the abdominal aortic wall.\n\nImpression:\nCalcified nonspecific parenchymal nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11429/train_11429_b/train_11429_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Suture materials causing structural distortion were observed in the left lung lower lobe superior and paramediastinal areas of the mediobasal subsegment of the anteromediobasal segment. Pelvroparanchymal linear sequelae density increases were observed in the right lung middle lobe medial and left lung lower lobe basal segments. (small airway disease?, small vessel disease?). No mass lesion-active infiltration was detected in both lungs. Mosaic attenuation pattern is observed in both lungs.\n<pleura>: There is sequelae thickening in the posterior costal pleura adjacent to the lower lobe in the left hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Prevascular and right upper-lower paratracheal, aortopulmonary short axis lymph nodes were observed in nodular form, which did not reach pathological dimensions measured below 1 cm. As far as can be seen: mediastinum and heart are slightly deviated to the left.\n<heart>: As far as can be seen: mediastinum and heart are slightly deviated to the left. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion in favor of metastasis was observed in bone structures.\n\nImpression:\nMosaic attenuation pattern (small airway disease?, small vessel disease?) in both lungs. Linear subsegmental atelectatic changes in both lungs.  Changes secondary to the operation in the paramediastinal areas of the left lung lower lobe basal segment, sequelae thickening in the posterior costal pleura in the left hemithorax. No finding in favor of pneumonia-mass was detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11434/train_11434_a/train_11434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27076",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific plaques are observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. There is diffuse density loss in the liver.\n\nImpression:\nCoronary atherosclerosis.  Millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11435/train_11435_a/train_11435_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Mild emphysematous changes are observed in the case. When examined in the lung parenchyma window; There are ground-glass-like density increases, consolidative areas and accompanying pleuroparenchymal sequelae and thickening of the peribronchial sheath in both lungs. The findings are compatible with the anamnesis in the case with a diagnosis of Covid+.\n<pleura>: Pleural effusion-pneumothorax was not detected.\n<mediastinum>: Other major mediastinal vascular structures are normal. The pulmonary trunk caliber is 34 mm wider than normal. The aortic arch calibration is 31 mm wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. KTO is in normal calibration.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: There is fat in the liver compatible with steatosis. It is normal in the upper abdominal organs included in the sections. The aortic arch calibration is 31 mm wider than normal.\n\nImpression:\nFindings consistent with the anamnesis in a case with a diagnosis of Covid+  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11436/train_11436_a/train_11436_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27082",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: An area of atelectasis is observed in the posterior segment of the lower lobe of the right lung adjacent to the effusion. It is recommended to be evaluated for infectious processes. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right hilar area. In both lungs, there are diffuse nodular ground glass areas that are centrally weighted, confluent, and partially consolidated, more prominent in the right lung upper lobe.\n<pleura>: There is a 1.5 cm thick pleural effusion in the right hemithorax.\n<mediastinum>: Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right hilar area. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nNodular ground glass areas in both lungs, predominantly central, showing confluence and partially consolidated; has just emerged. It is recommended that the patient be evaluated for infectious processes.  Pleural effusion in the right hemithorax and adjacent atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11438/train_11438_a/train_11438_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; Patchy large ground-glass consolidations with a central-peripheral location, crazy-paving pattern and signs of vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved.\n<abdomen>: Hypodense lesion areas with fluid density were observed in the left renal sinus. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the aortic arch and LAD. The spleen, pancreas and both kidneys are normal. As far as can be observed in the sections, the liver parenchyma density decreased in line with hepatosteatosis. The gallbladder was not observed secondary to the operation.\n\nImpression:\nCalcific atheromatous plaques in the LAD and in the aortic arch.  Findings consistent with Covid -19 pneumonia in the lung parenchyma.  Hepatosteatosis. Cholecystectomized.  Areas of hypodense lesion with fluid density in the left renal sinus (parapelvic cyst?). Findings consistent with diffuse idiopathic bone hyperostosis at the mid-thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11441/train_11441_a/train_11441_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground-glass density in both lungs and bronchiectasis in the lower lobes are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, the liver parenchyma changes in favor of steatosis.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia in both lung parenchyma. Diseases such as influenza pneumonia?, organizing pneumonia?, drug toxicity, and connective tissue may cause similar appearance.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11449/train_11449_a/train_11449_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Apart from this, other millimetric nodules, most of which are calcific, were observed in both lungs. A millimetric nonspecific nodule with a diameter of approximately 4 mm was observed in the lower lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11469/train_11469_a/train_11469_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are fibroatelectatic changes in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. When both lungs are examined in the parenchyma window; Bilateral peribronchial thickenings were observed.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Aortic arch anomaly was observed. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in the mediastinum in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: Minimal pericardial effusion was observed. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Aortic arch anomaly was observed. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Other organs are natural. In the upper abdominal sections within the examination area, hypodense lesions with a mean HU value of 1 on the right and 7 on the left, 15 mm in diameter on the right, and 13.5 mm in diameter on the left, were observed in both adrenal gland trunk sections (adenoma?). Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nFibroatelectatic changes in both lungs, millimetric nonspecific parenchymal nodules.  Aortic arch anomaly.  Atherosclerotic changes.  Pericardial minimal effusion.  Hypodense lesion (adenoma?) in both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11471/train_11471_a/train_11471_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; some calcified nonspecific parenchymal nodules were observed in both lung parenchyma. Mild emphysematous changes are observed in both lungs. An air cyst with a diameter of 17 mm was observed in the middle lobe of the right lung. Fibroatelectatic changes were observed in the lower lobes of both lungs, in the middle lobe of the right lung and in the inferior lingular segment of the left lung.\n<mediastinum>: No lymph node enlarged in mediastinal pathological dimensions was detected. As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis smaller than 1 cm were observed in the aorticopulmonary window in the mediastinal upper-lower paratracheal, subcarinal area.\n<heart>: As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: There is also partial fusion in the posterior elements. There are bridging spur formations in the right anterior lateral of the thoracic vertebrae. Clinical and laboratory correlation is recommended for possible inflammatory arthritis. Partial fusion was observed in T5-T6 vertebrae. Thoracic kyphosis has increased. No lytic-destructive lesion was detected in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild emphysematous changes in both lungs.  Nonspecific parenchymal nodules in both lungs, some of which are calcified.  Fibroatelectatic changes in both lungs.  Mediastinal millimetric lymph nodes, atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11472/train_11472_a/train_11472_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. Minimal bronchiectasis and minimal structural distortion are observed in the medial part of the upper lobe of the right lung. Millimetric nodules were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions, some of which are calcific. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The largest of the described lymph nodes is observed in the subcarinal area and its short diameter is 18 mm.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. In the liver parenchyma density, a decrease in density is observed, which is compatible with advanced adiposity. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nMediastinal and hilar lymph nodes . Atherosclerotic changes in the aorta and coronary arteries . Emphysematous changes in both lungs . Minimal bronchiectasis in the medial part of the upper lobe of the right lung . Advanced hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11479/train_11479_a/train_11479_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There are nodules with rim-like calcification in the thyroid gland.\n<trachea_and_bronchie>: The lesion measured approximately 12 cm in diameter, extending superoinferiorly from the distal trachea to the right diaphragm.\n<lung>: Interlobular septal thickening is observed in the lower lobe of the right lung, and it was evaluated primarily in favor of lymphangitic involvement. Two millimetric nodular densities located in fissures in the left lung are nonspecific and do not have malignant features radiologically. A 3 mm diameter nodule in the upper lobe of the left lung (series 3 to 72) was considered nonspecific. In the hilum of the lung, there is a mass lesion extending around the bronchial structures of the lung hilum, which narrows the air passage in the lower lobe bronchus by extending towards the intermediate and lower lobe bronchi that obstruct the right main bronchus and upper lobe bronchus. The consolidation areas in this localization were thought to belong to the tumor, there was widespread infiltration in the basal segment. A 14 mm diameter nodular lesion in the right lung lower lobe superior segment adjacent to the segmental bronchi was evaluated in favor of a satellite nodule.\n<pleura>: The diameter of the AP extending along the mediastinal pleura was 11 cm. Between the leaves of the right pleura, there is free fluid reaching 1 cm in diameter. No pleural effusion was observed in the left lung. The lesion extends from lower lobe basal segment bronchi to the basal segment parenchyma to the pleura. The mediastinum is infiltrated and its pleuroparenchymal extension is observed along the mediastinal pleura.\n<mediastinum>: Bilateral upper paratracheal, prevascular, paraaortic, bilateral lower paratracheal metastatic lymph nodes are observed. In the mediastinum, between the pericardial leaves, mildly smearing free fluid is observed. The largest measured 24 mm in short diameter in the prevascular area (series 2 images 117). There are 2 nonspecific lymph nodes in the mediastinal fat pads with a short diameter of less than 1 cm.\n<heart>: Heart contour and size are normal. Calcified atherosclerotic plaques are observed in the coronary arteries.\n<bone>: No lytic-destructive space-occupying lesion that can be distinguished by CT was detected in bone structures. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: A 16 mm diameter nodular lesion in the left adrenal gland is measured at -2 HU and was primarily evaluated in favor of adenoma. In the upper abdominal sections; In the liver parenchyma, there is a hypodense of cystic density with a diameter of 12 mm.\n\nImpression:\nMass lesion with mediastinal and diffuse parenchymal infiltration in the right lung hilum, diffuse mediastinal metastatic lymph nodes, findings in favor of lymphangitic infiltration in the right lung, mild right pleural effusion.  Cyst in the liver.  Nodular lesion in the left adrenal gland evaluated in favor of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11480/train_11480_a/train_11480_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27185",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook casts doubt on Covid. When examined in the lung parenchyma window; Focal ground glass densities are observed in the apical segment of the upper lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFocal ground glass density in the apical segment of the upper lobe of the right lung that will cause suspicion for Covid-19 pneumonia. It is appropriate to evaluate the patient together with the clinic and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11481/train_11481_a/train_11481_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27212",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: When examined in the lung parenchyma window; There is no active infiltration or mass lesion in both lungs, and there is an area of increase in density consistent with linear atelectasis in the lateral segment of the right lung middle lobe. Mosaic attenuation pattern is observed in both lung parenchyma (small airway disease ? small vessel disease ?). In the right lung middle lobe medial segment, there is a calcified nonspecific nodule in millimeter sizes.\n<pleura>: Pericardial, pleural effusion is not observed.\n<mediastinum>: Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations.\n<heart>: Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. There is a slight increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No solid mass was detected within the borders of non-contrast CT in the abdominal sections within the image.\n\nImpression:\nMosaic attenuation pattern in both lung parenchyma; small airway disease ?, small vessel disease ?.  Calcified nonspecific nodule in millimetric dimensions in the medial segment of the right lung middle lobe.  Density increase consistent with linear atelectasis in the lateral segment of the right lung middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11495/train_11495_a/train_11495_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27218",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Clinical and laboratory correlation is recommended. An increase in pleuroparenchymal linear density is observed in the inferior lingular segment on the left. There is a 5x4 mm nodule superposed on the minor fissure. When examined in the lung parenchyma window; There are scattered ground glass-style scattered ground-glass-style density increments in both lungs. It was evaluated in favor of Covid pneumonia in the first place during the pandemic process.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Lymph nodes are observed in the upper-lower paratracheal area, at the prevascular level, in the aorticopulmonary window, in the subcarinal area, and the largest are measured in the right lower paratracheal area, with the hilus partially visible and measuring approximately 23x13 mm. It is wider than normal. Arkus aota calibration is 34 mm. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pathological size and configuration of lymph nodes were not detected at either level.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. CTO is normal. Calibration of other major vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: It is wider than normal. The gallbladder is natural. Arkus aota calibration is 34 mm. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. A cortical cyst is observed in the middle part of the left kidney. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nFindings favoring Covid pneumonia, clinical laboratory correlation is recommended.  Mild steatosis . Left renal cortical"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11497/train_11497_a/train_11497_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Crazy paving appearance is observed with interlobular septal thickening in places in ground glass densities. In the middle lobe of the right lung, the bronchi are slightly ectatic. In the evaluation of both lung parenchyma; In the peripheral lung tissue, more prominent asymmetrically in the right lung, ground-glass appearances that gain diffuse features are observed in the peripheral lung tissue.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Atherosclerotic plaques are observed in the aortic arch and coronary arteries. No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal, aortopulmonary, subcarinal, right hilar lymph nodes, some of them calcified, are observed.\n<heart>: Atherosclerotic plaques are observed in the aortic arch and coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: There are suture materials secondary to surgery in the sternum. There is no lytic-destructive lesion. Degenerative changes are observed in bone structures.\n<abdomen>: Atherosclerotic plaques are observed in the aortic arch and coronary arteries. In the sections passing through the upper part of the abdomen, although both kidneys partially enter the examination area, their size is reduced and the parenchyma thickness appears to be thinned. If necessary, it can be examined with sonography.\n\nImpression:\nIn the evaluation of both lung parenchyma; Ground glass appearance, which is more prominent asymmetrically in the right lung and more diffuse in the peripheral lung tissue, Crazy paving appearance with interlobular septal thickenings from place to place in ground glass densities. The outlook is primarily suggestive of viral pneumonia. This aspect is recommended. In the middle lobe of the right lung, the bronchi are slightly ectatic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11510/train_11510_a/train_11510_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are bilateral asymmetrical peripheral consolidation areas in both lungs that become prominent towards the bases. Radiological findings are compatible with Covid pneumonia. There is an uptake pattern in the upper lobes in the form of ground glass opacity.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance.\n<abdomen>: No features were detected in the upper abdomen sections. In this examination, there is a hypodense lesion with a diameter of 9 mm in the right kidney, which cannot be distinguished from solid-cystic.\n\nImpression:\nInfiltration areas in both lung parenchyma radiologically compatible with Covid pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11518/train_11518_a/train_11518_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: In both lungs, a branch with bud view is observed at the lower lobe superior segment levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. Two calculi are observed in the left kidney, the largest of which is 4x3 mm in size. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis in the liver and an area protected from fat near the gallbladder are observed.\n\nImpression:\nBranch view with buds at the lower lobe superior segment levels in both lungs; Findings are atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory in terms of bacterial and viral pneumonias, primarily bacterial."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11521/train_11521_a/train_11521_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: Lung parenchyma assessment is suboptimal because of respiratory artifact. No mass or nodular space-occupying lesion was detected in the lung parenchyma that can be distinguished by this examination. Clinical follow-up would be appropriate. Radiological findings were primarily evaluated as compatible with Covid pneumonia.\n<pleura>: Bilateral asymmetrical nodular ground-glass densities, predominantly subpleural, are observed in both lungs, which become prominent towards the lower lobes. No pleural effusion was observed.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nBilateral asymmetric nodular ground-glass infiltration areas in both lungs. Radiological findings were evaluated as compatible with Covid pneumonia. Clinical follow-up would be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11525/train_11525_a/train_11525_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. In the supraclavicular fossa, within the cross-section, in the axilla and mediastinum, no lymph node was observed in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nInspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11526/train_11526_a/train_11526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27285",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). As far as can be seen in the sections, there is lobulation in the liver contours. Other upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Lobulation in liver contours.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11531/train_11531_a/train_11531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11541/train_11541_a/train_11541_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27309",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Atelectasis is observed adjacent to the effusion in both lung lower lobes. These appearances are also observed in the previous examination of the patient and no significant difference was detected. The anterior-posterior diameter of the effusion was approximately 70 mm at its widest point. The described appearances may be compatible with a specific infection (fungal infection?). Apart from these, there are nodules with ground glass areas around them in both lungs. There are thin-walled cavitary lesions in both lungs. Atelectasis is observed in both upper lobes of aerated lungs. These nodules were also present in the previous examination of the patient and no difference was found in their size and appearance. Especially the lower lobe of the left lung is almost completely atelectatic. No mass was detected in both lungs.\n<pleura>: As far as can be observed: Bilateral pleural effusion is observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11542/train_11542_a/train_11542_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27317",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: Sequela-early period may be compatible with pneumonic infiltration. A few millimetric parenchymal nodules were observed in both lungs. In the left lung lower lobe anteromediobasal segment, a focal consolidation area with an airbronchogram is observed in the mediobasal subsegment, and the appearance is nonspecific. When examined in the lung parenchyma window; Minimal emphysema areas were observed in the right lung apex. No mass lesion with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: As far as can be seen; The thoracic aorta is tortoised and elongated. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. A 45x24 mm pericardial cyst was observed in the left anterior cardiophrenic corner.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: shaped scoliosis was observed at the thoracic level. Vertebral corpus heights are preserved.\n<abdomen>: Adenomas of 11 and 18 mm in diameter were observed in the right adrenal gland corpus and lateral crus, respectively. As far as can be seen; The thoracic aorta is tortoised and elongated. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. It could not be characterized in the non-contrast examination. The contours of both kidneys are lobulated. An .S. As far as can be seen within the sections; Hypodense lesion areas with 11 and 9 mm diameters in liver segment 7 and 21 mm diameters in segment 4 were observed. A 16 mm diameter adenoma was observed in the left adrenal gland.\n\nImpression:\nTortiosis and elongated appearance in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries, cardiomegaly.  Pericardial cyst in the left anterior cardiophrenic corner.  Hiatal hernia.  Minimal emphysematous changes in the upper lobe of the right lung.  Nonspecific focal consolidation in the right lung lower lobe mediobasal segment may be compatible with early stage pneumonic infiltration-sequelae. It is recommended to be evaluated together with clinical and laboratory.  Millimetric nonspecific parenchymal nodules in both lungs.  Hypodense lesion areas in liver segments 7 and 4; could not be characterized in the non-contrast scan.  Bilateral adrenal adenoma.  Lobulation in kidney contours.  .S. shaped scoliosis in thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11546/train_11546_a/train_11546_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequelae changes are observed in the middle lobe of the right lung. No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; There are ground-glass-like density increases in both lungs, which tend to consolidate from place to place, more prominently in the mid-lower zones.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A decrease in density consistent with hepatosteatosis is observed in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass-like density increases in the consolidation tendency, which is more prominent in the middle-lower zones of both lungs, It is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11549/train_11549_a/train_11549_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Structural distortion in the right lung lower lobe posterobasal segment, middle lobe medial segment, left lung upper lobe inferior lingular segment, and areas of increased density consistent with subsegmental-linear atelectasis accompanying volume loss. No active infiltration or mass lesion was observed in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: There is a slippery mild hiatal hernia at the lower end. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nSliding hiatal hernia at the lower end of the esophagus.  Alsific atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Structural distortion in the left lung upper lobe inferior lingular segment, right lung middle lobe medial segment and lower lobe posterobasal segment, areas of increased density consistent with subsegmental-linear atelectasis accompanied by volume loss."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11552/train_11552_a/train_11552_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In both lung parenchyma, areas of increased density consistent with the ground glass-consolidation observed in the previous CT examination were observed, suggesting viral pneumonias. Findings are accompanied by increases in interlobular septal thickness, and increases in interlobular septal thickness have become evident in the current review.\n<mediastinum>: No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: There are calcified atheromatous plaques in the wall of the coronary arteries.\n<abdomen>: In the upper abdominal sections within the image, diffuse density reduction of hepatosteatosis is observed in the liver.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11556/train_11556_a/train_11556_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27346",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Several nodules of 8x6 mm were observed in both lungs, the largest of which was in the left lung lower lobe superior segment, adjacent to the major fissure. When examined in the lung parenchyma window; There are bronchiectatic changes in both lungs. Mild mosaic attenuation was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Suture materials of sternotomy and coronary bypass were observed. Pericardial effusion-thickening was not observed. The diameter of the ascending aorta was 40 mm and increased. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Nodular diffuse thickness increase was observed in the left adrenal gland.\n\nImpression:\nDiffuse nodular thickening of the left adrenal gland . Mild mosaic attenuation and bronchiectatic changes in both lungs . Subcentimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11560/train_11560_a/train_11560_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27349",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No nodular lesions were detected in both lung parenchyma. Hilar levels cannot be evaluated clearly due to widespread consolidation. When examined in the lung parenchyma window; In both lungs, there are consolidative areas and ground-glass-like density increases in the peripheral areas at the diffuse lower lobe levels and at the central level, which tend to merge.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The aortic arch calibration is normally large, with 34 mm. A millimetric-sized calcific atheroma plaque is observed in the ascending aorta, in the aortic arch, and in the right coronary artery. Multiple lymph nodes at prevascular level are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, and the short axis is 11 mm in size, the largest of which is in the right lower paratracheal area.\n<heart>: CTO is within normal limits. The ascending aorta is calibrated to 42 mm and is larger than normal. Calibration of other major vascular structures is natural. Pericardial effusion-thickening was not observed. A metallic prosthesis appearance is observed at the aortic valve level. A millimetric-sized calcific atheroma plaque is observed in the ascending aorta, in the aortic arch, and in the right coronary artery.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Density compatible with 2 mm sized calculus is observed in the right kidney corta section. The aortic arch calibration is normally large, with 34 mm. A millimetric-sized calcific atheroma plaque is observed in the ascending aorta, in the aortic arch, and in the right coronary artery.\n\nImpression:\nConsolidative areas-ground glass-like density increases in the peripheral scattered lower lobes and central level convergence in both lungs. It is recommended to evaluate the case together with clinical and laboratory in terms of Covid pneumonia.  Calibration increase in the aortic arch in the ascending aorta . Right millimetric nephrolithiasis, mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11562/train_11562_a/train_11562_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment. There are band atelectatic changes in the basal segments of the lower lobes of both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Both kidneys, gall bladder, both adrenal glands, spleen, pancreas are natural. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nPassive atelectatic changes in right lung middle lobe medial and left lung inferior lingular segment . Band atelectatic changes in lower lobe basal segments of both lungs . Millimetric nonspecific parenchymal nodules in both lungs . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11598/train_11598_a/train_11598_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A round configuration of approximately 38x33 mm was observed in the right upper paratracheal area (lymphadenopathy?). Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: It reaches a thickness of 4 cm at its thickest point. Consolidation with prominent compression atelectasis and air bronchograms in the lung parenchyma adjacent to the descending aorta on the left is remarkable.\n<pleura>: When examined in the lung parenchyma window; There is bilateral pleural effusion.\n<mediastinum>: It is dilated. The diameter of the ascending aorta was 47 mm and the diameter of the descending aorta was 38 mm. In this case, the examination was evaluated as suboptimal because it was without contrast. Calcified atheroma plaques are observed in the mediastinal main vascular structures. The appearance may be compatible with hematoma or mural thrombus. In addition, lymph nodes with a short diameter of up to 5 mm are observed in the mediastinal prevascular and paratracheal areas. A hypodense appearance, measuring 36 mm, is observed in the thickest part of the ascending aorta, continuing along the arch of the aorta and descending aorta, up to the diaphragmatic hilum of the aorta.\n<heart>: Pericardial effusion reaching 31 mm in its thickest part is observed and cardiomegaly appearance is remarkable.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: It is dilated. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The diameter of the ascending aorta was 47 mm and the diameter of the descending aorta was 38 mm. Upper abdominal organs included in the sections are normal. In this case, the examination was evaluated as suboptimal because it was without contrast. The appearance may be compatible with hematoma or mural thrombus. A hypodense appearance, measuring 36 mm, is observed in the thickest part of the ascending aorta, continuing along the arch of the aorta and descending aorta, up to the diaphragmatic hilum of the aorta.\n\nImpression:\nDilatation throughout the aorta and prominent fluid and pericardial effusion in the paraaortic area at the level of the descending aorta (the appearance may be compatible with hematoma or thrombus. Contrast-enhanced examination is recommended).  Consolidations including bilateral pveral effusion and atelectasis in the left lung adjacent area with atelectasis, including air bronchograms.  Mediastinal lymph nodes. Appearance in soft tissue density consistent with right upper paratracheal lymphadenopathy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11599/train_11599_a/train_11599_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Millimetric sized nodules were observed in both lungs. When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs. A 14.5x14mm parenchymal nodule with irregular borders was observed in the posterior segment of the upper lobe of the right lung. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In the current examination, there is a bud tree appearance, which is observed to have newly developed in the upper lobe of the right lung, and evaluation in terms of distal airway diseases and infective pathologies is recommended. Bilateral peribronchial thickenings were observed in both lungs, and smooth inter-lobular septal thickenings were observed in the lower lobes. No change in size was detected. Significant irregularity and linear density increases are observed around the described nodule. Linear subsegmental atelectasis areas were observed in both lungs.\n<pleura>: There is extensive calcified pleura in costal and diaphragmatic pleura at both hemithorax levels. Subpleural bulla formations were observed apically. Density increases with sequelae to the pleural parenchyma were observed in both lungs apical.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The diameters of the aortic arch and descending aorta are normal. The diameter of the pulmonary artery was 33 mm and wider than normal. Mediastinal structures were evaluated as suboptimal since the examination was non-contracted. Calcific atherosclerotic changes were observed in the aorta and coronary artery wall.\n<heart>: As far as can be seen; Heart contour size is natural. There are densities of bypass surgery in coronary arteries. The diameter of the ascending aorta is 40 mm and dilated. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Hiatal hernia was observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: Diffuse thickness increase was observed in both adrenal glands. The diameters of the aortic arch and descending aorta are normal. A 25x21 mm lesion in the body of the pancreas, which does not show any significant changes in fluid density, size and appearance, cannot be clearly characterized by non-contrast CT scan. Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes were observed in the aorta and coronary artery wall.\n\nImpression:\nDiffuse emphysematous changes and bulla formations in both lungs, sequelae changes in both lungs.  Bilateral pleural effusion and atelectatic changes.  Peribronchial thickenings in both lungs, subsegmental atelectasis areas, thickening of interlobular septa.  In the current examination, there is a bud tree appearance observed in the upper lobe of the right lung, and evaluation in terms of distal airway diseases and infective pathologies is recommended.  Atherosclerotic changes in the aorta and coronary arteries, dilatation in the pulmonary artery.  Hiatal hernia. A lesion that cannot be clearly characterized by non-contrast CT examination, in which there is no significant change in fluid density, size and appearance in the panreas body part"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11615/train_11615_b/train_11615_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Millimetric sized nodules were observed in both lungs. When examined in the lung parenchyma window; Diffuse emphysematous changes were observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A 10x10mm parenchymal nodule with irregular borders is observed in the posterior segment of the right lung upper lobe, and its dimensions are reduced by 4 mm. Bilateral peribronchial thickenings were observed in both lungs, and smooth inter-lobular septal thickenings were observed in the lower lobes. Significant irregularity and linear density increases are observed around the described nodule. Linear subsegmental atelectasis areas were observed in both lungs. It is recommended to follow up in terms of distal airway diseases and infective pathologies. The tree with bud appearance, which was observed to have newly developed in the previous examination in the upper lobe of the right lung, shows regression and is present in a small amount.\n<pleura>: There is extensive calcified pleura in costal and diaphragmatic pleura at both hemithorax levels. Density increases with sequelae to the pleural parenchyma were observed in both lungs apical.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The diameters of the aortic arch and descending aorta are normal. Mediastinal structures were evaluated as suboptimal since the examination was non-contracted. Calcific atherosclerotic changes were observed in the aorta and coronary artery wall.\n<heart>: As far as can be seen; Heart contour size is natural. There are densities of bypass surgery in coronary arteries. The diameter of the ascending aorta is 40 mm and dilated. Pericardial thickening-effusion was not detected.\n<esophagus>: Hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: A 25x21 mm lesion in the body of the pancreas with no significant change in fluid density, size and appearance, which cannot be clearly characterized by non-contrast CT scan is observed. Diffuse thickness increase was observed in both adrenal glands. The diameters of the aortic arch and descending aorta are normal. Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes were observed in the aorta and coronary artery wall.\n\nImpression:\nDiffuse emphysematous changes and bulla formations in both lungs, sequelae changes in both lungs.  Bilateral pleural effusion and atelectatic changes.  Peribronchial thickenings, subsegmental atelectasis areas, thickenings in interlobular septa in both lungs.  In the current examination, it is recommended to follow up the tree with bud appearance, which shows a decrease in the right lung upper lobe, in terms of distal airway diseases and infective pathologies.  Atherosclerotic changes in the aorta and coronary arteries, dilatation in the pulmonary artery.  Hiatal hernia.  Cortical cyst in Left Kidney.  A lesion that cannot be clearly characterized by non-contrast CT examination, in which there is no significant change in fluid density, size and appearance in the pancreatic body section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11615/train_11615_c/train_11615_c_1.npy"
        ]
    },
    {
        "id": "report_generation_27491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The bronchial walls are thick and there are bronchiectasis in places.\n<lung>: When examined in the lung parenchyma window; diffuse emphysematous appearance is observed in both lungs.\n<pleura>: Pleural effusions, 32 mm on the right and 18 mm on the left, are observed in both hemithorax at their widest point. Layer-like thickening and sequelae calcifications are seen in the pleura. In the right lung upper lobe posterior, a 14x10 mm spiculated contoured nodule accompanied by pleural fibrotic recessions is observed.\n<mediastinum>: There are calcific lymph nodes, some of which reach 14 mm in the short axis of the larger ones in the mediastinum. There are extensive calcific atheroma plaques in the aorta and coronary arteries. The ascending aorta is 42 mm, the pulmonary trunk is 36 mm, the right pulmonary artery is 30 mm, and the left pulmonary artery is 28 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The heart is larger than normal. The ascending aorta is 42 mm, the pulmonary trunk is 36 mm, the right pulmonary artery is 30 mm, and the left pulmonary artery is 28 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a hiatal hernia distal to the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. Changes related to sternotomy are observed in the sternum.\n<abdomen>: There are extensive calcific atheroma plaques in the aorta and coronary arteries. In the upper abdominal sections, the left adrenal gland is slightly thickened.\n\nImpression:\nCardiomegaly, aortic and coronary artery atherosclerosis. Aortic and pulmonary artery ectasia  Lymph nodes in the mediastinum, some with calcific sequelae.  Thickening of the bronchial walls in both lungs, bronchiectasis in places.  Bilateral diffuse emphysema.  Sequela fibrotic changes in both lungs.  Bilateral pleural effusion, pleural thickening and sequelae calcifications.  Slightly increased size, irregularly circumscribed nodular density in the posterior upper lobe of the right lung.  Hiatal hernia.  Diffuse thickening of the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11615/train_11615_d/train_11615_d_1.npy"
        ]
    },
    {
        "id": "report_generation_27514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Calcific nodules, some of which reached 4.5 mm in diameter, were observed in both lungs, the larger of which was in the anterior right upper lobe. When examined in the lung parenchyma window; Mosaic density differences are seen in bilateral lower lobes.\n<pleura>: Minimal pleural effusion reaching 6 mm was observed on the left at its widest point bilaterally.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic density differences and minimal ground glass densities were observed in the lower lobes of the lung (airway disease?, viral pneumonia?).  Millimetric nonspecific nodules in bilateral lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11626/train_11626_a/train_11626_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration differences were observed from place to place. There are 1-2 nodules with a diameter of 3 mm in the lower lobe laterobasal segment of the left lung. When examined in the lung parenchyma window; Sequelae changes are observed at the bilateral apical level of the right lung. In almost all segments of both lungs, there are ground-glass-like density increases, which are evident in the right lung lower lobe superior segment, which are observed in the interlobular septa in some places.\n<pleura>: A subpleural nodule with a diameter of 5 mm is observed at the posterobasal level of the lower lobe of the right lung. Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinum and hilar level in the aortic arch. The other major vascular calibration is natural. Pulmonary trunk calibration is 28 mm and it is in the maximal physiological limit. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: No lymph node with pathological size and configuration was detected at the mediastinum and hilar level in the aortic arch. Right adrenal glands were normal and no space-occupying lesion was detected. A cortical cyst is observed in the upper pole posterior part of the right kidney. There is a hypodense appearance with a diameter of approximately 9 mm at the level of the left adrenal genu and, as far as can be evaluated, suggests adenoma.\n\nImpression:\nFindings were evaluated as compatible with COVID-19 pneumonia. Viral pneumonias are included in the differential diagnosis. Clinical and laboratory correlation is recommended.  There is a hypodense appearance at the level of the left adrenal genu and suggests adenoma as far as can be evaluated."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11637/train_11637_a/train_11637_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27545",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Liver parenchyma density changes in favor of steatosis.\n\nImpression:\nHepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11641/train_11641_a/train_11641_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27546",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: In almost all zones of both lungs, mostly in the middle-lower zones, peripherally located ground glass-like density increases with confluence in places, thickening in the interlobular septa, and pleuroparenchymal fibroatelectatic densities are observed on this background. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: The aortic arch calibration is 32 mm. CTO is within the normal range. It is wider than normal. Calibration of other mediastinal major vascular structures is natural. Millimetric lymph nodes are observed in the mediastinum.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Small osteophytic taperings are observed at the bone structure corners.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The aortic arch calibration is 32 mm. CTO is within the normal range. It is wider than normal. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver.\n\nImpression:\nFindings that may be significant in terms of Covid pneumonia. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11642/train_11642_a/train_11642_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Chilaiditi syndrome is observed. In the evaluation of both lung parenchyma; Dependent density increases are observed in the lower lobes of both lungs.\n<pleura>: Focal pleural thickenings, some of which are calcified, are observed in the right hemithorax, and pleural effusion and calcifications in the form of smearing are observed in the left hemithorax.\n<mediastinum>: Atherosclerotic calcifications are observed in the coronary arteries and aortic arch. No pathological LAP was detected in the mediastinum.\n<heart>: Atherosclerotic calcifications are observed in the coronary arteries and aortic arch.\n<bone>: Suture materials secondary to bypass surgery are observed in the sternum. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen. Atherosclerotic calcifications are observed in the coronary arteries and aortic arch.\n\nImpression:\nDependent density increases in the lower lobes in both lung parenchyma.  Focal pleural thickenings, some of which are calcified, in the right hemithorax, pleural effusion in the form of smearing and calcifications in the left hemithorax.  There was no CT finding in favor of pneumonia. It should be kept in mind that it may be negative in the early period."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11649/train_11649_a/train_11649_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A calcific nodule with a diameter of 3 mm is observed in the apicoposterior segment of the left lung upper lobe. Focal ground glass areas are present in the posterobasal segment of the left lung lower lobe. There is no mass with distinguishable borders in both lungs. Atelectasis accompanied by pleuroparenchymal recessions are observed in the right lung middle lobe medial segment, left lung upper lobe lingular segment inferior subsegment, left lung lower lobe mediobasal segment and right lung lower lobe laterobasal segment.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Multiple lymph nodes are observed in prevascular, pre-paratracheal, aortopulmonary and bilateral hilar short diameters less than 1 cm. The diameter of the ascending aorta was 44 mm, the diameter of the pulmonary trunk was 32 mm, and the diameter of the aortic arch was 31 mm, and it was wider than normal. An increase in density is observed in the anterior mediastinum, which may be compatible with the thymic reminant that does not give a clear contour. Mediastinal structures cannot be evaluated clearly because contrast material is not given.\n<heart>: As far as can be observed: Cardiothoracic ratio increased in favor of cal.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus within the sections. The esophagogastric junction is in normal localization.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. There is an increase in trabeculation in favor of osteoporosis in the vertebrae within the sections, and focal impressions on the inferior end plates in places.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections. As far as it can be evaluated within the limits of non-enhanced CT in the upper abdominal organs within the sections, no masses with distinguishable borders were detected. The esophagogastric junction is in normal localization. The diameter of the ascending aorta was 44 mm, the diameter of the pulmonary trunk was 32 mm, and the diameter of the aortic arch was 31 mm, and it was wider than normal.\n\nImpression:\nCardiomegaly, enlargement of the ascending aorta, pulmonary trunk, and aortic arch. Areas of atelectasis in both lungs with pleuroparenchymal sequelae changes.  Ground-glass area in the posterobasal segment of the lower lobe of the left lung. Millimetric calcific nodule in the upper lobe of the left lung. Millimetric lymph nodes in the mediastinum and bilateral hilar regions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11650/train_11650_a/train_11650_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A few nodules with a diameter of 7 mm are observed in both lungs, the largest of which is in the posterior segment of the left lung lower lobe. The appearance of postoperative hyperdense materials is observed in the lower lobe of the right lung. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window. In both lungs, there are diffuse emphysematous changes consistent with more prominent honeycomb lung in the lower lobes, accompanying interlobular septal thickness increases and areas of linear atelectasis. There is consolidation in the apicoposterior segment of the upper lobe of the left lung, in which air bronchograms are observed (pneumonic infiltration?).\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The diameter of the ascending aorta was 42 mm, and the diameter of the pulmonary trunk was 36 mm and increased. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window.\n<heart>: Calcific atheroma plaques are observed in the anterior descending coronary artery.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<bone>: No lytic-destructive lesion was detected. There is a corduroy appearance compatible with hemangioma in the T3, T10 and T12 vertebral bodies within the sections.\n<abdomen>: The diameter of the ascending aorta was 42 mm, and the diameter of the pulmonary trunk was 36 mm and increased. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nDiffuse emphysematous changes in both lungs, accompanied by increased interlobular septal thickness and areas of linear atelectasis; findings are consistent with idiopathic pulmonary fibrosis.  Consolidation in the upper lobe of the left lung in which air bronchograms are observed. Compatible with pneumonic infiltration.  Stable parenchymal nodules in both lungs.  Mediastinal lymph nodes; is stable.  Dilatation of the ascending aorta and pulmonary trunk."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11656/train_11656_c/train_11656_c_1.npy"
        ]
    },
    {
        "id": "report_generation_27587",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The accompanying crazy paving appearances in the lower lobes attract attention. The described findings primarily suggest Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Diffuse patchy ground glass density increases were observed in both lungs, prominent in the middle and lower lobes.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The descending aorta shows an elongated and tortuous course. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: The ascending aorta measures 39 mm in diameter and shows slight dilatation. Heart size increased. Calcified atherosclerotic changes and densities of stent materials were observed in the coronary artery wall. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. The descending aorta shows an elongated and tortuous course. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n\nImpression:\nFindings suggestive of Covid-19 pneumonia in both lungs in the first place. Other viral pneumonias can be considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11658/train_11658_a/train_11658_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27589",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver parenchyma density decreased in favor of steatosis. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n???Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11659/train_11659_a/train_11659_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the patient who was found to be followed up due to pneumonia; In both lungs, an infiltration area compatible with the ground glass areas forming diffuse and patchy consolidation areas is observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11665/train_11665_a/train_11665_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be seen; Trachea, lumen of both main bronchi are open.\n<lung>: No mass nodule infiltration was detected in both lung parenchyma. In the middle lobe of the right lung, band-like sequela fibrotic density increases were observed. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the lower lobe of the left lung.\n<pleura>: On the left, free fluid measuring 14 mm in thickness was observed between the pleural leaves.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Benign lymph nodes with ovoid configuration, with mediastinal upper-lower paratracheal, precarinal, prevascular short axis smaller than 1 cm, and fatty hilus can be observed. Mediastinal structures were evaluated as suboptimla because the examination was not contracted.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: 8 mm diameter calculus was observed in the gallbladder lumen. Free air images were observed in the intra and extra hepatic bile ducts and gallbladder lumen and were evaluated depending on the previous procedure. In the upper abdominal sections entering the examination area, the pancreas has an expanded appearance. Contaminations were observed in the peripancreatic fatty planes. Stent materials were observed in the pancreatic duct and common bile duct. Its contours are flattened.\n\nImpression:\nSequelae changes in both lungs. Mediastinal benign-appearing lymph nodes.  Left pleural effusion. Findings consistent with interstitial pancreatitis, stent materials applied to the common bile duct and pancreatic duct.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11676/train_11676_a/train_11676_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Radiological findings were evaluated as compatible with Covid-19 pneumonia.\n<pleura>: There are areas of ground glass infiltration in the upper and lower lobes of both lungs and slightly more prominent subpleural location in the lower lobes. No pleural effusion was detected.\n<mediastinum>: Calcified atherosclerotic plaques are observed in the abdominal aorta and its branches. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Mitral valve calcification is observed. Calcified atherosclerotic plaques are observed in the coronary arteries. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Mild fusiform enlargement due to atherosclerotic vascular disease is observed in the celiac trunk. Calcified atherosclerotic plaques are observed in the abdominal aorta and its branches. No loculated or free fluid was observed in the upper abdominal sections. In upper abdominal sections; gallbladder not observed (operated).\n\nImpression:\nFindings consistent with Covid pneumonia.  Atherosclerotic plaques in the coronary arteries, thoracic and abdominal aorta and branches of the abdominal aorta, mitral valve calcification."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11683/train_11683_a/train_11683_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, linear subsegmental atelectasis changes were observed in the basal segments of the lower lobes of both lungs. Other findings are stable.\n<pleura>: In the case followed up due to Covid-19 pneumonia, in all segments of both lungs; in the lower lobe posterobasal segments, it was observed that the more prominent subpleural localized ground glass densities gained a more consolidated form in the current examination, and their width-extension increased.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11683/train_11683_b/train_11683_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27649",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: No nodular lesion with distinguishable borders was detected, except for the consolidated areas. However, other atypical infective pneumonias can be considered in the differential diagnosis. Central zones are preserved. The appearance was first evaluated as chronic eosinophilic pneumonia. When examined in the lung parenchyma window; Irregularly circumscribed consolidations involving air bronchograms in the central part with ground-glass appearance surrounding the peripheral interstitium in both lungs are observed.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: Calcified atheroma plaques were observed in the main vascular structures. In the mediastinal prevascular area, in the paratracheal area, and in the aortopulmonary window, several lymph nodes in oval and round configurations with a short diameter of up to 7 mm were observed. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. No pathological wall thickening was detected.\n<heart>: Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. The diameter of the ascending aorta is 35 mm at its widest point.\n<esophagus>: Thoracic esophagus is in normal calibration. Type I hiatal hernia was observed distal.\n<bone>: There is no lymph node reaching pathological size in the bilateral supraclavicular region and axillary region. In the evaluation of bone structures, deegenerative changes in bone structures in the lower thoracic region and osteophyte formations in the vertebral corpus corners were observed.\n<abdomen>: Calcified atheroma plaques were observed in the main vascular structures in the evaluation of the upper abdominal organs that entered the imaging field. There are calcifications in the liver. Calcified atheroma plaques were observed in the main vascular structures. No pathological wall thickening was detected.\n\nImpression:\nIrregularly circumscribed consolidations accompanied by ground-glass appearances and air bronchograms located in the peripheral zones where the central zones are protected in both lungs (the appearance may be compatible with chronic eosinophilic pneumonia. Other atypical pulmonary infections can also be considered in the differential diagnosis). Control is recommended . Osteodegenerative bone disease"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11684/train_11684_a/train_11684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27657",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The described findings can be followed in the advanced stage of Covid-19 pneumonia. However, it is not specific.\n<pleura>: When examined in the lung parenchyma window; There are ground-glass density increases and consolidation, which tend to coalesce, extending from the peribronchovascular area to the peripheral subpleural area, more prominently in the lower lobes of both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural. Clinical and laboratory correlation is recommended.\n\nImpression:\nGround-glass density increases and areas of consolidation, which tend to coalesce, extending from the peribronchovascular area to the peripheral subpleural area, more prominently in the lower lobes of both lungs, and the described findings can be observed in the advanced stage of Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious peoceses in the differential diagnosis Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11687/train_11687_a/train_11687_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The findings described are consistent with Covid-19 pneumonia. When examined in the lung parenchyma window; Patchy consolidations forming a crazy paving pattern with interlobular septal thickenings in peripheral areas were observed in the superior segments of both lung lower lobes. In addition, irregular, faintly circumscribed ground-glass opacities were observed in the anterior segment of the upper lobe of the right lung, adjacent to the major fissure of the right lung middle lobe, and in the inferior lingular segment of the left lung.\n<pleura>: Subpleural striations and linear fibroatelectasis sequelae changes were observed in both lung lower lobe posterobasal segments. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density decreased in line with the fatty deposits.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11693/train_11693_b/train_11693_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No active infiltration or mass lesion was detected in both lung parenchyma.\n<bone>: There are osteophytic degenerative changes in the vertebral corpus end plateaus. No lytic or destructive lesions are detected in the bone structures within the image.\n<abdomen>: A nodular appearance with a fat density of 15 millimeters in diameter is observed in the right adrenal gland corpus, which was evaluated in favor of adenoma. In the upper abdomen sections within the image, there is a decrease in density due to hepatosteatosis in the liver parenchyma.\n\nImpression:\nGround glass appearances secondary to the dependent effect in the posterior lower lobes of both lungs . Hepatosteatosis, nodular appearance in the fat density in the right adrenal gland corpus was evaluated in favor of adenoma .  Osteophytic degenerative changes in vertebra corpus end plateaus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11694/train_11694_a/train_11694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These findings are frequently observed in Covid-19 pneumonia. There are minimal emphysematous changes and occasional atelectasis in both lungs. There are millimetric nodules in both lungs. The views described are not specific. It is recommended that the patient be evaluated from this point of view. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. Especially peripherally located ground glass areas, minimal structural distortion and subpleural bands are observed in the lower lobe of both lungs, the middle lobe of the right lung, and the upper lobe of both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings in both lungs that may be compatible with Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11695/train_11695_a/train_11695_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Mild sequela changes are followed at the apical level in both lungs. No lymph node with pathological size and configuration was detected at the HI level. At the level of the lower lobes of both lungs, thickening of the interlobular septa in the periphery and increases in frosted glass-like density with a faint diffuse appearance are observed. The outlook is nonspecific for Covid pneumonia.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Thoracic aorta diameter is normal. Millimetric sized lymph nodes are observed in the mediastinum. Mediastinal main vascular structures are normal. A calcific atheroma plaque is observed at the level of the aortic arch.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. There are millimetric-sized calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Density compatible with lipoma is observed in the subcutaneous soft tissue planes on the right posterolateral at the lumbar level.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver. A calcific atheroma plaque is observed at the level of the aortic arch.\n\nImpression:\nMild sequelae changes at the apical level in both lungs. Thickening of the interlobular septa in the periphery at the lower lobe level in both lungs and ground-glass-like density increases with a faint diffuse appearance. Although the outlook is nonspecific for Covid pneumonia, clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11698/train_11698_a/train_11698_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in the parenchymal density of the liver compatible with moderate adiposity.\n\nImpression:\nHepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11701/train_11701_a/train_11701_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; More pronounced mosaic attenuation is observed in the lower lobes of both lungs. A nonspecific nodule with a diameter of 3 mm is observed in the laterobasal segment of the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMosaic attenuation more prominent in the lower lobes of both lungs. Nonspecific nodule with a diameter of 3 mm in the laterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11710/train_11710_a/train_11710_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27707",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; No active infiltration, mass or nodular lesion was detected in both lung parenchyma. Ventilation of both lungs is natural.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. As far as can be observed, the calibration of the vascular structures and the heart contour size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11711/train_11711_a/train_11711_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27717",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are diffuse ground glass densities in the lower lobe of both lungs, middle lobe of the right lung and the lingular segment, and interlobular septal thickenings in both lungs. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. It is recommended to be evaluated together with clinical and laboratory in order to exclude possible atypical pneumonia. Appearance is nonspecific. When examined in the lung parenchyma window; Pleuroparenchymal density increases and paraseptal emphysema areas were observed in both lung apical segments.\n<mediastinum>: The diameters of the pulmonary conus and pulmonary arteries increased by 33 mm, 28 and 29 mm, respectively. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. Calcified atheroma plaques were observed in the abdominal aorta. It is recommended to be evaluated together with clinical and laboratory in terms of pulmonary hypertension. The mediastinum could not be evaluated optimally in the non-contrast examination. No pathological lymph node was detected. As far as can be observed: Calibration of the thoracic aorta is normal. A large number of calcified lymph nodes, 14x8 mm in size, were observed at the prevascular, right upper paratracheal, aortopulmonary, bilateral hilar prevascular level.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Artifacts of valve replacement were observed in the mitral valve. It was initially evaluated as secondary to cardiac failure.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Density increases consistent with gynecomastia were observed in the bilateral retroareolar area.\n<bone>: At the thoracic level, there is a mild degree of scoliosis with a right-facing scoliosis. Vertebral corpus heights are preserved. Surgical suture materials were observed in the sternum.\n<abdomen>: As far as can be observed: Calibration of the thoracic aorta is normal. Calcified atheroma plaques were observed in the abdominal aorta. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be seen on non-contrast images: liver, spleen, both kidneys, both adrenal glands, pancreas are normal.\n\nImpression:\nCalcified lymph nodes, some of which do not reach pathological dimensions in the mediastinum, . Bilateral gynecomastia . It is recommended to be evaluated together with clinical and laboratory in terms of cardiomegaly, increase in pulmonary artery diameters, pulmonary hypertension. glass densities and interlobular septal thickenings in both lungs; the appearance is nonspecific. It was initially evaluated as secondary to cardiac failure. It is recommended to be evaluated together with the clinic and laboratory in order to exclude possible atypical pneumonia.  Mild scoliosis with right-facing thoracic opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11716/train_11716_a/train_11716_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27719",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, areas of increase in density, mostly peripherally located and consistent with indistinct consolidation, are observed, and pneumonic infiltration is considered in the etiology of the described findings. Covid pneumonia cannot be excluded.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour, and size were normal. Calcified atheroma plaques are observed on the walls of mediastinal main vascular structures and coronary vascular structures. In the mediastinum, there are lymph nodes with a short diameter less than 1 cm in fusiform configuration and without pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour, and size were normal. Calcified atheroma plaques are observed on the walls of mediastinal main vascular structures and coronary vascular structures. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end.\n<bone>: There are osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners. No lytic or destructive lesion was detected. In addition, no lymph nodes in pathological size and appearance are observed in both axillary regions and in the supraclavicular fossa. An increase in thoracic kyphosis and left-facing scoliosis in the thoracic vertebral column are observed in the bone structures within the examination area.\n<abdomen>: In the upper abdominal organs included in the sections, free fluid, loculated collection was not detected as far as can be observed within the limits of non-contrast CT. Solid mass is not observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nIn both lungs, there are mostly peripherally located ground glass densities and areas of increase in density compatible with consolidation, and pneumonic infiltration is considered in the etiology of the findings. It is recommended to evaluate with clinical and laboratory findings in terms of Covid-19 pneumonia and to control it after treatment.  Calcified atheroma in the wall of mediastinal vascular structures plaques.  Sliding type mild hiatal hernia at the lower end of the esophagus. Increased thoracic kyphosis, left-facing scoliosis and thoracic spondylosis findings in the thoracic vertebral column."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11717/train_11717_a/train_11717_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Passive atelectasis were observed in adjacent lung areas. There is mosaic attenuation in the evaluation of both lung parenchyma. There are millimetric non-specific nodules in the bilateral lung. Bilateral bullae were observed.\n<pleura>: In both hemithorax, there are localized thickenings showing calcification in the pleura.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nAtherosclerosis Localized thickening with calcification in the pleura in both hemithoraces, passive atelectasis in adjacent lung areas Mosaic attenuation in the lungs Bilateral bullae Millimetric non-specific nodules in the bilateral lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11719/train_11719_a/train_11719_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickening was observed in segmental-subsegmental bronchi in both lungs. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Pleuroparenchymal fibroatelectasis sequelae were observed in right lung middle lobe medial, left lung upper inferior lingular and both lung lower lobe basal segments. Nonspecific parenchymal nodules with a diameter of less than 5 mm were observed in the right lung middle lobe and left lung lower lobe laterobasal segment. When examined in the lung parenchyma window; Emphysematous changes with panacinar appearance were observed in the upper lobe of the right lung in both lungs. No mass lesion-active infiltration with selectable classes was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A faintly circumscribed hypodense lesion area with a diameter of 1 cm was observed in the lateral part of the left kidney (cyst?).\n\nImpression:\n· Hiatal hernia. · Emphysematous changes with panacinar appearance in the upper lobe of the right lung in both lungs. · Sequelae changes in both lungs, millimetric nonspecific pulmonary nodules. · Peribronchial thickening in segmental-subsegmentary bronchi in both lungs. · Hypodense lesion (cyst?) in left kidney mid-section lateral."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11721/train_11721_a/train_11721_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27729",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nHiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11723/train_11723_a/train_11723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal aortopulmonary lymph node with millimetric size is observed. No pathological LAP was detected in the mediastinum.\n<heart>: slightly increased in favor of the cardiothoracic heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Point microcalculus image is observed in the right kidney pelvicalyceal system. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMosaic attenuation in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11724/train_11724_a/train_11724_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Sentracinar and paraseptal diffuse emphysematous areas are observed in both lung parenchyma. Ground glass densities are present in the basal segments of both lung lower lobes.\n<pleura>: Pleural effusions measuring 4.6 cm in the thickest part in the right hemithorax and 1.5 cm in the thickest part in the left hemithorax are observed.\n<mediastinum>: There are calcific plaques on the walls of the coronary artery, the aortic arch, the descending aorta and the ascending aorta, and the walls of the abdominal aorta. The AP diameter of the ascending aorta is 4.3 cm, and the AP diameter of the descending aorta is 3.4 cm, and it is wider than normal.\n<heart>: There are calcific plaques on the walls of the coronary artery, the aortic arch, the descending aorta and the ascending aorta, and the walls of the abdominal aorta.\n<bone>: Suture materials secondary to bypass surgery are observed in the sternum. Degenerative changes are present. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There are calcific plaques on the walls of the coronary artery, the aortic arch, the descending aorta and the ascending aorta, and the walls of the abdominal aorta. The AP diameter of the ascending aorta is 4.3 cm, and the AP diameter of the descending aorta is 3.4 cm, and it is wider than normal. A hypodense cyst of 4 cm in diameter is observed in the right kidney. A hypodense nodular lesion in the posterior segment of the right lobe was observed in the liver examination without contrast (cyst?). No pathology was detected in bilateral adrenal glands in the sections passing through the upper part of the abdomen.\n\nImpression:\nDiffuse emphysematous areas in both lungs  Stable nodule smaller than 5 mm in the posterior segment of the right lung upper lobe  Ectasia in the ascending and descending aorta  Newly developed bilateral pleural effusion  Right renal cyst  Hypodense nodular lesion in the right lobe posterior segment (cyst) in the liver without contrast examination ?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11726/train_11726_a/train_11726_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No mass space-occupying lesion was observed in the lung parenchyma. A few millimetric calcific nodules were observed in the left lung. There is a millimetric nonspecific nodule of 3 mm in diameter, adjacent to the fissure in the posterior segment of the left lung upper lobe. When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. The diameters of the main mediastinal vascular structures are of normal width.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections; the right kidney was not observed in the cross-section. The left kidney is larger than normal, its contour is lobulated.\n\nImpression:\nMillimetric nonspecific nodule in the left lung.  The left kidney is large in size. The right kidney is not observed in the cross-section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11729/train_11729_a/train_11729_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mosaic attenuation pattern was observed in both lungs. A band-like sequela fibrotic density increase was observed in the lower lobe of the left lung. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: There are subpleural, pleuroparenchymal sequelae density increases accompanied by calcification in the anterior segment of the left lung upper lobe. Bicateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No enlargement or stenosis-occlusion was detected in the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures entering the section area.\n<abdomen>: Contour, size, localization, parenchyma thickness and right pelvicalyceal structures of both kidneys are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. Intra and extrahepatic bile ducts, gallbladder are normal. Periprostatic fatty tissues are clear. The contour of the liver, the size is normal. Millimetric parenchymal calcification was observed in the right lobe and left lobe of the liver. Mild dilatation was observed in the left kidney pelvicalyceal structures. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. No space-occupying solid or cystic mass lesion is observed. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. No intraabdominal free-loculated fluid was detected. The contour, size, parenchyma density of the spleen is normal. No significant pathological wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. In the lumen of the proximal ureter, approximately 8.5 cm from the renal pelvis, a calculus of 7.3x4.4 mm was observed in the lumen of the ureter. No dilatation was detected in the thoracic aorta. Liver parenchyma density is diffusely decreased in line with fatty deposits. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nSequelae changes in the left lung, mosaic attenuation pattern in both lungs. Calculus in the lumen of the left proximal ureter and caused by mild hydroureteronephrosis.  Density increases consistent with edema-inflammation in the left perirenal fatty planes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11738/train_11738_a/train_11738_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. At this level, it obliterates the bronchus and there are possible postobstructive atelectasis pleuroparenchymal density increases in the periphery of the defined lesion.\n<lung>: When examined in the lung parenchyma window; Multiple randomly distributed nodular lesions are observed in both lungs, the largest of which is approximately 16x5.5 mm in size with a lobulated contour and peripherally located in the right lung upper lobe posterior segment caudal, and measured 7 mm in diameter at the upper lobe apicoposterior segment caudally in the left lung. No pathologically enlarged lymph node was detected at the left hilar level. In both lungs, there are millimetric nodularities that form a branch with bud appearance and faint ground-glass-like density increases around the nodular lesions, which are defined more prominently on the right (perilesional lymphangitic spread?, infective process?). The right hilus is enlarged and a possible lymph node cannot be excluded in non-contrast examinations. There are occasional thickenings in the peribronchial sheath, and thickening of the peribronchial sheath at the level of the lingula in the left lung is observed, giving the appearance of a lobulated contoured mass.\n<pleura>: Bilateral pleural effusion pneumothorax was not detected.\n<mediastinum>: The aortic arch is at the maximal physiological limit. Calibration of mediastinal major vascular structures at other levels is normal. Multiple lymph nodes are observed in the upper-lower paratracheal area in the mediastinum, and in the subcarinal area at the prevascular level, the largest of which is measured at the prevascular level and measuring 23x17 mm. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Both proximal pulmonary arteries are at the maximal physiological limit.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: There are degenerative changes in the bone structure in the examination area. Dorsal kyphosis increased.\n<abdomen>: Nodular density compatible with the millimetric accessory spleen is observed in the spleen hilum. It is recommended to evaluate the case with MRI. There is no distinction between parenchyma and collecting system. The aortic arch is at the maximal physiological limit. In the upper abdominal organs included in the sections, the size of the right kidney increased as far as can be observed. Perinephric oily planes are dirty. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. The parts of the pancreas that enter the image are natural. Its contours are irregular. Left kidney and left adrenal incisions that can be observed are normal.\n\nImpression:\nMultiple nodular lesions of various sizes in both lungs.  Millimetric nodularities forming a branch with bud appearance around the defined nodular lesions, which are more prominent on the right in both lungs, and faint ground-glass-like density increases (perilesional lymphangitic spread?, infective process?). It is recommended to be evaluated together with clinical laboratory findings.  Increased size of the right kidney in the upper abdominal sections within the examination area, significant heterogeneity in the parenchyma, contamination in the perinephric fatty planes. It is recommended to evaluate the case with MRI in terms of possible renal mass lesions.  Multiple lymph nodes in the mediastinum, the largest of which is 23x17 mm in size at the prevascular level  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11745/train_11745_a/train_11745_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27784",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is observed in millimetric dimensions and in several foci. Clinical and radiological follow-up will be appropriate. It may belong to early lung findings. Although the findings were not characteristic, the presence of Covid pneumonia could not be excluded.\n<pleura>: When examined in the lung parenchyma window; Right lung upper lobe, lower lobe superior segment adjacent to fissure, left lung upper lobe anterior segment subpleural nodular consolidations are observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not observed. Mediastinal main vascular structures, heart contour, size are normal. Heart dimensions and compartments appear natural.\n<abdomen>: In the sections passing through the upper abdomen, there is a 10 mm diameter calculus in the gallbladder lumen.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11751/train_11751_a/train_11751_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, no newly developed infiltration area-mass lesion was detected in the parenchyma of both lungs in the current examination. Although there was no significant change in the dimensions of the described lesion, the increase in the density of ground glass around it increased slightly in the current examination. When examined in the lung parenchyma window; In the lower lobe of the right lung, a cavitary lesion with a size of 19x15 mm with nodular solid component is observed and an increase in density in the form of ground glass is observed around it.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; An image of a catheter extending superior to the vena cava is observed. No lymph node was detected in medistinal pathological size and appearance. Mediastinal main vascular structures, heart contour and size are normal. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Mediastinal main vascular structures, heart contour and size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAlthough there is no significant change in the dimensions of the nodule, there is a slight increase in the appearance of ground glass around it.  No newly emerged infiltration area was detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11760/train_11760_f/train_11760_f_1.npy"
        ]
    },
    {
        "id": "report_generation_27838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are linear atelectasis in the lower lobes of both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaques are observed in the aortic arch. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: Millimetric atheroma plaques are observed in the aortic arch. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lung lower lobes.  Minimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11771/train_11771_a/train_11771_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27851",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal mosaic density differences are observed in the upper lobes of both lungs.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Calcific plaques are observed in the abdominal aorta. Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. Calcific plaques are observed in the aorta and coronary arteries.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In bone structures, the vertebrae are degenerative.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Calcific plaques are observed in the abdominal aorta. In the upper abdominal organs, including sections; There is a millimetric stone density in the gallbladder.\n\nImpression:\nAortic and coronary atherosclerosis.  Minimal cardiomegaly.  Minimal mosaic densities in the upper lobes of both lungs (airway disease?).  Cholelithiasis.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11777/train_11777_a/train_11777_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; no mass-nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11778/train_11778_a/train_11778_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27858",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Millimetric nonspecific nodules, larger than 4 mm in diameter, were observed in both lung parenchyma. When examined in the lung parenchyma window; At the paracardiac level in both lungs, band-shaped atelectasis are observed in the right middle lobe, the left lingula and the left lower lobe. There are mosaic density differences in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Millimetric Schmorl nodules are observed in thoracic verebrae. In the bone structures entering the examination area, a nondeplaced suspicious fracture is observed near the costochondral junction in the anterior, in the 2nd rib on the left.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtelectasis in both lungs in the paracardiac area and in the left lower lobe  Mosaic density differences in both lungs  Millimetric nonspecific nodules in both lungs  Suspicious fracture appearance in the anterior of the 2nd rib on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11781/train_11781_a/train_11781_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are pleuroparenchymal density increases around the left lung lower lobe superior and basal segment broaches. Correlation and follow-up with clinical and laboratory are recommended. Although the finding is nonspecific, the presence of early infection could not be excluded. A similar finding is also observed in the left lung upper lobe posterior segment, adjacent to the fissure. In the evaluation of lung parenchyma structures; There are subsegmental atelectasis areas in the lingula inferior segment on the left and posterobasal and middle lobe medial segments on the right lower lobe. Ground-glass opacity areas are observed around the segmental bronchi in the right lung basal segment. It accompanies atelectasis parenchyma (sequelae change?). It is nonspecific.\n<mediastinum>: There are calcified atheroma plaques in the thoracic and abdominal aorta. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Along with the sternotomy line in the sternum, suture materials are observed in the coronary arteries (findings secondary to previous bypass operation). Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the left kidney, a suspicious mass lesion is observed in solid density with lobulated contours showing cortical exophytic extension medially. There are calcified atheroma plaques in the thoracic and abdominal aorta. It is in solid density and because of the lack of contrast, solid-cystic distinction cannot be made. It will be appropriate to examine the case with upper abdomen MRI. No loculated or free fluid was detected in the upper abdominal sections.\n\nImpression:\nAreas of subsegmental linear atelectasis in both lungs. Nonspecific density increases and atelectasis parenchyma around the segmental bronchi in the lower lobe of the left lung and adjacent to the fissure in the upper lobe posterior segment.  Areas of parenchymal light ground glass opacity around segment bronchi in the lower lobe basal segment of the right lung. Findings are nonspecific. The presence of early atypical infection could not be ruled out. Follow-up would be appropriate.  Secondary findings in a previous bypass operation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11782/train_11782_a/train_11782_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: The findings described in the case, which was learned to have had Covid-19 pneumonia before, were evaluated as compatible with late-stage prolonged Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, central-peripheral weighted, crazy paving pattern accompanied by interlobular septa and linear fibroatelectatic changes and ground glass consolidations with vascular enlargement were observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcified atheroma plaques were observed in the thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A 20x18 mm nonspecific hypodense lesion area, adjacent to the falciform ligament, was observed in segment 4B of the liver (cyst?), as far as can be seen on non-contrast sections. Calcified atheroma plaques were observed in the thoracic aorta.\n\nImpression:\nCalcified atheroma plaques in the thoracic aorta.  Hiatal hernia.  Findings consistent with late-stage prolonged Covid-19 pneumonia in the lung parenchyma.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Nonspecific hypodense lesion (cyst?) in liver left lobe lateral segment (segment 3)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11784/train_11784_a/train_11784_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27866",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. These findings are frequently observed in Covid-19 pneumonia. Pleuroparenchymal sequelae changes are observed in both lung apex. Atelectasis is observed in the medial segment of the right lung middle lobe. When evaluated together with the clinical information of the patient, these appearances were evaluated in favor of viral pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected. Ground glass areas are observed in the lower lobe of the right lung and in the central part of the middle lobe, and in the subpleural area in the mediobasal segment of the lower lobe of the right lung.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Aberrant subclavian artery is observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No pathologically enlarged lymph nodes were observed. In addition, there is another hypodense in the middle part of the right kidney, measuring approximately 20 mm in diameter and thought to be a cyst. There is a hypodense lesion measuring approximately 25 mm in diameter in the medial part of the left kidney. Evaluation of the patient with previous examinations, if any, and USG are recommended if there is an indication. However, when evaluated together with its density, it was thought to be a cyst. The described appearance was not characterized because no contrast agent was given. There is a hyperdense appearance in the dependent area of the hypodense lesion described. In addition, it was thought that there may be hemorrhage in the hyperdense appearance in this appearance. No upper abdominal free fluid-collection was detected in the sections. Liver parenchyma density decreased in line with advanced adiposity.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in the right lung . Emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes in both lung apexes.  Hepatic steatosis . Hypodense lesions (cysts?) in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11785/train_11785_a/train_11785_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibrotic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia . Fibroatelectasis sequelae changes in right lung middle lobe medial and left lung upper lobe inferior lingular segment . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11795/train_11795_a/train_11795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There is no mass or infiltrative lesion in both lungs. Minimal peribronchial thickening was observed in both lungs, especially in the central parts.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Periosteal reaction was not observed. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nMinimal peribronchial thickening in both lungs. Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11799/train_11799_a/train_11799_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, a few nodules, the largest of which reach 4 mm in diameter, are observed. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophytes are observed in the vertebrae in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCoronary artery atherosclerosis.  Millimetric non-specific nodules in the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11810/train_11810_a/train_11810_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly, calcific plaques in the coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11810/train_11810_b/train_11810_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27935",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated for Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are ground glass densities with halo marks around it in more than one patchy style in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Postoperative changes are observed in the left breast of the patient with known breast Ca.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Clinical laboratory correlation is recommended., Postoperative changes are observed in the left kidney.\n\nImpression:\nGround glass densities with more than one patchy halo in both lungs. Findings were evaluated for Covid-19 viral pneumonia. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11813/train_11813_a/train_11813_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11816/train_11816_a/train_11816_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27947",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; In both lung parenchyma, diffuse patchy ground-glass density increases in the lower lobes and basal segments and concomitant consolidations in the lower lobes were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\n? Findings consistent with viral pneumonia. There are frequently observed radiological findings of Covid pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11819/train_11819_a/train_11819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A catheter extending from the left internal jugular vein to the superior vena cava-right atrium was observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits except for hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11820/train_11820_a/train_11820_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear subsegmental atelectasis is observed in both lungs. Several nonspecific pulmonary nodules are observed in both lungs. No mass lesion was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. No pathologically enlarged lymph nodes were detected in both axillary regions. Thoracic aorta diameter is normal. Evaluation of mediastinal vascular structures is suboptimal because the examination is unenhanced. Calcific plaques are observed in the aorta and coronary arteries. Lymph nodes are observed in the mediastinal area, the largest in the pretracheal area, with a short axis of 9 mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fractures or lytic sclerotic lesions were observed in the bone structures in the study area. Osteophytes tending to coalesce are observed in the anterior corners of the vertebra corpus. Suture materials of sternotomy are observed in the sternum.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nA few lymph nodes, the largest with a short axis of 1 cm in the mediastinal area  Calcific atheromatous plaques in the aorta and coronary arteries  Linear subsegmental atelectasis in both lungs  A few nonspecific pulmonary nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11828/train_11828_a/train_11828_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Findings consistent with Covid-19 pneumonia in the lung parenchyma have progressed in the current thorax CT and have become common in the upper lobes. Other findings are stable.\n<pleura>: Pneumonic infiltration is accompanied by extensive linear subsegmental atelectatic changes and subpleural striations.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11832/train_11832_b/train_11832_b_1.npy"
        ]
    },
    {
        "id": "report_generation_27982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearance may be pneumonic infiltration or atelectasis. There is consolidation in the basal segments of the lower lobe of the right lung. This distinction was not made in this study. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAppearance that may be compatible with pneumonic infiltration or atelectasis in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11836/train_11836_a/train_11836_a_1.npy"
        ]
    },
    {
        "id": "report_generation_27984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Passive atelectasis is observed in the lung parenchyma adjacent to the effusion. Peribronchial wall thickening and ground-glass appearance are observed in the posterobasal segment of the lower lobe of the left lung. No pathological LAP was detected.\n<pleura>: There is a pleural effusion entering the major fissure measuring 4 cm in the thickest part of the right hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary, subcarinal lymph nodes with narrow diameter less than 1 cm are observed. Calcific plaques are observed in the aortic arch and coronary artery walls. The AP diameter of the ascending aorta is 4 mm, the diameter of the descending aorta is 3.3 mm, and it is wider than normal.\n<heart>: The left atrium and left ventricle appear enlarged. Pericardial effusion reaching 11 mm in its thickest part is observed. Calcific plaques are observed in the aortic arch and coronary artery walls. Cardithoracic index increased in favor of the heart.\n<bone>: Significant osteopenia is observed in bone structures. Dorsal kyphosis was markedly increased. No lytic-destructive lesion was detected.\n<abdomen>: No additional significant pathology was detected in the abdominal sections. Millimetric calculus are observed in the gallbladder. In the sections passing through the upper part of the abdomen, the liver contours show lobulation. Calcific plaques are observed in the aortic arch and coronary artery walls. It is recommended to be evaluated in terms of chronic liver parenchymal disease. It may be secondary to concomitant infection. The AP diameter of the ascending aorta is 4 mm, the diameter of the descending aorta is 3.3 mm, and it is wider than normal.\n\nImpression:\nEctasia in the ascending and descending aorta . Cardiomegaly . Pericardial effusion in the form of a confluence . Pleural effusion in the major fissure in the right hemithorax, passive atelectasis in the right lung adjacent to the effusion, except for the atelectatic lung parenchyma, in the right lung lower lobe and left lung lower lobe basal segment, ice in the left lung lower lobe It may be secondary to peribronchial thickenings in the lower lobe basal segment or to the accompanying infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11837/train_11837_a/train_11837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid size has increased and has a heterogeneous appearance. US control is recommended.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Ground glass consolidations are accompanied by linear atelectatic changes. When examined in the lung parenchyma window; Wide patchy ground glass consolidations forming a multilobar, multisegmental peripheral crazy paving pattern were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia. No suspicious mass or nodular space-occupying lesion was observed in both lungs.\n<mediastinum>: Diffuse calcific atheroma plaques were observed in the abdominal aorta and its visceral branches. The mediastinum could not be evaluated optimally in the non-contrast examination. Stent material and coronary arteries and calcific atheroma plaques in the thoracic aorta were observed in the LAD. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There is a pacemaker.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A calcified solid mass lesion with a diameter of 23 mm was observed under the skin adjacent to the right scapula. It has benign radiological features. Degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Diffuse calcific atheroma plaques were observed in the abdominal aorta and its visceral branches. Stent material and coronary arteries and calcific atheroma plaques in the thoracic aorta were observed in the LAD.\n\nImpression:\nPacemaker, stent in LAD, calcific atheroma plaques in coronary artery and thoracic-abdominal aorta . Hiatal hernia . Findings consistent with Covid-19 pneumonia in lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11846/train_11846_b/train_11846_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; no mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. One or two lymph nodes in millimetric size are observed in the right upper paratracheal aortopulmonary.\n<heart>: The heart and mediastinal vascular structures have a natural appearance. Fluid is observed in the superior pericardiac recess.\n<bone>: No lithk-destruct,f lesion was observed in bone structures.\n<abdomen>: A punctate microcalcular image is observed in the left kidney, which is in the examination area. The gallbladder appears slightly contracted. Bilateral adrenal glands appear natural. No ectasia was detected. In sections passing through the upper abdomen, liver parenchyma density decreased in line with steatosis.\n\nImpression:\nNo mass nodule infiltration was detected in both lungs. Hepatosteatosis, microcalcular images in the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11847/train_11847_a/train_11847_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Typical findings for Covid-19 pneumonia were followed. In the evaluation of both lung parenchyma; Peribronchial ground glass densities and peripherally located consolidations are observed in both lung parenchyma. Right upper-bilateral lower paratracheal millimetric lymph node is observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance.\n<heart>: The cardiothoracic index increased in favor of the heart. Pericardial effusion is observed in the form of thin smears.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No additional significant pathology was detected in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly.  Typical findings for Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11852/train_11852_a/train_11852_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28028",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment inferior subsegment. No mass or infiltrative lesion was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. There are no lytic-destructive lesions in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There is a decrease in liver parenchyma density compatible with adiposity. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAtelectasis in both lungs . Mosaic attenuation pattern in both lungs . Atheroma plaques in left coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11856/train_11856_a/train_11856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These findings are consistent with viral pneumonia. These findings are frequently encountered in Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Nodular ground glass densities with predominantly subpleural localization and consolidation areas containing air bronchograms are observed in both lungs, more prominently in the upper lobes. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallstones are observed in the gallbladder in the upper abdominal organs included in the sections.\n\nImpression:\nTypical-probable Covid-19 pneumonia . Gallstones"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11858/train_11858_a/train_11858_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is larger than normal and extends towards the mediastinum, especially in the left lobe.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral diffuse ground glass densities that tend to merge in both lung parenchyma and minimal consolidations in the lower lobes are observed.\n<mediastinum>: Thoracic aorta diameter is normal. The thyroid gland is larger than normal and extends towards the mediastinum, especially in the left lobe. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: It puts light pressure on the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There is minimal diffuse density loss of the liver.\n\nImpression:\nFindings consistent with Covid pneumonia. Multinodular thyroid gland. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11860/train_11860_a/train_11860_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are several nodules, the largest of which is 3 mm in diameter, in the lower lobe of the right lung. However, it is seen in bronchiolitis and other infectious diseases with endobronchial spread, subacute hypersensitive pneumonias. The finding is nonspecific. There are several nonspecific nodules in the left lung with a diameter of 2 mm in the lower obda. When examined in the lung parenchyma window; Widespread millimeter-sized centrelobular nodules are observed in both lungs. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: Pleural effusion or pneumothorax is not observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Millimetric sized lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nDisseminated millimeter-sized centrelobular nodules in both lungs, the finding is nonspecific. However, it is also seen in bronchiolitis and other infectious diseases with endobronchial spread, and subacute hypersensitivity pneumonias. It is recommended to be evaluated together with clinical-laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11863/train_11863_a/train_11863_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule with a diameter of 17 mm was observed in the left thyroid lobe. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Segmental-subsegmental peribronchial thickening and luminal narrowing were observed in the lower lobes of both lungs. There is a mosaic attenuation pattern at this level. No mass lesion-active infiltration was detected in both lungs. Subsegmental atelectatic changes were observed in both lungs lower lobe basal, right lung upper lobe inferior and right lung middle lobe. Mosaic attenuation was thought to be secondary to the airway. When examined in the lung parenchyma window; An azygos fissure variation was observed in the upper lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques and stent materials were observed in the coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A calculi image with a diameter of 2 mm was observed in the upper pole of the left kidney.\n\nImpression:\nHypodense nodule in the left thyroid lobe, it is recommended to be evaluated together with US. Cardiomegaly, calcific atheroma plaques in the coronary arteries and stents. Bilateral gynecomastia. Both lung lower lobes basal segmental-subsegmental peribronchial thickening and luminal narrowing, mosaic attenuation pattern (mosaic attenuation was thought to be secondary to the airway). Linear subsegmental atelectatic changes in both lungs. Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11868/train_11868_a/train_11868_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Wide patchy ground glass densities were observed in both lungs, multilobar, multisegmental, extending from the central to the periphery, forming a crazy paving pattern. No mass lesion with distinguishable borders was detected in both lungs. The outlook was assessed as consistent with Covid-19 pneumonia and superimposed ARDS.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 39 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Calibration of other major vascular structures of the mediastinum is natural. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: A mixed type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Calcification areas were observed near the joint capsule at the level of the right shoulder joint (calcific tendinitis?). Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; liver parenchyma density decreased in line with hepatosteatosis. Nonspecific hypodense lesion areas of 33x20 mm were observed in both lobes of the liver, the largest of which was subcapsular in segment 6 (cyst?). A 29 mm diameter hypodense nodular lesion area was observed in the upper pole of the left kidney (cyst?). As far as can be seen; The anterior-posterior diameter of the ascending aorta was 39 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal.\n\nImpression:\nFusiform aneurysmatic dilatation of the thoracic aorta.  Mixed hiatal hernia.  Findings consistent with Covid-19 pneumonia-ARDS in the lung parenchyma.  Hepatosteatosis, nonspecific hypodense lesions (cyst?) in both lobes.  Hypodense nodular lesion area (cyst?) in the upper pole of the left kidney.  Right shoulder joint capsule and adjacent calcifications; (calcific tendinitis?). Further examination with MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11870/train_11870_a/train_11870_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28066",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ground glass densities and areas of increase in density consistent with linear consolidation are observed in both lungs, which are more prominent on the right, and viral pneumonias are considered in the etiology of the findings. Covid 19 pneumonia could not be excluded. Evaluation together with clinical and laboratory findings and control after treatment are recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround glass densities in both lungs and areas of increase in density compatible with linear consolidation; infective pathologies are considered primarily in the etiology of the findings, and Covid 19 pneumonia cannot be excluded. Evaluation with clinical and laboratory findings and control after treatment are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11873/train_11873_a/train_11873_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. It is recommended to be evaluated together with US.\n<lung>: When examined in the lung parenchyma window; There are thickening of the bronchial walls and peribronchial centriacinar nodules infiltrates in the upper and middle lobes of the right lung, mediobasal-posterobasal segments of the lower lobe, and a budding tree view. The described findings were evaluated in favor of bronchopnomonia. No mass lesion with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The diameters of the right and left pulmonary arteries were measured as 27 and 25 mm. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, larger than normal.\n<heart>: The left atrium and left ventricle are dilated. Heart size increased. Pericardial effusion-thickening was not observed. Calcification was observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: More common on the right in both breasts; well-circumscribed nodular-oval configuration lesion areas of 11x8 mm were observed in the right lower inner quadrant, the largest of which was observed.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are normal.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, larger than normal. Calcific atheroma plaques were observed in the aortic arch. A mass lesion measuring 15x11 mm in size with an average density of 2 HU was observed in the lateral crus of the right adrenal gland and was evaluated in favor of adenoma.\n\nImpression:\nMore extensive well-circumscribed nodular-oval configuration lesions on the right in both breasts, it is recommended to be evaluated with breast US.  Fusiform aneurysmatic dilatation in the thoracic aorta, increased diameters of the pulmonary trunk and right main pulmonary artery, calcific atheroma plaques in the aortic arch, cardiomegaly.  Findings evaluated in favor of bronchopnomonia in the right lung.  Right adrenal adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11875/train_11875_a/train_11875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In both lung parenchyma, calcific nodules, some of which are larger than 4 mm in diameter, are observed.\n<pleura>: When examined in the lung parenchyma window; Reticular and fibrotic densities, accompanied by minimal focal bronchiectasis, are seen predominantly in the subpleural area in the posterobasal region of the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are osteophytes extending anteriorly in the vertebrae, especially in the cervicothoracic junction, which tend to merge.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodule in the thyroid gland.  Millimetric nonspecific nodules in both lungs.  Subpleural interstitial fibrotic densities, accompanied by minimal fatty pleural thickening and bronchiectasis in both lungs, especially in the lower lobe.  Cervicothoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11876/train_11876_a/train_11876_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: However, these nodules can also be observed in the patient's previous CT examination, and it has been found that almost all of them have shrunk minimally. A linear increase in density is observed in the apical segment medial of the upper lobe of the right lung, and the sequelae were evaluated in favor of change. No mass or infiltrative lesion was detected in both lungs. It is recommended to follow. Emphysematous changes are observed in both lungs. The nodules described could not be characterized in this examination.\n<pleura>: No pleural or pericardial effusion was detected. There are nodules in both lungs measuring approximately 4 mm in diameter, the largest of which is in the subpleural space medial to the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No newly emerged nodules were detected in this examination. No pathologically enlarged lymph nodes were observed. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Therefore, it was thought that they might metastasize. No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No mass with distinguishable borders was detected in the peritoneum and omentum. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOperated right renal tumor in the follow-up . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11877/train_11877_a/train_11877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28085",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed. Nasogastric tube is observed.\n<lung>: Minimal emphysematous changes are observed in both lungs. No active infiltration or mass lesion was detected in both lungs. In the current examination, there is an area of increased density in the posterobasal segment of the lower lobe of the right lung, which is compatible with newly developed subsegmentary atelectasis.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: No mass lesion was observed in the peritoneum or omentum. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nThere are areas of increased density consistent with atelectasis in the posterobasal segment of the lower lobe of the right lung, and there are minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11880/train_11880_b/train_11880_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Lymph nodes with short axes not reaching 1 cm in perihilar regions are observed in both lung hilum.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding that could be compatible with active infiltration in the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11886/train_11886_a/train_11886_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. When examined in the lung parenchyma window; In both lungs, there is a multilobar, multisegmental, central-peripheral localized, crazy paving pattern accompanied by widespread linear subsegmental atelectatic changes, and pneumonic infiltration with signs of vascular enlargement. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Minimal tubular bronchiectatic changes revealed in the current examination were observed in both lungs.\n<pleura>: A slightly more prominent smear-like effusion on the left between the bilateral pleural leaves and compressive atelectasis in the basal segments of the lower lobes of both lungs were observed.\n<mediastinum>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries or in the LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A catheter image extending from the port chamber and right internal jugular vein to the superior-right atrium junction of the vena cava was observed on the anterior chest wall on the right.\n<heart>: A smear-like effusion was observed between the pericardial leaves. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is diffuse idiopathic bone hyperostosis in the cervical and thoracic vertebrae.\n<abdomen>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries or in the LAD. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Some thinning of the cortex and chronic sequelae changes were observed in both kidneys. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The pancreas is normal. As far as can be seen within the sections; gall bladder was not observed (operated).\n\nImpression:\nFindings compatible with Covid-19 pneumonia in the lung parenchyma.  Mild regressed minimal pericardial effusion, calcific atheroma plaques in the thoracic aorta and coronary arteries . Placing effusion in the bilateral hemithorax and compressive atelectasis in the adjacent lung planes; stable. Minimal revealed in the current examination in both lungs tubular bronchiectatic changes . Chronic sequelae changes in both kidneys . Diffuse idiopathic bone hyperostosis in cervical-thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11887/train_11887_b/train_11887_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11892/train_11892_a/train_11892_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28153",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Luminal narrowing and secondary air trapping areas-mosaic attenuation pattern was observed in the segmental-subsegmentary bronchi of both lung lower lobes. Mosaic attenuation is secondary to the small airway. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segments of the left lung. Nonspecific parenchymal nodules with a diameter of 5.2 mm were observed in both lungs, the largest of which was in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: The transverse diameter of the pulmonary conus 38 right and left pulmonary artery diameters were measured as 22 mm and 26 mm, respectively. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 42 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The mediastinum could not be evaluated optimally in the non-contrast examination.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Trabeculation increase secondary to osteoporosis and degenerative changes in the end plateaus were observed in the bone structures within the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder was not observed (operated). As far as can be seen; The anterior-posterior diameter of the ascending aorta is 42 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surgical suture materials were observed in the gallbladder fossa.\n\nImpression:\nFusiform aneurysmatic dilation of the thoracic aorta, increased diameter of the pulmonary conus. Hiatal hernia.  Pleuroparenchymal sequelae density increases in right lung middle lobe and left lung upper lobe inferior lingular segment. Millimetric nonspecific parenchymal nodules in both lungs. Air trapping-mosaic attenuation pattern secondary to the small airway in the lower lobes of both lungs. Cholecystectomized.  Osteoporosis in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11907/train_11907_a/train_11907_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis changes were observed in the left lung upper lobe inferior lingular and al lobe laterobasal segments. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. A few nonspecific pulmonary nodules less than 5 mm in diameter were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Right-facing scoliosis is observed at the level of the thoracic vertebrae.\n<abdomen>: Focal caliectasia was observed at the junction of the upper-middle pole of the left kidney and a stone density of approximately 16x10 mm in the calyx was observed. Liver, gall bladder, spleen, pancreas, and both adrenal glands are normal as far as can be observed in non-contrast tests. The right kidney is normal, and a 17x10 mm cortical, macroscopic fat-containing mass lesion was observed in the lower pole of the left kidney, and it was evaluated in favor of angiomyolipoma.\n\nImpression:\nPleuroparenchymal linear atelectatic changes in the left lung upper lobe inferior lingular segment and lower lobe basal segment. Several nonspecific pulmonary nodules in both lungs with diameters less than 5 mm.  Angiomyolipoma in the lower pole of the left kidney, calculus causing focal caliectasis in the middle pole. Rotascoliosis with right-facing thoracic opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11914/train_11914_a/train_11914_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28208",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are bronchial wall thickness increases.\n<lung>: There was no significant finding in favor of Covid-19 pneumonia. No new mass lesion or nodule was detected in the lung parenchyma. These findings were thought to be in favor of a change secondary to treatment. A regression was detected in the finding of obstruction in the segmental bronchi of the mass located centrally in the left upper lobe of the lung parenchyma. It was thought that it may belong to the change secondary to the treatment with parenchymal ground glass opacities in the upper lobe. No significant difference was found in the size of the mass in the current examination. There is a primary mass lesion infiltrating the mediastinum around the upper lobe bronchi in the left lung. Interlobular septal thickening and parenchymal ground-glass opacity are observed in the left upper lobe.\n<pleura>: There is subpleural light ground glass opacity in the posterior segment of the left lung upper lobe. Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: The shortest axis was measured 16 mm, the largest of which was in the subcarinal area. In the old examination of the lesion, its long axis is 47 mm. Numerous pathological lymph nodes are observed in the mediastinum.\n<heart>: Mild pericardial effusion is present.\n<bone>: The lymph node in the right supraclavicular fossa, measuring 8 mm in its short axis in the previous examination, is stable in the current examination. Therefore, it could not be evaluated. In the case, which is learned to have bone metastases, metastastic bone lesions cannot be distinguished radiologically.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The short axis of the metastic nodule in the portal hilus in the precaval area was measured 8 mm, and no significant difference was found. In the non-contrast examination, liver metastases could not be distinguished. No suspicious lymph node for metastasis was detected within the sections.\n\nImpression:\nMetastatic small cell lung Ca, right supraclavicular-mediastinal metastatic lymph nodes; stable. Stable primary mass lesion infiltrating the mediastinum around the upper lobe bronchi of the left lung It was evaluated in favor of related parenchymal changes. No significant finding was found in favor of Covid-19 pneumonia.  Stable lymph node in the precaval area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11931/train_11931_a/train_11931_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No prominent lymph node was detected at the level of the right hilus. Pleuroparenchymal density increments extending apically in the upper lobe are also present in the current review. Apart from this, no significant finding suggestive of Covid pneumonia was detected in both lungs. In the case of Covid PCR positive, the appearance may correspond to the CT findings of Covid. The examination was made to evaluate the covid lung involvement. Mild sequelae changes are also observed in the linguistic segment. In the previous examination, ground-glass-like intensity increments in the area starting from the level of the lesion and extending to the superior were slightly regressed in the current examination. According to her previous review, no findings consistent with progression were found at this level.\n<mediastinum>: However, since they could not be distinguished from mediastinal vascular structures and from each other, a comparative evaluation was made with the previous examination. Multiple lymph nodes are observed in the mediastinum with a tendency to coalesce and superposed on each other. Mediastinal and mass evaluation is suboptimal in non-contrast imaging. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits. There is mild pericardial prominence and mild effusion at the base of the heart.\n<bone>: Bone structure is slightly heterogeneous.\n<abdomen>: However, no clear demarcation lesion was detected in CT examination. Both adrenal and spleen, pancreatic segments and gall bladder included in the examination area are normal. There is multiple hypodense lesion consistent with liver metastasis.\n\nImpression:\nMultiple lymph nodes are present in the mediastinum. A mass lesion extending along the peribronchial sheath is observed intraparenchymal at the left hilar level.  Ground-glass-like density increases observed in the upper lobe at the level up to the perihilar area in the previous review decreased in the current review. However, no significant finding that can be evaluated in favor of Covid pneumonia was detected in other areas."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11931/train_11931_b/train_11931_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the aorta line and both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal linear densities are observed in the apical segment and anterior-posterior segments in the upper lobe of the left lung. In the hilum of the left lung, the lesion area of the soft tissue density, which causes minimal narrowing of the left main bronchus and its branches, is observed. In addition to these findings, there are nodular ground-glass opacities from the apical segment to the lingular segment in the upper lobe of the left lung (Covid-19 pneumonia?).\n<mediastinum>: Since the examination was without contrast, its borders could not be clearly defined. Numerous lymphadenopathies are observed in the aortopulmonary space, pretracheal space, paravascular area and subcarinal region, and supraclavicular area. The described lymphadneopathies show conglomeration and could not be distinguished from each other. The largest measurable area of lymphadenopathy was measured at 22 mm in diameter at the aortopulmonary window (measured as 32 mm in the previous examination). The largest one was observed in the aorta-caval area and its short axis was measured 15 mm (previous 22 mm). Evaluation of mediastinal structures in which the examination is unenhanced is suboptimal.\n<heart>: Minimal effusion is observed in the pericardial space. As far as it can be examined; Heart sizes are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are many hypodense lesions consistent with liver metastases. Apart from these lymphadenopathies, lymphadenopathies are also observed in the upper abdominal sections included in the imaging. The largest one was observed in the aorta-caval area and its short axis was measured 15 mm (previous 22 mm). Both adrenal glands were evaluated as normal.\n\nImpression:\nLymphadenopathies with multiple conglomerations are observed in the mediastinum.  There are hypodense lesions consistent with multiple metastases in the liver. Lephaadenopathies are observed in the paraaortic, paracaval and mesenteric areas. The largest of these lymphadenopathies is observed in the aortocaval area on the right and a reduction in size is observed.  An increase in nodular ground glass areas is observed in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11931/train_11931_c/train_11931_c_1.npy"
        ]
    },
    {
        "id": "report_generation_28213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, there are density increases in ground glass density accompanied by newly developed interlobular septal thickness increases in the left lung upper lobe anterior segment and peripheral areas in the upper lobe superior and inferior lingular segments, and in the central area of the right lung middle lobe medial segment and lower lobe superior segment. Irregularly circumscribed nodular lesion accompanied by pleuroparenchymal sequelae recessions in the apical segment of the left lung upper lobe is stable. In the case with primary lesion in the right hilar region and mediastinal tumor infiltration, no significant difference was found in the component of the primary tumoral lesion in the lung hilum.\n<pleura>: No pleural effusion or increased thickness was detected.\n<mediastinum>: The relationship of the described mass with mediastinal vascular structures could not be evaluated optimally because the examination was without IV contrast. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. In axial sections, the longest axis was measured as 56 mm in the current examination.\n<heart>: Mediastinal vascular structures and heart examination IV. Heart contour and size are natural.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: In the case with known liver metastases, the size of the metastatic lesions in the liver was measured as 57 mm in the current examination, with the longest axis in the axial sections in segment 4B localization in the current examination, while it was measured as 52 mm in the previous CT examination, and a slight increase in their size was noted. No intraabdominal free fluid, loculated collection was detected. A metastatic lymph node was observed adjacent to the celiac trunk, and the shorter diameter of the larger one was 23 mm in the current examination and 20 mm in the old CT examination. In the case with a history of radiotherapy, the appearances were primarily evaluated in favor of changes secondary to radiotherapy.\n\nImpression:\nStable primary mass in the left lung hilum; areas of increased density in ground glass density accompanied by newly developed interlobular septal thickness increases in the left lung superior and upper lobe superior and inferior lingular segment in the peripheral area and in the central area in the right lung middle lobe medial segment and lower lobe superior segment; In the case with a history of radiotherapy, the appearances were primarily evaluated in favor of changes secondary to radiotherapy.  In the current examination, there is a slight increase in the size of multiple metastatic erosions observed in both lobes of the liver and the size of the lymph node observed in the vicinity of the celiac trunk. No newly developed lesion was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11931/train_11931_d/train_11931_d_1.npy"
        ]
    },
    {
        "id": "report_generation_28215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Peripheral and central consolidations, more prominent in the lower lobe of the right lung, and ground glass areas accompanying the consolidations are observed. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. In addition, there are peripherally located ground glass areas in both lungs, some of which are nodular in shape.\n<pleura>: No pleural effusion was detected.\n<heart>: There is minimal pericardial effusion.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11931/train_11931_e/train_11931_e_1.npy"
        ]
    },
    {
        "id": "report_generation_28217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Evaluated as compatible for Covid-19 pneumonia. In addition, pleuroparenchymal sequelae densities are observed in the left lung apex. In the evaluation of both lung parenchyma; more prominent in the right lung, peripheral and peribronchial ground glass densities-consolidations are observed in the anterior segment of the left lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal mediastinal lymphadenomegaly, which can be distinguished on non-contrast examination, is observed, the largest of which reaches approximately 3 cm.\n<heart>: Pericardial effusion is present in the form of minimal smearing. Calcific plaques are observed on the walls of the coronary artery.\n<bone>: Multiple bone metastases are present in costovertebrae in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, lesions consistent with hypodense metastasis are observed, measuring approximately 4 cm in the medial segment of the left lobe, the largest of which is in the liver. Bilateral adrenal glands appear natural.\n\nImpression:\nThere is no significant difference in mediastinal LAPs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11931/train_11931_f/train_11931_f_1.npy"
        ]
    },
    {
        "id": "report_generation_28219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??Examination within normal limits. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11932/train_11932_a/train_11932_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the upper lobe of the right lung, density increases in the form of peribronchial nodular ground glass near the center are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCentrally located pneumonic ground-glass infiltrates in the upper lobe of the right lung (not specific for viral pneumonia. Bacterial pneumonia is considered in the foreground)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11936/train_11936_a/train_11936_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11937/train_11937_a/train_11937_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and follow-up is recommended. When examined in the lung parenchyma window; A small amount of effusion is observed in both lungs, more prominent on the right. There is a consolidation area on the basis of atelectatic changes in the basal part of the lower lobe of the right lung, and viral pneumonia cannot be excluded in the background of cardiac failure.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. There are few pericardial effusions measuring up to 30 mm in thickness. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse osteopenic appearance is present in the bone structures in the examination area, and degenerative sclerotic changes are observed in the end platers of the vertebral corpuscles.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nThe findings described above in the lung parenchyma were primarily evaluated for pulmonary edema secondary to cardiac failure and bilateral pleural and pericardial effusion. laboratory correlation monitoring is recommended.  Pericardial effusion 25 mm thick.  Osteopenic appearance in bone structures. Degenerative changes in the end plates of the vertebral corpuscles . Increase in cardiothoracic index . Atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11947/train_11947_a/train_11947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28268",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is understood that the described appearance causes obliteration in the bronchial structures, and this appearance was considered to be the primary mass of the patient. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are two adjacent nodular density increases in the apical segment of the upper lobe of the right lung. There are emphysematous changes in both lungs. The largest of the nodules is observed in the left lung upper lobe lingular segment and measured 7 mm in diameter. This appearance may also be a sequelae change or a primary or metastatic lung mass. No mass or infiltrative lesion was detected in the right lung. Consolidations and soft tissue appearances, structural distortion and volume loss were observed in the left lung upper lobe and lower lobe superior segment. It is recommended that the patient be evaluated together with previous examinations. The appearances described were primarily thought to be sequelae changes due to treatments. There are millimetric nodules in both lungs. It is recommended that the patient be evaluated and followed up with previous examinations. Again, it is recommended that the patient be evaluated and followed up with previous examinations. As far as can be observed: A soft tissue appearance measuring approximately 50x35 mm is observed in the widest part of the left lung upper lobe apicoposterior segment apical subsegment. The described appearances were primarily evaluated in favor of metastases. The largest of the nodular density increments described was measured at 13 mm in diameter.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There is a lymphadenopathy measuring approximately 15x13 mm between the left common carotid artery and the subclavian artery in the upper mediastinum. Apart from this, there are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are present in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLung Ca, mass in the apical subsegment of the apical subsegment of the left lung upper lobe, lymphadenopathy in the upper mediastinum, millimetric nodules in both lungs (primarily evaluated in favor of metastases).  Increases in adjacent nodular density in the apical segment of the upper lobe of the right lung (sequelae fibrotic changes?, metastases?, primary lung mass? It is recommended to be evaluated together with the patient's previous examinations).  Findings evaluated primarily in favor of treatment-related changes in the left lung.  Emphysematous changes in both lungs.  Atherosclerotic in the aorta and coronary arteries.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11954/train_11954_a/train_11954_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: Appearance is one of the frequently observed findings in Covid-19 pneumonia. When the lung parenchyma window is examined; Widespread patchy ground glass densities are observed in both lungs.\n<pleura>: Pericardial-pleural thickening and effusion were not observed.\n<mediastinum>: Lymph node enlargement in pathological size and appearance was not observed in the pretracheal, prevascular and subcarinal regions, bilateral hilar and axillary regions.\n<heart>: Heart dimensions and major vascular structures appear normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-sclerotic lesions were observed in the bone structures in the study area.\n<abdomen>: Other upper abdominal organs are in natural appearance. Hypodense nodular appearances, which may be compatible with a cyst in the middle part of the left kidney, were observed in the upper abdominal organs included in the examination area.\n\nImpression:\nTypical – probable Covid-19 pneumonia?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11979/train_11979_a/train_11979_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Linear atelectatic changes were observed in both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Tubular bronchiectasis and minimal peribronchial thickening were observed in both lungs.\n<pleura>: Sequela thickening was observed in the right hemithorax lateral costal pleura.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Spur formations bridging with each other in the right anterolateral corner of the thoracic vertebrae and scoliotic angulation with the opening facing left were observed. Surgical fixation materials were observed on both humeral heads.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The liver caudate lobe has a hypertrophic appearance. Millimetric calculi images were observed in the gallbladder lumen. It is recommended to be evaluated together with clinical and laboratory in terms of chronic liver parenchymal disease. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density decreased in line with hepatosteatosis.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and coronary arteries.  Emphysematous appearance, sequela atelectatic changes in the lung parenchyma.  Segmentary tubular bronchiectasis in both lungs, minimal peribronchial thickening.  Millimetric nonspecific parachymal nodules in both lungs.  It is recommended to evaluate liver caudate lobe hypertrophy and chronic parenchymal disease together with clinical and laboratory evaluation.  Hepatosteatosis.  Cholelithiasis.  Diffuse idiopathic bone hyperostosis of the thoracic colon, left-facing scoliotic angulation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11994/train_11994_a/train_11994_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the anterior segment of the upper lobe of the right lung, several nodules of 2-3 mm in diameter with nonspecific appearance are observed. In addition, focal ground glass areas are observed in the mediobasal segment of the lower lobe of the right lung, medial in the lower lobe superior segment, and anterior segments of the upper lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Depandant density increases and subpleural streaks are observed in the lower lobes of both lungs.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDepanden density increases and subpleural streaks in the lower lobes of both lungs and focal ground-glass appearances in the anterior segment of the upper lobe of both lungs. It was thought to be compatible with Covid 19 pneumonia in the presence of a pandemic. Laboratory examination is recommended.  2-3 in the anterior segment of the right lung upper lobe A few nodules of nonspecific appearance with a diameter of mm."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_11997/train_11997_a/train_11997_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: There are diffuse emphysematous changes in both lungs. In addition, the lower lobe of the right lung is completely atelectatic. There are millimetric nodules in both ventilated lungs. No mass or chest compatible with pneumonic infiltration were detected in both ventilated lungs. There are linear atelectasis in both aerated lungs.\n<pleura>: Pleural effusion has a loculated appearance. There is pleural effusion on the right. There is also minimal thickening of the pleura adjacent to the effusion on the right. No pleural effusion was detected on the left.\n<mediastinum>: Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are millimetric atheroma plaques in the aorta and coronary arteries. The larger lymphadenopathies described are observed in the upper paratracheal region on the right side and in the subcarinal region, and their short diameters were measured as 19 mm and 18 mm at their widest points, respectively. There are lymphadenopathies in the mediastinum and hilar regions.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Aorta diameter is normal. There are millimetric atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nLoculated pleural effusion on the right  Nearly complete atelectasis in the right lung lower lobe  Emphysematous changes in both lungs  Linear atelectasis in both lungs  Millimetric nodules in both lungs  Increase in pulmonary artery diameters, atheromatous plaques in the aorta and coronary arteries  Mediaadenopatial and hilar lymphatics"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12005/train_12005_a/train_12005_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild consolidation areas and bronchiectasis observed in the air bronchogram sign, more prominently in the lower lobes of both lungs. Lymph nodes with multiple dimensions up to 15 mm are observed in the mediastinum, carina, bilateral hilar regions, and esophagus anteriround. At the basal level of the lower lobe of the right lung, atelectatic changes are observed. Diffuse emphysematous changes are present in both lungs.\n<pleura>: Thickening of the pleura is observed in the right hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with multiple dimensions up to 15 mm are observed in the mediastinum, carina, bilateral hilar regions, and esophagus anteriround.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the right hemithorax, pleural thickening, sequelae changes, chest tube in the right hemithorax are observed. There is air density thought to be secondary to the chest tube.  Bronchiectatic changes and ground-glass density areas are observed, more prominently at basal levels in the lower lobes of both lungs. Clinical lab in terms of infectious processes. Blind. follow-up is recommended.  Mediastinal and hilar lymph nodes are present.  There are diffuse emphysematous changes in both lungs.  Diffuse density reduction and degenerative changes are observed in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12005/train_12005_b/train_12005_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are bronchiectatic changes in the lower lobes of the lungs. When evaluated together with the previous examinations of the patient, no significant difference is observed. Lymphadenopathies are also observed in both lung hiluses, aortopulmonary window and upper paratracheal regions. A diffuse mosaic attenuation pattern is observed in both lungs (small airway, small vessel tract disease should be evaluated together with clinical and laboratory findings). Ground-glass opacities are observed in both lungs, especially in the lower lobes. In addition, diffuse emphysematous changes and linear atelectasis are observed in both lungs.\n<mediastinum>: The largest of these lymphadenopathies is observed in the right paratracheal area and subcarinal area, and their short axes are measured as 19 and 20 mm, respectively. The diameter of the main pulmonary artery was measured as 32, right 27, left 19 mm. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pulmonary artery diameters increased. Numerous lymphadenopathies are observed in the mediastinum.\n<heart>: Heart size increased. Pericardial effusion was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in the bones.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nWhen evaluated together with the previous examination, the pleural effusion in the right lung has decreased significantly.There is also a decrease in the other findings described compared to the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12005/train_12005_c/train_12005_c_1.npy"
        ]
    },
    {
        "id": "report_generation_28386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi.\n<lung>: Linear subsegmental atelectatic changes were observed in both lungs. In the middle lobe of the right lung, a large consolidation area with ground glass areas is observed. Minimal pleuroparenchymal sequelae changes were observed in the apex of both lungs. Segmentary-subsegmental peribronchial thickness increase and narrowing of bronchial lumens were observed in both lungs. There is a mosaic attenuation pattern in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. The described findings were evaluated in favor of pneumonic infiltration. No mass lesion with distinguishable borders was observed in the lung parenchyma.\n<pleura>: On the left, a smear-like effusion is observed between the leaves of the pleura. When examined in the lung parenchyma window; In the right hemithorax, an effusion reaching a thickness of 19 mm was observed between the pleural leaves. In addition, nodular consolidation areas were observed in the left lung upper lobe lingular and peripheral subpleural areas of the lower lobe basal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: The neural foramina are narrowed. Bone structures in the study area are natural. Intervertebral disc distances are narrowed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, cardiomegaly.  Significant right bilateral pleural effusion.  Pneumonic infiltration in lung parenchyma  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Atelectatic changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12007/train_12007_c/train_12007_c_1.npy"
        ]
    },
    {
        "id": "report_generation_28406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No active infiltration or mass lesion was detected in both lungs. There are minimal emphysematous changes in both lungs. Apart from this, sequela parenchymal changes are observed in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. In the examination made in the lung parenchyma window; There are sequela parenchymal changes in the peripheral area in the anterior segment of the left lung upper lobe, which are primarily evaluated as secondary to radiotherapy.\n<pleura>: No pericardial-pleural effusion or thickness increase was observed.\n<mediastinum>: It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. No lymph nodes in pathological size and appearance were observed in both axillary regions, bilateral retropectoral area, supraclavicular fossa and mediastinum, and adjacent to bilateral internal mammary vascular structures. As far as can be observed, the pulmonary trunk, both pulmonary artery calibrations are increased. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: An increase in heart size was observed. Mediastinal vascular structures and heart examination IV.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<breast>: No discernible mass was detected in both breasts within the image. Suture materials secondary to surgery are observed in the anterior neighborhood of the pectoral muscle in the left breast.\n<bone>: There was no finding that could be evaluated in favor of lytic or destructive metastases. There are degenerative changes in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, hyperdense stones are observed in the biliary lumen as far as they can be observed within the borders of non-contrast CT. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nPostoperative changes in the patient who was operated on the left breast due to breast Ca.  Minimal emphysematous changes in both lungs and sequela parenchymal changes in the left lung upper lobe anterior segment evaluated as secondary to radiotherapy, and sequelae parachymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.  Minimal emphysematous changes in both lungs.  Cholelithiasis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12013/train_12013_a/train_12013_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described views were evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. Consolidations and ground-glass appearances are observed in both lungs, most prominently in the lower lobe of the left lung. Findings are mostly in peripheral regions. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12015/train_12015_a/train_12015_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are linear atelectasis in the left lung upper lobe anterior segment and lingular segment and left lung lower lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs. Linear atelectasis in the left lung.  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12019/train_12019_a/train_12019_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The findings are progressive. In the case followed up due to Covid-19 pneumonia, the consolidation areas in the parenchyma increased in number and size, and its prevalence increased. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12029/train_12029_b/train_12029_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28456",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No infiltrative lesion was detected in the parenchyma. Millimetric sized nodules were observed in both lungs. The largest of these nodules was measured 6 mm in long diameter in the lower lobes of both lungs. When examined in the lung parenchyma window; Mild atelectasis changes are observed in both lower lobe posteriors of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Small lymph nodes are observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings on the end plates of the vertebral body. No significant height loss was observed in the vertebral corpses.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric stable sized nodules were observed in both lungs.  Stable lymph nodes with several short axes measuring up to 6 mm in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12034/train_12034_a/train_12034_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28458",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; In both lungs, stable nonspecific parenchymal nodules measuring 5. In the middle lobe of the right lung, band-like sequela fibrotic density increases were observed.\n<mediastinum>: Stable lymph nodes were observed in the mediastinal, upper-lower paratracheal area, the short axis of the largest, measuring 8.5 mm in diameter, according to the primary examination. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcified atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: A hypodense lesion with a diameter of 29 mm was observed in the right kidney (cyst?). Tx liver is subject to size, contour, parenchymal density. In the upper abdominal sections included in the study area, it was understood that liver right lobe transplantation was performed in the patient.\n\nImpression:\nOperated HCC at follow-up;  Stable nonspecific parenchymal nodules of millimeter size in both lungs.  Stable lymph nodes in the mediastinum.  Hypodense lesion (cyst?) in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12034/train_12034_b/train_12034_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The patient's examination was evaluated together with the examinations dated 2021 and 2022. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Millimetric nodules were observed in both lungs. The largest of these nodules is observed in the lower lobe of the right lung and its longest diameter is approximately 6 mm. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are minimal emphysematous changes and occasional linear atelectasis in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheromatous plaques in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nOperated HCC at follow-up.  Stable nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12034/train_12034_c/train_12034_c_1.npy"
        ]
    },
    {
        "id": "report_generation_28462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The patient's examination was evaluated together with the examinations dated 2021 and 2022. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The largest nodules in the right lung are observed in the right lung lower lobe superior segment- posterior segment junction, and the largest nodules in the left lung are observed in the laterobasal segment in the lower lobe. There are occasional atelectasis in both lungs. Minimal emphysematous changes were observed in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. These nodules measured 5x6 mm and 4x6 mm at their widest points, respectively. There are nodules in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Atheroma plaques were observed in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nOperated HCC at follow-up.  Stable nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12034/train_12034_d/train_12034_d_1.npy"
        ]
    },
    {
        "id": "report_generation_28468",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A paratracheal air cyst of 8 mm in diameter is observed in the right posterolateral part of the trachea.\n<lung>: There are multiple calcified nodules in the lower lobe of the left lung. There are multiple nodules smaller than 5 mm in both lungs. When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in the bilateral upper lobe apicoposterior segment of the lung. There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes.\n<pleura>: The upper lobe of the right lung is in the apicoposterior segment, in a focal area, and the pleural fatty tissues are hypertrophied. There are areas of ground glass density with subpleural localization in the posterior and lower lobes of the bilateral lung upper lobe, and posterobasal sections. There are two nodules with a diameter of 7.5 mm, located subpleural in the posterobasal segment of the lower lobe of the right lung, and two nodules with a diameter of 6 mm, located in the anterior part of the lower lobe of the left lung, subpleural. No pleural effusion was detected.\n<mediastinum>: Subcarinal, left hilar calcified lymph nodes are present. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are wall calcifications in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly). There are wall calcifications in the aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There are increases in soft tissue density in both breasts in the retroareolar area, which may be compatible with gynecomastia.\n<bone>: There are local degenerative changes in the bones in the examination area.\n<abdomen>: Thoracic aorta diameter is normal. In the sections passing through the upper part of the abdomen, there is a 24 mm diameter nodular hypodense lesion (cyst?) with a cortical exophytic location in the upper pole of the right kidney. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nDensity increases in soft tissue density in the retroareolar area of both breasts, which may be compatible with gynecomastia. Paratracheal air cyst, 8 mm in diameter, in the right posterolateral part of the trachea.  Wall calcifications in the aorta and coronary arteries, increased cardiothoracic index favoring the heart (cardiomegaly). Subcarinal, left hilar calcified lymph nodes. Bilateral lung upper lobe apicoposterior segment, pleuroparenchymal sequelae densities. Bilateral lung upper lobe posterior and lower lobes, subpleural localized in posterobasal sections, areas of ground glass density.  Subsegmentary atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lung lower lobes. nodule.  Right lung upper lobe is in the apicoposterior segment, in a focal area, pleural fatty tissues appear hypertrophic. Multiple calcified nodules in the lower lobe of the left lung.  Multiple nodules smaller than 5 mm in both lungs. One nodular hypodense lesion (cyst?), 24 mm in diameter, with cortical exophytic location, in the upper pole of the right kidney.  Locally degenerative changes in the bones in the study area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12037/train_12037_a/train_12037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are normal.\n<lung>: There was no evidence of mass or infiltration in both lung parenchyma. The frosted glass area was not monitored.\n<pleura>: There is no pericardial or pleural thickening or effusion.\n<mediastinum>: Atherosclerotic changes are observed in the aorta. No enlarged lymph nodes in prevascular-paratracheal, subcarinal, bilateral hilar or axillary pathological dimensions were detected.\n<heart>: Heart size is within normal limits.\n<bone>: Diffuse degenerative osteophytic changes are observed in the thoracic vertebrae.\n<abdomen>: Atherosclerotic changes are observed in the aorta.\n\nImpression:\nAtherosclerotic changes in the aorta.  Mediastinal and left hilar calcified lymph nodes and calcified parenchymal nodules in lung parenchyma (evaluated in favor of sequelae changes).  Mostly subpleural stable parenchymal nodules in both lung parenchyma.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12037/train_12037_b/train_12037_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and main bronchi are open.\n<lung>: A nonspecific parenchymal nodule of 3 mm in diameter was observed at the fissure level in the right lung lower lobe superior segment. In the evaluation of both lung parenchyma; Fibrotic density increases with band-like sequelae were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nSequelae changes in both lungs and millimetric nonspecific parenchymal nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12044/train_12044_a/train_12044_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. A few nonspecific millimetric nodules are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Millimetric hyperdense finding, which is greater on the left bilateral side, was evaluated in favor of calculus.\n\nImpression:\nLeft nephrolithiasis. Several subpleural nodules.  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12047/train_12047_a/train_12047_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28504",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Several nonspecific millimetric nodules located in the pleura are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcules in both kidneys measuring up to 4 mm in size on the left. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNephrolithiasis measuring up to 4 mm, greater on the left bilaterally. Several subpleural nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12047/train_12047_b/train_12047_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There was no mass in both lungs and no infiltrative lesion in the right lung. The described manifestations were evaluated primarily in favor of infective pathology. There are millimetric nonspecific nodules in both lungs. Consolidation and budding tree appearances were observed in the anteromediobasal segment of the lower lobe of the left lung. There are minimal emphysematous changes and occasional linear atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12049/train_12049_a/train_12049_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: At this level, atelectatic changes are present. Consolidation area-bud branch appearances observed in the previous examination in the lower lobe basal segments of the left lung are not detected in the current examination. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. There are subsegmental atelectasis in change localizations in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No increased lymph nodes were detected in pathological dimensions.\n<heart>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Postoperative changes in the pericardium. Heart contour size is natural.\n<esophagus>: No significant pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall. Mild degenerative changes were observed in bone structures. Vertebra corpus height and alignment are natural.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Upper abdominal structures entering the cross-section area are natural. No upper abdominal free fluid-collection was detected in the section.\n\nImpression:\nBilateral peribronchial thickenings.  Atherosclerotic changes in the aorta and stent materials."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12049/train_12049_b/train_12049_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Liver parenchyma density has low density compatible with minimal adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nHepatic steatosis.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12052/train_12052_a/train_12052_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: It was evaluated as significant for Covid-19 pneumonia in the presence of a pandemic. In the evaluation of both lung parenchyma; Ground glass densities and consolidation, which are more prominent in the lower lobes of both lungs, are observed. No mass-nodule was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nGround glass densities and consolidation, which are more prominent in the lower lobes of both lungs. It was evaluated as significant for Covid-19 pneumonia in the presence of pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12057/train_12057_a/train_12057_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Respiratory artifacts are present.\n<lung>: When examined in the lung parenchyma window; Degenerated ground glass contamination is observed in both lungs, especially in the lower lobes, which does not create a nonspecific border. No nodular lesions were detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific ground-glass contamination in both lungs, especially in the lower lobes (clinical correlation and, if necessary, control examination is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12062/train_12062_a/train_12062_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Large patchy ground glass densities were observed, accompanied by interlobular septal thickenings that turned into large consolidative areas in the lower lobes of both lungs. In the upper lobes, the ground glass densities are mostly in peripheral focal nodular form. Pleuroparenchymal density increases were observed in both lung apexes. No mass lesion with distinguishable borders was detected in both lungs. The described findings are highly suspicious for Covid-19 pneumonia. Other viral pneumonias should be considered in the differential diagnosis.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atheroma plaques that did not cause significant stenosis were observed at the level of the abdominal aorta and vascular ostia of the visceral organ. Calcified atheroma plaques were observed in the subraaortic branches of the aorta. As far as can be seen; Calibration of the ascending aorta and pulmonary arteries is natural. Descending aorta diameter of 31 mm was observed wider than normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Syndesmophytes bridging each other were observed at the midthoracic level. Vertebral corpus heights are preserved.\n<abdomen>: No stones were observed in both kidneys. A 13.5 mm diameter hypodense exophytic nodular lesion area was observed in the middle zone posterior of the right kidney (cyst?). No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Millimetric calculus was detected in the gallbladder lumen. Calcified atheroma plaques that did not cause significant stenosis were observed at the level of the abdominal aorta and vascular ostia of the visceral organ. Calcified atheroma plaques were observed in the subraaortic branches of the aorta. Liver, spleen, pancreas and both adrenal glands are normal as far as can be observed in the non-contrast examination. As far as can be seen; Calibration of the ascending aorta and pulmonary arteries is natural. Descending aorta diameter of 31 mm was observed wider than normal.\n\nImpression:\nCalcified atheromatous plaques in the subraaortic branches of the aorta . Ectasia in the descending aorta . Hiatal hernia . Widespread patchy nodular ground-glass densities and ground-glass nodules in the upper lobes and more peripherally in the upper lobes accompanied by more diffuse interlobular septal thickening in the lower lobes of both lungs; The outlook is highly suspicious for Covid-19 pneumonia. Other viral pneumonias should be considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory.  Cholelithiasis . Exophytic hypodense nodular lesion (cyst?) in the left kidney mid-section posterior.  Syndesmophytes bridging each other at the midthoracic level (recommended to be evaluated for diffuse idiopathic bone hyperostosis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12063/train_12063_a/train_12063_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28550",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Heart dimensions and compartments appear natural. Pericardial effusion was not detected. Calcified atheroma plaque is observed in LAD. A suspicious short stent material was observed proximal to the circumflex.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No suspicious mass or nodular space-occupying lesion was observed. In the upper abdominal sections, there is advanced hepatosteatosis in the liver parenchyma.\n\nImpression:\nCalcified atheroma plaques in LAD . Appearance thought to belong to short stent material in the proximal circumflex artery, it is recommended to be confirmed.  Advanced hepatosteatosis in liver parenchyma . Pneumonic infiltration was not detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12069/train_12069_a/train_12069_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Sequela parenchymal changes are observed in the right lung middle lobe medial segment, right lung upper lobe inferior lingular segment and lower lobe. No active infiltration or mass lesion was detected in both lungs. There are milimetric nodules in both lungs, some of which are pure calcified nonspecific nodules. When examined in the lung parenchyma window; There are paraseptal emphysematous changes at the apex of both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Calcified atheroma plaques are observed on the wall of the coronary vascular structures. Calibration of vascular structures, heart contour and size are natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: Evaluation for liver parenchymal disease is recommended. No intraabdominal free fluid, loculated collection was detected. As far as it can be seen within the borders of non-contrast CT in the upper abdominal sections within the image, the contour acuity of the liver has decreased and it has an irregular irregular appearance. No lymph node is observed in pathological size and appearance.\n\nImpression:\nCalcified atheroma plaques on the walls of the coronary vascular structures, nonspecific nodules in millimetric sizes, some pure calcified, and parenchymal changes in both lungs, with local sequelae.  Irregular appearance in the liver contour; Evaluation for liver parenchymal disease is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12072/train_12072_a/train_12072_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. Linear atelectasis was observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc spaces are narrowed in places. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There is no discernible mass in the upper abdominal organs within the sections. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs. Atelectasis in both lungs.  Minimal thoracic and lumbar spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12076/train_12076_a/train_12076_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28573",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No active infiltration or mass lesion was detected in both lungs. There are sequela parenchymal changes in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment. There are minimal emphysematous changes in both lungs. A few millimeter-sized nonspecific nodules, some of which are pure calcified, were observed in both lungs.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: Millimetric calcified atheroma plaques were observed in the wall of the aortic arch. Calibration of mediastinal vascular structures and heart contour and size are natural. No lymph node in pathological size and appearance was observed in both axillary regions, bilateral supraclavicular fossae and mediastinum.\n<heart>: Calibration of mediastinal vascular structures and heart contour and size are natural. Calcification was observed in the aortic valve.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, hypodense lesions were observed at the junction of liver segment 2 and segment 8-5, the largest of which was 9x8 mm in segment 2. It has not been clearly characterized within the limits of unenhanced CT. Millimetric calcified atheroma plaques were observed in the wall of the aortic arch. There was no intraabdominal free fluid or loculated collection, no lymph node in pathological size and appearance.\n\nImpression:\nNo active infiltration or mass lesion was detected in both lungs.  There are sequela parenchymal changes in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment, and a few millimetric nodules, some of which are pure calcified, in both lungs.  Two hypodense lesions that could not be characterized within the non-enhanced CT border were observed in the liver segment 2 and segment 8-5 junction localization."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12079/train_12079_a/train_12079_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings are compatible with covid pneumonia. When examined in the lung parenchyma window; Infiltration areas in the form of bilateral asymmetric ground glass nodules are observed in all segments of both lungs.\n<mediastinum>: There are several nonspecific lymph nodes in the mediastinum, and no lymph node reaching pathological dimensions has been detected.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: Bone structures in the study area are natural. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12080/train_12080_a/train_12080_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid parenchyma is observed as hypertrophic. Clinical laboratory and USG correlation is recommended. The test was considered suboptimal because of breath artifacts.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No evidence was found in favor of a gross infectious process. There are findings consistent with a mild mosaic attenuation pattern or breath artifacts at the apical levels.\n<pleura>: When examined in the lung parenchyma window; a few millimetric nonspecific subpleural nodules are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart. Mediastinal main vascular structures, heart contour are normal. There are calcific atheroma plaques and heart valve replacement material in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse osteopenic appearance is observed in bone structures in the study area. There are hypertrophic osteophytic taperings in the anterior end plate. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIncrease in thyroid parenchyma dimensions.  Several millimetric subpleural nonspecific nodules in both lungs.  Increase in heart size.  Atherosclerosis.  Osteopenic appearance, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12092/train_12092_a/train_12092_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No nodular lesions were detected in both lung parenchyma. The findings were evaluated in favor of Covid-19 pneumonia during the recovery period. When examined in the lung parenchyma window; In both lungs, there are areas of ground-glass density in all segments with an indistinct limited convergence and accompanying areas of increased density consistent with linear atelectasis.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: Liver parenchyma density has a diffuse hypodense appearance secondary to hepatosteatosis. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nGround glass density areas in both lung parenchyma and all segments with a common convergence tendency and areas of increase in density consistent with linear atelectasis accompanying these areas; Findings were evaluated in favor of Covid-19 pneumonia in the recovery period.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12097/train_12097_a/train_12097_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28621",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A mosaic attenuation pattern was observed in the lower lobes of both lungs (small airway disease? small vessel disease?). Two millimetric-sized nonspecific parenchymal nodules were observed in the upper and lower lobes of the left lung. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nMillimetrically sized nonspecific parenchymal nodules in the left lung. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12098/train_12098_a/train_12098_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28633",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: Emphysematous changes were observed in both lungs. Minimal peribronchial thickening is observed in both lungs, more prominent on the left. There was no mass in both lungs and no infiltrative lesion in the right lung. There are consolidations with air bronchograms in the upper and lower lobes of the left lung, and areas of ground glass around them, and centriacinar nodules, some of which have the appearance of budding trees, in the left lung. There are sometimes linear atelectasis in both lungs. When the patient was evaluated together with the clinical preliminary diagnosis, this appearance was thought to be pneumonic infiltration.\n<pleura>: A minimal pleural effusion is observed on the left. No pleural effusion was detected on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed. There are lymphadenopathies in prevascular, paratracheal, subcarinal and both hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal area and its short diameter is 17mm. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Surgical materials are observed on the ribs in the right hemithorax. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of pneumonic infiltration in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12105/train_12105_a/train_12105_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28635",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These localizations were evaluated primarily in favor of atelectasis because of minimal volume loss. Peripheral and central consolidations and ground glass areas accompanying the consolidations are observed in the upper and lower lobes and middle lobes of the right lung. There are emphysematous changes in both lungs. The described findings bring to mind the Covid-19 pneumonia during the pandemic process. Some of the frosted glass areas are round in shape. Consolidations are observed in the apicoposterior segment and lingular segment in the left lung upper lobe, and in the superior segment and basal segments in the left lung lower lobe. However, these findings are not in the style often observed in Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. Another pneumonic infiltration may cause this appearance. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12105/train_12105_b/train_12105_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12108/train_12108_a/train_12108_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28645",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?). Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of the stent material in the coronary artery are observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be seen; The diameter of the ascending aorta was 47 mm and showed fusiform dilatation. Heart size increased. Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of the stent material in the coronary artery are observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of the stent material in the coronary artery are observed. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nCardiomegaly, fusiform dilatation of the thoracic aorta, diffuse calcific atherosclerotic changes in the thoracic aorta and coronary artery wall. Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Sequelae changes in left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12111/train_12111_a/train_12111_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28647",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No nodule-infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Paraseptal-centriacinar emphysemato areas are observed in the apex of both lungs. Mosaic attenuation is observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The ascending aorta is 4.5 cm, and the descending aorta is 3 cm, wider than normal. No pathologically sized LAP was detected in the mediastinum. Right upper-lower paratracheal, aortopulmonary millimetric lymph node is observed. Pulmonary embolism cannot be excluded. Calcific plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n<heart>: The review is without contrast. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n<bone>: There are suture materials secondary to previous surgery in the sternum. No lytic-destructive lesions were detected in bone structures. Degenerative changes are observed in the bone structure.\n<abdomen>: The ascending aorta is 4.5 cm, and the descending aorta is 3 cm, wider than normal. Gall bladder is not observed in the sections passing through the upper part of the abdomen. There is a metallic clip in the lodge. Bilateral adrenal glands appear natural. Calcific plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n\nImpression:\nCardiomegaly. Ectasia of the ascending and descending aorta.  Mosaic attenuation in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12111/train_12111_b/train_12111_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Symmetric centrilobular and perilymphatic localized milimetric nodules in a mixed pattern are observed in both lungs. Mixed pattern is not observed in hypersensitivity pneumonitis. Differential diagnosis includes lymphoid interstitial pneumonia, pneumoconiosis and hypersensitivity pneumonia. Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are observed in LAD. Heart dimensions and compartments appear natural.\n<bone>: No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, air images were observed within the gallbladder lumen and within the intrahepatic bile ducts on the left. If not available, follow-up imaging is recommended. A nonspecific slight increase in gallbladder wall thickness is observed.\n\nImpression:\nSymmetric centrilobular and perilymphatic located millimetric nodules are observed in both lungs. The differential diagnosis includes lymphoid interstitial pneumonia, pneumoconiosis and hypersensitivity pneumonia. A mixed pattern of hypersensitivity pneumonia is not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12115/train_12115_a/train_12115_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28657",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: In the upper abdominal organs within the sections; There are hypodense lesions in the liver and both kidneys that cannot be characterized because contrast agent is not given. No enlarged lymph nodes in pathological dimensions were detected. It is recommended that the patient be evaluated together with his/her medical history and further examination if indicated. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs.  Hypodense lesions in the liver and spleen that cannot be characterized on this examination.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12116/train_12116_a/train_12116_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla.\n<abdomen>: In the upper abdominal sections, a decrease in liver parenchyma density is observed, consistent with advanced hepatosteatosis.\n\nImpression:\nAdvanced hepatosteatosis . Pneumonic infiltration was not detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12122/train_12122_a/train_12122_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28676",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground glass densities and a few air cysts are observed in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There is a small hiatal hernia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia, clinical laboratory correlation is recommended.  A few small lymph nodes are observed in the mediastinum.  Several small air cysts in both lungs.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12126/train_12126_a/train_12126_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28692",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There is no mass or infiltrative lesion in both lungs. There are emphysematous changes and local atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. There are no lytic-destructive lesions in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in both lungs . Hypodense lesion in the posterior segment of the liver right lobe that cannot be characterized in this examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12133/train_12133_a/train_12133_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lung parenchyma. In both lungs, there is a mosaic attenuation pattern (small airway disease?, small vessel disease?), which is more evident in the lower lobes. There are non-specific nodules in millimeter sizes.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes were detected in pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the image.\n<abdomen>: An increase in liver size was noted. A diffuse decrease in liver parenchyma density secondary to hepatosteatosis is observed in the upper abdominal sections within the image. In addition, the craniocaudal size of the spleen was measured as 138 mm and increased. No intraabdominal free fluid, loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance.\n\nImpression:\nNo evidence of active infiltration was observed in both lungs; millimeter-sized non-specific nodules and mosaic attenuation pattern (small airway disease?, small vessel disease?).  Hepatomegaly, hepatosteatosis.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12134/train_12134_a/train_12134_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28701",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No newly developed pathology was detected. There are minimal frosted glass densities at these levels. In the previous review, it was seen that infiltrates of viral pneumonia were replaced by fibrotic densities.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<abdomen>: Upper abdominal organs included in the sections are natural.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12137/train_12137_b/train_12137_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small air-small vessel disease?). There are dependent zone density increases in both lungs. No active infiltration, consolidation, space-occupying lesion was detected in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are not observed in the aortic walls. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Minimal hiatal hernia is observed.\n<bone>: No fractures, lytic or destructive lesions were observed in the bones.\n<abdomen>: The upper abdominal organs included in the examination have a natural appearance. Thoracic aorta diameter is normal. Calcific plaques are not observed in the aortic walls.\n\nImpression:\nCalcific atheroma plaques in the aorta and coronary arteries.  Mosaic attenuation pattern in both lungs (small air-small vessel disease?).  Millimetric nonspecific pulmonary nodules.  Dependent density increases in the bilateral lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12146/train_12146_a/train_12146_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open.\n<lung>: When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Calibration of other mediastinal major vascular structures was followed naturally.\n<heart>: Pericardial effusion was not detected. Focal calcific atherosclerotric plaque is present in LAD. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nUncontracted thoracic CT within normal limits.  Focal calcific atherosclerotic plaque in LAD."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12152/train_12152_a/train_12152_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28732",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The outlook is considered consistent with the frequently reported imaging features of Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread ground glass density increases were observed in the upper and lower lobes of both lungs, which tended to coalesce from place to place. Other viral pneumonias can be considered in the differential diagnosis.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Other upper abdominal organs are normal. Clinical and laboratory correlation is recommended. No dilatation was detected in the thoracic aorta. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity.\n\nImpression:\nConsidered consistent with the frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12153/train_12153_a/train_12153_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28734",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: Millimetric sized nonspecific parenchymal nodules were observed in different localizations in both lungs. Other viral pneumonias can be considered in the differential diagnosis. The outlook was evaluated in accordance with the frequently reported imaging features of Covid 19 pneumonia. Subsegmental atelectasis areas were observed in the lower lobes of both lungs. When examined in the lung parenchyma window; In both lungs, there are septal thickenings in the upper and lower lobes, scattered in places, and ground glass density increases in some of which vascular expansion is observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. No lytic-destructive lesion was detected.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Air images are present in the intrahepatic bile ducts. When the upper abdominal organs included in the sections were evaluated; gall bladder was not observed (cholecystectomized).\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Subsegmental atelectasis in both lungs.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12154/train_12154_a/train_12154_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy tube is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are cystic bronchiectatic changes in the apical regions of both lungs and areas of atelectasis in which coarse calcifications are observed. In the lower lobes of both lungs adjacent to the effusion, consolidation areas in which air bronchograms are observed and accompanying areas of ground glass and subsegmental atelectasis are observed. There are several millimetric nodules in both lungs. There is fluid in the right major fissure.\n<pleura>: Pleural effusion with a thickness of 7 cm in the right hemithorax and 7.5 cm in the left hemithorax is observed.\n<mediastinum>: There are several lymph nodes in the right upper mediastinum, the largest of which is 11 mm in diameter. The diameter of the ascending aorta was 38 mm, the diameter of the descending aorta was 31 mm, and the diameter of the pulmonary trunk was 36 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial minimal effusion is observed. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: A nasogastric tube is observed in the esophagus.\n<bone>: Thoracic kyphosis is increased. No lytic-destructive lesion was observed. There are bridging osteophytes in the corners of the corpus of the thoracic vertebrae and calcifications in the intervertebral disc distances.\n<abdomen>: The diameter of the ascending aorta was 38 mm, the diameter of the descending aorta was 31 mm, and the diameter of the pulmonary trunk was 36 mm and increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are nodular thickness increases in the left adrenal gland. As far as it can be evaluated within the limits of non-contrast CT; There is a low-density, hypodense lesion with a diameter of 4.5 cm in the middle zone of the right kidney (cyst?).\n\nImpression:\nBilateral pleural effusion, consolidation with air bronchograms in the lower lobes of both lungs, accompanying areas of ground glass and subsegmental atelectasis.  Cystic bronchiectasis in the apical regions of both lungs.  Several millimetric nonspecific nodules in both lungs.  Cardiomegaly, minimal pericardial effusion, dilatation of the aorta and pulmonary artery, calcific atheromatous plaques in the aorta and coronary artery.  Upper mediastinal lymph nodes.  Low-density hypodense lesion (cyst?) in the upper pole of the right kidney.  Increased nodular thickness in the left adrenal gland.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12156/train_12156_a/train_12156_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Evaluation is suboptimal because of motion artifacts. Ground-glass densities are observed in both lungs, which form widespread patchy consolidation from place to place. It was evaluated in favor of viral pneumonia. In pandemic conditions, Covid-19 pneumonia should be considered first.\n<pleura>: There is more prominent involvement in almost all lung segments and especially in subpleural areas. Pleural effusion-thickening was not detected. Almost all lung segments and especially subpleural areas were more prominent.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures were evaluated as normal within the limits of the non-contrast examination. Lymph nodes with short axes not reaching 1 cm are observed in the mediastinal area. No lymphadenopathy was detected in both axillae in pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes were minimally increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. The skin and subcutaneous structures were evaluated as natural.\n\nImpression:\nViral pneumonia findings  Calcific plaques in aorta and coronary arteries  Degenerative changes in bones  Increase in heart size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12159/train_12159_a/train_12159_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28748",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea and lumen of both main bronchi are open.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. When both lung parenchyma windows are evaluated; In both lung parenchyma, millimetric sizes of nonspecific parenchymal nodules, some of which are calcified, were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: The diameter of the main pulmonary artery was 43 mm and it has a dilated appearance. In the right upper paratracheal-lower paratracheal, prevascular and bilateral hilar region, some calcified lymph nodes with a short axis smaller than 1 cm were observed.\n<heart>: The ascending aorta measures 46 mm in diameter and shows fusiform dilatation. CTO increased markedly in favor of the heart. Densities of the pacemaker and electrodes extending from the left anterior chest wall to the ventricle were observed. Calcifications were observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesions were detected in bone structures. Metallic suture materials of sternotomy were observed on the anterior thorax wall.\n<abdomen>: The parenchymal density is diffusely decreased, consistent with adiposity. Liver sizes increased. Accessory spleen with a diameter of 17 mm was observed at the upper level of the spleen. Spleen size increased. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nCardiomegaly. Fusiform dilatation of the main pulmonary artery and thoracic aorta.  Mediastinal, some calcified lymph nodes. Millimeter-sized nonspecific parenchymal nodules in both lungs. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Pleuroparenchymal sequelae density increases in left lung inferior lingular segment. Hepatosplenomegaly, hepatic steatosis, cholecystectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12160/train_12160_a/train_12160_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation is recommended. When examined in the lung parenchyma window; Thickening of the interlobular septa in both lungs, patchy ground glass densities, mild bronchiectasis at the lower lobe basal level are observed. Calcific lymph nodes are observed in both hilar regions. No nodular or infiltrative lesion was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Post-op changes are observed in the mediastinum, and mild effusion is observed at the level of the aortic arch in the posterior of the sternum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific atheroma plaques in the coronary arteries and aorta. Double chambre extension is observed in the pacemaker to the superior vena cava.\n<heart>: Heart size increased. The findings were initially evaluated in favor of the onset of suspected infectious processes accompanied by cardiac stasis. Heart-valve replacement material is monitored.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Fluid loculations measuring 28 mm are observed in the anterior of the sternum. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are calcific atheroma plaques in the coronary arteries and aorta. Post-op changes are observed in the mediastinum, and mild effusion is observed at the level of the aortic arch in the posterior of the sternum. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nSuspected onset of infectious processes accompanied by changes secondary to cardiac stasis; clinical laboratory correlation is recommended.  Post-op changes in the mediastinum, mild effusion adjacent to the aorta in the posterior sternum at the level of the aortic arch, and millimetric air density heterogeneous appearances are present. In case of doubt about clinical correlation, further examination with contrast CT is recommended.  1-2 fluid loculations measuring 1 to 28 mm under the skin are observed in the anterior of the sternum.  Atherosclerotic changes in the coronary arteries and aorta.  Cardiomegaly.  Heart-valve replacement material.  Diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12160/train_12160_c/train_12160_c_1.npy"
        ]
    },
    {
        "id": "report_generation_28758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Diffuse mild ectasia and peribronchial thickness increases are observed in bilateral bronchial structures. No occlusive pathology was observed in the lumen.\n<lung>: A few millimeter-sized nonspecific nodules are observed in both lung parenchyma. Ventilation of both lungs is natural. Density increase areas consistent with linear atelectasis are observed in both lung lower lobes, left lung upper lobe inferior lingular segment, right lung middle lobe medial segment. Active infiltration, no mass lesions were detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In both axillary regions, lymph nodes with a short fusiform configuration with a fatty hilus with a short diameter of 15 mm are observed on the right. No lymph node is observed in pathological size and appearance in the mediastinum. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; calibrations are natural.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; calibrations are natural. Minimal pericardial effusion is observed. Heart contour, size is normal.\n<esophagus>: Sliding type mild hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lymph node was detected in supraclavicular pathological size and appearance. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; it is natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nDiffuse mild ectasia and increase in peribronchial thickness in bilateral bronchial structures . Areas of increase in density compatible with linear atelectasis in both lower lobes of both lungs, left lung upper lobe inferior lingular segment, right lung middle lobe medial segment Active infiltration, no mass lesions were detected in both lungs. A few millimetric nonspecific nodules in both lung parenchyma . Multiple lymph nodes in both axillary regions with a short diameter exceeding 1 cm in fusiforn configuration with fatty hilus observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12163/train_12163_a/train_12163_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Covid-19 pneumonia is considered in the ethology of its findings.\n<pleura>: Pericardial, pleural effusion was not detected. When examined in the lung parenchyma window; In both lung parenchyma, multilobar, peripheral, subpleural localized ground glass with indistinct borders and density increases in consolidation density were observed.\n<mediastinum>: Calibration of mediastinal vascular structures, heart contour and size are natural. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa with pathological size and appearance.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12167/train_12167_a/train_12167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The findings described point to typical-probable manifestations of Covid-19 pneumonia. When evaluated in the lung parenchyma window; In both lungs, ground-glass density increases were observed in the upper and lower lobes, and diffuse interlobular septal thickenings that became prominent in the lower lobes and tended to coalesce from place to place. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. In the mediastinal upper-lower paratracheal, prevascular, subcarinal localization, lymph nodes measuring 7 mm in the short axis of the largest were observed.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are typical-probable findings of Covid-19 in bilateral lung parenchyma, Other viral pneumonias can be considered in the differential diagnosis, Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12170/train_12170_a/train_12170_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There are areas of focal ground glass density in the right lung upper lobe posterior and lower lobe superior segments, and focal nodular consolidation observed in the ground glass density area around the lower lobe posterolaterobasal segment level (findings that may be compatible with infection in the first plan).\n<pleura>: When examined in the lung parenchyma window; Multiple nodules were observed in both lungs, the largest of which was 6.8 mm in diameter, located subpleural in the posterobasal segment of the lower lobe of the left lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Density increases in soft tissue density were observed in the retroareolar areas of both breasts (gynecomastia?).\n<bone>: Millimetric sclerotic foci were observed in the lateral part of the left caput humerus, left 7th rib.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDensity increases in soft tissue density in both breast retroareolar areas (gynecomastia?).  Multiple nodules in both lungs.  Focal ground glass density areas in the right lung upper lobe posterior, lower lobe superior segments and focal nodular consolidation observed in the ground glass density area around the lower lobe posterolaterobasal segment level (findings that may be compatible with infection in the first plan). Together with clinical and laboratory findings in terms of Covid pneumonia It is recommended to evaluate it. Left caput humerus, left 7th rib lateral part, milimetric sclerotic foci."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12177/train_12177_a/train_12177_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28813",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in the lung parenchyma of both lungs. When examined in the lung parenchyma window; There are mosaic attenuation patterns especially in the lower lobe basal segments.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. At the described levels and in the carina, a few millimetric small lymph nodes with the longest axis measuring up to 4 mm are observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric parenchymal calcifications in the liver parenchyma. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRight paratracheal LAPs described in his previous examination are not detected in his current examination, and several millimetric lymph nodes are observed in the carina and paratracheal area.  Mosaic attenuation patterns (small airway disease?, small vessel disease?) are recommended to be followed.  Parenchymal calcifications in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12189/train_12189_a/train_12189_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28815",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: Hemangioma is present in T3 vertebra. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12190/train_12190_a/train_12190_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calcification is observed in the trachea and both main bronchial walls. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimetric nodules that are nomspecific.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: There are hyperdense appearance of aortic and mitral valve replacement and calcified atheroma plaques on the walls of the vascular structures. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic or destructive lesions are detected in bone structures, and there are degenerative changes.\n<abdomen>: There are hyperdense appearance of aortic and mitral valve replacement and calcified atheroma plaques on the walls of the vascular structures.\n\nImpression:\nCalcified atheroma plaques in the wall of vascular structures, calcification in the trachea and both main bronchial walls . Sequelae changes in both lungs and a few millimetric nodules in nonspecific dimensions . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12197/train_12197_a/train_12197_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28856",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in both lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was detected in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12205/train_12205_a/train_12205_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28858",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass nodule infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12205/train_12205_b/train_12205_b_1.npy"
        ]
    },
    {
        "id": "report_generation_28864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Sequela fibrotic changes are observed in the upper shlob apex of both lungs.\n<pleura>: When examined in the lung parenchyma window; A subpleural 4mm nodule was observed in the anterobasal lower lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries (coronary atherosclerosis).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Density losses consistent with hemangioma are observed in the T10 vertebral body.\n<abdomen>: There is diffuse density loss in the liver (hepatosteatosis). Bilateral adrenal glands are normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nodule in the right lung Coronary atherosclerosis Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12208/train_12208_a/train_12208_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28880",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A ground glass nodule with a diameter of 4 m is observed at the posterobasal level of the lower lobe of the left lung. In the middle lobe, a slightly denser 4 mm diameter ground-glass nodule is observed. When examined in the lung parenchyma window; A calcific nodule with a diameter of 5 mm is observed at the central level of the upper lobe of the right lung.\n<pleura>: There was no finding compatible with pleural effusion, pneumothorax or pneumonia. A subpleural nodule with a diameter of 2 mm is observed in the lateralobasal segment. A little more superiorly, a subpleural nodule with a diameter of 3 mm is observed again. In the lower lobe superior segment, there is a subpleural 3 mm diameter nodule in the dorsum.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of the aortic arch and other major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Densities compatible with calculus are observed in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Mild contamination is observed in the central mesentery and there are lymph nodes, the largest of which is 13x7 mm. Calibration of the aortic arch and other major vascular structures is natural.\n\nImpression:\nMillimetric sized nonspecific nodule formations in both lungs . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12211/train_12211_a/train_12211_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: A parenchymal nodule with a diameter of 3 mm is observed in the superior segment of the right lung lower lobe. In the evaluation of both lung parenchyma; Appearances of parenchymal nodules showing coarse calcification causing parenchymal distortion with a diameter of 13 mm in the anterior segment of the right lung upper lobe and 14 mm in the apicoposterior segment of the left lung upper lobe were observed. Fibrotic bands were observed at the base of the left lung. Cylindrical bronchiectasis are observed in bilateral lung basals. The recently described changes are also observed in the lingula inferior segment.\n<pleura>: Granuloma? Hamartoma? This lesion is accompanied by parenchymal distortion, traction bronchiectasis, paraseptal emphysema and pleural thickening consistent with chronic changes around the nodule described in the left upper lobe. Calcified pleural thickening causing restriction was observed in the lateral and posterior neighborhood of the lower lobe of the left lung.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: The esophagus was evaluated as normal. Sliding type hernia was observed at the lower end.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: A relatively well-circumscribed hypodense lesion with a diameter of approximately 1 cm was observed in the 7th segment of the right lobe of the liver, cyst? Ultrasonography is recommended. The appearance of accessory spleen was observed in the posteromedial neighborhood of the spleen. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nSliding type hernia at the lower end of the esophagus Granuloma in both lungs? Hamartoma? Parenchymal distortion in the left lung, traction bronchiectasis, paraseptal emphysema Right lung parenchymal non-specific nodule Fibrotic bands in the left lung Cylindrical bronchiectasis Calcified pleural thickening causing restriction on the left Accessory spleen Cyst in the liver? Ultrasonography is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12212/train_12212_a/train_12212_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28907",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: A few lymph nodes with a short axis of 9.5 and a long axis measuring up to 16 mm, more prominently in the left axillary region, are observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSeveral small lymph nodes, more prominent on the bilateral axillary left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12223/train_12223_a/train_12223_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28918",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the right lung, ground-glass densities are observed in the posterior and lateral segments of the lower lobe, in a patchy manner, which can hardly be distinguished from the parenchyma. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with a diameter of 14 mm is observed adjacent to the spleen. Thoracic aorta diameter is normal. A change in favor of steatosis is observed in the liver parenchyma. Upper abdominal organs included in the sections are normal. No space occupying lesion was detected.\n\nImpression:\nThe findings described in the right lung parenchyma were initially evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up are recommended for differential diagnosis of other infectious processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12227/train_12227_a/train_12227_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28922",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12229/train_12229_a/train_12229_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28926",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12231/train_12231_a/train_12231_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Mild enlargement of the bronchi, thickening of the interlobular septa, and nonspecific ground-glass densities are observed in the basal segments of the lower lobes of both lungs. Pleuroparenchymal sequelae are observed in the paracardiac distance in the middle lobe of the right lung. In the evaluation of both lung parenchyma; more prominent in the upper lobe and middle lobe of the right lung, interlobular septal thickenings and mild ground glass densities are observed in the lower lobes of both lungs (secondary to cardiac stasis?). A fissure-based nodule with a nonspecific appearance of 3 mm in diameter is observed in the posterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal aortopulmonary narrow lymph nodes with diameters less than 5 mm are observed. No pathological LAP was detected in the mediastinum. Calcific atherosclerotic plaques are observed in the aorcus aorta, ascending, descending aorta, coronary artery walls and abdominal aorta walls.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcific atherosclerotic plaques are observed in the aorcus aorta, ascending, descending aorta, coronary artery walls and abdominal aorta walls.\n<bone>: No lytic destructive lesion was detected in the bones.\n<abdomen>: No significant pathology was detected in the bilateral adrenal glands in the sections passing through the upper part of the abdomen. No obvious pathology was observed in the abdominal sections. Calcific atherosclerotic plaques are observed in the aorcus aorta, ascending, descending aorta, coronary artery walls and abdominal aorta walls.\n\nImpression:\nMore prominent in the upper lobe and middle lobe of the right lung, interlobular septal thickenings and mild ground glass densities in the lower lobes of both lungs (secondary to cardiac stasis?).  Slight enlargement of the lower lobe basal segments of both lungs, bronchi, thickening of the interlobular septa, and nonspecific ground-glass densities."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12234/train_12234_a/train_12234_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28952",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the midline of the trachea, both main bronchi are open.\n<lung>: No active infiltration, consolidation or space-occupying lesion was detected in the bilateral lung. When examined in the lung parenchyma window; Ventilation of both lungs is normal.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinal area, a few fusiform lymph nodes with reactive appearance, hypodense fatty hilus, which can be distinguished, are observed with short axes not exceeding 7 mm. Since the examination is without contrast, the evaluation of vascular structures is suboptimal, but it has a natural appearance within the range of mediastinal vascular examination without contrast.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The liver parenchyma is heterogeneous. Thoracic aorta diameter is normal. The liver contours included in the examination are microlobulated and irregular. At the level of the hepatic hilum, lymphadenopathies with indistinct borders are observed in the right paraaortic area. It was evaluated in favor of chronic parenchymal liver disease.\n\nImpression:\nChronic parenchymal liver disease.  Lymphadenopathies adjacent to the right paraaortic area at the level of the liver hilus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12241/train_12241_a/train_12241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen.\n<lung>: Apart from this, no mass lesion-active indiltration was detected in both lungs. In addition, a millimetric calcific nodule was observed in the posterior segment of the right lung upper lobe. When examined in the lung parenchyma window; A 5 mm diameter parenchymal nodule was observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific nodules identified in the right lung middle lobe lateral segment and upper lobe posterior segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12242/train_12242_a/train_12242_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi.\n<lung>: Bilateral peribronchial thickening was observed. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Minimal passive atelectatic changes were observed in the left lung inferior lingular segment and right lung middle lobe paracardiac area. When examined in the lung parenchyma window; Centriacinar nodular infiltrates were observed in the peripheral zones of the right lung upper lobe posterior, middle lobe lateral segment, lower lobe posterobasal- laterobasal and left lung lower lobe basal segments, and the appearance was evaluated in favor of bronchiolitis.\n<pleura>: A few subpleural nodules less than 5 mm in diameter were observed in both lungs.\n<mediastinum>: Pulmonary artery deep calibration is normal. Calcified atheroma plaques were observed in the aortic arch, coronary arteries and the wall of the abdominal aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the examination performed without contrast, the main vascular structures in the mediastinum could not be evaluated optimally. The diameter of the aorta from the pattern is 30 mm wider than normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. As far as can be observed, the anterior posterior diameter of the ascending aorta is 40 mm, which is wider than normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: L2 vertebra posterior elements were not observed secondary to the operation. Diffuse degenerative changes were observed in the bone structures, and transpeduncularly placed screws were observed in the L2 vertebral corpus within the sections. The screws terminate at the level of the vertebral body.\n<abdomen>: In both kidneys, hypodense nodular lesion areas with a diameter of 58 mm were observed in the upper pole of the right kidney (cyst?). Liver contour and parenchymal density are normal as far as can be seen on non-contrast sections. Gallbladder, spleen, pancreas, both adrenal glands are normal. Calcified atheroma plaques were observed in the aortic arch, coronary arteries and the wall of the abdominal aorta. No stones were observed in both kidneys within the sections. A hypodense lesion area of approximately 1.5 cm in diameter located in the lateral subcapsular was observed in liver segment 2 (cyst?). The diameter of the aorta from the pattern is 30 mm wider than normal.\n\nImpression:\nDilatation of the ascending and descending aorta, cardiomegaly, diffuse calcified atheromatous plaques in the thoracic, abdominal, and coronary arteries. evaluated in favor of infectious pathologies involving the airways. Millimetric nonspecific parenchymal nodules in both lungs. Hypodense lesion area (cyst?) located in the lateral subcapsular in liver segment 2. USG and its correlation are recommended.  Bilateral renal cortical cysts . Degenerative changes in bone structures, L2 transpeduncular screws inserted into the vertebral body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12245/train_12245_a/train_12245_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lung parenchyma, which tend to merge centrally and peripherally.\n<mediastinum>: Lymph nodes with a short diameter of up to 9 mm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the T7 level, vertebral and facet osteophytes extending into the spinal canal and narrowing the canal are observed. Anterior osteophytes are observed in the vertebrae in the bone structures within the study area.\n<abdomen>: A hypodense lesion of 16 mm in size was observed in the genu of the left adrenal gland. In the upper abdominal organs included in the sections, there is diffuse density loss in the liver.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12247/train_12247_a/train_12247_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Paracicatricial bronchiectatic changes are present at this level. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are density increases in the upper lobe of the right lung, which are primarily evaluated in favor of fibrosis, causing volume loss and structural distortion. Millimetric sized calcified lymph nodes were observed in the right hilar and right lower paratracheal region. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?small vessel disease?). Millimetric sized nonspecific parenchymal nodules were observed in both lungs. Appearance is nonspecific. A ground-glass nodular parenchymal density of 7.5 mm in diameter was observed in the superior lingular segment of the left lung. Early stage Covid-19 pneumonia cannot be excluded due to the pandemic.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: The diameter of the main pulmonary artery was measured 34 mm and it showed fusiform dilatation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<heart>: As far as can be seen; The ascending aorta measures 39 mm and shows fusiform dilatation. There is a mild effusion with a pericardial thickness of 7 mm. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae. No lytic-destructive lesion was detected.\n<abdomen>: Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nRight hilar and lower paratracheal calcified lymph nodes . Dilatation of the thoracic aorta and main pulmonary artery . Pericardial effusion . Hiatal hernia . mosaic attenuation pattern in both lungs (small airway disease?small vessel disease?).  Parenchymal fibrosis, paracicatricial bronchiectasis in the right lung .Millimetric size nonspecific parenchymal nodules in both lungs. Focal nodular ground-glass density increase in the left upper lobe of the lung. Appearance is nonspecific. Early viral pneumonia cannot be excluded. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12252/train_12252_a/train_12252_a_1.npy"
        ]
    },
    {
        "id": "report_generation_28985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. A 6.6 mm diameter parenchymal nodule and fibroatelectasis changes were observed in the middle lobe of the right lung. Fibroatelectasis changes were observed in the left lung inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Minimal calcific atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Minimal degenerative changes are observed in the bone structures entering the examination area. No lytic-destructive lesion was detected.\n<abdomen>: A hypodense lesion with a diameter of 62 mm was observed in the upper pole of the left kidney in the upper abdominal sections in the examination area (cyst). Minimal calcific atherosclerotic changes were observed in the wall of the abdominal aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs.  Parenchymal nodule in the right lung.  Emphysematous changes in both lungs.  Left renal hypodense lesion (cyst)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12258/train_12258_a/train_12258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are depandant densities in the posterior parts of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: When evaluated together with its density, it was thought to be a cyst. There is a hypodense lesion measuring approximately 75 mm in the longest diameter in the upper pole of the left kidney. There are millimetric atheroma plaques in the aorta. The described lesion could not be characterized because contrast agent was not given. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lungs. Depandens densities in the posterior segments of both lungs.  Atherosclerotic changes in the aorta.  Hypodense lesion (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12267/train_12267_a/train_12267_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29007",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Clinical follow-up would be appropriate. Nodular ground glass density areas are observed in the upper lobes in favor of active inflammation and infection. No distinguishable mass lesion was detected in the lung parenchyma in this examination. Segmental atelectasis areas are observed in the anterobasal segment on the left and in the posterobasal segment on the right in the lower lobes of both lungs.\n<pleura>: In the lower lobes, subpleural linear density increases are observed, which may belong to the findings of the recovery period of the infection in the subpleural areas. In the lung parenchyma, alveolar infiltration areas are observed in ground glass density, predominantly located in the subpleural region, which becomes prominent towards the lower lobes in both lungs.\n<mediastinum>: There are milimetric sized lymph nodes located bilaterally in the mediastinum, in the lower paratracheal and subcarinal regions. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, there is a 5.5 cm diameter cyst partially cut into the left kidney.\n\nImpression:\nIn addition, there are linear density increases in the parenchyma findings in the basal segments during the recovery period. Segmental atelectasis areas in the lower lobe basal segments and the medial segment in the right middle lobe. Cyst partially cross-sectioned in left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12267/train_12267_b/train_12267_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Subsegmental atelectatic changes were observed in the posterior upper lobe of the right lung. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Minimal calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae changes in both lungs.  Mild degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12269/train_12269_a/train_12269_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29021",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are interlobular septal thickness increases and sequelae changes in both lower lobes of the lungs, left lingular segment and right middle lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: There are calcified atheromatous plaques on the wall of vascular structures. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and CTO increased in favor of the heart. The AP diameter of the ascending aorta increased by 46 mm, by 30 mm of the descending aorta.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and CTO increased in favor of the heart. It was evaluated as secondary to cardiac pathology.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: There are calcified atheromatous plaques on the wall of vascular structures. No pathology was detected in the sections passing through the upper part of the abdomen. The AP diameter of the ascending aorta increased by 46 mm, by 30 mm of the descending aorta.\n\nImpression:\nIncreased CTO in favor of the heart, calcified atheromatous plaques on the wall of vascular structures, Increase in ascending aorta and descending aorta calibration. Interlobular septal thickness increases and sequelae changes in both lower lobes of the lungs, left lingular segment and right middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12275/train_12275_a/train_12275_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Micronodular opacities-bud branch appearances observed in the upper lobe of the right lung in the previous examination were not detected in the current examination. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. No mass-infiltration was detected in both lung parenchyma. Right lung lower lobe anterobasal segment is not observed due to post-op changes. There are densities of postoperative suture materials at the right hilus level.\n<mediastinum>: The diameter of the ascending aorta was 42 mm, and the diameter of the descending aorta was 47 mm and increased. No lymph node was detected in pathological size and appearance. The aortic arch calibration was measured at 37 mm. According to the previous examination, lymph nodes with stable central fatty hilus were observed in the mediastinum. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calcifications are present in the mitral valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Metallic suture densities of sternotomy were observed in the sternum. There are postoperative contour irregularities in the right 5th and 6th ribs. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The diameter of the ascending aorta was 42 mm, and the diameter of the descending aorta was 47 mm and increased. A 9 mm diameter calculi was observed in the upper pole of the left kidney. Apart from this, no free-loculated fluid was detected in the upper abdominal sections that entered the examination area. The aortic arch calibration was measured at 37 mm. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nFusiform dilatation in the thoracic aorta is stable. Calcified atherosclerotic changes in the thoracic aorta and coronary artery wall . Micronodular opacities and bud branch appearance in the right upper lobe of the right lung observed in the previous examination are not detected in the current examination.  Emphysematous changes in both lungs . Sequelae postoperative changes in the right lung that do not differ significantly from previous examination . Stable hypodense lesion in the right adrenal gland, left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12285/train_12285_c/train_12285_c_1.npy"
        ]
    },
    {
        "id": "report_generation_29049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, there are large areas of consolidation in the posterobasal segment of the lower lobe. Clinical and laboratory correlation is recommended. There are frequently reported imaging features of Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, ground-glass-like density increases in the peripheral subpleural area, which are prominent in the lower lobes and basal segments, and interlobular septal thickenings are observed in places.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of bilateral, Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory data.  Hepatomegaly.  Hepatosteatosis.  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12286/train_12286_a/train_12286_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild atelectasis secondary to position, more prominent in the lower lobe basal segments of both lungs. Series 2 images are 156 in the middle lobe of the right lung.\n<pleura>: A 4 mm sized nodule located in the subpleural is observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Liver parenchyma density in the upper abdominal organs included in the sections changes in favor of steatosis.\n\nImpression:\nDependent mild atelectatic changes in both lungs . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12288/train_12288_a/train_12288_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, mild ground-glass appearances are observed in the upper lobe anterior segments of both lungs, adjacent to the emphysema areas. In the evaluation of both lung parenchyma; Sentracinar and panacinar emphysemato areas are observed at the apex of both lungs. In the posterior segment of the right lung upper lobe, there is a consolidation area in which air bronchograms are observed, which is thought to be primarily pneumonic.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Atherosclerotic plaques are observed in the aortic arch, ascending and descending, and abdominal aorta. Right upper-bilateral lower paratracheal, aortopulmonary, narrow diameter of the larger one with a smaller diameter of 9 mm, lymph nodes are observed.\n<heart>: Millimetric sized calcific plaques are observed in the coronary arteries.\n<bone>: No obvious pathology was observed in bone structures.\n<abdomen>: In the sections passing through the upper part of the west; left adrenal lateral crus and trunk part are thick and nodular. There are focal examinations of the parenchyma in the posterior cortex of the left kidney. No additional pathology was detected in the non-contrast examination of the abdominal sections. In addition, cysts are observed in both kidneys, measuring approximately 3 cm on the right and 2.8 cm on the left. Atherosclerotic plaques are observed in the aortic arch, ascending and descending, and abdominal aorta.\n\nImpression:\nConsolidation in the posterior segment of the right lung upper lobe, in which air bronchograms are also observed, thought to be primarily pneumonic . Centracinar panacinar emphysematous areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12297/train_12297_a/train_12297_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: In the evaluation made in the lung parenchyma window; Paraseptal emphysematous changes are observed in the apex of both lungs. Apart from this, no finding in favor of active infiltration was detected in both lungs. In the right lung upper lobe posterior segment, there is a consolidation area in which air bronchograms are observed, which is evaluated in favor of pneumonia.\n<mediastinum>: Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. In the mediastinum, there are lymph nodes with a fusiform configuration, the largest of which is at the right paratracheal level, with a short diameter of 9 mm. Calibration of mediastinal vascular structures, heart contour, size are natural.\n<heart>: No pericardial effusion or increased thickness was detected. Calibration of mediastinal vascular structures, heart contour, size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, diffuse thickness increase is observed in the left adrenal gland. No intraabdominal solid mass was detected. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Left kidney is found in the upper pole posterior cortex with focal examination of the parenchyma.\n\nImpression:\nParaseptal emphysematous changes in the apex of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12297/train_12297_b/train_12297_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the parenchyma evaluation, there are bilateral peripheral ground glass opacity in all segments that become prominent towards the bases in both lungs and pneumonic infiltrates in the form of consolidation areas in some places. The pattern of involvement was evaluated as compatible with Covid pneumonia.\n<mediastinum>: There are several nonspecific lymph nodes located in the right upper and bilateral lower paratracheal and paraaortic lymph nodes. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nPneumonic infiltrates consistent with Covid parenchymal involvement in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12304/train_12304_a/train_12304_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. A millimetric calcified lymph node was observed in the right hilar region. When both lungs are evaluated in the parenchyma window: Emphysematous changes are observed in the upper lobe of the right lung. One or two calcified nonspecific parenchymal nodules of millimetric size were observed in the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No lymph node was detected in mediastinal and left hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Hypodense lesions with a HU value of 34x19 mm in the left adrenal gland and 27x9 mm in the medial crus of the right adrenal gland, with an average HU of 6 on the right and 8 on the left, were observed (adenoma?).\n\nImpression:\nEmphysematous changes.  Sequelae changes in both lungs.  Millimetric size calcified nonspecific parenchymal nodules and right hilar millimetric size calcified lymph node in the right lung.  Hepatosteatosis.  Adenoma in both adrenal glands?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12316/train_12316_a/train_12316_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Coarse calcification is observed in the right lobe.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Scattered subsegmental atelectasis are observed in both lungs. When examined in the lung parenchyma window; One calcific nodule was observed in the anterior segment of the right lung upper lobe and one each in the lower lobe superior segment. Band atelectasis was observed in the upper lobes of both lungs.\n<mediastinum>: Lower paratracheal, right hilar calcified lymph nodes were observed. Thoracic aorta diameter is normal. Apart from this, no enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or left hilar-bilateral axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes are observed in the bones in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHypodense nodule in the left lobe of the thyroid gland, coarse calcifications in the right lobe.  Stable lymph nodes in the mediastinum, some of which are calcified, . Stable calcific nodules in the right lung . Subsegmental atelectatic changes in both lungs and band atelectasis in the upper lobes of both lungs . Locally degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12318/train_12318_a/train_12318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground glass appearances are accompanied by linear density increases. Ground-glass appearances are observed in both lungs, more prominently in the right lung. The findings are consistent with Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are present in the aorta and coronary arteries. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: Atheroma plaques are present in the aorta and coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are present in the aorta and coronary arteries. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12328/train_12328_a/train_12328_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are subsegmental atelectatic changes in the middle lobe of the right lung and the inferior lingular segment of the left lung. When both lungs were evaluated in the parenchyma window, several parenchymal nodules were observed in different localizations, the largest of which was 6 mm in diameter in the posterobasal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; A 34 mm diameter cortical cyst was observed in the middle zone anterior cortex of the left kidney.\n\nImpression:\nBilateral peribronchial thickenings.  Parenchymal nodules in both lungs.  Bilateral fibroatelectatic changes.  Left renal hypodense lesion cyst?."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12336/train_12336_a/train_12336_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29166",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Clinical and laboratory in terms of infective processes. No mass lesion-infiltration with distinguishable borders was detected in both lungs. Pleuroparenchymal density increases were observed in both lung apical segments. correlation is recommended. Nodular ground glass densities were observed in the basal segments of the left lung lower lobe. When examined in the lung parenchyma window; In the basal segments of the lower lobe of the left lung, in the areas adjacent to the effusion, the consolidation area, which was evaluated in favor of atelectasis, was observed in the first plan in which air bronchograms were observed. Secondary left lung volume was slightly decreased.\n<pleura>: There is thickening of the left pleura.\n<mediastinum>: Numerous lymph nodes reaching pathological dimensions were observed, the largest of which was 23x12.7 mm (49x22 mm in the previous examination) in the retrosternal prevascular, bilateral upper-lower paratracheal, aorticopulmonary, subcarinal, and paraesophageal areas. It may be secondary to inflammatory changes or lymph nodes. Mediastinal main vascular structures, heart contour, size are normal. Soft tissue densities adjacent to the brochiocephalic vein and aortic arch were observed in the anterior mediastinum and could not be characterized in this examination.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was observed. Minimal effusion was observed in the pericardial space. The effusion in the pericardial space was measured approximately 13 mm in the previous examination, and the pericardial effusion has decreased in the current examination. Anteriorly, lymph nodes with the size of 10x4.8 (11x6.9 mm in the previous examination) were observed within the paracardiac fat pad.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Right supraclavicular, left supra-infraclavicular and posterior cervical lymph nodes, the largest of which reached 9.7x6.4 mm (17x8.7 mm in the previous examination) were observed. No lytic-destructive lesion in favor of metastasis was observed in the vertebrae.\n<abdomen>: As far as can be seen in non-contrast sections; liver, gall bladder, spleen, both kidneys and right adrenal gland are normal. In the left adrenal gland, a hypodense mass lesion of 2x2.2 cm, consistent with an adenoma, in which macroscopic fat is observed, was observed. At the level of the celiac citrus, in the neighborhood of the small cruciform of the stomach, interaortacaval, paracaval, retrocaval, retrocrural lymph nodes reaching pathological dimensions with the dimensions of 11x10 mm (30x24 mm in the previous examination) were observed. Soft tissue densities adjacent to the brochiocephalic vein and aortic arch were observed in the anterior mediastinum and could not be characterized in this examination.\n\nImpression:\nBilateral supraclavicular, left infraclavicular, left posterior cervical, prevascular, bilateral upper-lower paratracheal, aorticopulmonary, subcarinal, paraesophageal, celiac trunk, aortacaval, paraaortic, paracaval, retrocrural lymph nodes with reduced dimensions in pathological size and appearance. It may be secondary to lymph nodes or infective-inflammatory processes in the mediastinum. Clinic and lab. Correlation and follow-up are recommended. Decreased right lung volume, passive atelectatic changes in the areas adjacent to the effusion in the basal segment of the right lung lower lobe, and ground glass density nodular infiltrates in the left lung lower lobe. It was initially thought to be secondary to infective processes. Clinic and lab. Post-treatment control is recommended if correlation with . Hypodense mass lesion consistent with adenoma in the left adrenal gland corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12340/train_12340_a/train_12340_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: The pleural effusion measured approximately 35 mm at its thickest point. Pleural effusion is observed on the left. No pleural effusion was detected on the right.\n<mediastinum>: When evaluated together with previous examinations, the described appearance was thought to be lymphadenopathy. In the anterior mediastinum, there is an appearance of soft tissue density that does not have a clear border and does not create a mass effect.\n<heart>: Minimal pericardial effusion is observed. There is also minimal thickening of the pericardium.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12340/train_12340_b/train_12340_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Bilateral minimal pleural effusion is observed. The pleural effusion on the left is seen as minimally regressed. It is understood that the pleural effusion on the right has just appeared. No pleural thickening was detected.\n<mediastinum>: It was understood that the appearance evaluated together with the previous examinations was lymphadenopathy. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The anteroposterior diameter of the described lesion was 19 mm at its thickest point. In the anterior mediastinum, there is an appearance of soft tissue density, which does not have clear boundaries. The widths of the mediastinal main vascular structures are normal. There are lymph nodes in the prevascular, paratracheal, subcarinal, and both hilar regions. The largest of the described lymph nodes is observed in the paratracheal area and its short diameter is 12 mm. Atheroma plaques are observed in the aorta and coronary arteries. There is no significant difference in the size and number of these lymph nodes.\n<heart>: There is also minimal pericardial effusion. It is observed in minimal pericardial thickening. As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No mass with distinguishable borders was detected in the peritoneum and omentum. No upper abdominal free fluid-collection was observed in the sections. There is a solid lesion measuring approximately 23 mm in diameter in the left adrenal gland corpus. There are areas of negative HU density within the lesion and it was evaluated in favor of adenoma. Atheroma plaques are observed in the aorta and coronary arteries. Apart from this, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT in the upper abdominal organs within the sections.\n\nImpression:\nLymphoma on follow-up, lymph nodes in the mediastinum and hilar region. Bilateral minimal pleural effusion, minimal pericardial effusion, minimal pericardial thickening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12340/train_12340_c/train_12340_c_1.npy"
        ]
    },
    {
        "id": "report_generation_29172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are areas of ground glass around the nodules. However, these views are nonspecific. These appearances are absent in the patient's previous examinations. If there is suspicion in terms of infective pathology, these appearances may belong to infective pathology. Especially the left lung lower lobe is almost completely atelectatic except for the superior segment. No mass was detected in both lungs.\n<pleura>: Bilateral pleural effusion is observed. In addition, millimetric nodular lesions are observed in the upper and middle lobes of the right lung, especially in the vicinity of the fissure and in the peripheral subpleural areas. The pleural effusion continues to the apex of the lung when the patient is in the supine position and measures approximately 62 mm on the left at its thickest point. Atelectasis is present in both lower lobes of the lungs adjacent to the pleural effusion. There is a ground-glass appearance in a very small area in the subpleural area in the lateral part of the left lung upper lobe apicoposterior segment apical subsegment.\n<mediastinum>: The central venous catheter is seen on the right and the catheter terminates in the superior distal part of the vena cava. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. These lymph nodes can also be observed in the previous examination of the patient and no significant difference was detected.\n<heart>: There is pericardial effusion measuring approximately 20 mm in its thickest part. No significant pericardial thickening was detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: Free fluid is not observed in the previous examination of the patient. Although this lesion cannot be clearly characterized in this examination, it is present in the previous examination of the patient and no difference was detected in its dimensions and appearance. There is a nodular lesion measuring approximately 20 mm in diameter in the left adrenal gland. There is no upper abdominal collection within the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as can be observed within the borders of non-enhanced CT. The right adrenal gland is normal. Intraabdominal minimal free fluid is observed.\n\nImpression:\nPericardial and pleural effusion. Mediastinal and hilar lymph nodes. Intraabdominal minimal free fluid. Atelectasis in both lung lower lobes.  Nodules with a ground glass area in a small area in the upper lobe of the left lung, and nodules with a ground glass area in the upper and middle lobes of the right lung, especially in the peripheral areas (these appearances are nonspecific. If there is suspicion of infective pathology, these appearances may belong to this).  Stable in the left adrenal gland nodular lesion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12340/train_12340_d/train_12340_d_1.npy"
        ]
    },
    {
        "id": "report_generation_29176",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae are observed in both lung apex. In sections passing through the upper part of the west; effusions observed in previous examinations regressed.\n<pleura>: In addition, bilateral pleural effusions observed in the previous examination have regressed, and their thickness has decreased in the left hemithorax and persists as 12 mm.\n<mediastinum>: Mild density increases are observed in the mediastinum, which is thought to be secondary to fluid in oily planes.\n<heart>: Pericardial effusions are observed in superior aortic recess.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n\nImpression:\nStable mediastinal lymphadnomegaly. Left stable nonfunctional adenoma . Regression in intra-abdominal fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12340/train_12340_f/train_12340_f_1.npy"
        ]
    },
    {
        "id": "report_generation_29186",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Budding tree appearances are observed in the lower lobe of the right lung. In the upper lobe of the right lung, there are budding tree appearances in smaller areas. There is subsegmental atelectasis in the left lung upper lobe lingular segment inferior subsegment. There are diffuse emphysematous changes in both lungs. It is understood that the budding tree appearances observed in the right lung have just appeared. The described appearances were evaluated in favor of infective pathology. In addition, atelectasis and pleuroparenchymal sequelae changes are observed in both lungs, more prominently in the right lung. No mass was detected in both lungs.\n<pleura>: In the previous examination of the patient, the pleural effusion observed on the right disappeared. There is no pleural effusion on the right. However, it is understood that the pleural effusion on the left has just appeared. Pleural effusion is observed on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There is no significant difference in the number and size of lymph nodes observed in the mediastinal and hilar regions. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The main pulmonary artery diameter was 34 mm and wider than normal.\n<heart>: As far as can be observed: The heart is larger than normal. There is no pericardial effusion.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: Aorta diameter is normal. No upper abdominal free fluid-collection was observed in the sections. Calcific atheroma plaques are observed in the aorta and coronary arteries. Dilatation in the right kidney collecting system has just occurred. There is minimal dilatation of the left kidney collecting system and the left ureter within the sections.\n\nImpression:\nOperated right kidney tumor in the follow-up, dilatation in the left kidney collecting system. Findings evaluated in favor of infective pathology in the right lung.  Pleural effusion on the left. Atherosclerotic changes in the aorta and coronary arteries, cardiomegaly.  Mediastinal and hilar lymph nodes. Atelectasis in both lungs.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12345/train_12345_a/train_12345_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Several lymph nodes are observed in the pretracheal area, the largest of which is 7 mm in diameter. Bronchiectatic changes are observed in the bronchi that go to all segments, especially in the lower lobe bronchi.\n<lung>: It is recommended to be evaluated together with the clinic. In addition, ground glass opacities at the level of the lateral lingular segment of the left lung upper lobe and minimal consolidation extending to the fissure were noted. Focal ground-glass appearance is observed in the anterior segment of the right lung upper lobe. The appearance was primarily evaluated as compatible with sequela fibrotic change. The findings are not typical for Covid-19 pneumonia. Bronchiectatic changes are observed in the bronchi that go to all segments, especially in the lower lobe bronchi.\n<pleura>: In the posterobasal segment of the lower lobe of the left lung, a hyperdense area of pleural based irregularly bordered sequelae is observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fracture, lytic or sclerotic lesion area was detected in the bone structures included in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBronchiectatic changes. Sequelae change in the lower lobe of the left lung. Increased ground-glass and irregular nodular opacity in the lateral lingular segment of the left lung upper lobe. The appearance is not typical for Covid. It is appropriate to evaluate it together with the clinic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12352/train_12352_a/train_12352_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, the findings described in both lungs are accompanied by millimetric nodules. When evaluated together with clinical findings, it was primarily thought to be viral pneumonia. Peripheral and centrally located ground glass areas and concomitant consolidations are observed in both lungs. These findings are the findings that can be observed in Covid-19 pneumonia. Findings are most evident in the lower lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12353/train_12353_a/train_12353_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29207",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Nonspecific nodules with a diameter of 3.5 mm (ima 85) in the anterior segment of the left lung upper lobe and 4 mm in diameter (ima 125) in the middle lobe of the right lung are observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Heterogeneous soft tissue density is observed in the fatty tissue in the anterior mediastinum. A few prevescular right upper-bilateral lower paratracheal aortopulmonary subcarinal lanphaadenomegaly and lymph nodes with a narrow diameter of 1 cm are observed.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In sections passing through the upper part of the west; liver is normal. Bilateral adrenal glands appear natural.\n\nImpression:\nA few narrow mediastinal lymphadenopathy and lymph nodes exceeding 1 cm in diameter, . Slightly heterogeneous soft tissue density in the anterior mediastinum (hodgkin lymphoma involvement or thymic rebound hyperplasia? . Nonspecific pulmonary nodules in both lung parenchyma, no infective focus was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12357/train_12357_a/train_12357_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Multiple newly developed nodular densities, some of which reach 16 mm in the lower lobe of the right lung and some with irregular borders, and in the form of slightly ground glass, are observed in both lung parenchyma.\n<pleura>: In addition, there is nodular consolidation in the lower lobe of the left lung with an air bronchogram of approximately 42x40 mm sitting on the pleura superiorly, with a ground glass density around it. Pleural effusions measure 6 mm at their widest site and are markedly regressed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with a short axis of 13 mm in the mediastinum are stable.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion is markedly regressed and its new diameter is 7 mm.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections, the gallbladder is contracted and there are millimetric stone densities.\n\nImpression:\nStable lymph nodes in the mediastinum.  Significant regression in pericardial and pleural effusions.  Newly developed nodular ground glass densities with irregular borders in both lung parenchyma and newly developed nodular consolidation in the left lower lobe with ground glass density around it; findings were primarily evaluated as opportunistic infection (invasive aspergillosis?)  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12357/train_12357_b/train_12357_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the current examination, there is a decrease in the size of the density increase area consistent with the focal consolidation defined in the lower lobe of the left lung. Density increases in diffuse ground glass density observed in both lungs in the previous CT examination are almost completely regressed in the current examination.\n<pleura>: Bilateral pleural effusion observed in previous CT examinations was not detected in the current examination.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Central venous catheter is observed. In the mediastinum, there are lymph nodes measuring 12 mm in diameter, the largest of which is at the subcarinal level.\n<heart>: Minimal pericardial effusion was observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image. There are no lymph nodes in pathological size and appearance in both axillary regions and in the supraclavicular fossa.\n<abdomen>: No newly developed pathology was detected. Apart from this, no pathology was detected. In the upper abdominal sections within the image; Calculus was observed in the gallbladder lumen.\n\nImpression:\nNo newly developed pathology was detected.  Minimalpericardial effusion.  Mediastinal lymph nodes Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12357/train_12357_c/train_12357_c_1.npy"
        ]
    },
    {
        "id": "report_generation_29213",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No newly emerged infiltration area was detected in the current examination.\n<pleura>: A free pleural effusion measuring 9 mm in thickness is observed on the left.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Stable size and number of lymph nodes were observed in the mediastinal upper-lower paratracheal prevascular area, in the subcarinal localization, in the left axillary area, the largest at the subcarinal level, with a short axis of 12 mm.\n<heart>: Pericardial thickening-effusion was not detected. Heart contour size is natural. Minimal stable pericardial effusion was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Millimetric sized calcules were observed in the gallbladder. It was also observed in the previous examination and no significant change was detected.\n\nImpression:\nCholelithiasis.  Mediastinal-left axillary stable lymph nodes.  Pericardial stable effusion.  Pleural effusion on the left has just emerged in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12357/train_12357_d/train_12357_d_1.npy"
        ]
    },
    {
        "id": "report_generation_29215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are mild bronchiole-bronchial ectasia appearances. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thickening is observed on both sides of the peribronchial sheath.\n<lung>: At the posterobasal level of the lower lobe, there are ground-glass-like density increases that were not observed in the previous examination. Focal ground-glass-like density increase is observed in the apicoposterior segment of the left upper lobe of the lung, and it was not detected in the previous examination. It looks stable. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There are bud branches in the middle lobe of the right lung and the lower lobe in the left lung, and it has progressed according to his previous examination. In the middle lobe of the right lung, several nodules, the largest of which are 5x3 mm in size, adjacent to each other are observed. A stable 4x3 mm nodule is observed in the anterior segment. When examined in the lung parenchyma window; both hemithorax are symmetrical. Sequelae changes are observed on both sides at the apical level.\n<pleura>: A stable nodule measuring 5x4 mm is observed in the dorsal subpleural area in the superior segment of the lower lobe of the right lung. There is a stable subpleural 2 mm diameter nodule in the lingular segment. Bilateral pleural effusion, pneumothorax were not detected. There is a stable nodule with a diameter of 3 mm at the subpleural level in the anterior segment of the right lung upper lobe. Again in the superior segment of the lower lobe, stable subpleural nodules with a diameter of 4 mm are observed adjacent to each other.\n<mediastinum>: Multiple lymph nodes are observed in the upper-lower paratracheal area in the mediastinum, and in the subcarinal area at the prevascular level in the aorticopulmonary window. There are lymph nodes, the largest of which is approximately 18x7 mm in size. Calibration of the main mediastinal vascular structures is natural. There are superposed lymph nodes in the subcarinal area, and the lymph node size at this level was measured as approximately 20x12 mm.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<breast>: At the level of the left axilla, the oily planes are dirty.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. However, millimetric densities compatible with calculus are observed at the level of the gallbladder neck and cystic duct. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The gallbladder appears contracted.\n\nImpression:\nBranches with buds are seen in the middle lobe on the right and in the lower lobe segments on the left. Focal ground-glass-like density increases are observed in the left lung and were not detected in the previous examination. It is recommended to evaluate the case with clinical and laboratory findings in terms of infective processes.  Stable-appearing millimetric nonspecific nodules in both lungs.  Mediastinal stable-appearing lymph nodes.  Cholelithiasis.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12357/train_12357_e/train_12357_e_1.npy"
        ]
    },
    {
        "id": "report_generation_29217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of edema. When examined in the lung parenchyma window; In the left hilar region, thickening of the interlobular septa and slightly patchy ground glass densities are observed at levels extending to the apical level of the left lung upper lobe.\n<mediastinum>: Lymph nodes up to 15 mm in size are observed in the mediastinum, especially in the aortucopulmonary window and in the subcarinal area in the paratracheal region. The ascending aorta was measured 44 mm, the descending aorta 33 mm, and the aortic arch 30 mm, and it was wider than normal.\n<heart>: Atherosclerotic plaques are observed at the described levels and in the coronary arteries. The ascending aorta was measured 44 mm, the descending aorta 33 mm, and the aortic arch 30 mm, and it was wider than normal. It was evaluated as secondary to cardiac stasis. Pericardial effusion thickness was measured up to 8 mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs are partially included in the examination and small cysts are observed in cortical structures. It is in the form of plastering. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The ascending aorta was measured 44 mm, the descending aorta 33 mm, and the aortic arch 30 mm, and it was wider than normal.\n\nImpression:\nSuspected infectious processes accompanied by cardiac stasis in the left lung, clinical laboratory correlation and follow-up are recommended.  Placing pericardial effusion  Wide-than-normal appearance in ascending, descending and aortic arch  Multiple lymph nodes measuring up to 15 mm in mediastinum, paratracheal, subcarinal, aortucopulmonary window and upper mediastinum  Pleural effusion, more prominent on bilateral left  Liver left lobe A finding that was evaluated in favor of a cyst in the anterior, within the limits of the examination.  Small cortical cyst in left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12358/train_12358_a/train_12358_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Although the described appearances cannot be clearly characterized in this examination, the presence of volume loss suggests primarily atelectasis. There are emphysematous changes in both lungs. In addition, consolidated areas were observed in the basal segments of the lower lobe of the left lung and the inferior subsegment of the lingular segment of the left lung upper lobe. There was no finding that could be evaluated in favor of a mass or pneumonic infiltrative in both lungs. There are millimetric nodules in both lungs. The effusion measured approximately 85 mm on the left at its thickest point. Uniform interlobular septal thickening was observed in the lower lobe of the right lung. There are appearances evaluated primarily in favor of atelectasis in the lower lobe of the left lung.\n<pleura>: Bilateral pleural effusion was observed.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. The largest of these lymphadenopathies are observed in the prevascular region and subcarinal area, and their short diameter is 18 mm. Numerous lymphadenopathies were observed in the mediastinum and hilar regions.\n<heart>: When evaluated together with other findings, this appearance was thought to be due to cardiac pathology. Pericardial thickening was not detected. The anterior-posterior diameter of the ascending aorta was 44 mm. There is a pericardial effusion measuring approximately 35 mm in its thickest part. Pericardial effusion is observed as minimally hyperdense and may be hemorrhagic or with high protein content. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The diameters of the aortic arch and descending aorta are normal.\n\nImpression:\nBilateral pleural effusion and pericardial effusion.  Mediastinal and hilar lymphadenopathies  Atherosclerotic changes in the aorta, fusiform aneurysmatic dilation in the ascending aorta, increase in pulmonary artery diameters.  Uniform interlobular septal thickening in the lower lobe of the right lung.  Findings evaluated primarily in favor of atelectasis in the left lung.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12358/train_12358_b/train_12358_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric sequela fibrotic linear density increases in both lungs and a millimetric nonspecific nodule in the superior segment of the right lung lower lobe are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size was slightly increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly. Sequelae of fibrotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12362/train_12362_a/train_12362_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There is diffuse ectasia in the bronchial structures in both lungs. No occlusive pathology was observed in the lumen.\n<lung>: Viral pneumonias in the etiology of the findings (Covid-19 pneumonia was considered). When examined in the lung parenchyma window; Density increases in diffuse ground glass density involving all segments of both lungs and areas of density increase consistent with multilobar indeterminate limited consolidation were observed.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Multiple lymph nodes with fusiform configuration were observed in the mediastinum with a short diameter of less than 1 cm. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: As far as can be seen; The ascending aorta was calibrated to 41 mm and was wider than normal. An increase in heart size was observed. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic or destructive lesion was observed. Vertebra corpus heights and alignments are natural.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Increase in ascending aorta calibration and heart size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12364/train_12364_b/train_12364_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Millimetric calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Other upper abdominal organs included in the sections are normal. Liver density decreased in line with hepatosteatosis.\n\nImpression:\nMillimetric calcific plaques in coronary arteries.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12371/train_12371_a/train_12371_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Multiple calcific parenchymal nodules, some of them in number and diameter, were observed in the peripheral interstitium, the largest of which was approximately 4mm in diameter in the anterior segment of the right lung upper lobe in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures were evaluated as suboptimal since cardiac examination was unenhanced. No obvious pathology was detected. Stable lymph nodes with a short diameter of 6mm were observed in the mediastinal prevascular area, aortopulmonary window and paratracheal area.\n<heart>: Mediastinal main vascular structures were evaluated as suboptimal since cardiac examination was unenhanced.\n<esophagus>: Type 1 hiatal hernia was observed at the esophagogastric junction. Thoracic esophagus is in normal calibration.\n<bone>: Height loss consistent with compression fracture was observed in the L1 vertebral body. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Other bone structures in the study area are natural.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs entering the imaging field are normal. No pathological wall thickening was detected. Type 1 hiatal hernia was observed at the esophagogastric junction.\n\nImpression:\nStable parenchymal nodules in both lungs. Mediastinal stable lymph nodes.  Type 1 hiatal hernia.  Compression fracture in L1 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12376/train_12376_a/train_12376_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29266",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Multiple calcific parenchymal nodules, some of them in number and diameter, were observed in the peripheral interstitium, the largest of which was approximately 4mm in diameter in the anterior segment of the right lung upper lobe in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures were evaluated as suboptimal since cardiac examination was unenhanced. No obvious pathology was detected. Stable lymph nodes with a short diameter of 6mm were observed in the mediastinal prevascular area, aortopulmonary window and paratracheal area.\n<esophagus>: Type 1 hiatal hernia was observed at the esophagogastric junction. Thoracic esophagus is in normal calibration.\n<bone>: Height loss consistent with compression fracture was observed in the L1 vertebral body. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Other bone structures in the study area are natural.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs entering the imaging field are normal. No pathological wall thickening was detected. Type 1 hiatal hernia was observed at the esophagogastric junction.\n\nImpression:\nStable parenchymal nodules in both lungs. Mediastinal stable lymph nodes.  Type 1 hiatal hernia.  Compression fracture in L1 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12376/train_12376_b/train_12376_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Millimetric calcific atheroma plaque is observed in the aortic arch. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anterior osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaque is observed in the aortic arch. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtherosclerosis. Degenerative changes in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12377/train_12377_b/train_12377_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<abdomen>: Again, a cortical cyst of 17 mm in diameter was observed in the upper pole of the right kidney. In the middle zone of the right kidney, calculus with a diameter of 7 mm was observed in the pelvicalyceal structures.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12378/train_12378_b/train_12378_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29298",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Apart from these, both lung aeration is normal and no mass or infiltrative lesion was detected in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12386/train_12386_a/train_12386_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29299",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The views described are nonspecific. Ground glass appearances are observed in small areas in the mediobasal segment and posterobasal segment in the lower lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Atheroma plaques are present in the aorta and coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Atheroma plaques are present in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nGround-glass views in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12387/train_12387_a/train_12387_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland has increased.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the middle-lower lobe of the right lung, there is a consolidation area in which air bronchograms are observed and sometimes accompanied by ground glass areas. More prominent emphysematous changes are present in the upper lobes of both lungs. There is subsegmental atelectasis accompanied by ground glass area in the lingular segment of the left lung upper lobe. There is a 12x16 mm nodule with lobulated contours in the apicoposterior segment of the left lung upper lobe.\n<pleura>: A 3.5 cm thick low-density (mean 2 HU) pleural effusion is observed in the right hemithorax.\n<mediastinum>: In the mediastinum, several enf nodes with a diameter of 6 mm are observed, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes were detected in the pathological dimension and appearance. Millimetric calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Millimetric calcific atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. There are fracture lines showing minimal displacement in the right 8-10 ribs. There are millimetric osteophytes in the corners of the thoracic vertebra corpus, and indentations of Schmorl's nodules in the end plateaus.\n<abdomen>: Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is coarse calcification in the right lobe of the liver. There is a 2 cm diameter hypodense lesion partially included in the cross-sectional area of the left kidney (cyst?). If available, it is recommended to be evaluated together with previous examinations or further examination. Millimetric calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nRight pleural effusion, consolidation in the middle-lower lobe of the right lung in which air bronchograms are observed.  Lobular contoured nodule in the upper lobe of the left lung; If there is, it is recommended to be evaluated together with previous examinations or further examination.  Emphysematous changes in both lungs.  Hypodense lesion (cyst?) in the left kidney partially included in the sections.  Fracture lines with minimal displacement in the right 8-10 ribs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12390/train_12390_a/train_12390_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Mild sequelae are observed in the upper lobe posterior segment in the right lung, in the middle lobe in the left lung, in the lower lobe anteromediobasal level and in the lingular segment.\n<pleura>: No significant pneumonia, pneumothorax or pleural effusion was detected.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. No pathologically sized and configured lymph nodes were detected at the mediastinal and both hilar levels. Pulmonary trunk calibration is 31 mm. It is wider than normal.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12391/train_12391_a/train_12391_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29328",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Nodular and patchy ground-glass opacities are observed in both lungs, which are clearly subpleural. Pleural effusion-thickening was not detected.\n<mediastinum>: There is a calcific atheroma plaque in the aortic arch. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is a calcific atheroma plaque in the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearance compatible with typical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12397/train_12397_a/train_12397_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12399/train_12399_b/train_12399_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29358",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Again, at the right hilar level, there is no contrast, but there is a dlymph node of approximately 16x13 mm. In places, interstitial scars are evident on the ground. When examined in the lung parenchyma window; There are ground-glass-like density increases in both lungs, which have a common tendency to coalesce in almost all segments.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum, the largest of which is at the right lower paratracheal level and the short axis is 11 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Destructive changes are observed in the left corpus and facet joint of D10-11 vertebrae. No continuity is observed at the 8th level on the left (postop?). Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hypodense area adjacent to the falciform ligament (area of focal fat?). Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. A decrease in density consistent with hepatosteatosis is observed in the liver entering the cross-sectional area.\n\nImpression:\nIntense ground-glass-like density increases are observed in the case. Although it loses its peripheral feature from time to time, the appearance was evaluated in favor of progressive COVID-19 pneumonia. Other viral pneumonias are included in the differential diagnosis. Evaluation together with clinical and laboratory findings is recommended.  No continuity is observed at the 8th level on the left (postop?). Destructive changes are observed in the left corpuscles and facet joint of D10-11 vertebrae. MRI is recommended to be evaluated together with clinical findings and anamnesis.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12409/train_12409_a/train_12409_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In both lungs, there are occasional faint focal ground-glass-like density increments in the periphery. In the right lung, there are increases in reticulonodular density and accompanying ground-glass-like densities in the area extending from the lower lobe superior segment to the basal. Air bubbles also extend towards the skin in the presternal area. It is recommended that the case be evaluated together with clinical and laboratory findings in terms of early stage Covid pneumonia. It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes.\n<pleura>: In the previous examination, pleural effusion on both sides was significantly reduced on the right.\n<mediastinum>: After sternotomy, mediastinitis-mediastinal abscess was questioned in the case, and the evaluation was suboptimal since the examination was uncontrasted.\n<bone>: There are also postoperative changes at the level of the sternum, and marked irregularity in the cortex. There are postoperative changes in soft tissue planes at the presternal level.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12416/train_12416_a/train_12416_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The case has tracheostomy appearance.\n<lung>: There are consolidative areas with air bronchograms in their neighborhood. In both lungs, there are widespread bud branches and occasional ground-glass-like density increases, which are more prominent in the middle lobe and lower lobe levels on the right. It reaches 38 mm at its thickest point and 30 mm on the left. There is also mild effusion at the level of the left interlobar fissure. No distinguishable hilar pathological lymph node was detected in the non-contrast examination. Sequelae changes are observed at the apical level. It is recommended to evaluate the case in terms of infective processes.\n<pleura>: A subpleural nodule with a diameter of 3 mm is observed in the anterior-posterior segment transition of the upper lobe of the right lung. There is a subpleural bulla appearance in the lingular segment. There is pleural effusion in both lungs extending from basal to apex.\n<mediastinum>: There are millimetric-sized multiple lymph nodes in the upper-lower paratracheal area in the mediastinum. Calcific atheroma plaques are observed in the descending and ascending aorta in the aortic arch. Calibration of mediastinal major vascular structures is natural.\n<heart>: Stent appearances are observed in the left coronary artery. CTO is at the maximal physiological limit. There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the bone structure and an appearance secondary to sternotomy.\n<abdomen>: Surrounding soft tissue plans are natural. Calcific atheroma plaques are observed in the descending and ascending aorta in the aortic arch. Irregular density increases are observed in the perinephric fatty planes in the left kidney. Both surreal glands are natural.\n\nImpression:\nPleural effusion on both sides, adjacent consolidative areas and findings suggestive of diffuse pneumonic infiltration in both lungs. Evaluation together with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12418/train_12418_a/train_12418_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical-laboratory correlation is recommended. The outlook was primarily evaluated for interstitial lung disease. Ground-glass density increases were observed in the anterior and posterior upper lobe of the right lung, the lower lobes of both lungs, and the lingular segment of the left lung. In addition, bilateral traction bronchiectasis is noteworthy. The outlook can be traced in Covid-19 pneumonia. The described ground glass density increases have just emerged in the current review. However, it is not specific.\n<pleura>: When examined in the lung parenchyma window; Interlobular septal thickening, prominent in the lower lobes and the periphery of both lungs, honeycomb appearances prominent in the lower lobes, contour irregularities in the pleura and subpleural lines are observed.\n<mediastinum>: As far as can be seen; Metallic suture materials secondary to previous bypass surgery were observed in the sternum and mediastinum. A stable size and number of lymph nodes were observed according to the previous examination, with a mediastinal short axis measuring 10 mm. There is mild dilatation of the ascending aorta and pulmonary artery. In the current examination, no lymph node was detected in newly emerging pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size has increased (cardiomegaly). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. no pericardial thickening-effusion was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: As far as can be seen; Metallic suture materials secondary to previous bypass surgery were observed in the sternum and mediastinum.\n<abdomen>: In the upper abdominal sections that entered the examination area, calcules were observed in the gallbladder. There is mild dilatation of the ascending aorta and pulmonary artery. No significant change was found in the other findings in the current examination. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12425/train_12425_b/train_12425_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: The view is also available in previous reviews. In the evaluation of lung parenchyma; In both lungs, more prominent interlobular septal thickenings and honeycomb lung appearance are observed in the peripheral lung. Right upper-bilateral lower paratracheal aorta pulmonary lymph nodes smaller than 1 cm are observed. Evaluation for interstitial lung disease is recommended. In addition, there are patchy ground glass densities in both lungs, which were observed in previous examinations.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. There are calcific plaques in the walls of the aortic arch, descending, ascending aorta and coronary artery.\n<heart>: The cardiothoracic index increased in favor of the heart. There are calcific plaques in the walls of the aortic arch, descending, ascending aorta and coronary artery.\n<bone>: Smooth contoured sclerotic nodular lesion is observed in the T11.vertebra corpus. Suture materials secondary to the operation are observed in the sternum.\n<abdomen>: No significant pathology was detected in the abdominal sections. The medial and lateral crus of the left adrenal gland are broad. In the sections passing through the upper part of the west; Calculus is observed in the gallbladder. There are calcific plaques in the walls of the aortic arch, descending, ascending aorta and coronary artery.\n\nImpression:\nCardiomegaly.  Stable appearances consistent with interstitial lung disease. In addition, more prominent stable ground glass densities in both upper lobe posterior segments and lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12425/train_12425_d/train_12425_d_1.npy"
        ]
    },
    {
        "id": "report_generation_29415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Appearances may be compatible with pneumonia. Apart from this, there are frosted glass densities in the right lung that are difficult to choose. Millimetric nodular ground glass opacities are observed in the right lung upper lobe posterior segment and right lung middle lobe medial segment. There is also differential Coid-19 pneumonia. When examined in the lung parenchyma window; mosaic lung pattern is observed in both lungs (small airway-small vessel disease?).\n<pleura>: In the posterior part of the right lung, 1.5 cm diameter anky pleural effusion and subsegmental atelectasis are observed.\n<mediastinum>: No lymphadenopathy was detected in the mediastinal area in pathological size and appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the main pulmonary artery has an increased appearance and is measured as 35 mm at its widest point.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. Suture materials of sternotomy are observed on the anterior chest wall.\n<abdomen>: No pathological findings were detected in the upper abdominal organs included in the sections. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Mosaic lung pattern in both lungs small airway-small vessel disease?).  Nodular ground glass opacities in the right lung upper lobe posterior segment and right lung middle lobe medial segment, and a barely distinguishable ground glass opacity-mosaic lung pattern area in the right lung middle lobe (pneumonia?, Covid-19 pneumonia?), with clinical and examination findings evaluation is recommended.  Anxious pleural effusion in the right lung  Subsegmental atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12432/train_12432_a/train_12432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are atelectasis in the upper lobe of the left lung, which also cause linear parenchymal retraction. When examined in the lung parenchyma window; a few millimetric nonspecific calcific-noncalcific nodules are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Millimetric calcific atheroma plaques are observed in the coronary arteries of the aortic arch.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a diffuse density decrease in bone structures, and there are hypertrophic osteophytic-spiking in the end plates of the vertebral corpuscles.\n<abdomen>: Hypodense findings in the liver with a size of up to 12 mm were evaluated primarily in favor of cysts. Millimetric calcific atheroma plaques are observed in the coronary arteries of the aortic arch. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nCalcific nodules, a few millimeters in size, measuring up to 8 mm in the left upper lobe in both lungs. Atelectasis changes leading to recession in the pleura, especially in the left upper lobe of the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12446/train_12446_a/train_12446_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29470",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12457/train_12457_a/train_12457_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: Density compatible with pleuroparenchymal sequelae is observed in the inferior lingular segment. Two nodules with 2 mm diameter are observed in the anterior segment of the right lung upper lobe. Two nodules with a diameter of 3 mm are observed at the posterobasal level. A 4 mm diameter nodule is observed in the upper lobe apicoposterior segment of the left lung.\n<pleura>: There was no evidence of pleural effusion, pneumonia or pneumothorax in both lungs.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There is thymic tissue in the anterior mediastinum, which does not show a mass effect, in which areas compatible with fatty evolution are observed.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. There is mild hepatosteatosis appearance in the liver entering the section area.\n\nImpression:\n? Nonspecific millimetric nodules in both lungs, the largest of which is in the apicoposterior segment of the left lung upper lobe and 4 mm in diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12461/train_12461_a/train_12461_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the inferior lingular segment. A parenchymal nodule with a diameter of 2 mm was also observed in the apicoposterior of the left lung upper lobe. Two nodules with a diameter of 3 mm were observed in the posterobasal segment. In the left lung, a nodule with a diameter of 4 mm was observed in the upper lobe apicoposterior segment. When examined in the lung parenchyma window; Two nodules, 2 mm in diameter, were observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There is an appearance of remnant thymite tissue in the anterior mediastinum with no apparent mass effect. It was also observed in the previous examination, and no significant changes were detected in its dimensions and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nStable nonspecific parenchymal nodules of millimeter size in both lungs, the largest of which is in the apicoposterior segment of the left lung upper lobe.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12461/train_12461_b/train_12461_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Bilateral bronchovascular scars have increased. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook was primarily evaluated in favor of the infectious process. Fibroatelectatic changes are observed in the middle lobe of the right lung, the lingular segment of the left lung and the lower lobes of both lungs. Mosaic attenuation areas are observed in both lungs (small airway disease? Small vessel disease?).\n<pleura>: When examined in the lung parenchyma window; In the right lung upper lobe posterior segment and left lung upper lobe apicoposterior segment, there are branches with buds and acinar infiltration area in the peripheral subpleural area. Between the bilateral pleural leaves, a free pleural effusion measuring 1 cm on the right and 7 mm on the left is observed. Bilateral pleural thickening was not detected.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The diameter of the ascending aorta is 49 mm and shows aneurysmatic dilatation. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. Lymph nodes with a short axis smaller than 5 mm are observed in the mediastinal upper-lower paratracheal, subcarinal area and prevascular localization.\n<heart>: As far as can be seen; On the right, the image of the catheter extending to the right atrium is observed in the superior vena cava. Heart size increased ( cardiomegaly). Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: There are bridging spur formations in the right anterolateral of the thoracic vertebra. Left-facing scoliosis was observed in the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The diameter of the ascending aorta is 49 mm and shows aneurysmatic dilatation. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta.\n\nImpression:\nAneurysmatic dilatation of the ascending aorta. Calcific atherosclerotic changes in the thoracic aorta-coronary arteries. Cardiomegaly. Bilateral pleural effusion.  Peripheral subpleural branch bud appearances and areas of acinar infiltration in the upper lobes of both lungs (appearance evaluated primarily in favor of the infectious process) clinical and laboratory correlation is recommended.  Mosaic attenuation areas in both lungs (small airway disease? Small vessel disease?).  Fibroatelectatic changes in bilateral lung parenchyma. Bilateral peribronchial thickenings.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12464/train_12464_a/train_12464_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29516",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Uniform interlobular septal thickenings are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. The described appearances are uncharacteristic. There is minimal peribronchial thickening in both lungs.\n<pleura>: Bilateral pleural effusion, more prominent on the right, was observed. The pleural effusion continues to the apex of the lung when the patient is in the supine position and is 25 mm thick on the right at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a decrease in liver parenchyma density consistent with adiposity.\n\nImpression:\nBilateral pleural effusion . Uniform interlobular septal thickening in both lungs . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12476/train_12476_a/train_12476_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29518",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the left lung lower lobe superior segment, there is a nodular consolidation area with cavitation in the central part. There are more prominent smooth interlobular septal thickenings in the upper lobes of the lung parenchyma, and they are evaluated in favor of interstitial edema. Nodular consolidation areas with irregular borders are observed in the lung parenchyma. The left lung upper lobe is most prominent in the anterior segment and a ground glass density is observed around it.\n<pleura>: Pleural effusion is observed with a diameter of 7 cm between the right pleural leaves and 4.5 cm between the left pleural leaves.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. Evaluation of mediastinal lymph nodes is suboptimal due to the presence of pericardial effusion and lack of contrast material. There are nonspecific mediastinal lymph nodes less than 1 cm in diameter.\n<heart>: Pericardial effusion is observed. It measures 16 mm in diameter, adjacent to the left ventricle at its most prominent location.\n<bone>: Lymph nodes less than 1 cm in diameter are also observed in the axilla and supraclavicular fossa. As far as can be observed in the non-contrast examination, no lymph node reaching pathological dimensions in the axilla and supraclavicular fossa was observed. No space-occupying lesion in lytic-destructive structure was detected in bone structures.\n<abdomen>: There is also an increase in the size of the spleen. There is an increase in liver sizes and a decrease in parenchymal density in upper abdominal sections. Suspicious retroperitoneal density increases were considered suspicious in terms of possible retroperitoneal lymph node presence. However, the evaluation is suboptimal because the upper abdominal sections are quite limited.\n\nImpression:\nPericardial effusion . Bilateral pleural effusion . Hepatosplenomegaly . Mediastinal, axillary and suspicious retroperitoneal lymph nodes (findings related to primary disease in the patient with hemophagocytic syndrome?) . Interstitial edema in the lung parenchyma . Nodular consolidation foci in both lungs, cavitation is observed in one focus. In some lesions, a halo sign favoring angioinvasion is observed. The underlying autoimmune pathology of the case and pneumonia with necrosis should be considered in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12476/train_12476_b/train_12476_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29520",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a tracheal diverticulum at the right posterolateral level of the trachea at the thoracic entry.\n<lung>: Prominence in the interlobar fissure and thickening of the interlbular septa, especially in the lower lobes, are observed. Again, in the anterior segment of the upper lobe of the left lung, there is a branch with bud view and slight ground-glass-like density increases at this level. There are also similar appearances in the apicoposterior segment basal in the upper lobe. In the right lung, a faint bud branch view is observed at the lower lobe superior and laterobasal level. Widespread nodular lesions with cavitation are observed in both lungs. There is significant regression in the consolidative parenchyma area, which was observed in this area in the previous examination. No distinguishable prominent lymph node is observed in the hilar level non-contrast examination.\n<pleura>: When examined in the lung parenchyma window; There is a pleural effusion in both lungs extending to the apex on the left at the level of the lower lobe segments on the right, reaching 28 mm on the right and 47 mm on the left at its thickest point.\n<mediastinum>: It is wider than normal. Pulmonary trunk calibration is 32 mm. Both pulmonary artery calibrations are normal. No prominent lymph node was detected in the mediastinum. Calibration of other major mediastinal vascular structures is also natural.\n<heart>: Pericardial effusion is observed. CTO is at the maximal physiological limit.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are effusions in the perihepatic and perisplenic areas and at the level of the central mesentery in the abdominal sections entering the examination area. Prominence in the interlobar fissure and thickening of the interlbular septa, especially in the lower lobes, are observed. Not tracked in previous review.\n\nImpression:\nBilateral pleural effusion and free fluid appearances in the upper abdomen. Each Scattered reticulonodular density increases in both lungs, it is recommended to evaluate the case in terms of infective processes.  There is regression in the consolidation areas observed in the left upper lobe in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12476/train_12476_c/train_12476_c_1.npy"
        ]
    },
    {
        "id": "report_generation_29568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are subsegmental atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment inferior subsegment. There are calcific lymph nodes in both hilar regions. There are millimetric calcific nodules in both lungs. No mass or infiltrative lesion was detected. No mass or infiltrative lesion was detected in both lungs. There is minimal bronchiectasis and minimal peribronchial thickening in the central segments of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph node was observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in the lingular segment of the right lung middle lobe and left lung upper lobe. Millimetric calcific nodules in both lungs.  Calcific lymph nodes in both hilar regions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12493/train_12493_a/train_12493_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Emphysematous changes were observed in both lungs. When examined in the lung parenchyma window; Tubular bronchiectasis, which became prominent in the center, was observed in both lungs. Apart from this, no mass lesion-active infiltration was detected in both lungs. A 7x3 mm nodule was observed adjacent to the oblique fissure in the middle lobe of the right lung.\n<pleura>: Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: No pathological lymph node was observed. Lymph nodes with a short diameter of 8 mm were observed in the mediastinum and hilar regions. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The neural foramina are open. Vertebral corpus height, alignment and densities within the sections are normal.\n<abdomen>: The liver parenchyma density is diffusely decreased, which is compatible with adiposity. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nStable nonspecific pulmonary nodule in middle lobe of right lung. Emphysematous changes in both lungs.  Tubular bronchiectasis with prominent centrality in both lungs. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12497/train_12497_b/train_12497_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Minimal thickening was observed around the segmental-subsegmental bronchi in both lungs. Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Pneumocystis carinii pneumonia, CMV and Covid-19 pneumonia were considered in the differential diagnosis. The outlook may be compatible with atypical-viral pneumonias. Ground-glass areas are accompanied by areas of nodular-patchy consolidation and diffuse linear atelectasis in both lung lower lobe superior and basal segments.\n<pleura>: When examined in the lung parenchyma window; Widespread ground glass areas with crazy paving pattern were observed in both lungs, multilobar-multisegmental, extending from the central to the periphery, predominantly involving the subpleural areas.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaque is observed in LAD.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Kyphotic angulation at the level of T8-T9 and T10 vertebrae, ankylosis in the anterior at this level and loss of height in the T9 vertebrae were observed.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; Multiple calculus was observed in the gallbladder lumen. An exophytic hypodense lesion with a diameter of 13 mm was observed in the middle part of the left kidney (cyst?).\n\nImpression:\nHiatal hernia.  Calcific atheroma plaque in LAD.  Findings that may be compatible with atypical-viral pneumonia (pneumocystis carinii? CMV pneumonia? Covid-19 pneumonia?) in the lung parenchyma.  Cholelithiasis.  Exophytic hypodense lesion (cyst?) in the left kidney middle part lateral.  T8-T9-T10 vertebra anterior ankylosis, kyphotic angulation, height loss in T9 vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12509/train_12509_a/train_12509_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29612",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Air bronchograms are available.\n<lung>: Common pneumonic consolidation areas are observed. Atelectasis parenchyma in the lower lobe basal segments and parenchymal findings in the recovery period are observed. In his current examination, it was understood that the areas of involvement in the lung parenchyma had progressed to consolidation. In the previous examination, extensive areas of involvement compatible with Covid pneumonia, predominantly in the form of ground glass density, are observed in both lungs. A significant increase in volume is observed.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural.\n<heart>: Heart size increased. Pericardial effusion was not detected.\n<bone>: At T9-T10 and T11 levels, focal kyphosis, height loss due to osteoporosis, degenerative changes and focal kyphosis are observed. Osteoporosis is present. Findings of previous rib and scapula fractures are observed.\n<abdomen>: Gallstones are present in the gallbladder lumen in the upper abdominal sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12509/train_12509_b/train_12509_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Minimal atelectasis-consolidation area is observed in the posterobasal segment of the lower lobe of the right lung. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Between the bilateral pleural leaves, there is a free pleural effusion measuring 3 cm in thickness on the right and 2 cm on the left.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. As far as can be seen; The diameter of the ascending aorta was 46 mm and increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae changes in both lungs, atelectasis in right lung lower lobe, area of consolidation. Clinical-laboratory correlation is recommended. Bilateral pleural effusion. Cardiomegaly.  Calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12510/train_12510_a/train_12510_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29620",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Several nonspecific parenchymal nodules with a diameter of 3.8 mm were observed in both lungs, the largest of which was in the right lung lower lobe laterobasal segment. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12511/train_12511_a/train_12511_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29630",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a small area of consolidation in the medial segment of the right lung middle lobe. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No intraabdominal free fluid-collection was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12513/train_12513_a/train_12513_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12515/train_12515_a/train_12515_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Although the appearance is primarily suggestive of atelectasis, underlying pneumonic infiltration cannot be excluded. Peribronchial diffuse thickness increases were observed in both lungs. In the left lung lower lobe mediobasal-posterobasal segment, there is an area of increase in density consistent with the consolidation in which the air bronchogram is also observed. No mass was observed in both lungs. When examined in the lung parenchyma window; In the current examination of both lungs, there are sequelae parenchymal changes in the newly developed right lower lobe, middle lobe, left lung upper lobe inferior lingular segment and lower lobe mediobasal-posterobasal segment.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. There are milimetric calcified atheroma plaques in the wall of the thoracic aorta. No lymph nodes in pathological size and appearance were observed in both axillary regions, mediastinum and bilateral supraclavicular fossa.\n<heart>: As far as can be seen; calibration of the main vascular structures is natural. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Heart contour and size are natural.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n<abdomen>: No intraabdominal free fluid, loculated collection was detected. There are milimetric calcified atheroma plaques in the wall of the thoracic aorta. No lymph node was observed in pathological size and appearance. In the upper abdominal sections within the image, a diffuse decrease in liver parenchyma density secondary to hepatosteatosis is observed.\n\nImpression:\nPeribronchial diffuse thickness increases were observed in both lungs, and accompanying these findings, there is an area of increase in density in the right lung lower lobe mediobasal-posterobasal segment, which is consistent with linear consolidation, which is observed in the air bronchogram. The outlook is primarily suggestive of atelectasis. However, underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings.  Minimal atherosclerotic changes.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Hepatosteatosis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12520/train_12520_b/train_12520_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: These appearances primarily suggest pulmonary edema secondary to cardiac causes. Symmetrical consolidation areas containing airbronchograms are observed in the peribronchovascular areas in the central parts of the bilateral lungs.\n<pleura>: There are interlobar and interlobular septal thickness increases and pleural effusion is observed in both lungs.\n<mediastinum>: When evaluated together with the patient's previous examination, the sizes of the described lymph nodes increased. A port catheter extending from the left anterior chest wall to the superior-right atrium junction of the vena cava is observed. Numerous lymph nodes are observed in the aortopulmonary level and subcarinal area in the upper-lower paratracheal regions. Pulmonary arteries are prominent. Evaluation of mediastinal structures, solid organs, and vascular structures is suboptimal because the examination is non-contrast. Calcific atheroma plaques are observed in the aorta and coronary arteries. The largest of these lymph nodes is observed in the lower pretracheal area and its short axis is measured as 14 mm.\n<heart>: Heart size increased. Left atrium dimensions were significantly increased.\n<esophagus>: Hiatal hernia is observed. An appearance that may be compatible with jmucus or food residues in the esophagus is observed.\n<bone>: Degenerative changes are observed in the bones.\n<abdomen>: Upper abdominal organs appear normal within the limits of unenhanced CT. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nPeribronchovascular localized in both lungs, consolidation areas containing airbronchograms, increased heart size, prominent pulmonary arteries, bilateral pleural effusion (pulmonary edema secondary to cardiac causes)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12520/train_12520_c/train_12520_c_1.npy"
        ]
    },
    {
        "id": "report_generation_29652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheal intubation tube is observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12520/train_12520_d/train_12520_d_1.npy"
        ]
    },
    {
        "id": "report_generation_29662",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are diffuse emphysematous changes in both lungs. In this examination, only a small area of consolidated area remained in the right lung lower lobe superior segment. These appearances can also be observed in the previous examination of the patient and no significant difference was detected. These appearances were evaluated in favor of distal airway disease. However, in the previous examination of the patient, it is understood that the consolidation observed in the basal segments of the lower lobe of the right lung has almost completely disappeared. No mass was detected in both lungs.\n<pleura>: In addition, interlobular septal and interstitial thickenings and diffuse honeycomb appearance are observed in both lungs, more prominently in the lower lobes and subpleural areas. There are budding tree appearances in both lungs, especially in the peripheral subpleural areas. No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. In the anterior mediastinum, there is a nodular solid lesion measuring approximately 10 mm in diameter, in the midline at the level of the aortic root. The diameters of the aortic arch and descending aorta are normal. The largest of the described lymph nodes is observed in the subcarinal area and its short diameter is 17 mm. Atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the prevascular, paratracheal, subcarinal and hilar region. The diameters of the pulmonary arteries are normal. The described appearance can also be observed in the previous examination of the patient, and no difference was detected in its dimensions and appearance.\n<heart>: The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: In the anterior mediastinum, there is a nodular solid lesion measuring approximately 10 mm in diameter, in the midline at the level of the aortic root. The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nLymphoma on follow-up. Stable nodular lesion (lymph node?) in the anterior mediastinum.  Lymph nodes in mediastinal and hilar regions. Findings evaluated in favor of interstitial lung disease in both lungs.  Consolidation in a small area in the superior segment of the lower lobe of the right lung (recommended to evaluate for infective pathology).  Stable budding tree appearances in both lungs (distal airway diseases?).  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12522/train_12522_b/train_12522_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29664",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Intubation tube ending approximately 2.5 cm proximal to the carina was observed in the lumen of the trachea. Trachea is in the midline of both main bronchi and no occlusive pathology was detected in the lumen.\n<lung>: It was evaluated as compatible with usual interstitial pneumonia. The view is also available in the old study. In the current examination, large areas of focal patchy consolidation and accompanying ground glass densities were observed, more commonly in the lower lobes. However, it showed significant progression in the current examination. The appearance may be consistent with pneumonia or drug toxicity superimposed on interstitial lung disease.\n<pleura>: When examined in the lung parenchyma window; Bilateral symmetrical fibrotic interlobular septal thickenings, honeycomb lung appearance and parenchymal fibrosis findings are observed in peripheral subpleural areas in both lungs, more prominent in the lower lobes. A slight amount of pleural effusion was observed in both pleural spaces.\n<mediastinum>: Lymph nodes were observed in the prevascular, paratracheal, subcarinal and hilar regions. Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. The largest of the described lymph nodes is observed in the subcarinal area and its short axis is measured 20 mm. Calcified atheroma plaques are observed in the coronary arteries and aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Calcified atheroma plaques are observed in the coronary arteries and aortic arch. As far as can be observed: Heart sizes are slightly increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A drainage catheter extending from the lumen of the esophagus to the gastric corpus was observed.\n<bone>: No lymph nodes in pathological size and appearance were observed in both supraclavicular fossae.\n<abdomen>: Calcified atheroma plaques are observed in the coronary arteries and aortic arch. In the upper abdominal organs included in the sections, a 3 mm diameter calculi image was observed in the gallbladder.\n\nImpression:\nIn a case with interstitial lung disease (UIP), the most prominent widespread consolidations in the lower lobes and subpleural areas of both lungs are centrilobular nodules and their adjacent ground glass densities, bilateral pleural effusion. The appearance may be compatible with pneumonia or drug toxicity in the background of UIP. Together with clinical and laboratory .Cardiomegaly. Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12522/train_12522_c/train_12522_c_1.npy"
        ]
    },
    {
        "id": "report_generation_29675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Findings were initially evaluated in favor of pneumonic infiltration. Diffuse focal patchy ground-glass densities in both lungs and focal consolidations in the left lung lower lobe anteromediobasal, left lung inferior lingular, and right lung middle lobe basal part, and pulmonary nodules with a diameter of 10 mm in both lungs, the largest in the left lung superior lingular segment, were observed.\n<mediastinum>: Although the mediastinum cannot be evaluated optimally in the non-contrast examination, as far as it can be observed; Calibration of mediastinal major vascular structures is natural. A large number of pathological lymph nodes, 30x27mm in size, were observed in the prevascular, right upper, bilateral lower, precarinal, subcarinal, bilateral hilar, retrocrural-paraesophageal right upper paratracheal area. However, considering the multiple LAPs forming conglomerates in the mediastinum, its clinical correlation is recommended in terms of lymphoproliferative disease.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed in the distal esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: It is recommended to be evaluated with contrast-enhanced examination of the adrenals in terms of differentiation from fat-poor adenoma or malignant mass. In the right adrenal gland corpus, a solid mass lesion with a density of more than 10HU was observed in the precontrast series measuring 2.5x2cm. Liver, spleen, left adrenal gland and pancreas are normal as far as can be observed in non-contrast examinations.\n\nImpression:\nPrevascular right upper, bilateral lower, precarinal, subcarinal, bilateral hilar retrocrural, paraesophageal multiple pathologically sized lymph nodes. Focal ground-glass densities and areas of focal consolidation in both lungs and pulmonary nodules in both lungs. Findings were initially evaluated as secondary to infective processes. However, considering the lymph nodes in the mediastinum, correlation with clinical and laboratory is recommended in terms of lymphoproliferative diseases. Cardiomegaly. Sliding hiatal hernia in the distal esophagus.  Solid mass in the right adrenal gland corpus that cannot be differentiated from carcinoma-fat-poor adenoma; it is recommended to be evaluated with contrast-enhanced examination for the adrenals."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12526/train_12526_a/train_12526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Dependent density increase is observed in both lung lower lobes. When examined in the lung parenchyma window; A nonspecific nodule with a diameter of 6 mm was observed in the anterior upper lobe of the left lung. There are appearances of minimal ground glass density in both lungs.\n<pleura>: Pleural effusion-thickening was not detected. Bilateral pericardial, pleural effusion-thickening was not observed.\n<mediastinum>: There are millimetric calcific atheroma plaques in the aortic arch. Thoracic aorta diameter is normal. Millimetric lymph nodes with a short axis diameter not exceeding 1 cm were observed in the mediastinum, prevascular, pre-paratracheal, and aortico-pulmonary window. There are millimetric calcific atheroma plaques in the abdominal aorta. No lymph node was detected in pathological size and appearance. Mediastinal main vascular structures are natural.\n<heart>: Heart size increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is left-facing scoliosis in the dorsal vertebrae. Osteophytic degenerative changes leading to bridging were observed in the corners of the corpus. Vertebral corpus heights and alignments are preserved. No lytic-destructive lesion was observed. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was observed in the right adrenal lodge. There are millimetric calcific atheroma plaques in the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the left adrenal gland body section, a hypodense lesion with a size of approximately 16x25 mm, with areas of fat density, was observed. Upper abdominal organs included in the sections are normal. There are millimetric calcific atheroma plaques in the abdominal aorta.\n\nImpression:\nCardiomegaly . Mediastinal millimetric lymph nodes . Ground-glass appearance in both lungs, millimetric nonspecific nodule in the anterior upper lobe of the left lung . Left adrenal adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12528/train_12528_a/train_12528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29723",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland parenchyma is heterogeneous. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A millimetric nonspecific parenchymal nodule adjacent to the minor fissure was observed in the middle lobe of the right lung. Mass lesion with distinguishable borders - active infiltration was not detected in both lungs. Pleuroparenchymal sequela fibrotic change was observed in the lingular segment of the left lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHeterogeneous appearance in the thyroid gland parenchyma; it is recommended to be evaluated together with US. Pleuroparenchymal sequela fibrotic change in the lingular segment of the left lung upper lobe. Millimetric nonspecific parenchymal nodule adjacent to the minor fissure in the right lung middle lobe media segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12543/train_12543_a/train_12543_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Bilateral peribronchial cuffing was observed. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). There was no finding in favor of viral pneumonia in the current examination. Passive atelectatic changes were observed in the middle lobe of the right lung, the lingular segment of the left lung, and the basal segments of the lower lobes of both lungs.\n<mediastinum>: As far as can be observed: The diameter of the ascending aorta was 47.5, and the diameter of the descending aorta was 36 mm, larger than normal. Descending aorta appears elongated and tortuous. Pulmonary artery diameters are normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse atherosclerotic wall calcifications were observed in the aortic arch, descending aorta in its supraaortic branches, abdominal aorta-visceral branches and LAD. Calcified atheroma plaques were observed in the abdominal aorta and iliac arteries.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracolumbar vertebra heights are decreased and the vertebrae have a slightly biconcave appearance (compression fractures secondary to osteoporosis). Syndes mophytes bridging with each other were observed in the middle part of the thoracic vertebra. An increase in trabeculation consistent with osteoporosis was observed in bone structures entering the cross-sectional area.\n<abdomen>: In the mesentery adjacent to the appendix, a loculated collection of 46x27 mm in size associated with the appendix is observed, and the appearance is consistent with perforated appendicitis. Descending aorta appears elongated and tortuous. No significant tumoral wall thickening, obstruction-dilatation was detected in the other gastrointestinal tract. Intra and extrahepatic bile ducts, gallbladder are normal. Thickening was observed in the left adrenal gland corpus. Calcified atheroma plaques were observed in the abdominal aorta and iliac arteries. The appendix diameter is 17 mm, larger than normal, and the periappendicular fatty planes have a dirty appearance. No solid or cystic mass was detected in the right kidney. The capsule adjacent to the lesion has an irregular appearance (past surgery?). In case of clinical necessity, further examination with MRI is recommended. It was measured 209 in the long axis of the liver and is above normal. The parenchymal density was diffusely minimally reduced, consistent with adiposity. No space-occupying solid or cystic mass lesion was detected. The contour of the liver is smooth. Reactive thickening was observed in the adjacent lateroconal fascia. Diffuse atherosclerotic wall calcifications were observed in the aortic arch, descending aorta in its supraaortic branches, abdominal aorta-visceral branches and LAD. Simple cortical cysts with a diameter of 14 mm were observed in the left kidney. Splenic vein width is normal. As far as can be observed: The diameter of the ascending aorta was 47.5, and the diameter of the descending aorta was 36 mm, larger than normal. At the level of the pancreatic body-neck junction, one cystic lesion with a diameter of 16 mm and a diameter of 24 mm at the head of the pancreas was observed, and they were thought to be related to the pancreatic duct. The view side branch can be compatible with IPMN. There is also one cyst in segment 5 and segment 6. Hepatic and portal venous systems are normal. Contour, size, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. Diverticulum is observed in the sigmoid colon, and the peridivertricular fatty planes are clear. A 12 mm diameter appendicolith was observed in the proximal lumen. No intraabdominal free-loculated fluid was detected. Right adrenal glands were normal and no space-occupying lesion was detected. The contour, size, parenchyma density of the spleen is normal. The body and tail of the pancreas are atrophic, and the pancreatic duct is irregular and dilated at this level. Widespread millimetric calcifications were observed in the pancreatic duct wall (chronic pancreatitis?). At the level of the liver dome, in segment 7, a multiloculated cystic lesion area with 67 mm diameter septa was observed in the peripheral subcapsular long axis.\n\nImpression:\nAneurysmatic dilatation in the ascending and descending aorta, elongated and tortuous appearance in the descending aorta . Calcified atheroma plaques in the arcus aorta, coronary arteries, abdominal aorta and visceral branches . Cardiomegaly, smear-like pericardial effusion . Mosaic attenuation disease pattern in both lungs (small ?small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. Linear-passive atelectatic changes in right lung middle lobe, left lung inferior lingular segment and basal segments of both lungs lower lobes . Hepatomegaly, hepatosteatosis . Liver in segments 7.5 and 6; multiloculated cystic lesions in segment 7, irregularity in liver contour ( secondary to previous surgery?).  Appearance that may be compatible with side branch IPMN in the pancreas; Further examination with contrast-enhanced MRI is recommended.  Simple cortical cysts in the left kidney . Perforated acute appendicitis . Syndesmophytes bridging each other on the anterior surfaces of the thoracic vertebrae, osteoporosis and secondary loss of height"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12550/train_12550_a/train_12550_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Density increase areas compatible with sequela linear atelectasis are observed in both lungs. In the examination made in the lung parenchyma window; In both lungs, smooth interlobular septal thickness increases and centriacinar nodular density increase areas are observed more clearly in the lower lobes. There are centriacinar emphysematous changes in both lungs.\n<pleura>: In the bilateral lung parenchyma, there are peripheral subpleural ground-glass densities, which are more clearly observed at the apex. No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal main vascular structures and heart examination IV. No lymph nodes in pathological size and appearance were detected in mediastinal lymph node stations and in both axillary regions.\n<heart>: Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to the lack of contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nPeripheral subpleural ground-glass density areas are observed more clearly in the upper lobes of both lungs. Viral pneumonias are considered in the etiology of the findings, and clinical and laboratory evaluation is recommended for Covid-19 pneumonia.  Centriacinar emphysematous changes in both lungs, linear atelectasis in both lungs concordant sequela parenchymal changes, smooth interlobular septal thickness increases and centriacinar nodular density increases, which are more evident in the lower lobes of both lungs; Evaluation for distal airway diseases is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12556/train_12556_a/train_12556_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are several nonspecific nodules in both lungs, the largest of which is 4 mm in size in the posterior segment of the right lung upper lobe. No mass lesions were detected in both lungs. In the examination made in the lung parenchyma window; In the left lung lower lobe posterobasal, lower lobe superior segment, right lung middle lobe, lower lobe, peripherally located areas of increased density consistent with consolidation are observed, and viral pneumonias are considered in the etiology of the findings.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Mediastinal vascular structures and heart examination IV. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: It could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are natural. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nMultilobar areas of increase in density consistent with consolidation in both lungs; viral pneumonias are considered in etiology. It is recommended to evaluate together with clinical and laboratory findings in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12558/train_12558_a/train_12558_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstruction was observed in the lumen.\n<lung>: The outlook may be compatible with minor airway diseases such as bronchiolitis or asthma. Sequelae fibrotic recessions were observed in the left lung inferior lingular segment and right lung middle lobe medial segment. When examined in the lung parenchyma window; A mosaic attenuation pattern is observed in all segments of both lungs, more prominently in the lower lobes. In the right lung lower lobe anterobasal segment, amorphous calcifications are observed in the area adjacent to the major fissure at the level of the middle and lower lobe bronchial separation (sequelae). Correlation with clinical and laboratory is recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. No calculus was detected in both kidneys within the sections. Upper abdominal organs included in sections; liver, gall bladder, spleen, pancreas, both adrenal glands are normal.\n\nImpression:\nA clear mosaic attenuation pattern in the lower lobe basal segments of both lungs may be consistent with small airway bronchiolitis or asthma. Correlation with clinical and laboratory is recommended.  Right lung lower lobe anterobasal segment and lower lobe-middle lobe bronchi are coarse at the bifurcation level amorphous calcifications (sequelae)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12580/train_12580_a/train_12580_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Optimum could not be evaluated due to respiratory artifact and no active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are osteopenia and osteophytic degenerative changes. No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nOsteopenia and osteophytic degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12582/train_12582_a/train_12582_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Peripheral ground glass density was observed in the previous examination, and no significant difference was found with the previous examination. Pleuroparenchymal densities and subsegmental atelectasis are observed in the right lung upper lobe apicoposterior segment and lower lobe superior segment. The ground glass density observed in the upper lobe anterior segment and middle lobe in the right lung in previous examinations decreased in consolidations. The consolidation, which was observed in the immediate vicinity of this consolidation in the previous review, has regressed in the current review. In the evaluation of both lung parenchyma; In the right lung upper lobe anterior segment, approximately 16x8 mm consolidation is observed in the peripheral lung parenchyma, which was also present in the previous examination. There is an area of consolidation in the ground glass density observed in the current examination, which was not clearly selected in previous examinations in the anterior segment of the left lung upper lobe. In addition, the area of possible pneumonic consolidation in the posterobasal segment of the lower lobe of the right lung, in which air bronchograms were observed in the previous examination, regressed in the current examination.\n<pleura>: In the current examination, pleural effusion measuring 4.5 cm in its thickest part, which shows widespread loculation in the left hemithorax, and passive atelectasis in the lower lobe of the right lung adjacent to the effusion are observed. According to the previous examination, a significant increase in the amount of pleural effusion is observed.\n<mediastinum>: Right upper-bilateral lower paratracheal aortopulmonary lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum. The diameter of the ascending aorta is 4 cm, the diameter of the descending aorta is 3 cm, and it is wider than normal.\n<heart>: The cardiothoracic index increased in favor of the heart. Pericardial smear effusion is observed.\n<bone>: Suture materials secondary to bypass surgery in the sternum are observed. No lithc-destructive lesion was detected in bone structures. Osteopenic appearance is observed.\n<abdomen>: No significant pathology was detected in the abdominal sections. The diameter of the ascending aorta is 4 cm, the diameter of the descending aorta is 3 cm, and it is wider than normal. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly, ectasia in the ascending and descending aorta . Effusion increasing in size in the left lung, passive atelectasis in the lung parenchyma adjacent to the effusion. In the previous examination, regression in several consolidation areas observed in the right lung upper lobe anterior segment and middle lobe, one consolidation area appears stable. Right lung lower lobe basal The possible pneumonic consolidation area observed in the previous examination in the segment regressed almost completely."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12582/train_12582_b/train_12582_b_1.npy"
        ]
    },
    {
        "id": "report_generation_29829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Evaluation for early interstitial lung disease is recommended. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in the upper lobe of the right lung.\n<pleura>: In addition, nodular nonspecific soft tissue densities were observed in the diaphragmatic pleura in the anterobasal segment of the lobe of the right lung. Contour irregularities and subpleural lines were observed in the pleura in the lower lobes of both lungs.\n<mediastinum>: Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery and stent material in the coronary artery were observed. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery and stent material in the coronary artery were observed. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall. Diffuse degenerative changes were observed in bone structures.\n<abdomen>: Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery and stent material in the coronary artery were observed. Cysts measuring 5 cm in diameter were observed in the right kidney. In the upper abdominal sections included in the examination area, a 7 mm diameter nonspecific hypodense lesion was observed at the level of liver segment 4b.\n\nImpression:\nCalcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . Findings compatible with interstitial lung disease in both lungs, sequelae in both lungs . Bilateral peribronchial thickening, bronchiectatic changes . Millimetric-sized nonspecific parenchymal nodules in both lungs . Nonspecial soft tissue in the right diaphragmatic pleura density . Nonspecific consolidation area in the posterobasal segment of the lower lobe of the left lung, the appearance is nonspecific. However, viral pneumonia cannot be excluded. Clinical-laboratory correlation is recommended.  Right renal cysts"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12584/train_12584_a/train_12584_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29833",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Mild fissural edema is observed in both fissures. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: There is a pleural effusion with a diameter of 6.5 cm anteriorly on the left and 3 cm anteriorly on the right between both pleural leaves.\n<mediastinum>: No lymph node was observed in the axilla in pathological size and appearance. There are several millimetric nonspecific lymph nodes in the mediastinum.\n<heart>: Heart size increased. Biventricular diameter increase is evident. Findings secondary to a previous bypass operation are observed.\n<bone>: In the right supraclavicular fossa, a few lymph nodes with short diameters less than 1 cm and therefore uncharacterized are observed. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: With this examination, the distinction between lesion and sequelae change could not be made. In the liver segment 6 localization, there is a hypodense area that causes mild capsular retraction and cannot be clearly characterized. A cortical simple cyst of 23 mm in diameter was observed in the left kidney. No free or loculated fluid was detected in the upper abdominal sections. In case of clinical necessity, MRI examination of the upper abdomen will be appropriate.\n\nImpression:\nIncrease in heart size, findings secondary to a previous bypass operation . Bilateral pleural effusion, fissural edema . Hypodense area that does not give a massive contour, causing mild capsule retraction in the liver segment 6 localization, could not be characterized. MRI examination of the upper abdomen is recommended. several lymph nodes that cannot be characterized on examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12586/train_12586_a/train_12586_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Apart from this mass, the soft tissue mass filling the aortic recess anterior to the trachea and extending under the aortic arch was also thought to belong to tumoral infiltration.\n<lung>: Metastatic extensions of the mass are observed in the apical segment of the left lung upper lobe. An irregularly circumscribed malignant mass measuring approximately 53x39 mm in the right paratracheal localization may belong to lymph node metastasis. No pneumonia was detected in the lung parenchyma. In the upper lobe of the left lung, septal thickness increases in the apical segment adjacent to satellite metastatic lesions were evaluated in favor of lymphangitic involvement. It extends beyond the fissure to the lower lobe superior segment in the central part.\n<pleura>: It caused an increase in tumoral thickness in the apical segment pleura. In the upper lobe of the left lung, a centrally located tumoral lesion covering the anterior and posterior segments of the upper lobe, infiltrating the mediastinum and infiltrating the upper lobe anterior segment pleura is observed. No pleural effusion was observed. Infiltration of the tumoral lesion in the upper lobe of the left lung into the upper lobe pleura and mediastinal fat pad is observed. Satellite metastases in the apical segment measure 5.5 cm in diameter and appear to infiltrate the pleura.\n<mediastinum>: The largest of these lymph nodes is located in the subcarinal region and its short diameter is 30 mm. Its dimensions are measured at 24 mm and 17 mm, respectively. Examination of mediastinal structures is suboptimal due to the lack of contrast material. Apart from this mass, the soft tissue mass filling the aortic recess anterior to the trachea and extending under the aortic arch was also thought to belong to tumoral infiltration. There are paraesophageal metastatic lymph nodes in the middle of the esophagus, adjacent to the thoracic aorta. Numerous mediastinal metastatic lymph nodes are observed. The relationship and invasion of mediastinal vascular structures could not be evaluated due to the lack of contrast material. It may belong to metastatic lymph nodes with capsular invasion of the left subclavian artery, CCA and adjacent and anterior mediastinal vascular structures in the upper mediastinum, and masses in the mediastinal adipose tissue. The largest one shows confluence in the prevascular area and its dimensions are 52x29 mm. Metastatic lymph nodes in bilateral paratracheal and subcarinal localization were observed in the anterior mediastinum. The mediastinum is infiltrated. Fusiform aneurysmatic diameter increase is observed in the ascending aorta, aortic arch and thoracic aorta. No lymph node in pathological size and appearance was observed in the mediastinal fat pad. It is most prominently in the distal part of the thoracic aorta, and the aortic diameter was measured 52 mm in this localization.\n<heart>: Fusiform aneurysmatic diameter increase is observed in the ascending aorta, aortic arch and thoracic aorta. Pericardial effusion was not detected. Findings of previous coronary by-pass surgery are observed.\n<bone>: Although no lytic-destructive space-occupying lesion that can be distinguished by CT in bone structures was detected, the presence of metastasis could not be excluded.\n<abdomen>: Diffuse metastatic involvement is observed in the liver parenchyma. Some of the masses show confluence and diffuse deletion has metastatic involvement. In some of them, no border distinction can be made. Apart from this mass, the soft tissue mass filling the aortic recess anterior to the trachea and extending under the aortic arch was also thought to belong to tumoral infiltration. There are paraesophageal metastatic lymph nodes in the middle of the esophagus, adjacent to the thoracic aorta. The hepatic hilum does not enter the section. Liver sizes were markedly increased. There is a 20 mm diameter nodular lesion in the left adrenal gland corpus and it was evaluated in favor of adenoma. The largest liver metastasis in the section was observed in segment 6-5 localization and its long diameter was 8 cm. Its contour is lobulated. Fusiform aneurysmatic diameter increase is observed in the ascending aorta, aortic arch and thoracic aorta. A 15 mm diameter nodular lesion in the right adrenal gland corpus was evaluated in favor of adenoma. There are several pathological lymph nodes located retroperitoneally near the stomach lesser curvature and the tail of the pancreas, the larger of which measures 12 mm in short diameter. It is most prominently in the distal part of the thoracic aorta, and the aortic diameter was measured 52 mm in this localization.\n\nImpression:\nLarge primary mass infiltrating the mediastinum, pleura, and medastinal fat pad in the upper lobe of the left lung.  Satellite metastases and pleural metastatic infiltration in the apical segment of the left lung upper lobe.  Metastatic soft tissue components of the primary lesion in the mediastinum and metastatic mediastinal lymph nodes.  Diffuse metastatic infiltration of the liver.  Retroperitoneal metastatic intra-abdominal lymph nodes.  Aneurysmatic diameter increase in the thoracic aorta.  Bilateral adrenal adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12589/train_12589_a/train_12589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29855",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12597/train_12597_a/train_12597_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29871",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline, both main bronchi are open.\n<lung>: Fissures in both lungs are thickened. An azygos fissure is observed in the right lung. Linear atelectasis, especially paracardiac localized linear atelectasis and sequelae densities are observed in both lungs. A few nonspecific pulmonary nodules were observed in both lungs. At the level of the right lung hilum, a 39x29 mm mass lesion obliterating the right lung upper lobe bronchus is observed. Mosaic lung pattern, which is more prominent in both lower lobes of bilateral lungs, is observed.\n<pleura>: There is a pleural effusion about 1 cm in diameter in the right lung.\n<mediastinum>: Lymph nodes are observed in the mediastinal area, some of which have a calcified appearance, and the largest in the pretracheal area, with a short axis of 9 mm in diameter. lymph nodes are also present in the upper paratracheal, middle and lower paratracheal areas and at the aortopulmonary level.\n<heart>: Heart size was slightly increased. Heart size increased. Port catheter appearance is observed on the left anterior wall of the chest and ends in the right atrium.\n<bone>: Suture materials of sternotomy are observed in the sternum. No fractures, lytic or sclerotic lesions were detected in the bones.\n<abdomen>: The upper abdominal organs included in the imaging appear natural.\n\nImpression:\nMassive lesion in the superior segment of the lower lobe of the right lung.  Mosaic lung pattern more prominent in the lower lobes of both lungs.  Sequelae of fibrotic densities and linear atelectasis in both lungs.  Pleural effusion reaching 1 cm in the thickest part of the right lung. Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12606/train_12606_a/train_12606_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29891",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae density increases were observed in both apicals. No mass nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo signs of pneumonia detected (NOTE: CT may be negative in early Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12614/train_12614_a/train_12614_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29930",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12630/train_12630_a/train_12630_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are atelectasis in both lungs adjacent to the effusion. Emphysematous changes are present in both lungs. No mass or infiltrative lesion was detected in both lungs. There are local interlobular septal thickenings in both lungs. This view is nonspecific.\n<pleura>: It is understood that a new pleural effusion has appeared. The thickest part of the pleural effusion measured 34 mm. There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed. There are short lymph nodes less than 1 cm in diameter in both axillae. No enlarged lymph nodes in pathological dimensions were detected. The largest lymph nodes described are observed in the proximal parailiac region and their short diameter is 10 mm. Lymph nodes are observed in the mediastinum and hilar regions.\n<heart>: No pericardial effusion or thickening was detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<breast>: The findings described in this examination were thought to be postoperative changes. In the right breast, suture materials in the subcutaneous adipose tissue medially in the inner half and an increase in density in this localization are observed. In the previous examination of the patient, there is a millimetric nodular lesion in this localization. The described appearance was not observed in the previous examination of the patient. There is an increase in nodular density measuring approximately 17 mm in diameter at the level of the areola (series 2, section 181) in the outer half of the right breast. It is recommended to evaluate this appearance with USG.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nOperated breast ca in the follow-up, appearance evaluated in favor of postoperative changes in the inner half of the right breast, nodular lesion at the level of the areola in the outer half of the right breast (recommended to be evaluated by USG) . Mediastinal and hilar lymph nodes . Bilateral pleural effusion . Emphysematous changes in both lungs . In both lungs smooth interlobular septal thickenings"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12637/train_12637_a/train_12637_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29953",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: An oval-shaped finding in hypodense fluid atteniation with a diameter of 23 mm in the right thyroid lobe was evaluated in favor of a cystic nodule.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; In the lower lobe of the right lung, a patchy ground glass density is observed in crazy paving pattern, measured up to 44 mm in the posterior of the superior segment. Imaging features may be seen in Covid-19 pneumonia but are nonspecific and may also be seen in other infectious-non-infectious disease.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings anteriorly in the vertebral corpus endplates. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCystic nodule in right thyroid lobe; Clinical laboratory correlation and US control are recommended.  Imaging features may be seen in Covid-19 pneumonia but not specific and may also be seen in other infectious-non-infectious disease. Clinical laboratory correlation and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12639/train_12639_a/train_12639_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a 7 mm diameter ground glass nodule in the upper lobe of the right lung. In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no solid nodular or mass lesion, pneumonic infiltration area is detected in the lung parenchyma.\n<mediastinum>: No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nMillimetric ground glass nodule in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12640/train_12640_a/train_12640_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29970",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 20x14 mm hypodense nodule with millimetric calcific focus was observed in the right thyroid lobe.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. It is recommended to be evaluated together with US.\n<lung>: Consolidation areas are accompanied by linear atelectasis. The findings described are consistent with Covid-19 pneumonia. When examined in the lung parenchyma window; Patchy-nodular consolidation areas with multilobar, multisegmental, central-peripheral localization, crazy paving pattern and vascular enlargement were observed. No mass lesion with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Two accessory spleens with diameters of 8.8 and 14 mm, respectively, were observed in the upper pole of the spleen and in the anterior midsection. A millimetric cortical cyst was observed in the middle part of the left kidney.\n\nImpression:\nHypodense nodule with calcific focus in the right thyroid lobe; It is recommended to be evaluated together with US.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Cortical cyst in the middle part of the left kidney.  Calcific plaque at the level of the right renal artery outlet that does not cause significant stenosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12648/train_12648_a/train_12648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29972",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: It can be evaluated as secondary to infective processes and heart failure. Nonspecific ground glass densities were observed in the apicoposterior segment of the left lung upper lobe, adjacent to the major fissure, and in the lower lobes of both lungs. When examined in the lung parenchyma window; Although examination secondary to movement artifacts cannot be evaluated optimally, azygos fissure is observed in the upper zone of the right lung. Minimal passive atelectatic changes that cause mild volume loss and distortion were observed in the medial segment of the right lung middle lobe. Correlation with clinical and laboratory is recommended.\n<mediastinum>: There are atheroma wall calcifications in the thoracic aorta and coronary arteries. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Post-op changes and metallic sutures secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the case without contrast. Calcific atheroma plaques were observed at the level of the abdominal aorta and right renal artery outlet.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal. There are atheroma wall calcifications in the thoracic aorta and coronary arteries.\n<esophagus>: Minimal type 1 hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There is bilateral gynecomastia.\n<bone>: Bone structures in the study area are natural. Post-op changes and metallic sutures secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved. Degenerative changes were observed in the verebrae.\n<abdomen>: Hypodense nodular lesions with a diameter of 36 mm were observed in both kidneys, the largest of which was in the left kidney mid-section lateral (cyst?). There are atheroma wall calcifications in the thoracic aorta and coronary arteries. Liver, gall bladder, spleen, both adrenal glands, and both kidneys are normal as far as can be observed in the non-contrast examination. Calcific atheroma plaques were observed at the level of the abdominal aorta and right renal artery outlet.\n\nImpression:\nBilateral gynecomastia, metallic sutures in the sternum and mediastinum secondary to previous bypass surgery, post-op changes. Variation of azygos fissure in the upper lobe of the right lung.  Ground-glass densities in the left lung upper lobe apicoposterior segment and both lung lower lobe basal segments. It may be secondary to cardiac failure or infective processes. Correlation with clinical and laboratory is recommended.  Sliding hiatal hernia in the lower end of the esophagus.  Hypodense cortical lesions (cyst?) in both kidneys. Mild degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12649/train_12649_a/train_12649_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29974",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Clinical laboratory correlation and close follow-up are recommended. Findings can be seen in Covid-19 viral pneumonia. When examined in the lung parenchyma window; Patchy ground-glass densities, mild bronchiectasis, enlargement of vascular structures are observed at posterobasal levels of both lung lower lobes.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??The findings described above can be seen in Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended for broncho pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12650/train_12650_a/train_12650_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Heterogeneous densities of both thyroid glands are observed. Evaluation with USG examination is recommended.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: When the patient is in the supine position, bilateral pleural effusion extends to the apex. When examined in the lung parenchyma window; In the bilateral pleural space, a free pleural effusion measuring 6 cm at the deepest point on the right and 30 mm at the deepest point on the left is observed. There is an increase in density in the parenchyma of both lungs adjacent to the bilateral pleural area, which is evaluated in favor of compressive atelectasis, which is observed in air bronchograms.\n<mediastinum>: Widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination. The ascending aorta has a dilated appearance with an anterior-posterior diameter of 42 mm, an anterior-posterior diameter of the descending aorta 34 mm, a diameter of the pulmonary trunk 34 mm, a diameter of the right pulmonary artery 32 mm, and a left pulmonary artery diameter of 29 mm.\n<heart>: An increase in heart size is observed. Pericardial minimal effusion is present. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There are osteophytic degenerative changes that tend to coalesce more clearly in the right anterolateral part of the vertebral corpus. No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: Widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. The ascending aorta has a dilated appearance with an anterior-posterior diameter of 42 mm, an anterior-posterior diameter of the descending aorta 34 mm, a diameter of the pulmonary trunk 34 mm, a diameter of the right pulmonary artery 32 mm, and a left pulmonary artery diameter of 29 mm. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nIncrease in heart size, increase in the calibration of mediastinal vascular structures, calcified atheroma plaques on the wall of thoracic aorta and coronary vascular structures  More prominent bilateral pleural effusion on the right and area of increase in density evaluated in favor of compressive atelectasis in the parenchyma of both lungs adjacent to the effusion  Diffuse degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12654/train_12654_a/train_12654_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29991",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Subcentimetric nonspecific pulmonary nodules were observed in both lungs. No mass lesion and active infiltration were detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\n· Subcentimetric nonspecific parenchymal nodules in both lungs. · There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12659/train_12659_a/train_12659_a_1.npy"
        ]
    },
    {
        "id": "report_generation_29999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. A few millimetric calcific foci are observed in both kidneys.\n\nImpression:\nBilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12661/train_12661_a/train_12661_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild mosaic pattern attenuations in the lower lobes of both lungs, more prominent on the left. Apart from the described, parenchymal aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild mosaic pattern attenuations of chronic appearance, more prominent on the left in the lower lobes of both lungs, are atypical findings for viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12671/train_12671_a/train_12671_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; A millimetric subpleural nodule was observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nBilateral gynecomastia. Millimetric calcific nodule in the anterior segment of the upper lobe of the right lung. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12676/train_12676_a/train_12676_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The findings described are consistent with Covid-19 pneumonia. Peripheral and centrally located diffuse ground glass appearances and interlobular septal thickenings accompanying ground glass appearances are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and left anterior descending coronary arteries. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There are atheromatous plaques in the aorta and left anterior descending coronary arteries.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12677/train_12677_b/train_12677_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Budding tree images and millimetric centriacinar ground glass densities are observed in the upper and lower lobes of the left lung. Ventilation of both lung parenchyma is normal, and no nodular lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are findings consistent with atypical infectious processes in the upper and lower lobes of the left lung. clinical lab. blind. and follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12677/train_12677_c/train_12677_c_1.npy"
        ]
    },
    {
        "id": "report_generation_30049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of the left lung parenchyma is normal, and no nodular or infiltrative lesion is detected in the lung parenchyma. In the panterobasal segment of the lower lobe of the right lung, a slight ground glass density is observed in the peribronchial area, which is nonspecific in the form of a band that does not form a distinct shape, but suspicious for the onset of pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the panterobasal segment of the lower lobe of the right lung, a slight ground-glass density is observed in the peribronchial area, which is nonspecific in the form of a band that does not form a distinct shape, but suspicious for the onset of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12683/train_12683_a/train_12683_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: When both lung parenchyma windows are evaluated; A mild mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass-nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Thoracic aorta diameter is normal. Liver sizes increased in the upper abdominal organs that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The parenchymal density has decreased diffusely in line with the adiposity.\n\nImpression:\nMosaic attenuation pattern in both lung parenchyma (small airway disease? small vessel disease?).  Hepatomegaly, hepatic steatosis.  Mild degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12684/train_12684_a/train_12684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Millimetric noncalcified nodules were also observed in both lungs. The described findings were evaluated primarily in favor of sequelae changes. There are minimal emphysematous changes in both lungs. Minimal bronchiectasis and peribronchial thickening, structural distortion and volume loss are observed in the lower lobe of the right lung. Calcific nodules are observed in the lower lobe and middle lobe of the right lung. There is linear atelectasis in the middle lobe of the right lung. The described views are also present in the previous PET-CT examination of the patient. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of sequelae changes in the lower lobe of the right lung . Minimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12687/train_12687_a/train_12687_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30062",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific and some calcific nodules in both lungs. Emphysematous appearance is observed in the upper lobes. When examined in the lung parenchyma window; Peripheral and posterior weighted ground glass densities are present in both lung parenchyma.\n<mediastinum>: Lymph nodes that do not reach pathological size and appearance are observed in the mediastinum. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are calcific atheroma plaques in the aorta and its branches.\n<heart>: The heart is larger than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are changes related to sternotomy. Osteophytes extending anteriorly are observed in the vertebrae.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; A hyperdense stone is observed in the gallbladder. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcific atheroma plaques in the aorta and its branches. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nSignificant infiltrations of Covid pneumonia in both lungs. Apart from this, no significant difference was found between the examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12689/train_12689_b/train_12689_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. However, it was thought to be due to an infective pathology. Consolidation and ground-glass appearance are observed in the central part of the right lung middle lobe. In addition, linear atelectasis was observed in both lungs. Millimetric nonspecific nodules were observed in both lungs. The described appearance is not specific. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs Nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12694/train_12694_a/train_12694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30097",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the basal segment of the lower lobe of the left lung, an increase in density is observed, which is compatible with the large consolidation area, which includes bronchiectasis, whose size is measured to 45 mm. A 4 mm nonspecific nodule is observed in series 201 image 82 in the anterior upper lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A finding in favor of steatosis was detected in the liver parenchyma entering the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs are partially included in my work. No space-occupying lesion was detected.\n\nImpression:\nClinical laboratory correlation and close follow-up of the finding described above in the left lung lower lobe basal segment in terms of infiltration (Viral pneumonia?) is recommended for better differential diagnosis.  Steatosis in the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12705/train_12705_a/train_12705_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30109",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal. There are no lymph nodes in pathological size and appearance in the mediastinum, in both axillary regions and in the supraclavicular fossa.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: In the upper abdominal sections included in the sections, intra-abdominal solid organs could not be evaluated optimally due to the lack of contrast in the examination, and no solid mass was detected as far as can be observed. Intra-abdominal free fluid or loculated fluid, intra-abdominal pathological size and appearance of lymph nodes are not observed.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12712/train_12712_a/train_12712_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30113",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; 2 millimetric nonspecific parenchymal nodules were observed in the right lung lower lobe superior segment. No mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Soft tissue density of the remnant thymus tissue was observed in the anterior mediastinum.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMillimetric sized nonspecific parenchymal nodule in the right lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12714/train_12714_a/train_12714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: The findings described include typical-probable manifestations of Covid 19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: When both lung parenchyma windows are evaluated; nodular ground glass density increases were observed in the peripheral subpleural area in the lower lobe basal segments of both lungs. Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal upper-lower paratracheal lymph nodes measuring 7mm in the short axis of the prevascular larger were observed.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Calcified atherosclerotic changes were observed in the coronary artery wall. Pericardial minimal effusion is present.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits.\n<bone>: Bone structures in the study area are natural. Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal sections in the study area, the liver parenchyma density was diffusely decreased in line with the adiposity.\n\nImpression:\nCalcific atherosclerotic changes in the coronary artery. Mediastinal millimetric lymph nodes.  There are typical-probable findings of Covid 19 pneumonia in both lungs. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12721/train_12721_a/train_12721_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Focal consolidation is observed in an area of approximately 1 cm in the right lung lower lobe mediobasal segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: A triangular density is observed secondary to the thymic reminant in the anterior mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No additional significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nFocal consolidation in an area of 1 cm in the peripheral lung parenchyma in the right lung mediobasal segment; early stage Covid-19 pneumonia ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12724/train_12724_a/train_12724_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12725/train_12725_a/train_12725_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; Consolidation and patchy ground-glass densities are observed in both lungs with diffuse patchy subpleural localized air bronchogram sign and expansion in vascular structures.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There are changes in favor of steatosis in the liver parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Hepatosteatosis. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12727/train_12727_a/train_12727_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described manifestations are the findings frequently observed in Covid-19 pneumonia. When evaluated together with clinical information, these findings were primarily thought to belong to viral pneumonia. No mass was detected in both lungs.\n<pleura>: Peripheral and centrally located ground-glass views and parenchymal subpleural bands are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung. No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12730/train_12730_a/train_12730_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30155",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: However, in pandemic conditions, clinical and laboratory follow-up will be appropriate since it shows a similar pattern to covid infection and lung parenchyma involvement. A nodular appearance with irregular borders is observed adjacent to the atelectatic parenchyma. These outlooks in favor of progression were evaluated with suspicion. The finding is nonspecific. This nodular appearance measured approximately 17 mm in diameter. In his previous imaging, there was a satellite metastatic focus in the superior segment of the lower lobe of the right lung. Parenchyma areas are observed in the upper lobes of both lungs and the right more prominent bilateral peribronchiolar nodular ground glass density with faint borders. When examined in the lung parenchyma window; There is a primary mass lesion around the lower lobe bronchus of the right lung. In the previous examination, the satellite nodule dimensions were 10 mm, and a suspicious new 8 mm diameter nodular lesion was also observed adjacent to the atelectatic parenchyma. The old images available in our system were evaluated and reported by comparing them with the previous imaging. The defined parenchymal findings were not detected in the previous examination. It is a new finding.\n<pleura>: This mass cannot be clearly differentiated from parenchymal changes due to lack of contrast material, fissuritis and pleural effusion (2 cm) in the right lung, and segmental atelectasis caused by bronchial obstruction.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Calibration of meidastinal major vascular structures is natural. In the supraclavicular fossa, no lymph node was observed in the axilla and mediastinum in pathological size and appearance.\n<heart>: Findings secondary to previous coronary bypass surgery are observed. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Sclerotic metastases are observed in bone structures. No acute fracture was observed in the cross-section of the vertebrae.\n<abdomen>: The long axis of the mass was 38 mm (series 2 image 383), and it was 18 mm in the previous examination. Metastatic nodules are observed in the perirenal adipose tissue, gerato and zuckerkandl fascia, which were observed in the previous one but increased in number and size in the current examination. However, there was no significant improvement in favor of progression. The largest of these nodules was measured in the perirenal adipose tissue with a short diameter of 12 mm. In the previous examination, this lesion is measured as 3 mm in diameter. In the case known to have adrenal metastasis; A significant increase in size is observed in the dimensions of the metastatic lesion in the left adrenal gland. In the adipose tissue adjacent to the posterior Zuckerkandl fascia, nodularities on the right were considered suspicious in favor of metastatic lesion (series 2 ima 487). In the case with known spleen metastases; Metastatic lesions in the spleen parenchyma can hardly be distinguished from normal parenchyma due to lack of contrast agent. No dilatation was detected in the thoracic aorta. In the previous examination, the 11 mm diameter hypodense, uncharacterized lesion in the liver segment 7 localization cannot be differentiated from normal parenchyma due to the lack of contrast agent in the current examination. In the case with known metastasis in the right adrenal gland, a progressive increase in the size of the metastatic lesion is observed, with a long axis of 35 mm.\n\nImpression:\nMetastatic lung Ca, increased primary lesion sizes, caused luminal obstruction in the right lung lower lobe bronchus, right fissure and pleural effusion, suspicious increase in satellite metastatic lesion sizes. Increase in both adrenal metastases.  Newly developed metastatic nodules in perirenal adipose tissue and fascia that increase in size . Radiological findings are in favor of progressive disease.  Although the peribronchial ground glass density parenchyma areas in the upper lobes of both lungs are nonspecific, it was found to be suspicious for Covid infection. It would be appropriate to evaluate it together with the clinic and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12732/train_12732_a/train_12732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12733/train_12733_a/train_12733_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30170",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Similarly, there are ground-glass densities with linear atelectasis areas in the lower lobes of both lungs, especially in the posteronbasal sections. Ground glass areas and linear atelectasis areas are observed in the right lung middle lobe and right lung upper lobe medial segment. Peribronchial thickness increases in both lungs. When examined in the lung parenchyma window; Minimal bronchiectatic changes are observed in both lungs. In the upper lobe of the left lung, especially at the level of the lingular segment, a consolidation area containing air bronchograms, which is primarily evaluated in favor of pneumonia, is observed.\n<pleura>: A pulmonary nodule with a diameter of 5 mm is observed in the lateral subpleural area of the left lung milk lobe posterior.\n<mediastinum>: Calibration of other mediastinal main vascular structures is normal. No lymph nodes in pathological size and appearance were observed in both axillary regions. Calcific atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinal area with short axes not reaching 1 cm.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Skin – subcutaneous fatty tissues are natural. Upper abdominal organs included in the sections are normal. Within the mesenteric fatty planes, there are widespread contamination areas in a linear-reticular fashion. Diffuse free fluid is observed in the perihepatic, perisplenic areas and mesenteric fatty planes included in the examination. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nConsolidation area containing air bronchograms is observed in both lungs, especially at the level of the left lung upper lobe lingular segment and the left lung upper lobe lingular segment, which is evaluated primarily in favor of pneumonic infiltration.  Scattered, ground-glass-like densities are observed in both lungs, and there are linear atelectasis areas in both lungs. Although there is Covid-19 pneumonia in the differential diagnosis, the consolidation area observed in the left lung lingular segment was primarily evaluated in favor of bacterial pneumonia. It is recommended to be evaluated together with the clinic.  Diffuse free fluid in the abdomen.  Widespread contamination within mesenteric oily planes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12740/train_12740_a/train_12740_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of small airway and small vessel disease. In addition, minimal ground glass density is observed at the level of the lung hilum in the superior segment of the right lung lower lobe. When examined in the lung parenchyma window; Mosaic attenuation pattern, which is more prominent in the lower lobes of both lungs, is observed. The outlook is not specific for Covid-19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic attenuation pattern more prominent in the lower lobes of both lungs, minimal ground glass density at the level of the right lung upper lobe superior segment lung hilus; findings are not specific for Covid-19 pneumonia (small airway-small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12751/train_12751_a/train_12751_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchial air passages are open. There are bronchial wall thickness increases, especially in the lower lobe basal segments.\n<lung>: There is an appearance compatible with a decrease in lung parenchymal elasticity, and mild parenchymal fibrosis findings are observed. The results are in favor of COPD. In the evaluation of the parenchyma: Increased aeration is observed in both lungs. It is recommended that aspest exposure be questioned. Clinical correlation would be appropriate. No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. There are bronchial wall thickness increases, especially in the lower lobe basal segments. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: Intralobular septal thickenings are observed in subpleural areas. There are pleural thickness increases with diffuse plaque-like calcifications in both lungs, and it is in favor of the sequelae of previous pleurisy.\n<mediastinum>: Mediastinal major vascular structures are of normal calibration. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Calcific plaques are also observed in RCA and Cx in coronary arteries, common in LAD. Pericardial effusion was not detected. Heart sizes are slightly increased.\n<bone>: There is osteoporosis in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nSlight increase in heart size, calcific atherosclerotic plaques in coronary arteries.  Bilateral diffuse pleural calcified plaques in favor of aspest excuse or sequelae of previous pleurisy.  Increased parenchymal aeration, mild parenchymal fibrosis and subpleural septal thickness increases. Radiological findings are in favor of COPD, clinical correlation is recommended.  Osteoporosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12754/train_12754_a/train_12754_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30202",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are extensive osteophytes in the vertebrae and associated fibrotic densities in the adjacent lung parenchyma. When examined in the lung parenchyma window; There are mosaic density differences in both lung parenchyma, more prominent in the upper lobes, and respiratory artifacts in the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are millimetric calcific atheroma plaques in the aorta.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is slightly ectatic (37 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are extensive osteophytes in the vertebrae and associated fibrotic densities in the adjacent lung parenchyma. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are millimetric calcific atheroma plaques in the aorta.\n\nImpression:\nAortic atherosclerosis.  Mild ectasia in the ascending aorta.  Mosaic density differences in the lungs (small airway disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12755/train_12755_a/train_12755_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No active infiltration or mass lesion was detected in both lungs.\n<pleura>: In the right pleural space, there is a loculated collection in the anterior, reaching a diameter of 57 mm in the deepest part, showing loculation in places, in which hyperdense areas of hemorrhagic character are observed. Pleural effusion-thickening was not detected. There is a 15 mm deep free effusion in the right pleural space. A nonspecific increase in pleura thickness is observed in the posterior basal segment of the left lung lower lobe.\n<mediastinum>: The diameter of the anapulmonary artery is 47 mm, the diameter of the right pulmonary artery is 36 mm, and the left pulmonary artery is 37 mm in dilatation. It has calcified atheroma plaques in millimeters on its wall. In addition, there is a hyperdense appearance of replication in the pulmonary artery.\n<heart>: The operation material of mitral valve replacement follows. In addition, stent material is observed in the coronary arteries. Minimal pericardial effusion is observed. CTO increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image. There are post-operative suture materials in the sternum.\n<abdomen>: Evaluation for liver parenchymal disease is recommended. In the upper abdominal sections within the image, there are millimeter-sized hyperdense stones in the gallbladder lumen. In the middle zone of the right kidney, there is a hyperdense lesion measuring 13x10 mm in anterior cortical location (hemorrhagic cyst?). The described collection extends at the epigastric level. No intraabdominal free fluid-loculated collection was observed. In addition, there is a hypodense and dense lesion measuring 50x40 mm in size with cortical localized exophytic extension in the upper pole. It has calcified atheroma plaques in millimeters on its wall. Liver contour acuity is decreased.\n\nImpression:\nCardiomegaly, increased calibration of pulmonary vascular structures and minimal pericardial and right pleural effusion, loculated collection in the anterior right pleural space with hemorrhagic character and external drainage catheter applied to this level, pneumothorax  Chronic liver parenchyma disease ?  Cholelithiasis  Hemorrhagic in the right kidney and a cortical located hyperdense lesion in the middle zone of the right kidney (hemorrhagic cyst ?). Cortical located lesion (cyst?) in hypodense fluid density in the upper pole"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12761/train_12761_a/train_12761_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: There is a focal nonspecific increase in pleura thickness in the posterobasal segment of the lower lobe of the left lung. There is a free pleural effusion reaching 3 cm in thickness between the pleural leaves on the right. There are hemorrhagic native effusion areas that reach 53 mm in diameter at the widest part anteriorly in the right pleural space and show loculation in places.\n<mediastinum>: It was understood that patch replication was performed on the pulmonary artery above the right ventricle. The diameter of the main pulmonary artery increased (47 mm), the right pulmonary artery 36 and the left pulmonary artery measured 37 mm. A catheter image extending to the left brachiocephalic vein was observed. No lymph node was detected in mediastinal and hilar pathological size and appearance.\n<heart>: There is operation material at the level of the mitral valve. CTO increased in favor of the heart. Pericardial minimal effusion is present. There are densities of the stent material in the coronary arteries and calcified plaques in millimetric dimensions are observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall.\n<abdomen>: The liver contours are irregular in the upper abdominal sections in the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. The described collection area extends to the epigastric region. It is recommended to be evaluated for liver parenchymal disease. Multiple calcules in millimeter size were observed in the gallbladder.\n\nImpression:\nCardiomegaly.  Significant dilatation of the pulmonary artery.  Calcific atherosclerotic changes in the coronary artery wall.  Minimal pericardial effusion, right pleural effusion, anterior hemorrhagic native collection in the right hemithorax, external drainage catheter placed in the right hemithorax, right pneumothorax.  It is recommended to be evaluated in terms of chronic liver parenchymal disease.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12761/train_12761_b/train_12761_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Although the evaluation of mediastinal structures is suboptimal since the examination is performed without contrast; A peripheral calcified nodular formation with a diameter of approximately 1 cm is observed in the isthmus of the thyroid gland, which is in the study area. US control is recommended. Thyroid gland sizes have increased, more prominently on the right.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral ground glass density areas accompanied by linear atelectasis towards the hilar region are observed in the apical segment of the left lung upper lobe.\n<pleura>: In addition, linear atelectasis extending towards the pleura are observed in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Calcific plaque formations are observed in the aortic arch and coronary artery walls. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Heart size is normal. Pericardial effusion-thickening was not observed. Pericardial effusion was not observed. Calcific plaque formations are observed in the aortic arch and coronary artery walls.\n<esophagus>: Small sliding type hiatal hernia is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Increase in thoracic kyphosis. No lytic destructive lesion was detected in the bone structures in the study area. When the bone is examined in the window, an increase in thoracic kyphosis is observed, and right-sided syndesmophytes are present in the vertebral corpuscles.\n<abdomen>: Bilateral adrenal glands are normal. A hyperdense area of approximately 12 cm in diameter is observed in the liver segment 4B in the upper abdominal organs included in the examination area. The pancreas is natural. Calcific plaque formations are observed in the aortic arch and coronary artery walls. There is an accessory spleen with a diameter of 1 cm in the spleen hilum. It was evaluated as compatible with the area protected from lubrication.\n\nImpression:\nIt is recommended to evaluate the patient together with clinical findings and further examination .Linear atelectatic areas extending towards the pleura in bilateral lung lower lobe posterobasal segments.  Hyperdense lesion with faint borders in right liver segment 4B."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12766/train_12766_a/train_12766_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; A nonspecific ground glass density of 7.5 mm in diameter was observed in the peripheral subpleural area in the superior segment of the right lung lower lobe.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNonspecific ground-glass nodule in the superior segment of the lower lobe of the right lung (appearance is nonspecific Viral pneumonia?). Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12768/train_12768_a/train_12768_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Linear atelectasis with local sequelae were observed in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was observed in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected. It was evaluated in favor of benign pleural thickness increases. In both lungs, pleural thickness increases were observed in the pleura, most prominently in the right lung upper lobe anterior, lateral and peripheral calcification, with smooth borders, the largest of which was 60x10 mm in size.\n<mediastinum>: Calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Calibration of vascular structures is natural. Heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: Calcified atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures.\n\nImpression:\nCalcified atheromatous plaques in the wall of thoracic aorta, coronary vascular structures.  Areas of increased density consistent with local sequela linear atelectasis in both lungs.  Uniform pleural thickness increases with peripheral calcifications in both lungs; evaluated in favor of benign pleural thickness increases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12769/train_12769_a/train_12769_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Left thyroid gland and isthmus are not observed (operated?).\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. There are diffuse mild ectasia and peribronchial diffuse minimal thickness increases in the bronchial structures that become prominent in the center of both lungs.\n<lung>: Density increase areas consistent with subsegmental-linear atelectasis were observed in the left lung upper lobe inferior lingular segment and right lung lower lobe and right lung middle lobe medial segment. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are several millimeter-sized nonspecific nodules in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calcific atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures. As far as can be seen; Calibration of mediastinal vascular structures is natural. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph nodes in pathological size and appearance were detected in both axillary regions and bilateral supraclavicular fossae and mediastinum.\n<heart>: There is minimal pericardial effusion. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. It is recommended to evaluate with USG examination.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. Calcific atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nNo active infiltration or mass lesion was detected in both lungs.  There are diffuse minimal ectasia and peribronchial diffuse minimal thickness increases that are prominent in the center in both lungs, a few millimetric nodules in millimeters, and sequela parenchymal changes in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment.  Calcific atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Sliding type hiatal hernia at the lower end of the esophagus.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12773/train_12773_a/train_12773_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Emphysematous changes are observed in both lungs. A few millimetric nonspecific nodules are observed in both lungs. No mass or infiltrative lesion is detected in both lungs. Minimal bronchiectasis is observed, more prominently in the central parts of both lungs.\n<pleura>: Interlobular septal and interstitial thickenings are observed in both lungs, more prominently in the lower lobes and peripheral subpleural areas. No pleural or pericardial effusion was detected. In addition, a honeycomb appearance is occasionally observed in the peripheral subpleural areas of both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries. No pathologically enlarged lymph node was observed. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOn follow-up idiopathic pulmonary fibrosis, interlobular septal and interstitial thickenings in both lungs, honeycomb appearances in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12777/train_12777_a/train_12777_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30257",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Pathological size and configuration of lymph nodes are not observed at both hilar levels. The sequelae were evaluated as compatible with the changes.\n<pleura>: There are parenchymal bands extending towards the anterior pleura.\n<mediastinum>: Pulmonary trunk calibration is within the normal range. However, there is focal bulging on the mid-level lateral wall. A venous port is observed at the right pectoral level. It is within the normal limit. There are millimetric lymph nodes in the mediastinum that do not reach pathological dimensions. Arch aortic calibration was measured as 28 mm and was within the normal range. Ascending aorta and descending aorta calibrations are normal. Calcific atheroma plaques are observed in the descending aorta, the ascending aorta, the aortic arch, and the coronary arteries. The catheter terminates in the superior distal vena cava.\n<heart>: CTO is within the normal range. Calcific atheroma plaques are observed in the descending aorta, the ascending aorta, the aortic arch, and the coronary arteries. Metallic artifacts are observed at the level of the mitral valve.\n<esophagus>: Hiatal hernia is observed in the case.\n<breast>: There is a left mastectomy appearance. Density increases are observed in the soft tissue planes at the left pectoral level and anterior to the sternocostal joints.\n<bone>: It was evaluated as compatible with bone involvement. The lesion defined at this level is observed as more demarked in the current examination. Density increases are observed in the soft tissue planes at the left pectoral level and anterior to the sternocostal joints. Widespread heterogeneity in bone structure is observed in the case with AML anamnesis.\n<abdomen>: However, there is focal bulging on the mid-level lateral wall. Apart from this, no significant pathology was detected in the sections passing through the upper abdomen. Arch aortic calibration was measured as 28 mm and was within the normal range. Ascending aorta and descending aorta calibrations are normal. Calcific atheroma plaques are observed in the descending aorta, the ascending aorta, the aortic arch, and the coronary arteries.\n\nImpression:\nMillimetric nonspecific hypodense lesions in the liver that did not differ significantly from previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12778/train_12778_c/train_12778_c_1.npy"
        ]
    },
    {
        "id": "report_generation_30289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are a few nonspecific nodules less than 3 mm in diameter in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa and mediastinum.\n<heart>: The diameter of the left ventricle and left atrium has increased. Mitral valve calcification is observed. Pericardial effusion was not detected.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: Osteoporosis is observed in bone structures. In the posterior column, a bone fragment compatible with the limbus vertebra extending to the spinal epidural area is observed. At the lumbar level, there is scoliosis with the apex pointing to the right. Degenerative changes are observed in the lumbar vertebrae. A past fracture line is observed in the posterior part of the left 2nd rib. Approximately 40% of the L1 vertebral body was evaluated in favor of height loss and insufficiency fracture.\n<abdomen>: A few millimetric cortical cysts were observed in the right kidney. A 20 mm diameter high-density (22 HU) cortical lesion in the lower pole posterior may belong to a cyst with dense content. It was thought that the 9 mm diameter solid lesion anterior to the lower pole of the spleen may belong to the accessory spleen. In the upper abdomen sections, cortical cysts are observed in the left kidney, some of which are hemorrhagic in nature. There is a 4 mm diameter calculi image in the gallbladder lumen. However, due to its high density, it is recommended to exclude possible solid lesion with USG.\n\nImpression:\nIncreased heart size, mitral valve calcification, increase in left ventricular diameter.  Cholelithiasis.  Osteoporosis in bone structures, loss of height in L1 vertebra, fracture line in the left 2nd rib, and scoliosis due to degeneration at the lumbar level with the apex pointing to the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12791/train_12791_b/train_12791_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea, both main bronchi and lobar bronchi. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Minimal pleuroparenchymal fibrotic changes are observed in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the basal segments of the lower lobes of both lungs. Mosaic attenuation pattern was observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Interlobular septal thickening was observed in the lingular segment of both lungs in the lower lobe, right lung middle lobe and left lung upper lobe (cardiac stasis?).\n<pleura>: When examined in the lung parenchyma window; Minimal sequelae thickening was observed in the posterior costal pleura in both hemithoraces.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A nodular lesion area with a plaster density of 33 mm in diameter was observed in the upper pole of the left kidney (cyst?). Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and coronary arteries . Fibrotic changes in both lung lower lobe basal, right lung middle lobe medial and left lung upper lobe lingular segment . More prominent interlobular septal thickenings in lower lobe basal segments of both lungs, mosaic attenuation pattern (cardiac attenuation pattern) secondary to stasis?) . Left renal cortical cyst"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12793/train_12793_a/train_12793_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30300",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No nodule-infiltration was detected in both lung parenchyma. When examined in the lung parenchyma window; Structural distortion and volume loss in the upper lobe and middle lobe of the right lung, pleuroparenchymal sequelae density increases and paracicatricial bronchiectatic changes were observed. Bilateral peribronchial thickenings were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. There are lymph nodes measuring 11 mm on the short axis of the larger one showing calcification in mediastinal, upper-lower paratracheal, prevascular, subcarinal and right hilar areas, subcarinal and right hilar areas. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nAtherosclerotic changes.  Mediastinal-right hilar, some calcified lymph nodes.  Sequelae changes and paracicatricial bronchiectasis in the right lung.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12795/train_12795_a/train_12795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12796/train_12796_a/train_12796_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. Both lung air cysts were observed. No mass or infiltrative lesion was detected in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Liver parenchyma density decreased in line with fatty deposits.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12803/train_12803_a/train_12803_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; In the bilateral hemithorax, an effusion extending to both major fissures and locating on the right was observed. There are subsegmental atelectatic changes in the lung areas adjacent to the effusion in the posterobasal segments of the lower lobes of both lungs. Linear-passive atelectatic changes were observed in both lungs, more prominent in the left, and the left lung volume was slightly decreased. Interlobular septal thickening and ground glass areas were observed in both lungs. The outlook was evaluated in favor of pulmonary overload findings secondary to heart failure.\n<pleura>: Calcified pleural plaques were observed in the left hemithorax.\n<mediastinum>: Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. Atheroscleortic changes are observed in the walls of the thoracic aorta and coronary arteries. There are incision scars in the anterior thoracic wall, changes in the sternum and anterior mediastinum secondary to previous bypass surgery. Prevascular, right upper-lower paratracheal, subcarinal, aortopulmonary lymph nodes measuring 10 mm were observed in the short axis of the largest. No pathological lymph node was detected. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Atheroscleortic changes are observed in the walls of the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: As far as can be seen; There is bilateral gynecomastia.\n<bone>: There are bridging syndesmophytes on the anterior surfaces of the vertebrae at the middle and lower thoracic levels. Mild rotoscoliosis was observed at the thoracic level, and vertebral corpus heights were normal. There are incision scars in the anterior thoracic wall, changes in the sternum and anterior mediastinum secondary to previous bypass surgery.\n<abdomen>: A stone with a diameter of 8.6 mm was observed in the lower pole calyces of the left kidney. Atheroscleortic changes are observed in the walls of the thoracic aorta and coronary arteries. No intraabdominal free-loculated fluid was detected. No stone was observed in the right kidney. No lymph node was detected in intraabdominal and bilateral inguinal pathological size and appearance. Liver, gallbladder, spleen, pancreas and both adrenal glands are normal as far as can be seen on non-contrast images.\n\nImpression:\nBilateral gynecomastia. Changes in the sternum and anterior mediastinum secondary to previous bypass surgery, cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries. Bilateral pleural effusion extending to major fissures and locating in the right major fissure, calcific pleural plaques on the left, interlobular septal thickenings in both lungs (considered secondary to heart failure).  More pronounced linear-passive atelectatic changes on the left in both lungs, left lung volume minimal reduction.  Left nephrolithiasis. Mild rotoscoliosis at the thoracic level, syndesmophytes bridging each other on the anterior vertebral surfaces."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12807/train_12807_a/train_12807_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Significant atelectasis is observed in the basal segments of the lower lobe of the right lung. Especially the lower lobe of the left lung is total atelectatic. No mass was detected in both ventilated lungs. The findings described are not specific. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective pathology. There are millimetric nodules in both lungs. Ground glass areas and minimally uniform interlobular septal thickenings are observed in the ventilated parts of both lungs.\n<pleura>: Atelectasis is present in both lungs adjacent to the pleural effusion. Bilateral pleural effusion is observed. The pleural effusion is more prominent on the left, with an anterior-posterior diameter of 75mm at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The main pulmonary artery diameter was 31mm and wider than normal. The largest of the described lymph nodes is observed in the paratracheal region and its short diameter measured 13mm. Anteroposterior diameters of the aortic arch are normal. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. There are lymph nodes in the prevascular, paratracheal, subcarinal, and both hilar regions that retain their normal fusiform shape.\n<heart>: The anterior-posterior diameter of the ascending aorta is 43mm and wider than normal. Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Anteroposterior diameters of the aortic arch are normal. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. No pathologically enlarged lymph nodes were observed in the upper abdomen within the sections. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nBilateral pleural effusion and pulmonary atelectasis adjacent to pleural effusion, more prominent on the left. Ground-glass areas and smooth interlobular septal thickenings in both lungs.  Mediastinal and hilar lymph nodes. Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12808/train_12808_a/train_12808_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal millimetric lymph node is observed. Interlobular septal thickening within the consolidation areas is more prominent in the lower lobes of both lungs (crazy paving appearance). In the evaluation of both lung parenchyma; Diffuse ground glass densities and consolidations are observed in the peripheral lung parenchyma of both lungs. No mass was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Cardiothoracic index slightly increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, liver density decreased in line with hepatosteatosis.\n\nImpression:\nWidely described imaging findings of more extensive Covid-19 pneumonia in peripheral lung tissue in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12819/train_12819_a/train_12819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several lymph nodes with a diameter of 6.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. Findings are consistent with viral pneumonia (COVID-19 pneumonia). In both lungs, in all segments, peripherally located, locally consolidated ground glass areas and accompanying subsegmental atelectasis are observed. No mass was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 6.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and no enlarged lymph nodes in pathological size and appearance are detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: There is no pathological increase in wall thickness in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. There are milimetric osteophytes in the corners of the thoracic vertebral corpus and indentations of Schmorl's nodules on the endplates.\n<abdomen>: Liver parenchyma density decreased in favor of fat (35 HU). As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nPeripheral predominantly consolidated ground glass areas and accompanying subsegmental atelectasis in both lungs; findings are consistent with viral pneumonia.  Mediastinal millimetric lymph nodes  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12824/train_12824_a/train_12824_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30365",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The described findings are compatible with viral pneumonias, especially Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Multilobar, multisegmented central-peripheral, irregular nodular-patchy consolidation areas were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A nodular lesion area of 2 cm diameter fluid density was observed in the upper pole lateral part of the left kidney (cyst?). Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly.  Findings compatible with viral pneumonia, especially Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory.  Nodular lesion (cyst?) in fluid density in the upper pole of the left kidney. Mild degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12826/train_12826_a/train_12826_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild tubular dilatation and a more pronounced increase in peribronchial wall thickness at the central level are observed in the bronchial structures, and sequelae are evaluated in favor of change. Trachea, both main bronchi are open and no obstructive pathology is detected.\n<lung>: When examined in the lung parenchyma window; There is no active infiltration or mass lesion in both lungs, and there is a honeycomb appearance consistent with chronic destructive lung disease, which is more prominent in the upper and lower lobes, especially in the lower lobe postrobasal segment.\n<mediastinum>: There are calcified atheromatous plaques on the walls of the mediastinal main vascular structures and coronary arteries. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural. There are no lymph nodes in pathological size and appearance in the mediastinal area, and multiple lymph nodes with fusiform configuration, the largest of which is 9.5 mm in size, are observed.\n<heart>: Pericardial effusion-thickening was not observed. There are calcified atheromatous plaques on the walls of the mediastinal main vascular structures and coronary arteries. Heart contour and size are natural. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures is natural.\n<esophagus>: There is no significant tumoral wall thickening in the esophagus, and there is a mild hiatal hernia at the lower end.\n<bone>: Mild scoliosis with left opening is observed in the thoracic vertebral column. No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: Bilateral adrenal glands are normal.\n\nImpression:\nCalcified atheromatous plaques in the walls of mediastinal vascular structures and coronary arteries. Multiple lymph nodes in the mediastinal area that are not of pathological size and appearance.  Honeycomb appearance consistent with chronic destructive lung disease, which is more prominent in the upper and lower lobes, especially in the posterobasal segment of the lower lobe, in the entire segments of both lungs. Mild hiatal hernia.  Left-facing scoliosis in the thoracic vertebral column. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12832/train_12832_a/train_12832_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30392",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. There is a mosaic attenuation pattern in both lungs (small airway disease, small vessel disease?). When examined in the lung parenchyma window; Linear atelectasis were observed in the medial segment of the right lung middle lobe, left lung upper lobe inferior lingular and right lung lower lobe mediobasal segment.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen within the sections; liver sizes have increased and parenchymal density has decreased diffusely, which is compatible with hapetosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A cortical cyst with a diameter of 22x5 mm is observed in the upper pole of the right kidney.\n\nImpression:\nCardiomegaly  Hiatal hernia  Linear subsegmental atelectic changes in right lung middle lobe medial, left lung upper lobe inferior lingular and lower lobe mediobasal segment  Mosaic attenuation pattern in lung parenchyma (small airway disease, small vessel disease ?).  Hepatomegaly-hepatosteatosis  Cortical cyst in the upper pole of the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12839/train_12839_a/train_12839_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal bronchiectasis in the central parts of both lungs.  Millimetric nonspecific nodules in both lungs.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12842/train_12842_a/train_12842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. Sequelae changes are observed at the apical level. There were no pathologically sized and configured lymph nodes at both hilar levels. Widespread ground-glass-like density increases are present in both lungs, more prominent in the periphery and basilar.\n<pleura>: In the anterior segments of the upper lobes of both lungs, an increase in pleural thickening-like density is observed in the subpleural area, which sits on the pleura with a wide base. No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: A millimetric calcific atheroma plaque is observed at the level of the aortic arch. CTO is normal. Calibration of other major vascular structures is natural. The aortic arch calibration is greater than normal at 35 mm. In the mediastinum, there are lymph nodes in millimetric sizes.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: A millimetric calcific atheroma plaque is observed at the level of the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. A well-circumscribed, approximately 9 mm diameter, nonspecific hypodense lesion is observed at the level of the dome in the liver entering the cross-sectional area. Calibration of other major vascular structures is natural. There is a hypodense lesion in the superior pole of the left kidney, which may be compatible with a cortical cyst of approximately 8 mm in diameter. The aortic arch calibration is greater than normal at 35 mm. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. In the spleen hilum, a round formation with a diameter of 10 mm is observed, which is evaluated in favor of the spleen and isodense accessory spleen. There is a decrease in density consistent with mild hepatosteatosis in the liver.\n\nImpression:\nIt is recommended to evaluate common ground glass-style density increases, more prominent in the periphery and baselles of both lungs, together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12855/train_12855_a/train_12855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30430",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: As far as can be seen; Multiple hypodense nodular lesions were observed in both thyroid sites. The largest of the nodules was 17 mm in diameter in the left thyroid lobe. US control is recommended.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are emphysematous changes in both lungs. A band-like sequela fibrotic density increase was observed in the left lung inferior lingular segment. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: The diameter of the ascending aorta is 45 mm and shows aneurysmatic dilatation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The diameter of the main pulmonary artery was 32 mm, the diameter of the right pulmonary artery was 24 mm, and the diameter of the left pulmonary artery was 23 mm. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<heart>: Heart size has increased (cardiomegaly). Postoperative stent material is available in the coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures. Metallic suture materials of sternotomy were observed on the anterior thorax wall.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. The diameter of the ascending aorta is 45 mm and shows aneurysmatic dilatation.\n\nImpression:\nMultiple hypodense nodules in both thyroid lobes, US control is recommended.  Dilatation of thoracic aorta and pulmonary artery. Cardiomegaly. Hiatal hernia.  Emphysematous changes in both lungs, sequelae changes in the left lung. Mild mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12856/train_12856_a/train_12856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the lower lobe of both lungs and the lingular segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the lower pole of the left kidney, there is a stone measuring approximately 12 mm in diameter, which has taken the shape of the calyx. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Atelectasis in the left lung.  Atherosclerotic changes in the aorta and coronary arteries.  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12861/train_12861_a/train_12861_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a 3 mm diameter nodule at the level of the minor fissure on the right. Sequelae changes are observed at the lingular segment, posterobasal level, and lateterobasal level in the left lung. Sequelae changes are observed at the posterobasal and laterobasal levels of the lower lobe. Again, a partially calcific 2 mm diameter nodule is observed in the minor fissure. There are pleuroparenchymal sequelae changes in the middle lobe. When examined in the lung parenchyma window; Mild sequelae changes are observed at the apical level.\n<pleura>: No pneumonia, pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of other vascular structures is natural. In the calibration evaluation of mediastinal main vascular structures; the aortic arch is in maximal physiological dimensions.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density compatible with 2 mm diameter calculi is observed in the middle part of the left kidney. No space occupying lesion was detected in the liver. In the calibration evaluation of mediastinal main vascular structures; the aortic arch is in maximal physiological dimensions. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. There is a decrease in density consistent with steatosis in the liver. An area protected from fat is observed in the vicinity of the gallbladder.\n\nImpression:\nPneumonia was not detected. Mild sequelae changes were observed in both lungs.  Hepatosteatosis. Millimetric nephrolithiasis in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12864/train_12864_a/train_12864_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: First, sonographic evaluation is recommended.\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A nodule with a diameter of approximately 3 mm is observed in the anterior and posterior segments of the upper lobe of the right lung. A ground-glass-like density increase is observed in the mediobasal segment of the lower lobe of the right lung. No pathological size and configuration lymph nodes were detected at both hilar levels. Another nodule with a size of 2 mm is observed at the same level, slightly superiorly. An increase in the peribronchovascular sheath is observed in all zones. There is a faint ground-glass-like density increase in the superior segment of the lower lobe of the left lung.\n<mediastinum>: Calibration of the main mediastinal vascular structures is normal. No lymph node was detected in the mediastinum in pathological size and configuration. Calcific atheroma plaques are observed in the coronary arteries of the descending aorta to the aortic arch.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries of the descending aorta to the aortic arch. CTO is within the normal range. A stent appearance is observed in the left coronary artery.\n<breast>: Millimetric bone fragmentation is observed at the level of the left inferior axillary recess.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Parapelvic-cortical cysts are observed in both kidneys in the sections passing through the upper abdomen, and the largest is in the right kidney superior pole and measures approximately 40 mm in diameter. Coarse sequela calcification is observed in the anterior neighborhood of the ascending colon. Calcific atheroma plaques are observed in the coronary arteries of the descending aorta to the aortic arch. PEG appearance is observed at the stomach corpus level.\n\nImpression:\nGround-glass-like density increases in the lower lobe mediobasal segment of the right lung at the paravertebral level and in the superior segment of the left lung lower lobe. Nonspecific millimetric nodule formations in the right lung.  Bilateral renal cortical-parapelvic cysts.  Degenerative changes in bone structure.  Hypertrophy (intramuscular hematoma?) in the left SCM muscle. Sonographic evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12865/train_12865_a/train_12865_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A subsegmental linear atelectasis area is observed in the lingular segment of the left lung upper lobe. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Atherosclerotic plaques in the form of wall calcifications are observed in the aortic arch and abdominal aorta. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Left ventricular diameter increased. Atherosclerotic plaques are observed in the coronary arteries. Pericardial effusion was not detected. A stent is observed in the circumflex artery. Heart size increased.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is a 24 mm diameter nodular lesion in the left adrenal gland that cannot be characterized by this examination. Atherosclerotic plaques in the form of wall calcifications are observed in the aortic arch and abdominal aorta.\n\nImpression:\nStent in the circumflex artery, increase in heart size.  Subsegmental atelectasis area in the upper lobe of the left lung.  Nodular lesion in the left adrenal gland that cannot be characterized by this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12869/train_12869_a/train_12869_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30474",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12872/train_12872_a/train_12872_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: It is recommended to evaluate the case together with clinical and laboratory findings in terms of interstitial lung disease and possible accompanying infective processes. Density reduction and bulla-bleb formations consistent with emphysema are observed in both lungs. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: In almost all areas of both lungs, there are peripheral predominantly interlobular, subpleural thickenings in the septa, and thickenings in the peribronchial sheath, and occasionally ground glass-like density increases are observed on this floor. A smear-like pleural effusion is observed in both lungs and extends from the basal to the upper zone.\n<mediastinum>: It is wider than normal. Pulmonary trunk calibration is 34 mm. Ascending and descending aorta calibrations are natural. It is slightly above normal. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. The aortic arch calibration is 30 mm. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, the largest of which was measured at the prevascular level and measuring approximately 24x12 mm. Both pulmonary artery calibrations are within normal limits.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. CTO is normal.\n<esophagus>: Hiatal hernia is observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are findings compatible with DISH. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Ascending and descending aorta calibrations are natural. It is slightly above normal. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. The aortic arch calibration is 30 mm.\n\nImpression:\nInterstitial lung disease?  In the case, there are frosted glass-like density increments on this floor from place to place. It is recommended to be evaluated together with clinical and laboratory findings in terms of accompanying infective processes.  Bilateral mild pleural effusion  Atherosclerotic changes  Diffuse degenerative changes in bone structure  Hepatosteatosis, hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12874/train_12874_a/train_12874_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30480",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland dimensions and contours appear natural.\n<lung>: When examined in the lung parenchyma window; There is breath artifact in both lungs. In both lungs, there is a mosaic attenuation pattern with bronchial wall thickness increases and accompanying air trapping areas in the lower lobe basal segments. A ground glass opacity is observed in the right lung middle lobe lateral segment, adjacent to the fissure. There are subsegmental atelectasis areas in the right lung middle lobe medial segment and left lung lingula inferior segment.\n<pleura>: Calcified lymph nodes in the right upper paratracheal and right hilar region and accompanying pleural sequelae increase in thickness in the right upper lobe apical segment of the right lung, and parenchymal calcification focus are in favor of primary TB sequelae (ghon complex). Subpleural dependent atelectasis areas are observed in both lung basal segments.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. There are wall calcifications in the abdominal aorta and its branches. There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta. No lymph node was observed in the axilla in pathological size and appearance.\n<heart>: Suture materials are observed in the pericardium and coronary arteries (past bypass operation). There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta.\n<esophagus>: It was observed along the esophageal trace and no asymmetric wall thickness increase was detected.\n<bone>: In the bone structures within the study area; There is narrowing of the C7-T1 disc space, and degenerative sclerotic changes in the end plateaus adjacent to the disc. There are suture materials belonging to sternotomy in the sternum. In the section, no lymph node in pathological size and appearance was observed in both supraclavicular fossae. There are osteophyte formations leading to bridging in the anterolateral corners of the vertebrae.\n<abdomen>: There are wall calcifications in the ascending aorta, aortic arch, and thoracic aorta. There are wall calcifications in the abdominal aorta and its branches. Gross pathology is not observed in the upper abdominal organs included in the sections.\n\nImpression:\nMosaic attenuation pattern characterized by increased bronchial wall thickness and occasional air trapping in the lower lobe segment bronchi of both lungs. Areas of subsegmental atelectasis in both lungs and areas of dependent atelectasis in the basal segments.  Ground-glass opacity is observed in the right lung middle lobe lateral segment, adjacent to the fissure. It was thought to be related to atelectasis. Clinical follow-up is recommended in terms of early infection.  Changes secondary to previous bypass operation. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12875/train_12875_a/train_12875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There is a decrease in density compatible with emphysema in both lungs. There was no finding consistent with active infiltration in both lungs. Sequelae changes are observed at the apical level. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There are sequelae changes at the posterobasal-laterobasal level of the left lung lower lobe. Sequelae changes are observed in the lower lobe superior segment. There are sequelae changes at the posterobasal level of the right lung.\n<pleura>: Pneumothorax, pleural effusion were not observed.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. It is wider than normal. Pulmonary trunk calibration is at the maximal physiological limit with 28 mm. The aortic arch calibration is 33 mm. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of the right and left pulmonary arteries and other mediastinal vascular structures is normal.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. CTO increased in favor of the heart.\n<esophagus>: Mixed type hiatal hernia is observed in the case. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. It is wider than normal. However, there is a hypodense appearance compatible with a probable exophytic cyst with an average density of 7 HU in the kidney site. In the upper abdominal organs included in the sections, a decrease in density consistent with mild steatosis in the liver is observed. The right kidney is not included in the image. The aortic arch calibration is 33 mm.\n\nImpression:\nAlthough sequela changes are observed in both lungs, no pathology suggestive of active infection was detected.  Emphysematous density reduction.  Mixed hiatal hernia.  Possible exophytic cyst in the right kidney lodge.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12877/train_12877_a/train_12877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30490",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Bilateral peribronchial thickenings were observed.\n<lung>: Interlobular septa thickening was observed in both lungs (secondary to cardiac pathology?). A millimetric nonspecific parenchymal nodule was observed in the right lung.\n<pleura>: Bilateral mild pleural effusion and atelectatic changes in adjacent lung parenchyma were observed. When examined in the lung parenchyma window; Contour irregularities and subpleural lines were observed in the pleura in both lungs.\n<mediastinum>: As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Postoperative changes were observed in the pericardium.\n<esophagus>: Mixed hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Cortical cysts were observed in both kidneys. As far as can be seen; Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Left kidney dimensions are reduced. In the upper abdominal sections in the examination area, the liver contours are irregular (Liver parenchymal disease?).\n\nImpression:\nCardiomegaly, atherosclerotic changes. Mixed hiatal hernia.  Sequelae changes in both lungs.  Bilateral smooth interlobular septal thickenings (secondary to cardiac pathology?).  Bilateral pleural effusion and atelectatic changes.  Left renal atrophy.  Cyst in bilateral kidney.  Degenerative changes in bone structure.  Irregular appearance in liver contours (liver parenchymal disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12877/train_12877_b/train_12877_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchus is natural. Thickening of the peribronchovascular sheath is observed.\n<lung>: There is an increase in pleuroparenchymal linear density consistent with sequelae changes in the posterobasal segment of the lower lobe of the right lung. A nodule with a diameter of 3 mm is observed in the anterior segment of the upper lobe of the left lung. The defined changes are observed in the upper-middle zones with a lighter and fainter appearance. No pathological size and configuration of lymph nodes were detected at both hilar levels. Branch with buds are seen in the basal segments, slightly more prominent on the left, in both lungs, and it was not detected in the old CT film dated 2015. It is recommended to evaluate the case with fever-cough history in terms of pneumonic infiltration. On the left, a superposed nodule with a diameter of approximately 5 mm is observed on the interlobar fissure.\n<pleura>: No pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: There is thymic tissue in the anterior mediastinum without mass effect. Multiple lymph nodes are observed in the mediastinum, in the lower-upper paratracheal area, and in the aorticopulmonary window, the largest of which is in the aorticopulmonary window and measures approximately 12x6 mm. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBranch bud landscapes consistent with bilateral pneumonic infiltration, more prominent in the lower zones of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12884/train_12884_a/train_12884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are atelectatic changes at basal levels in both lung lower lobes. When examined in the lung parenchyma window; There is an effusion in both lungs measuring 28 mm in thickness on the right and 13 mm on the left. Emphysematous changes are observed in both lungs. There is a small amount of loculated effusion extending to the fissure in the lower lobe of the right lung. There are mild bronchiectasis and peribronchial sheathing at the basal level of the lower lobe of the right lung.\n<pleura>: Sequelae pleural changes are observed especially in the upper lobes.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Other mediastinal main vascular structures are normal. Small lymph nodes measuring up to 13 mm in size are observed in the mediastinum.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are diffuse degenerative changes and decrease in density in bone structures.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAlthough no obvious infectious process is detected in the lung parenchyma, there are mild atelectasis and peribronchial sheathing, mild bronchiectasis, suspicious small consolidation indistinguishable from atelectatic changes in the lower lobes of both lungs, more prominent on the right. clinical lab. blind. and follow-up is recommended.  Atherosclerotic changes.  Small amount of effusions, pleural parenchymal sequelae in both hemithorax, less on the left.  Small lymph nodes in the mediastinum.  Diffuse degenerative changes and decrease in density in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12885/train_12885_a/train_12885_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30513",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The dimensions of the right thyroid lobe have increased and hypodense density of nodules is observed in the parenchyma.\n<lung>: Subsegmental atelectasis areas are observed in both lungs, most prominently in the upper lobe of the right lung. The shooting was performed in the middle expiration. Presence of pneumonic infiltration could not be excluded. It was primarily thought that it developed secondary to small airway involvement in mosaic attenuation. There is more pronounced mosaic attenuation in the upper lobes of the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<pleura>: There are subpleural areas of consolidation accompanied by volume loss in the right lung middle lobe lateral segment and left lung upper lobe.\n<mediastinum>: There are wall calcifications in the abdominal aorta and thoracic aorta. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Left ventricular diameter increased. Calcified atheroma plaques are present in LAD. Heart sizes are slightly increased.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There are wall calcifications in the abdominal aorta and thoracic aorta. There is a slight sliding type hiatal hernia in the upper abdomen sections entering the image forehead.\n\nImpression:\nMosaic attenuation pattern and atelectatic parenchyma areas in the lung parenchyma. There is an increase in heart size. Calcified atheromas are observed in LAD. The diameter of the left ventricle has increased. There are areas of focal consolidation in the middle lobe of the right lung and the upper lobe of the left lung. The presence of an infectious process could not be ruled out. It would be appropriate to correlate it with the clinical follow-up and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12888/train_12888_a/train_12888_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The described appearance may be of primary mass or metastasis. Peribronchial thickening is observed around the upper, middle and lower lobe bronchi in the right lung. In the described appearances, lymphangitis was evaluated in favor of carcinomatosa. In addition, there are many nodules in both lungs, the largest of which is in the inferior subsegment of the left lung upper lobe lingular segment and the longest diameter is 12 mm, and they are evaluated in favor of metastases. In addition, it is understood that the findings described in the upper and middle lobes of the right lung and evaluated in favor of lymphangitis carcinomatosa have appeared recently. In addition, it has been understood that many nodules observed in both lungs have newly emerged and the old nodules have increased in size. In the right lung lower lobe superior segment, a malignant mass with irregular borders measuring 30x30 mm is observed at its widest part.\n<pleura>: Apart from these, irregular interlobular septal thickenings are observed in the upper and middle lobes of the right lung and soft tissue density appearances in the peripheral subpleural area in the lateral segment of the right lung middle lobe.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is a pericardial effusion measuring 30 mm in its thickest part. Pericardial thickening was not detected. Pericardial effusion has just appeared. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, as far as can be observed in this examination, there is no mass with distinguishable borders. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph node was observed.\n\nImpression:\nMalignant mass in the lower lobe of the right lung, metastases in both lungs, findings in favor of lymphangitis carcinomatosa in the right lung, pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12898/train_12898_a/train_12898_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in the thoracic vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\n· There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma. · Osteodegenerative changes in thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12901/train_12901_a/train_12901_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score was evaluated as moderate.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Amorphous parenchymal calcifications are observed in the liver. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12905/train_12905_a/train_12905_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30557",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected. No alveolar contusion was observed. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Complete fracture lines, some of which are displaced, are observed in the left 4,5,6 and 9th ribs. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\ncostal fractures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12908/train_12908_a/train_12908_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30568",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: therefore, they were thought to be metastases in these appearances. Apart from this, there are other millimetric nodules in the upper lobe of both lungs, the anteromediobasal segment of the lower lobe of the left lung, and the middle lobe of the right lung. Close monitoring is recommended. A slightly irregularly circumscribed nodule measuring approximately 8x8 mm was observed in the apical subsegment of the left lung upper lobe apicoposterior segment (series 3 section 62). No mass or infiltrative lesion was detected in both lungs. It was learned that stereotactic radiotherapy was applied to the described lesion. The largest of these nodules is observed in the anterior segment of the left lung upper lobe, and its longest diameter is 4 mm. The manifestations of the described lesions are non-specific. The described nodule was measured as approximately 10x10 mm in the previous examination of the patient.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The port catheter terminates at the superior-right atrium junction of the vena cava. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nOperated colon ca on follow-up . Millimetric nodules (metastases?) in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12914/train_12914_a/train_12914_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When evaluated together with the current MR abdomen upper examination at the liver segment 5 level; The fluid loculation, whose borders cannot be clearly distinguished at the subdiaphragmatic level (in the area known to be drained secondary to fluid loculation after metastasectomy before), penetrates to the basal level of the right lung lower lobe and forms a 32 mm mass formation with irregular contours.\n<pleura>: When examined in the lung parenchyma window; In the upper lobe of the left lung, there are two nodular lesions measuring 6 mm and 8 mm, which were also observed in the previous PET-CT at the apical level in series 2 image 94 and series 2 image 93. In the lower lobe of the right lung, a new nodular density measuring up to 13 mm is observed in the subdiaphragmatic area, adjacent to the subpleural costophrenic sinus, in series 2, image 328. It is difficult to distinguish from neighboring atelectasis. Pleural thickening? lesion? Upper abdominal organs included in the sections are partially included in the examination and were evaluated as suboptimal.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: A slight decrease in density is observed in the bone structures in the study area. There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles.\n<abdomen>: When evaluated together with the current MR abdomen upper examination at the liver segment 5 level; The fluid loculation, whose borders cannot be clearly distinguished at the subdiaphragmatic level (in the area known to be drained secondary to fluid loculation after metastasectomy before), penetrates to the basal level of the right lung lower lobe and forms a 32 mm mass formation with irregular contours. Further examination is recommended for better differential diagnosis after treatment. Postoperative clips of intrahepatic stent materials are observed in the right lobe of the liver. Mass lesion and infection differential diagnosis cannot be made in the patient whose primary level is known at the described level.\n\nImpression:\nDimensional increase up to 2 mm in nodular lesions observed in previous examinations in the upper lobe of the left lung . New nodular density measured up to 13 mm in the basal segment of the lower lobe of the right lung, adjacent to the costophrenic sinus. New lesion? Pleural thickening? . When the liver is evaluated together with the current MR abdomen upper examination at the level of segment 5; (in the area where drainage was known to be secondary to fluid loculation after metastasectomy), fluid loculation at the subdiaphragmatic level, whose borders cannot be clearly distinguished, penetration to the basal level of the right lung lower lobe, and irregular contours in the lung parenchyma It forms a mass formation of 32 mm. The differential diagnosis of mass lesion and infection cannot be made in the patient whose primary is known at the described level. Further examination is recommended for a better differential diagnosis after treatment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12914/train_12914_b/train_12914_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There is a mosaic attenuation pattern in both lungs. There is no mass or infiltrative lesion in both lungs. Occasionally, linear atelectasis was observed in both lungs.\n<pleura>: There is no pleural effusion or thickening.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: Pericardial thickening was not detected. There is pericardial effusion measuring approximately 12 mm in its thickest part. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Periosteal reaction was not detected.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMosaic attenuation pattern in both lungs. Atherosclerotic changes in the aorta and coronary arteries.  Pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12916/train_12916_a/train_12916_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea, lumen of both main bronchi.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; multilobar, multisegmental central-peripheral crazy paving pattern and patchy ground glass consolidations showing vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia. Linear atelectasis was observed in the right lung middle lobe, lower lobe superior segment, and both lung lower lobe basal segments.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. The thoracic aorta is elongated and tortuous. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. A 30x23 mm adenoma containing masroscopic fat was observed in the left adrenal gland. A cortical cyst was observed in the upper pole of the right kidney. The right adrenal gland locus is normal, and no space-occupying lesion was detected. It could not be characterized in the non-contrast examination. The thoracic aorta is elongated and tortuous. As far as can be seen within the sections; A 16x12 mm nonspecific hypodense lesion area was observed in the left lobe lateral segment of the liver (cyst?).\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries, cardiomegaly.  Hiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma, linear atelectasis.  Millimetric nonspecific hypodense lesion (cyst?) in the lateral segment of the left lobe of the liver.  Cortical cyst in the upper pole of the right kidney.  Left adrenal adenoma.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12924/train_12924_a/train_12924_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the lung parenchyma, atypical pneumonic infiltration areas are observed in the form of bilateral scattered ground-glass density, nodular parenchyma areas, inverted halo findings towards the lower lobes and nodular consolidation areas. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Calcified atherosclerotic plaques are present in LAD. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is a decrease in liver parenchyma density consistent with advanced adiposity.\n\nImpression:\nAreas of atypical-pneumonic infiltration in both lungs; radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.  Calcified atherosclerotic plaques in LAD.  Severe fatty liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12925/train_12925_a/train_12925_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: findings are compatible with covid-19 viral pneumonia in the first place. When examined in the lung parenchyma window; There are ground glass densities in which more than 1 nodular patchy pattern is detected in vascular enlargements around which a halo sign is observed in both lungs.\n<mediastinum>: There are mild calcific atheromatous plaques in the aorta. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Slight degenerative-osterophytic taperings in bone structures are observed, especially in vertebral corpus endplates.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are mild calcific atheromatous plaques in the aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearances consistent with Covid-19 viral pneumonia; Clinical laboratory correlation of findings and close follow-up are recommended for differential diagnosis of other infectious processes.  Mild atherosclerosis.  Mild hypertrophic-osteophytic-degenerative tapering of endplates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12926/train_12926_a/train_12926_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30609",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is an azygos fissure. The described nodular metastatic lesions are present in numerical increase. In the current study, findings consistent with a small amount of effusion in both lungs are observed.\n<pleura>: Apart from those described, linear density increase and air bronchogram sign are observed in the lung parenchyma, especially in the left lung upper lobe, extending anteriorly to the paracardiac and subpleural areas.\n<mediastinum>: Thoracic aorta diameter is normal. The lymph nodes described in the previous study in the mediastinum are measured as 12 mm in the short axis in the current study and do not show significant dimensional numerical difference. Mediastinal main vascular structures, heart contour, size are normal. New lymph nodes measuring up to 12 mm are observed in the immediate neighborhood of the abdominal aorta.\n<heart>: Pericardial effusion-thickening was not observed. There is a new pericardial effusion in the current study. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A 15 mm lesion is observed in the left 6th rib, which causes expansion in the new bone structure. Vertebral corpus heights are preserved. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Upper abdominal organs are partially included in the study. A new space-occupying lesion of 27 mm in size is observed in the left adrenal gland. Thoracic aorta diameter is normal. Right adrenal glands were normal and no space-occupying lesion was detected. New lymph nodes measuring up to 12 mm are observed in the immediate neighborhood of the abdominal aorta.\n\nImpression:\nDimensional and numerical progression of nodular metastatic lesions observed in previous studies in both lung parenchyma is observed. An increase in density is observed in the upper lobe of the left lung, extending towards the anterobasal subpleural area. It was primarily evaluated in the direction of atelectasis and is in the differential diagnosis of consolidation. Clinical laboratory correlation and close follow-up are recommended for the onset of infiltration.  15 mm lesion causing expansion of new bone structure in the left 6. rib.  Small amount of pericardial and bilateral pleural effusion . Lymph nodes with mediastinal pathological short axis measured up to 12 mm without significant dimensional difference . Liver in the left lobe, not observed in a recent previous study lesion . New space-occupying lesion in the left adrenal gland . New lymph nodes measuring up to 12 mm in close proximity to the abdominal aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12930/train_12930_a/train_12930_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30634",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The extraction was performed at the midinspirium level. Parenchymal aeration differences are observed in both lungs, more prominently in the lower lobes. Subsegmental linear atelectasis areas are observed in the lower lobes of both lungs. No suspicious nodule or mass-occupying lesion was detected. There are subsegmental linear atelectasis areas in both lung lower lobe basal segments. It is accompanied by aeration differences in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. It is stable.\n<pleura>: When the lung parenchyma window is examined; A slight increase in pleural thickness is observed in the lower lobe pleura of both lungs.\n<mediastinum>: Nonspecific milimetric lymph nodes located in the mediastinum and in the upper and lower paratracheal and paraaortic are stable. Calcific atherosclerotic plaques are observed in the abdominal aorta and its branches. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta.\n<heart>: Heart size increased. Diffuse calcific atherosclerotic plaques are observed in the coronary arteries. The ascending aorta diameter slightly increased to 47 mm. Pericardial effusion was not detected.\n<bone>: Fracture lines are observed in the left 7th, 9th and 10th ribs. It is also present in the previous examination. No lytic-destructive space-occupying lesion that can be distinguished by CT was detected in bone structures. The appearance of fat density in the intercostal space between the left 2nd and 3rd ribs is compatible with lipoma. An increase in thoracic kyphosis and degenerative changes in the vertebrae are observed.\n<abdomen>: The largest measured 7.5 cm on the left, and the largest 6.5 cm on the right. Calcific atherosclerotic plaques are observed in the abdominal aorta and its branches. In the upper abdominal sections included in the image, there are cysts reaching large sizes in both kidneys. Diffuse calcific atherosclerotic plaques are observed in the aortic arch and thoracic aorta.\n\nImpression:\nSlight increase in heart size.  Diffuse atherosclerotic plaques in the coronary arteries, slight fusiform diameter increase in the ascending aorta.  Cysts of both kidneys.  Ventilation differences in both lungs, linear atelectasis in basal segments, stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12941/train_12941_b/train_12941_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30644",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Patchy ground glass density increases were observed in both lungs. It is not typical for Covid-19 pneumonia. Appearance is nonspecific. There are atelectatic changes in both lungs.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion and atelectatic changes extending in the fissure reaching 6.5 cm in the thickest part of the left lung were observed. There is mild pleural effusion in the right lung and atelectatic changes in the lower lobe. Millimetric sized calcifications were observed in the right dorsal costal pleura.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Lymph nodes with a short axis less than 1 cm in mediastinal, upper-lower paratracheal, prevascular, and subcarinal localizations were observed.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Stent materials were observed in the wall of the coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCalcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery and stent material in the coronary arteries . Widespread pleural effusion on the left and atelectatic changes in both lungs . Patchy ground-glass density increases in both lungs; the appearance is nonspecific. Clinical and laboratory correlation is recommended for infectious-non-infectious pathologies .Atelectatic changes in both lungs. Thoracic spondylosis, minimal right pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12946/train_12946_a/train_12946_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30650",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are normal. Coarse centriacinar nodules extending along the bronchial tree are observed in places.\n<lung>: A 3 mm diameter nodule is observed in the left lung lower lobe laterobasal segment. A 5 mm sized nodule superposed to the left interlobar fissure is observed. In both lungs, there are focal small size but round appearance scattered ground-glass-style density increments in all areas. There is focal consolidation in the inferior lingular segment.\n<pleura>: Bilateral pleural effusion pneumothorax was not detected.\n<mediastinum>: There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Bilateral hilar-axillary pathological dimensions and configuration of lymph nodes were not detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Surrounding soft tissue plans are natural. There is an accessory spleen adjacent to the spleen. A 5 mm diameter nodule is observed in the middle part of the left kidney. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nFindings compatible with Covid-19 pneumonia. Other viral pathologies are included in the differential diagnosis. In addition, there are some findings suggesting bacterial superinfection in the case. It is recommended to be evaluated together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12949/train_12949_a/train_12949_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes are observed at the apical levels in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild emphysematous changes at the apical levels of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12954/train_12954_a/train_12954_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a 2.5 mm diameter calcific nodule in the posterior segment of the right lung upper lobe. Bilateral minimal tubular bronchiectasis and linear atelectasis areas are observed in the posterior segments of the lower lobes of both lungs. Several lymph nodes with a diameter of 12.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area. In the left lung lingular segment, right lung middle lobe medial-lateral segment and both lung lower lobes, there are ground glass areas showing consolidation from place to place. Findings are consistent with viral pneumonia (COVID 19 pneumonia).\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. Several lymph nodes with a diameter of 12.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area. No enlarged lymph nodes in pathological dimensions were detected. The diameter of the pulmonary trunk was 30 mm and increased.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Calcific atheroma plaques are observed in the aorta. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is no mass with discernible borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nGround glass areas in both lungs showing consolidation in places; compatible with viral pneumonia.  Linear areas of atelectasis in both lungs, tubular bronchiectasis, millimetric calcific nodule in the upper lobe of the right lung  Mediastinal lymph nodes  Increase in the diameter of the pulmonary trunk"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12963/train_12963_a/train_12963_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground-glass densities in which expansions are observed in the vascular structures in diffuse patchy style. Azygos fissure and lobe are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild hypertrophic–osteophytic tapering and degenerative changes are observed in the vertebral corpus endplates. Density reduction and degenerative changes are observed in the right humeral head. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Hepatosteatosis is observed in the liver parenchyma density entering the section area.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia.  Mild hypertrophy-osteophytic tapering, degenerative changes in the vertebral body.  Azygos fissure and lobe.  Mild hepatosteatosis.  Degenerative changes in bone structures, especially in the right humeral head."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12965/train_12965_a/train_12965_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open.\n<lung>: In lung parenchyma evaluation; In both lungs, scattered patchy consolidation areas that become prominent towards the bases are observed. The radiological findings were evaluated to be compatible with atypical pneumonic infiltration and Covid pneumonia. There is an inverted halo sign.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings consistent with Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12975/train_12975_a/train_12975_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Although the mediasynal structures cannot be evaluated optimally due to the lack of IV contrast in the examination, they are soft tissue densities that do not have clear boundaries in the prevascular, paratracheal, subcarinal and both hilar regions and cannot be clearly distinguished from the bronchial structures and neighboring vascular structures, and the described appearance does not have a significant mass effect.\n<lung>: When old CT scans were examined, it was understood that these nodules were metastases, and there is an increase in the size of metastatic nodules in the current examination. In addition, in the superior and lingular segments of the left lung, there are areas of increased density in the superior lobe of the lower lobe with indistinct borders, in the appearance of a tree with buds in places, consistent with consolidation. Two nodules measuring 6.5 mm in the current examination (5 mm in the previous CT examination) in the upper lobe apicoposterior segment of the left lung and 14 mm in the long axis in the current examination in the lower lobe posterobasal segment and 10 mm in the previous CT examination were observed. Infective pathologies are considered in the etiology of the findings. In the current examination, there are areas of increase in density consistent with consolidation, which are observed to have newly developed in the right lung upper lobe anterior, middle lobe and lower lobe anterior-lateral segments, in which air bronchograms are also observed.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph nodes in pathological size and appearance were detected in the bilateral retropectoral regions and adjacent to the internal mammarian vessels. When evaluated together with his previous examinations, it was understood that lymphadenopathies were present in these localizations, and the described appearance may belong to residual or sequelae changes. No lymph nodes were detected in pathological size and appearance in both axillary views. Although the mediasynal structures cannot be evaluated optimally due to the lack of IV contrast in the examination, they are soft tissue densities that do not have clear boundaries in the prevascular, paratracheal, subcarinal and both hilar regions and cannot be clearly distinguished from the bronchial structures and neighboring vascular structures, and the described appearance does not have a significant mass effect.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial effusion was not observed.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus.\n<breast>: In the comparative evaluation made with the previous examinations of the patient, an increase in the size of the asymmetrical density increases observed in both breasts was noted. In the case with a primary mass in the upper outer quadrant of the right breast in previous CT examinations, there is an area of asymmetrical density increase in this localization, which does not have clear boundaries. In addition, an increase in asymmetric density is observed in the upper outer quadrant of the left breast.\n<bone>: Sclerotic bone lesions were observed in the bone structures within the image, and in the presence of primary disease, they were evaluated primarily in favor of metastases. Bone lesions are stable.\n<abdomen>: There is no accompanying soft tissue component to these lesions. In the upper abdominal sections within the image, intra-abdominal parenchymal organs could not be evaluated optimally because the examination was without IV contrast. There is newly developed intra-abdominal free fluid.\n\nImpression:\nBreast ca.  Soft tissue appearances in the mediastinum and hilar regions without mass effect; sequelae change?, residual lymph nodes?  Lung metastases showing an increase in size in the left lung upper lobe apicoposterior and lower lobe posterobasal segment, newly developed pleural effusion in the right lung in the current examination, newly developed areas in the right lung in the current examination, in which the air bronchograms are also observed, and density increase areas in the left lung that are compatible with the consolidation and in the previous CT examination of the left lung. defined areas of centreacinar nodular density increase in the appearance of a tree with buds; findings were evaluated as secondary to infective pathologies.  Newly developed intra-abdominal free fluid and stable sclerotic bone metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12976/train_12976_b/train_12976_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passage to the trachea and both main bronchi, lobar and segmental bronchi is open.\n<lung>: Paraseptal emphysema areas are observed in the upper lobe apical segment. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Calcified atherosclerotic plaques are observed in LAD. Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nPneumonia was not observed.  Calcified atherosclerotic plaques are present in the LAD.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12978/train_12978_a/train_12978_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are minimal mosaic density differences in the lower lobes. When examined in the lung parenchyma window; Peribronchovascular structures in the lungs are slightly prominent. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 42 mm and is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAorta and coronary artery atherosclerosis.  Ectasia in the ascending aorta.  Thickening of the bronchial wall and minimal mosaic density differences (airway disease?) in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12988/train_12988_a/train_12988_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. A few lymph nodes with a short axis measuring 5mm are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Tapering and bridging tendencies are observed in the vertebral corpus end plates. Vertebral corpus heights are preserved. Bone structures have a diffuse osteopenic appearance. Hypertrophic-ostephoitic taperings are observed in the vertebral corpus endplates. Bone structures in the study area are natural.\n<abdomen>: Density changes consistent with hepatosteatosis are observed in the liver parenchyma entering the section area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHepatosteatosis.  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12989/train_12989_a/train_12989_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30747",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequela density increases and cicatricial minimal bronchiectatic changes were observed in the middle lobe of the right lung. The outlook can also be observed in Covid-19 pneumonia but is not specific. When examined in the lung parenchyma window; Patchy ground-glass density increases were observed in the basal segments of the lower lobes of both lungs. It is recommended to be evaluated together with clinical and laboratory data. In both lungs, some calcified non-specific millimetric parenchymal nodules are ringed.\n<pleura>: Bilateral pleural thickening - effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. As far as can be seen; The diameter of the main pulmonary artery was 30 mm and it shows dilatation. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. It is recommended to be evaluated together with MRCP examination for possible cystic duct calculus angle. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size increased. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no pathological increase in wall thickness was detected in the examination limits.\n<bone>: No lymph nodes were detected in pathological size and appearance in both supraclavicular fossae. No lytic-destructive lesion was detected. Diffuse degenerative changes were observed in bone structures.\n<abdomen>: There is slight axis rotation in the right kidney. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. No gall bladder was observed in the upper abdominal sections in the examination area (operated?). It is recommended to be evaluated together with MRCP examination for possible cystic duct calculus angle. A density of 3.5 mm in diameter was observed in the cystic duct. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nDilatation of the pulmonary artery. Cardiomegaly.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Patchy ground-glass density increases in the lower lobes of both lungs, the appearance can be observed in Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical laboratory correlation is recommended.  Millimetric size, some calcified non-specific parenchymal nodules in both lungs. Diffuse degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12992/train_12992_a/train_12992_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30759",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of covid-19 viral pneumonia. Clinical laboratory correlation is recommended. When examined in the lung parenchyma window; Peripherally located patchy ground glass densities are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in the lung parenchyma were initially evaluated in favor of covid-19 viral pneumonia due to the current pandemic. . Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_12999/train_12999_a/train_12999_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is a small amount of effusion in both lungs, more prominent on the right. Due to the current pandemic, clinical laboratory correlation follow-up is recommended in terms of this infectious process, Covid-19 viral pneumonia. Thickening and mild edematous changes are observed in the interlobular septa, more prominently in the basal segments of the lower lobes of both lungs. Patchy ground glass densities are observed in both lungs, mostly in the lower lobes. There are small amounts of fluid loculations in the fissures.\n<mediastinum>: Thoracic aorta diameter is normal. Small lymph nodes with a short axis measuring up to 8 mm were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA small amount of effusion, more prominent on the right bilateral side. Patchy ground-glass densities accompanied by pulmonary edema in the lower lobe basal segments of both lungs have been rarely reported in terms of Covid-19 viral pneumonia. Clinical laboratory correlation follow-up is recommended for better differential diagnosis.  Small lymph nodes measuring up to 8 mm in the short axis of the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13003/train_13003_a/train_13003_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30779",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed.\n<pleura>: Areas of subpleural ground glass density in both lung lower lobe basal segments were evaluated in favor of dependent atelectasis, and no areas of pneumonic infiltration or consolidation were detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nSubpleural ground-glass density areas in both lung lower lobe basal segments were evaluated in favor of depandant atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13006/train_13006_a/train_13006_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Passive atelectatic changes are observed in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Reticulonodular fibrotic density increases were observed in both lung apexes. A bulla formation measuring 4x1.8 cm was observed in the lateral part of the anterior segment of the left lung upper lobe. When examined in the lung parenchyma window; Diffuse centriacinar-paraseptal emphysematous changes were observed in the upper lobes of both lungs as far as it can be observed secondary to movement artifacts.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calculus with a diameter of 5.3 mm was observed in the middle pole of the right kidney.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and coronary arteries. Hiatal hernia. Paraseptal-emphysematous changes in the upper lobes of both lungs. Blecular formation in the anterior segment of the left lung upper lobe.  Diffuse reticulonodular fibrotic sequelae increase in density at the apex of both lungs.  Atelectatic changes in both lungs.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13007/train_13007_a/train_13007_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30783",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are subsegmental atelectasis areas in the right lung middle lobe medial segment and left lung upper lobe lingula inferior segment. However, infection cannot be ruled out with this imaging. It could be atelectasis. Correlation with his clinic would be appropriate. Embolism filling defects in the right lung lower lobe laterobasal segment and left lung lower lobe laterobasal segment, peripherally located consolidation areas are observed and evaluated in favor of pulmonary infarction.\n<pleura>: There are also areas of consolidation with pleural retraction in the lower lobe basal segments in both lungs. There is a pleural effusion reaching 6-7mm in diameter between the left pleural leaves.\n<mediastinum>: The case has pulmonary CT angiography images of the same date, and embolic filling defects are observed in the left pulmonary artery lower lobe segment branches and right pulmonary artery lower lobe lateral segment branches. Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was observed in both axillae. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Heart dimensions and compartments were observed naturally.\n<esophagus>: The esophageal wall thickness was observed as normal in the section.\n<bone>: In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section.\n<abdomen>: Gross pathology was not noticed in the upper abdomen sections entering the image area.\n\nImpression:\nThe case was evaluated together with pulmonary CT angiography. Filling defects are observed in the pulmonary artery in the right lung lower lobe laterobasal segment branch and in the left lung lower lobe laterobasal and posterobasal segment branches. In these localizations, peripherally located consolidation areas were primarily evaluated in favor of pulmonary infarction. Both lungs lower lobe posterobasal segments. Consolidation areas located in subpleural segments were thought to belong to atelectasis areas. However, superposed infection could not be excluded. Correlation with its clinic is recommended. There is mild effusion between the leaves of the left pleura.  Subsegmentary atelectasis areas in the right lung middle lobe and left lung upper lobe lingula inferior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13008/train_13008_a/train_13008_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. Occasionally, atelectasis is observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: The largest of the described stones is about 4 mm in diameter. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. There are millimetric stones in both kidneys, more in the left. No upper abdominal free fluid-collection was detected in the sections. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nMillimetric nodules in both lungs. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13010/train_13010_a/train_13010_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Millimetric nodules were observed in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. The largest of these nodules is observed in the upper lobe of the right lung and measured approximately 5 mm in diameter. There are diffuse emphysematous changes in both lungs.\n<pleura>: The pleural effusion is more prominent on the right and measures 60 mm at its thickest point. There is bilateral pleural effusion. Linear atelectasis and minimal pleuroparenchymal sequelae changes were observed in the lower lobes of both lungs, more prominently in the vicinity of the pleural effusion in both lungs. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures were not evaluated optimally because no contrast material was given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Pleural effusion.  Diffuse emphysematous changes in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13013/train_13013_a/train_13013_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. In the upper abdominal organs, there is a finding compatible with the accessory spleen with a size of 10 mm adjacent to the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal.\n\nImpression:\nThoracic CT examination within normal limits  Accessory spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13017/train_13017_a/train_13017_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy catheter is available.\n<lung>: Subsegmental atelectasis areas are observed in the posterobasal segment of both lungs. No consolidation area or infiltrative involvement was detected in the lung parenchyma. Lung parenchyma evaluation is suboptimal because of respiratory artifact. No mass or nodular space-occupying lesion was detected in the lung parenchyma.\n<pleura>: It was thought to be secondary to pleural thickening accompanied by calcification. Subpleural ground-glass densities are observed in the localization of pleural calcifications in the left lung parenchyma. Sequelae pleural thickness increases and coarse pleural calcification foci are observed in the left lung pleura.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal main vascular structures were followed naturally.\n<heart>: Pericardial effusion was not detected. Heart sizes slightly increased. Calcified atheroma plaques are present in RCA.\n<esophagus>: Thoracic esophagus calibration was followed naturally.\n<bone>: Osteoporosis is observed in bone structures. No lymph node in the supraclavicular fossa, axilla, pathological size and appearance with internal mammarian chain is observed.\n<abdomen>: If available, it is recommended to evaluate it comparatively with previous examinations. There is no omental or peritoneal space-occupying lesion and no pathological LAP in the section. No pathological increase in diameter was observed within the cross-section in intestinal and colonic loops. Peg catheter is observed. A 34 mm diameter cortical cyst was observed in the right kidney. In the upper abdomen sections, there is a 12x17 mm diameter nodular lesion in the left adrenal gland corpus, and since there are areas with a density below 10 HU, it was primarily evaluated in favor of adenoma. Loculated or free fluid is not observed in the upper abdominal sections.\n\nImpression:\nIncreased pleural thickness and coarse pleural calcification foci in the left hemithorax . Subsegmental areas of atelectasis in the basal segments of the lower lobes of both lungs.  Simple cyst in the right kidney, nodular lesion in the corpus of the left adrenal gland. It was primarily evaluated in favor of adenoma, if any, it is recommended to compare with previous examinations.  Osteoporosis in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13024/train_13024_a/train_13024_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the left lung upper lobe inferior lingular and right lung lower lobe medial segment. There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in the left hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: calcific atheroma plaques were observed in the aortic arch, descending aorta and LAD. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be observed: calcific atheroma plaques were observed in the aortic arch, descending aorta and LAD. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCalcific atheroma plaques in the aortic arch, descending aorta and LAD.  Pleuroparenchymal fibroatelectasis sequelae in left lung upper lobe inferior lingular and right lung lower lobe medial segment.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13033/train_13033_a/train_13033_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. If there is clinical doubt, prone tomography is recommended. There are subsegmental atelectasis and dependent density increases in the bilateral lower lobe prosterobasal segments.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nThere are subsegmental atelectasis and dependent density increases in the bilateral lower lobe prosterobasal segments. If there is clinical suspicion of viral pneumonia, laboratory evaluation and, if necessary, prone tomography are recommended. Nodule in right middle lobe medial segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13035/train_13035_a/train_13035_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse, patchy ground glass densities in crazy paving pattern are observed in both lungs, and condolidation areas with air bronchogram sign are observed in the lower lobe of the right lung.\n<pleura>: A small amount of pleural effusion is observed in the right hemithorax with a thickness of 22 mm and a thickness of 5 mm on the left.\n<mediastinum>: Post-op air densities are observed in the mediastinum. There is hyperemia and edema in the mediastinal fatty planes. Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. A secondary operation is followed for removal of myxoma in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: An increase in heart size is observed. Pericardial effusion-thickening was not observed. Cardiac dimensions are increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; A change in favor of steatosis is observed in the liver parenchyma.\n\nImpression:\nThe findings described in the lung parenchyma were evaluated in favor of infectious processes accompanied by cardiac stasis, and ARDS appearance is present. Clinical laboratory correlation and close follow-up are recommended.  A small amount of effusion in both lungs, more prominent on the right.  Cardiomegaly.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13053/train_13053_b/train_13053_b_1.npy"
        ]
    },
    {
        "id": "report_generation_30888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild emphysematous changes in the upper lobes of both lungs.\n<pleura>: There are subpleural reticular density increases and fibrotic densities in the right lung middle lobe and lower lobe. Calcific and subpleural sequela hepatic changes are observed in the upper lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: Thoracic aorta diameter is normal.\n\nImpression:\nSequelae changes in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13056/train_13056_a/train_13056_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13057/train_13057_a/train_13057_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30923",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of Covid-19 viral pneumonia. Close monitoring of clinical and laboratory correlation is recommended. When examined in the lung parenchyma window; A ground-glass density is observed in crazy paving pattern, which includes diffuse, mostly peripherally located air bronchogram sign in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Findings compatible with sleeve gastrectomy are observed. Upper abdominal organs included in the sections are normal. There are hyperdense findings in both kidneys, which are evaluated in favor of stones in the first plan, with more than one larger size measuring 27 mm on the right side and 21 mm on the left.\n\nImpression:\nFindings compatible with Covid-19 viral pneumonia and clinical laboratory correlation are recommended for close follow-up in terms of differential diagnosis of the infectious process.  Bilateral hyperdense findings, measured 27 mm on the right and 21 mm on the left, in favor of stones in the first plan, bilateral nephrolithiasis  Findings compatible with sleeve gastrectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13070/train_13070_a/train_13070_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are ground-glass-like density increases that form slightly confluence at the base on the right, which are scattered in the periphery of both lungs, and there are coarsening-sequelae changes in the accompanying interstitial scars. It has been evaluated as compatible with Covid pneumonia during the pandemic process.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Calibration at other levels is normal. There are millimetric-sized calcific atheroma plaques in the ascending aorta, aortic arch, and descending aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of the aortic arch measured 33 mm.\n<heart>: There are millimetric-sized calcific atheroma plaques in the ascending aorta, aortic arch, and descending aorta. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: A cortical exophytic cyst is observed in the posterior of the left kidney. Calibration of the aortic arch measured 33 mm. There is a decrease in density consistent with steatosis in the liver to the upper abdominal organs included in the sections. There are millimetric-sized calcific atheroma plaques in the ascending aorta, aortic arch, and descending aorta. Calibration at other levels is normal.\n\nImpression:\nFindings compatible with Covid pneumonia during the pandemic process. Clinical and laboratory correlation is recommended.  Left renal cortical cyst . Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13089/train_13089_a/train_13089_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30968",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; A pleuroparenchymal sequela change was observed in the left lung upper lobe inferior lingular segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other vascular structures of the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 53 mm and it is aneurysmatic. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\n· Fusiform aneurysmatic dilatation of the ascending aorta. · Pleuroparenchymal fibroatelectatic sequelae change in the subinferior lingular segment of the left lung. Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13094/train_13094_a/train_13094_a_1.npy"
        ]
    },
    {
        "id": "report_generation_30980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings are one of the frequently observed findings in Covid-19 pneumonia. The outlook is in favor of viral pneumonia. In addition, subsegmental linear atelectasis areas are observed in both lungs, especially in the lower lobes.\n<pleura>: When examined in the lung parenchyma window; There are ground-glass densities observed in all segments of both lungs and tending to coalesce, being diffuse and patchy in both lungs, more prominent in subpleural areas.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13098/train_13098_a/train_13098_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-lower paratracheal narrow diameter reaching 1 cm but with prominent hilar fat content, primarily benign lymph nodes are observed. In addition, focal ground glass densities are observed in the upper lobes of both lungs and in the lower lobe superior. No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Centriacinar and paraseptal emphysema are observed in both lungs prominent on the right.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, liver size increased, parenchymal density decreased in line with hepatosteatosis. Calculus with a diameter of 5.8 mm is observed in the right kidney. On the left, a hypodense cyst of 5.5 cm in diameter is observed partially entering the examination area.\n\nImpression:\nParaseptal emphysemato areas in both lungs prominent on the right  Focal ground-glass densities in both lungs upper lobes and lower lobe superior segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13104/train_13104_a/train_13104_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31017",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The distributions and appearances of the described ground glass areas are not specific. Since it is a common involvement, differential diagnosis cannot be made. Central and peripheral ground-glass areas are observed in the upper and lower lobes of the left lung. These described appearances are not observed in the previous examination of the patient.\n<pleura>: There is bilateral pleural effusion and minimal pericardial effusion.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13112/train_13112_a/train_13112_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In both lungs, nodular lesions were observed, the largest of which was in the left lung superior lingular segment, 10 mm in diameter with smooth borders, and a few irregularly circumscribed nodules measuring approximately 28x22 mm in size, the largest in the left lung upper lobe superior lingular segment in both lungs. When examined in the lung parenchyma window; There was no finding in favor of active pneumonic infiltration in both lungs.\n<pleura>: Minimal effusion is observed in the left pleural space (10 mm at its deepest point). Pericardial, right pleural effusion was not detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. There are lymphadenopathies in the mediastinum, the left supraclavicular region, the left upper mediastinum, and the prevascular level, the borders of which cannot be clearly distinguished from each other, with conglemeration pathological size and appearance. The shortest diameter of the largest as far as can be seen was approximately 45 mm in diameter in the left upper mediastinum (series 2 of 65). In the upper abdominal sections within the image; At the level of the portal hilus, adjacent to the superior mesenteric artery and celiac trunk, at the level of bilateral renal hilus, in the paraaortic area, more prominent on the left, lesions of soft tissue density, which form conglemeration and whose border cannot be clearly differentiated from each other, are observed in favor of lymphadenopathy. In addition, there are lymphadenopathies in the right paratracheal area, which have a round configuration and some have a pathological appearance with a short diameter over 1 cm.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: In bone structures within the image; Metastatic lytic bone lesions are observed in the T5 and T9 vertebral bodies, causing more significant height loss in the T5 vertebral body. It causes cortical destruction. In addition, metastatic bone lesions that have become sclerotic due to treatment were observed in the sternum.\n<abdomen>: Secondary to this, there is grade II ectasia in the left kidney pelvicalyceal system. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. No significant soft tissue component was detected. In the upper abdominal sections within the image; At the level of the portal hilus, adjacent to the superior mesenteric artery and celiac trunk, at the level of bilateral renal hilus, in the paraaortic area, more prominent on the left, lesions of soft tissue density, which form conglemeration and whose border cannot be clearly differentiated from each other, are observed in favor of lymphadenopathy.\n\nImpression:\nLymphadenopathies in the left supraclavicular fossa, left upper mediastinum, prevascular area that cannot be separated from each other, formed conglomeration, in pathological size and appearance, as well as pathological lymphadenopathies in the right paratracheal area, at the level of the portal hilus in the upper abdominal sections within the image, adjacent to the celiac trunk, superior mesenteric artery, more prominent bilateral lymphadenopathies forming conglomeration in the paraaortic area on the left and grade II ectasia in the left kidney pelvicalyxial system secondary to this.  Metastatic nodular lesions in both lungs.  Minimal left pleural effusion.  Lytic metastatic bone lesions in the T5 - T9 vertebral body and height loss, especially in the secondary T5 vertebral body, and metastatic lesions in the sternum that have become sclerotic secondary to treatment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13118/train_13118_a/train_13118_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. No mass lesions were detected in both lungs. Viral pneumonias are considered in the etiology of the findings.\n<pleura>: In the evaluation made in the lung parenchyma window: Multilobar, mostly peripheral subpleural consolidation and density increases in ground glass density are observed in both lungs. Pericardial-pleural effusion was not detected.\n<mediastinum>: There is no lymph node in the mediastinum in pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: There are chronic atrophic changes in the left kidney as far as can be seen within the borders of unenhanced CT in the upper abdominal sections within the image. No lymph node was detected in pathological size and appearance. Two hyperdense stones are observed in the left kidney, the largest of which is 5 mm in diameter in the lower pole. Intraabdominal free liqu- ulated collection is not observed.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Decreased left kidney size and left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13119/train_13119_a/train_13119_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described findings involve more than half of the lobes, especially in the lower lobes of both lungs. The described views were evaluated in favor of Covid-19 pneumonia during the pandemic process. Diffuse ground-glass appearances and interlobular septal thickenings accompanying ground-glass appearances are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nFindings compatible with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13119/train_13119_b/train_13119_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The described appearance is compatible with Covid-19 pneumonia, which is indicated in the clinical preliminary diagnosis. Interlobar septal thickening and millimetric nodules accompanied by ground glass appearance and ground glass appearance were observed in both lungs. There are also consolidations in the lower lobe of the left lung.\n<pleura>: There is bilateral minimal pleural effusion.\n<heart>: Pericardial effusion was not detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13119/train_13119_c/train_13119_c_1.npy"
        ]
    },
    {
        "id": "report_generation_31045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There are peripherally located ground glass density increments in both lungs and pleuroparenchymal linear densities on this background. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<mediastinum>: There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are peripherally located ground glass density increments in both lungs and pleuroparenchymal linear densities on this background. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13124/train_13124_a/train_13124_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31049",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Motion artifacts are observed in both lung parenchyma. Right upper-lower paratracheal several millimetric lymph nodes are observed. Consolidation selected from artifacts was not detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Pericardial effusion measuring 10 mm in its thickest part is observed. The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was observed in the bones.\n<abdomen>: No additional significant pathology was detected in the non-contrast examination. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly, pericardial effusion measuring 1 cm in its thickest part. Artefacts in both lung parenchyma, infiltration selected from artifacts were not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13126/train_13126_a/train_13126_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings described are nonspecific and atypical for Covid pneumonia. There are faint ground-glass-like density increases in the paramediastinal area and anteromediobasal level in the superior segment of the left lung lower lobe. A 2 mm diameter nodule is observed at the posterobasal level of the left lung. When examined in the lung parenchyma window; A nonspecific 2 mm diameter nodule is observed at the level of the minor fissure. There are pleuroparenchymal density increases consistent with sequelae changes in the lingular segment and a slight ground glass density increase around it.\n<pleura>: Bilateral pleural effusion or pneumothorax was not detected.\n<mediastinum>: Other mediastinal vascular structures are normal. The pulmonary trunk is at the maximal physiological limit. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes are observed in the bone structures entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A nodular lesion compatible with the accessory spleen is observed in the posterior neighborhood of the spleen. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed.\n\nImpression:\nIn the lingular segment of the left lung, there are increases in density at basal levels. The appearance is nonspecific and atypical for Covid pneumonia. However, clinical laboratory evaluation is recommended.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13132/train_13132_a/train_13132_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: An intubation catheter is observed in the trachea.\n<lung>: Ground glass opacities are observed in the lung parenchyma adjacent to the consolidation area. These appearances were evaluated in favor of pneumonic infiltration. A large consolidation area containing air bronchograms is observed in the lower lobe of the left lung. Ground glass opacities are also observed in the upper lobe posterior segment of the right lung. These appearances continue along the posterior segment in the upper lobe of the left lung. The effusion in the left lung reaches a thickness of 2 cm, and in the right lung, it reaches a thickness of about 5 mm.\n<pleura>: When examined in the lung parenchyma window; Pleural effusions in both lungs and compression atelectasis in the accompanying parenchyma are observed.\n<mediastinum>: Apart from this, there are a few more lymph nodes in the mediastinal area that are not pathological in size and appearance, the largest of which has a short axis of 7 mm. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the main pulmonary artery increased, measuring 34 mm at its widest point. Mediastinal structures could not be evaluated clearly due to the lack of contrast in the examination.\n<heart>: A port catheter extending into the right atrium is observed. A smear-like effusion is observed in the pericardial area. However, one lymph node with a short axis of 10 mm in diameter is observed in the precardiac fat pad. heart size increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bones entering the examination area.\n<abdomen>: It was understood that subtotal gastroectomy was performed on the stomach, and the anastomosis line is observed and no significant increase in mucosal thickness was detected in the anastomosis line. There are hypodense appearance and thickness increases compatible with cutaneous subcutaneous fatty planes and edema in the muscle tissue in both sides of the abdomen. Mild contaminations evaluated in favor of edema-inflammation are observed in the intra-abdominal fatty planes. Calcific atheroma plaques are observed in the aorta and coronary arteries. In the left kidney included in the examination, hypodense appearances evaluated in favor of a cyst are observed.\n\nImpression:\nAppearances of pneumonic infiltration are observed in both lungs, more prominently in the left lung.  Bilateral pleural effusion and accompanying compression atelectasis in lung segments, minimal pericardial effusion, calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13136/train_13136_a/train_13136_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Evaluation in terms of Covid-19 pneumonia is recommended.\n<pleura>: When examined in the lung parenchyma window; Multilobar peripheral subpleural ground glass and areas of increase in density consistent with consolidation were observed in both lungs, and viral pneumonias are considered in the etiology of the findings. No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: Compression fracture is observed in the T12 vertebral body in the bone structures within the image, and transpedicular nail materials are observed in the T10, T11, L1 vertebrae.\n<abdomen>: No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13149/train_13149_a/train_13149_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There is a decrease in density in favor of steatosis in the liver parenchyma. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n???Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13151/train_13151_a/train_13151_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; There are mild emphysematous changes in both lungs. There are pleuroparenchymal sequelae bands and atelectasis density increases in both lung lower lobe posterobasal segment, left lung inferior lingular segment, right lung lower lobe superior and both lung apices. Active infiltration or mass lesion is not observed in both lungs. A few millimeter-sized nonspecific nodules are observed in both lung parenchyma.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: The mediastinal vascular structures and the heart could not be evaluated optimally because the examination was performed without IV-contrast material. There are occasional calcified atheromatous plaques on the walls of the abdominal aorta and the main vascular structures originating from the aorta. No lymph nodes in pathological size and appearance were detected in mediastinal lymph node stations in the bilateral axillary region and in both axillary regions.\n<heart>: Calibration of vascular structures, heart contour, size are natural. The mediastinal vascular structures and the heart could not be evaluated optimally because the examination was performed without IV-contrast material.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the middle zone of the right kidney, a lesion of hypodense fluid density with a diameter of 20 mm and located cortical is observed. In the upper abdomen sections within the image; A hyperdense stone with millimetric dimensions (3 mm) is observed at the base of the gallbladder. It is not clearly characterized on this examination (cyst?). Intraabdominal free fluid, leucular fluid, and solid mass were not detected within the limits of unenhanced CT. There are occasional calcified atheromatous plaques on the walls of the abdominal aorta and the main vascular structures originating from the aorta.\n\nImpression:\nMild emphysematous changes in both lungs, pleuroparenchymal sequelae bands in places, and increases in density compatible with linear atelectasis, a few millimeter-sized nonspecific nodules in both lung parenchyma. Cholelithiasis and a cortical lesion in hypodense fluid density (cyst?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13152/train_13152_a/train_13152_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was observed in the trachea and both main bronchi.\n<lung>: More prominent emphysematous changes are present in the upper lobes of both lungs. There are several nodules in both lungs with a short diameter of less than 3 mm. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. No mass or infiltrative lesion was observed in both lungs. There are some areas of linear atelectasis in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There is an increase in density compatible with thymic remnant in the anterior mediastinum. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nEmphysematous changes in both lungs, areas of linear atelectasis.  Several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13155/train_13155_a/train_13155_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Minimal atelectasis was observed in the posterobasal region of the left lung lower lobe. Nodules reaching 6 mm in diameter were observed in both lungs, the largest of which was in the posterobasal right lower lobe. When examined in the lung parenchyma window; Central bronchovascular structure walls are thickened in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific plaque is present in LAD. Pericardial effusion-thickening was not observed. A catheter extending from the right jugular vein to the right atrium is observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; The spleen is 160 mm and larger than normal.\n\nImpression:\nCoronary atherosclerosis.  Thickening of the walls of the central bronchus in both lungs.  Millimetric stable nodules in both lungs.  Minimal atelectasis in the posterobasal region of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13156/train_13156_b/train_13156_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: Millimetric nonspecific stable parenchymal nodules were observed in both lungs. Segmentary-subsegmental peribronchial thickening and luminal narrowing were observed in both lungs. There was no finding in favor of a mass lesion-pneumonic infiltration with distinguishable borders in both lungs. Mosaic attenuation pattern was observed in both lungs. In the lower lobe basal segments of both lungs, slightly more prominent interlobular septal thickenings were observed on the right (cardiogenic edema?). Mosaic attenuation was found to be secondary to small airway stenosis.\n<pleura>: An effusion measuring 14 mm in the deepest part between the pleural leaves in the right hemithorax and 7.8 mm in the deepest part between the pleural leaves in the left hemithorax was observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A central venous catheter extending from the right internal jugular vein to the right atrium is observed. A smear-like effusion was observed in the pericardial space. Calcified atheroma plaques were observed on the LAD wall.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in the sections, the spleen was measured 143 mm in the long axis and is above normal.\n\nImpression:\nCalcific atheroma plaques in LAD.  Pericardial effusion; is stable.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs.  Interlobular septal thickenings (pulmonary edema?) in both lower lobe basal segments of both lungs.  Bilateral pleural effusion; increased minimally.  Stable parenchymal nodules in both lungs.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13156/train_13156_c/train_13156_c_1.npy"
        ]
    },
    {
        "id": "report_generation_31134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In the lower lobes of both lungs, a ground-glass nodular opacity is observed involving the subpleural basal segments.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13165/train_13165_a/train_13165_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. A millimetric nonspecific parenchymal nodule accompanied by changes in linear atelectasis was observed in the anterior part of the left lung lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Thymic remnant was observed in the anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThymic remnant in anterior mediastinum  Fibrotic density increases with reticulonodular sequelae in both lung apices  Millimetric nonspecific pulmonary nodule accompanied by linear atelectasis in the anterior of the left lung lingular segment"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13172/train_13172_a/train_13172_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These findings are not frequently observed in Covid-19 pneumonia. In both lungs, centriacinar nodules, some of which have the appearance of budding trees, and minimal ground glass appearance are observed, most prominent in the right lung lower lobe superior segment. Although the described manifestations are not specific, when evaluated together with clinical knowledge, they were primarily evaluated in favor of infective pathology. No mass was detected in both lungs. There are minimal pleuroparenchymal sequelae changes in both lung apexes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Atheroma plaques are observed in the aorta and coronary arteries. As far as can be observed: Heart contour and size are normal. Pacemaker electrodes terminate in the right atrium and ventricle.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: It is recommended that the patient be evaluated for liver parenchymal disease. Liver contours are irregular. No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of infective pathology in both lungs.  Irregularity in liver contours (it is recommended to evaluate the patient for chronic liver parenchymal disease)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13178/train_13178_a/train_13178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae changes in the right lung middle lobe medial segment and left lung inferior lingular segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nActive infiltration or mass lesion is not detected in both lung parenchyma. There are sequelae changes in right lung middle lobe medial segment and left lung inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13182/train_13182_a/train_13182_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described nodule is also present in the patient's previous PET-CT examination, and no difference was found in its size and appearance. There are millimetric nonspecific nodules in both lungs. In the mediobasal segment of the lower lobe of the right lung, there is a well-contoured nodule with sharp borders and calcifications measuring 22x16 mm in the peripheral area. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). There are sometimes linear atelectasis in both lungs. It is also understood that the nodule described in the PET-CT examination of the patient did not show increased FDG uptake.\n<mediastinum>: The main pulmonary artery diameter was 33 mm and was wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are lymph nodes in the mediastinum and hilar regions. No enlarged lymph node was detected in the pathological appearance. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries. Aorta diameter is normal.\n\nImpression:\nStable nodule in the lower lobe of the right lung.  Millimetric nonspecific nodules in both lungs.  Mosaic attenuation pattern in both lungs.  Atelectasis in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, increase in pulmonary artery diameters.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13191/train_13191_a/train_13191_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A millimetric calcific nodule was observed in the middle lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; In the parenchyma of both lungs, small nodular ground glass densities with indistinct borders in the peribronchial area, thickenings in the bronchial wall, and subpleural interlobular septal thickenings are observed in places. Bilateral pleural effusion of 9 mm on the right and 10 mm on the left is observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Millimetric osteophytes are observed in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall nodular ground-glass densities that do not have vague borders in the peribronchial area in both lung parenchyma, thickenings in the bronchial wall, subpleural interlobular septal thickenings in places (suspected for the onset of COVID, clinical and laboratory correlation is recommended).  Millimetric calcific nodule in the middle lobe of the right lung  Bilateral pleural effusion  Millimetric osteophytes in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13193/train_13193_a/train_13193_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Consolidations and ground-glass appearances and linear density increases are observed in both lungs, more prominently in the lower lobes and peripheral areas. There are millimetric nodules in both lungs. The described manifestations were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13197/train_13197_a/train_13197_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; A nonspecific nodule with a diameter of 2.5 mm is observed in the posterobasal segment of the lower lobe of the right lung. Apart from this, no obvious pathology was distinguished in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n<heart>: The heart and mediastinal vascular structures have a natural appearance. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Millimetric sized calcific plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nA nonspecific nodule with a diameter of 2.5 mm in the posterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13199/train_13199_a/train_13199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31214",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes, localized linear atelectasis and pleuroparenchymal sequelae density increases were observed in both lungs. Bilateral peribronchial thickenings were observed.\n<pleura>: Minimal pleural effusion is observed on the left. In both lungs, density increases were observed in the upper and lower lobes, and in the lower lobes, which were prominently located in the subpleural region, consistent with ground glass and consolidation.\n<mediastinum>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No lymph node was detected in pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calcification was observed in the aortic valve.\n<breast>: Soft tissue density compatible with gynecomastia was observed in the bilateral retroareolar area.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. There is hydronephrosis in both kidneys, prominently on the right. It is tracked in the previous review and shows a slight increase. In the gallbladder lumen, a density that may be compatible with millimetric calculus is observed.\n\nImpression:\nProstate ca. at follow-up. Stable ground-glass areas and consolidations in both lungs relative to previous examination.  Mediastinal stable lymph nodes. Calcified atherosclerotic changes in the thoracic aorta and coronary arteries. Stable nodular lesion in the right adrenal gland. Bilateral, right prominent stable hydronephrosis.  Cholelithiasis. No new findings were detected in the current examination.  Stable sclerotic lesions in T4-T5 and T6 vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13202/train_13202_b/train_13202_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Multiple nodules measuring up to 5 mm in size are observed in the lung parenchyma. Nodular fibrotic lesion areas without mass effect and accompanying ground glass densities were observed. In both lungs, especially in the right lung upper lobe posterior and lower lobe superior segments, there is a crazy paving pattern accompanying the enlarged vascular structures. In the case, which was learned to have Covid-19 pneumonia, the findings describe pneumonia-sequelae changes during the resolution period.\n<mediastinum>: Calcific atheroma plaques were observed in the abdominal aorta and iliac arteries. A few lymph nodes measuring 11 mm in the short axis of the right upper paratracheal area were observed in the mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal major vascular structures is natural. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 39 mm and wider than normal. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: Calcific atheroma plaques were observed in the abdominal aorta and iliac arteries. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries. A 16x15 mm high-density, well-circumscribed nodular mass lesion was observed in the right adrenal gland corpus (Fat-poor adenoma?). Millimetric calculus was observed in the gallbladder lumen as far as can be observed in the sections.\n\nImpression:\nPneumonic infiltration findings in the lung parenchyma are regressed, the findings described in the current review were evaluated in favor of pneumonia-sequelae changes in the resolution period.  Bilateral pleural effusion; is regressed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13202/train_13202_d/train_13202_d_1.npy"
        ]
    },
    {
        "id": "report_generation_31221",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: A well-circumscribed thin-walled air cyst of 10 mm in diameter is observed in the anterior segment of the left lung upper lobe. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. In both lung lower lobes, there are areas of increase in density consistent with linear atelectasis accompanied by structural distortion and volume loss.\n<pleura>: Pericardial, pleural effusion was not observed.\n<mediastinum>: In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are fixator materials between the T11-L1 vertebral bodies. Transpeduncular screw material on the right side of the T11 vertebra corpus, slightly extending into the paravertebral area anteriorly.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections within the image; No free, loculated collection was detected within the limits of non-contrast CT as far as can be observed. No lymph node was observed in pathological size and appearance.\n\nImpression:\nSmooth-circumscribed thin-walled air cyst in the anterior segment of the upper lobe of the right lung and areas of increased density consistent with linear atelectasis accompanied by structural distortion and volume loss in the lower lobes of both lungs, transpeduncular screw materials in the T11 and L1 vertebral corpuscles; In the T11 vertebral corpus, the transpeduncular screw material on the right extends slightly to the paravertebral area anteriorly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13203/train_13203_a/train_13203_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31230",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Widespread ground-glass appearances and consolidations are observed in both lungs, more prominently in the lower lobes. However, the appearance described during the pandemic process was primarily evaluated in favor of Covid-19 pneumonia. Many pathologies can cause a similar appearance. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13208/train_13208_a/train_13208_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: There are interlobular septal thickness increases, which are more prominent in the lower lobes of the bilateral lung. Infective pathologies are considered in the etiology of the described findings.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The pulmonary conus AP is wider than normal, with a diameter of 37 mm. No lymph node in pathological size and appearance was observed in mediastinal lymph node stations and bilateral axillary region. Mediastinal vascular structures and heart could not be evaluated optimally because the examination was performed without IV contrast material.\n<heart>: Mediastinal vascular structures and heart could not be evaluated optimally because the examination was performed without IV contrast material. An increase in the cardiothoracic ratio in favor of the heart is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are osteophytic degenerative changes in the vertebral corpus corners. No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: In the upper abdomen sections within the image, free fluid, loculated collection is not observed within the borders of non-contrast CT.\n\nImpression:\nIncrease in cardiothoracic ratio in favor of the heart, wider view in the pulmonary conus than normal.  Smooth interlobular septal thickness increases, which are more prominent in the lower lobes of both lung parenchyma, are thought to belong to pulmonary congestion when evaluated together with the increase in cardiothoracic ratio."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13211/train_13211_a/train_13211_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31263",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No effusion was detected in the mediastinium. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a fracture in the inferior of the sternum, which shows a posterior displacement and shows slight separation.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFracture in the inferior sternum, displacing posteriorly, with slight separation; no significant effusion and space-occupying fluid localization were detected in the mediastinum.  Mild pleural effusion in the right hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13224/train_13224_a/train_13224_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Both lung upper lobectomy is available. Emphysematous appearance and sequela fibrotic changes are seen in the lung parenchyma.\n<pleura>: A subpleural effusion measuring 30 mm at its widest point was observed in the left hemithorax, and it was minimally reduced.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial minimal effusion is stable.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Apart from this, no newly developed lesion was detected. The vertebrae in the study area are mildly degenerative.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nOperated lung ca.  Bilateral upper lobectomy.  Emphysema and sequelae changes in both lungs.  Decreased pleural effusion on the left.  Stable minimal pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13227/train_13227_b/train_13227_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are paraseptal centrilobular emphysematous changes in both lungs, more prominent in the upper lobes. When examined in the lung parenchyma window; Fibrotic sequelae changes are observed at the apical levels of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: An oval-shaped finding in the right adrenal gland, with a fat attenuation of 20 mm in size, was initially evaluated in favor of adenoma within the limits of the examination. Thoracic aorta diameter is normal. Examination of the upper abdomen organs is partial, and the size of the right liver is 23 mm in the subcapsular area in segment 7, subcapsular 7 mm in the anterior at the level of segment 2 in the left liver, up to 3 mm in the dome localization of the right liver, hypodense measuring 7 mm in segment 4 in fluid attenuation, the findings were evaluated in favor of cysts.\n\nImpression:\nCentrilobular paraseptal emphysematous changes in both lungs, mostly at the apical levels and superiorly in the upper lobes, fibrotic sequelae changes at the apical levels.  Multiple cysts in the liver.  A finding in the medial leg of the right adrenal gland, within the limits of the examination, in favor of adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13230/train_13230_a/train_13230_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: A 4 mm diameter nodule is observed in the middle lobe of the right lung. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: There is a 4 mm diameter subpleural nodule in the lower lobe laterobasal segment. No significant pleural effusion, infiltration or mass lesion was detected in both hemithorax. A nodule with a diameter of 3 mm in the superior segment of the left lung lower lobe, in the lateral subpleural area, and 2 mm in diameter in the dorsal subpleural area is observed.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the hilar level in the mediastinum, in the upper-lower paratracheal area. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Slight degenerative changes are observed in bone structures in sections passing through the upper abdomen.\n\nImpression:\nSignificant pneumonic infiltration was not detected in the case. A few nonspecific millimetric nodules formation in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13231/train_13231_a/train_13231_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When evaluated together with other findings, this appearance was thought to be pulmonary edema. There was no appearance that could be evaluated in favor of a mass or pneumonic infiltration in both lungs. There are interlobular septal thickenings that are locally nodular in both lungs, especially in the upper lobe of the right lung. There are local atelectasis and emphysematous changes in both lungs.\n<pleura>: There is bilateral minimal pleural effusion, more prominent on the right. The pleural effusion measured 30 mm at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 21 mm. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. Especially the left atrium is observed to be significantly larger than normal. As far as can be observed: The heart is larger than normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries  Bilateral pleural effusion, interlobular septal thickenings in both lungs  Mediastinal and hilar lymph nodes  Emphysematous changes in both lungs  Atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13233/train_13233_c/train_13233_c_1.npy"
        ]
    },
    {
        "id": "report_generation_31297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13239/train_13239_a/train_13239_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with typical-probable Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; subpleural patchy consolidation areas and ground glass opacities are observed, which are more dominant in the lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13241/train_13241_a/train_13241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<pleura>: In favor of the sequelae of previous pleurisy, there are occasional focal pleural thickness increase and accompanying coarse calcification foci in the left bilateral diaphragmatic pleura and left lung that are more prominent. When examined in the lung parenchyma window; In the lung parenchyma, an uptake pattern is observed in the form of bilaterally asymmetrical subpleural and peribronchial areas of diffuse ground glass opacity, pleuroparenchymal linear linear density increases and septal thickenings in places.\n<mediastinum>: There are mediastinal lymph nodes with bilateral lower paratracheal localization and subcarinal localization in the mediastinum, the largest of which is 13 mm in diameter in the right lower paratracheal localization. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid-19. It was thought to develop secondary to lung involvement in mediastinal lymph nodes.\n<heart>: There are calcified atheroma plaques in the coronary arteries. Pericardial effusion was not detected. Heart sizes are natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, numerous images of calculi with a diameter of 14 mm are observed in the gallbladder lumen.\n\nImpression:\nBilateral asymmetric subpleural and peribronchial ground-glass density areas in both lungs, septal thickenings and pleuroparenchymal linear density increases. Radiological findings are compatible with lung parenchymal involvement of Covid-19. Mediastinal lymph nodes accompany.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13260/train_13260_a/train_13260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13266/train_13266_a/train_13266_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31394",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main lumens.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Linear atelectasis was observed in both lungs. A millimetric nonspecific parenchymal nodule was observed in the lateral segment of the right lung middle lobe. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; In both lungs, multilobar multisegmental, central-peripheral weighted crazy paving pattern showed vascular enlargement, irregular bordered, nodular-patchy ground glass consolidation areas were observed.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nHigh suspicious findings for Covid-19 pneumonia in the lung parenchyma, accompanying linear atelectasis.  Millimetric nonspecific parenchymal nodule in the right lung middle lobe lateral segment.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13276/train_13276_a/train_13276_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Band-like sequela fibrotic density increases in the left lung lower lobe and right lung middle lobe posteriobasal segment are noteworthy. A well-circumscribed nonspecific parenchymal nodule with a diameter of 4.7 mm was observed in the anterior segment of the upper lobe of the right lung. No mass-infiltration was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; pleural parenchymal sequelae density increases were observed in the paramediastinal area in the upper lobe of the right lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Since the borders in the anterior mediastinum were unenhanced, the lobulated contoured HU value measured 27 mm in the posterior vascular structures and in the thickest part indistinguishable from the heart, an average of 32 soft tissue density was observed.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. Since the borders in the anterior mediastinum were unenhanced, the lobulated contoured HU value measured 27 mm in the posterior vascular structures and in the thickest part indistinguishable from the heart, an average of 32 soft tissue density was observed.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in contrast-enhanced examination.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections in the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nIrregularly circumscribed soft tissue lesion with lobulated contours, whose borders cannot be distinguished from adjacent vascular structures since the examination in the anterior mediastinum is uncontrast. Contrast-enhanced Thorax MRI is recommended for its characterization. Nonspecific parenchymal nodule in the upper lobe of the right lung.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13278/train_13278_a/train_13278_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31401",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: They did not show any significant changes at follow-up. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No significant change was observed in the appearance of soft tissue density in the anterior mediastinum, which did not show any clear mass border. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nThere was no evidence of active infection in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. It should be tested in a laboratory. Unlimited soft tissue density in the anterior mediastinum. Millimetric non-specific nodules in the bilateral lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13278/train_13278_c/train_13278_c_1.npy"
        ]
    },
    {
        "id": "report_generation_31417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. No cleft lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Pleuroparenchymal sequela fibroatelectatic changes were observed in the left lung upper lobe inferior lingular and both lung lower lobe basal segments. It is recommended to be evaluated together with clinical and laboratory. Millimetric nonspecific parenchymal nodules were observed in both lungs. Right lung lower lobe mediobasal, left lung upper lobe inferior lingular segment in paracardiac localization, both lung apical segments and both lung lower lobe posterobasal segments; A crazy paving pattern and ground glass consolidations showing signs of vascular enlargement were observed.\n<mediastinum>: As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The examination was considered suboptimal since no contrast agent was given.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the coronary arteries, the most prominent calcific atheroma plaques were observed in the LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific atheroma plaques in the coronary arteries . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13283/train_13283_a/train_13283_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13302/train_13302_a/train_13302_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectatic changes causing parenchymal distortion were observed in the left lung upper lobe lingular segment. Millimetric nonspecific parenchymal nodules were observed in both lungs. Both lungs are mildly emphysematous. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Edema-inflammatory density increases were observed in the perinephritic fatty planes of the left kidney (infection?, obstructive pathology in the distal?).\n\nImpression:\nCalcific atheromatous plaques in the thoracic aorta and coronary artery, cardiomegaly. Mild emphysematous changes in both lungs.  Pleuroparenchymal fibroatelectasis sequelae causing parenchymal distortion in the left lung upper lobe lingular segment.  Millimetric nonspecific parenchymal nodules in both lungs.  Increases in edema-inflammatory density in the left kidney perinephritic fatty planes (infection?, obstructive pathology in the distal?). It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13306/train_13306_a/train_13306_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31488",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Occasionally, sequela parenchymal changes are observed. When examined in the lung parenchyma window; both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). There are a few non-specific nodules of millimeter size in both lungs. No active infiltrative or mass lesion was detected in both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; A diffuse decrease in liver parenchyma density secondary to hepatosteatosis is observed. Although the examination could not be characterized clearly due to the lack of contrast, it was evaluated primarily in favor of the cyst. In the upper pole of the right kidney, a 35x25 mm cortical lesion with exophytic extension and hypodense fluid density was observed.\n\nImpression:\nThere is no evidence of active infiltrative or mass lesion in both lung parenchyma. There are mosaic attenuation pattern (small airway disease?, small vessel disease?), parenchymal changes in places and a few non-specific nodules in millimeter sizes in both lungs.  Hepatosteatosis.  Lesion of hypodense fluid density with cortical exophytic extension in the upper pole of the right kidney; cyst?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13315/train_13315_a/train_13315_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31492",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. There is no mass or infiltrative lesion in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are hypertrophic osteophytes in the vertebral corpus corners.\n<abdomen>: There are millimetric hyperdense appearances in the gallbladder. The described appearances could not be characterized as no contrast agent was given. Evaluation of the patient with previous examinations and USG are recommended if there is an indication. These appearances may belong to gallstones. It is recommended that the patient be evaluated together with previous examinations. No upper abdominal free fluid-collection was detected in the sections. There are millimetric hypodense lesions in both lobes of the liver. In addition, a minimally hyperdense appearance, measuring approximately 16 mm in diameter, was observed exophyticly from the cortex in the upper pole of the left kidney, anteriorly and medially.\n\nImpression:\nMinimal emphysematous changes in both lungs. Millimetric nodules in both lungs. Atelectasis in both lungs. Cholelithiasis.  Lesions in the liver and left kidney that cannot be characterized in this examination. Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13317/train_13317_a/train_13317_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31494",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No mass lesions were detected in both lungs. When examined in the lung parenchyma window; In both lungs, right lung upper lobe posterior, lower lobe superior, middle lobe medial segment, left lung lower lobe posterobasal, lateral and anterior segments, upper lobe lingular and posterior segments, indistinct limited peripheral location, ground glass density, tree-like appearance with buds, and ground glass density Areas of increased nodular density are observed, and pneumonic infiltration is considered in the etiology of the findings.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheroma plaques are observed on the wall of the coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. In the upper abdominal sections within the image; there is diffuse density decrease secondary to hepatosteatosis in liver parenchyma density.\n\nImpression:\nFindings evaluated in favor of pneumonic infiltration in both lungs  Calcified atheroma plaques in the wall of the coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13318/train_13318_a/train_13318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A calcified nonspecific parenchymal nodule with a diameter of 1 cm was observed in the mediobasal segment of the left lung lower lobe. In both lung parenchyma, especially in the right lung, ground glass density increases-crazy paving appearances accompanied by consolidation areas and septal thickenings were observed. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia.\n<heart>: A few calcified lymph nodes with a short axis smaller than 1 cm were observed in the posterior neighborhood of the left atrium.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13354/train_13354_a/train_13354_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31587",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Atelectatic changes were observed in the left lung. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery was 35 mm and it shows dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size has increased (cardiomegaly). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: As far as can be seen; Soft tissue density compatible with gynecomastia was observed in the retroareolar area of both breasts.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: The liver contours are irregular in the upper abdominal sections in the examination area. The left lobe is hypertrophied. The gallbladder was not observed (cholecystectomized). Diffuse free fluid was observed in the perihepatic and perisplenic area. There are findings consistent with chronic liver parenchymal disease. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly.  Atherosclerotic changes.  Increase in main pulmonary artery diameter.  Fibroatelectatic changes in both lungs.  Findings consistent with chronic liver parenchymal disease.  Widespread free fluid in the abdomen.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13356/train_13356_a/train_13356_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There was no significant change in the dimensions of the lobar lymph node adjacent to the right lung upper lobe bronchus. In the middle lobe of the right lung, pleuroparenchymal sequelae density increases, which were evaluated primarily in favor of parenchymal fibrosis, were observed. The size of the lymph node, which is also observed in the right retrocrural area, has decreased in the current examination.\n<pleura>: The pleural effusion observed on the left is not detected in the current examination.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal main vascular structures are normal.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size has increased (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: There are lytic lesions consistent with bone involvement with multiple myeloma in the bone structures within the study area.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Millimetric calculus was observed in the gallbladder lumen. The largest of the described lesions is observed at the level of segment 4B, and its long axis is approximately 24 mm.\n\nImpression:\nMultiple myeloma, mediastinal and intra-abdominal stable lymphadenopathies in follow-up. Multiple malignant lesions in the liver.  Stable metastatic nodular lesion adjacent to the right kidney. Findings consistent with multiple myeloma involvement in bone structures.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13368/train_13368_b/train_13368_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31627",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The bronchi are slightly ectatic in the center and the bronchial walls are thick.\n<lung>: Anteriorly extending osteophytes in the vertebrae and fibrotic changes in the adjacent lung parenchyma are seen. Millimetric nonspecific nodules are observed in both lungs. No parenchymal consolidation and significant infiltration were observed.\n<pleura>: When examined in the lung parenchyma window; Subpleural weighted reticular densities and focal atelectasis are observed in both lung paenchyma, especially in the lower lobes and peripherally.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is 39 mm at its widest point and is ectatic. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaques are seen in the coronary arteries.\n<esophagus>: There is an NG probe extending from the esophagus to the stomach. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: It is degenerative in bone structures. Surgical sutures are observed in the sternum. Anteriorly extending osteophytes in the vertebrae and fibrotic changes in the adjacent lung parenchyma are seen.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is an NG probe extending from the esophagus to the stomach. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nChanges secondary to bypass surgery.  Ectasia in the ascending aorta.  Aortic and coronary artery atherosclerosis.  Sequela fibrotic changes, linear atelectasis in both lungs, especially in the lower lobe and in the periphery, millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13369/train_13369_a/train_13369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<mediastinum>: Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Atheroma plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13388/train_13388_a/train_13388_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Correlation with USG is recommended for nodules. A hyperdense nodular lesion area of 25x21 mm was observed in the right thyroid lodge.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Mass with selectable borders - no active infiltration was detected. When examined in the lung parenchyma window; Although the examination cannot be performed optimally due to motion artifacts, both lungs appear emphysematous.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No lymph node was observed in pathological size and appearance. Thoracic aorta diameter is normal. In addition, multiple millimetric lymph nodes were observed in the mediastinum and both axillae. In the mediastinum and in the right lower paratracheal lymph node with a prominent fatty hilus and a short axis less than 1 cm was observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Sliding type hiatal hernia is observed in the distal esophagus.\n<bone>: Bone structures in the study area are natural. Locally, osteodegenerative changes were observed in the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Intraabdominal free fluid - no loculated collection was detected.\n\nImpression:\nHyperdense nodular lesion area described above in the right thyroid lobe (correlation with USG is recommended for nodules) . Emphysematous appearance in both lungs . Osteodegenerative changes in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13389/train_13389_a/train_13389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: With the findings, it was evaluated in favor of Covid-19 viral pneumonia in the plan. When examined in the lung parenchyma window; Ground-glass densities, especially in the lower lobes, are observed in a peripheral localized patch pattern in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are imaging features commonly reported to Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13391/train_13391_a/train_13391_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheal diverticulum is observed in the right posterolateral aspect of the trachea at the supracarina level.\n<lung>: In addition, the patient has a mosaic attenuation pattern (small vessel disease?small airway disease?). Consolidative densities are observed in the middle lobe adjacent to the peribronchovascular sheath. Several lymph nodes are observed at the right hilar level, the largest of which is 22x13 mm in size. There are sequelae changes in the lingular segment and a consolidative parenchyma appearance in the vicinity of the bronchovascular sheath. When examined in the lung parenchyma window; Uniform thickening of the interlobular septa in both lungs, again prominent in the interlobar septa, and thickening of the peribronchovascular sheath are observed.\n<pleura>: There is a pleural effusion with a thickness of 12 mm in the lower zone of the right pleural space.\n<mediastinum>: The aortic arch calibration is 32 mm, slightly above normal. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Pulmonary trunk calibration is 32 mm and wider than normal. Both pulmonary artery calibrations are normal. Multiple lymph nodes are observed in the mediastinum, in the upper-lower paratracheal area at the prevascular level, in the aorticopulmonary window, and in the subcarinal area.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. There is a metallic prosthetic valve appearance in the mitral valve. CTO increased in favor of the heart. Calibration of the ascending aorta in the mediastinum is at the maximal physiological limit. It was evaluated as compatible with cardiac stasis.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. There are degenerative changes in the bone structure in the examination area and findings compatible with DISH.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. The aortic arch calibration is 32 mm, slightly above normal.\n\nImpression:\nCardiomegaly, increased calibration in mediastinal main vascular structures, mild effusion in the right pleura, thickening of interlobular septa. Evaluation for cardiac stasis is recommended.  Mosaic attenuation pattern (small vessel disease? small airway disease?).  No significant finding in favor of pneumonia was detected.  Hepatosteatosis . Multiple lymph node in mediastinum and right hilar level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13393/train_13393_a/train_13393_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31696",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are more than one patchy pattern in both lungs, the largest being more prominent in the lower lobe of the right lung, and ground glass densities including air bronchogram signs.\n<mediastinum>: Small lymph nodes measuring up to 5 mm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A change in favor of steatosis is observed in the liver parenchyma. Liver sizes increased in the upper abdominal organs included in the sections.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13401/train_13401_a/train_13401_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31702",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearances were evaluated in favor of infective pathology. Emphysematous changes and occasional atelectasis and sequelae changes are also observed in both lungs. Bronchiectasis and peribronchial thickening in both lungs, most prominent in the lower lobe of the left lung, accompanied by structural distortion, loss of volume, and budding tree appearances, more prominently in the lower lobe. No mass was detected in both lungs.\n<mediastinum>: The diameters of the aortic arch and descending aorta are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. In the mediastinum and hilar regions, there are short lymph nodes less than 1 dm in diameter. Pulmonary artery diameters are normal.\n<heart>: Minimal pericardial effusion was observed. There is no pericardial thickening. The anterior-posterior diameter of the ascending aorta is 50x48 mm and there is aneurysmatic dilatation. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. Both kidneys are atrophic.\n\nImpression:\nBilateral atrophic kidneys.  Bronchiectasis, peribronchial thickening, structural distortion and volume loss in both lungs and budding tree appearances evaluated in favor of infective pathology accompanying these findings.  Fusiform aneurysmatic dilatation of the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13404/train_13404_a/train_13404_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are calcifications measuring up to 11 mm in the right hilar region of both lungs, with the largest being more prominent in the lower lobe posterior in the mediastinum in the right hilar region. When examined in the lung parenchyma window; prominence of interstitial signs in both lungs. Linear atelectatic changes are present in the basal segment of both lung lower lobes.\n<mediastinum>: Mediastinal main vascular structures and thoracic aorta diameter are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the dorsal aorta in the abdominal aorta.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Small hiatal each available.\n<bone>: It has an osteopenic appearance. Diffuse density reduction is observed in bone structures.\n<abdomen>: In hypodense fluid attenuation, the finding was evaluated in favor of a cyst. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A hypodense finding, 29 mm in size, located in the posterior corticopelvic region of the middle zone of the left kidney. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the dorsal aorta in the abdominal aorta. There are millimetric calcifications in the spleen. Mediastinal main vascular structures and thoracic aorta diameter are normal. There is millimetric calcification in the gallbladder. Small hiatal each available.\n\nImpression:\nSmall calcifications in both lungs, the largest in the right hilar region, bronchiectatic changes in the superior lower lobe of the right lung. Atelectasis in the basal segments of the lower lobes of both lungs. Slight increase in cardiothoracic heart size. Cortical cyst in left kidney.  Suspected cholelithiasis? . Degenerative osteophytic appearance in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13409/train_13409_a/train_13409_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In addition, there is a linear atelectasis area in the anterior segment of the left lung upper lobe. When examined in the lung parenchyma window; Mosaic pattern and ground-glass-like faint opacities are observed in the upper lobe superior segment of the right lung, and the posterior and lateral segments of the lower lobe of the left lung. It was evaluated nonspecifically. It is appropriate to evaluate the patient with clinical and laboratory findings.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific mosaic attenuation pattern in both lungs, ground glass areas (recommended to be evaluated together with clinic and laboratory)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13411/train_13411_a/train_13411_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPneumonia was not detected.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13425/train_13425_a/train_13425_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Clinical laboratory correlation and close follow-up of the finding in terms of viral pneumonia Covid-19 are recommended for better differential diagnosis. When examined in the lung parenchyma window; A patchy ground glass density is observed in the apicoposterior segment of the upper lobe of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. A few millimetric lymph nodes are observed in the mediastinum. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground glass density is observed in the apicoposterior segment of the left lung upper lobe. Clinical laboratory correlation and close follow-up of the finding in terms of viral pneumonic Covid-19 are recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13431/train_13431_a/train_13431_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is in agreement with the frequently reported imaging features of Covid-19 pneumonia. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.04 2021; Peripheral and centrally located ground-glass appearances in the upper and lower lobes of both lungs, sometimes accompanied by consolidation areas-interlobular septal thickenings. No significant changes were detected in the other findings described.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.04 2021; Peripheral and centrally located ground-glass appearances in the upper and lower lobes of both lungs, sometimes accompanied by consolidation areas-interlobular septal thickenings.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13432/train_13432_d/train_13432_d_1.npy"
        ]
    },
    {
        "id": "report_generation_31794",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Peribronchial cuffing, interlobular septal thickening, nonspecific increases in density and ground-glass opacities are observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: A sequela minimal thickening was observed in the left hemithorax posterior costal pleura.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 34 mm, larger than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The diameter of the pulmonary trunk is 36 mm and is wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Catheters terminate in the ventricle. There is a stent placed in the circumflex artery. Pericardial effusion-thickening was not observed. The findings were evaluated as secondary to cardiac overload. Heart size increased. Pacemaker and lead catheters extending to the right ventricle are seen on the anterior chest wall on the left.\n<esophagus>: Esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Mild degenerative changes were observed in bone structures. Surgical suture materials secondary to previous surgery on the sternum were observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 34 mm, larger than normal. Upper abdominal organs included in the sections are normal. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nSurgical sutures in the sternum, cardiomegaly, fusiform aneurysmatic dilation in the thoracic aorta, increase in the diameter of the pulmonary trunk . Diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries, stent placed in the circumflex artery.  Hiatal hernia. Placing pleural effusion on the right, signs of cardiac load in both lungs. There was no finding in favor of infection.  Left-facing scoliosis at the thoracic level and degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13437/train_13437_a/train_13437_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31796",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: Although the described findings may belong to the cardiac pathology of the patient, pneumonic infiltration cannot be excluded. No mass lesions were detected in both lungs. There is diffuse peribronchial thickness increase in both lungs. In both lungs, there are areas of increase in density of ground glass density with indistinct borders in the peribronchial areas accompanied by increases in peribronchial thickness, more prominent on the right.\n<pleura>: In both pleural spaces, there is a subcentimetric effusion on the left and a depth of approximately 20 mm on the right.\n<mediastinum>: Widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Pulmonary trunk and both pulmonary artery calibrations are increasing. No lymph node was observed in the mediastinum in pathological size and appearance. Measured in 33mm, 29mm and 28mm dimensions respectively.\n<heart>: Pericardial effusion was not detected. There is an increase in heart size. The catheter terminates in the right ventricular wall.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<breast>: A pace maker is observed on the left anterior chest wall.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: Widespread calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. No pathology was detected in the upper abdominal sections within the image. Measured in 33mm, 29mm and 28mm dimensions respectively.\n\nImpression:\nIncreased heart size, calcified atheromatous plaques in the wall of thoracic aortic-coronary vascular structures.  Bilateral pleural effusion, more prominent on the right.  Peribronchial diffuse thickness increases in both lungs and areas of increased density of ground glass density with indistinct borders in the peribronchial areas; Although the findings may belong to cardiac pathology, the underlying pneumonic infiltration cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13437/train_13437_b/train_13437_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31798",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are occasional atelectasis in both lungs. There are millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are diffuse uniform interlobular septal thickenings in both lungs and a ground-glass appearance, more prominent in the upper lobes and central part.\n<pleura>: The pleural effusion measured 26 mm on the right at its thickest point. There is bilateral minimal pleural effusion, more prominent on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Numerous lymph nodes were observed in the mediastinum and hilar region. The diameters of the aortic arch and descending aorta are normal. The main pulmonary artery diameter was 36 mm and wider than normal. The short diameters of these lymph nodes are less than 1 cm, but many of them were not observed in the patient's previous examinations. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The heart is larger than normal. No percardial effusion was detected. The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. When evaluated together with other findings, it was thought that these appearances might be due to cardiac pathology. Pacemaker electrodes terminate in the right atrium and right ventricle. It is understood that the patient underwent coronary by-pass surgery.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. The diameters of the aortic arch and descending aorta are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries, minimal fusiform aneurysmatic dilation in the ascending aorta, increased pulmonary artery diameters, bilateral pleural effusion.  Uniform interlobular septal thickening and ground-glass appearance in both lungs (secondary to cardiac pathology?).  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13437/train_13437_c/train_13437_c_1.npy"
        ]
    },
    {
        "id": "report_generation_31803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are atelectatic changes at the basal level of the lower lobe of the right lung. When examined in the lung parenchyma window; loculated effusions in the left hemithorax, slightly hyperdense appearances within the described effusions, hematoma? There are findings consistent with The left lower lung has a total collapsed appearance.\n<mediastinum>: Lymph nodes with a short axis smaller than 5 mm are observed in the aorticopulmonary window in the mediastinum. Thoracic aorta diameter is normal. Calcific atheromatous plaques were observed in the aortic arch, descending aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Findings compatible with the post-op (LVAD) device secondary to the operation in the left heart shadow are observed. Calcific atheromatous plaques were observed in the aortic arch, descending aorta and coronary arteries. There is an increase in heart size and left ventricular diameter.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Left-facing scoliosis in the dorsal vertebrae and diffuse density reduction in bone structures were observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific atheromatous plaques were observed in the aortic arch, descending aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA loculated effusion extending to the fissure in the left hemithorax with hyperdense appearances that may be compatible with hematoma.  Post-op devices compatible with LVAD.  Small lymph nodes in the mediastinum.  Posterobasal atelectatic changes, more prominent at the basal level of the lower lobe of the right lung.  Total collapsed view in the lower lobe of the left lung. Atelectatic changes in the lower lobes with an air bronchogram sign.  Calcific atheromatous plaques in the aortic arch, descending aorta, and coronary arteries.  There is an increase in heart size and left ventricular diameter.  Left-facing scoliosis in dorsal vertebrae, diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13437/train_13437_e/train_13437_e_1.npy"
        ]
    },
    {
        "id": "report_generation_31821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: Pleural effusion-thickening was not detected. In the right lung, the upper lobe posterior segment, the lower lobe superior segment and the lingular segment in the left lung, and the extra pleural adipose tissue in the upper lobe posterior segments of both lungs are evident, and it is also evident on both sides, including the pericardial adipose tissue.\n<mediastinum>: There are no pathologically sized and configured lymph nodes in the mediastinum and hilar level. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. The left lobe of the liver has markedly exceeded the midline to the left. Surrounding soft tissue plans are natural. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area.\n\nImpression:\nThoracic CT examination within normal limits . Decrease in density consistent with steatosis in the liver entering the cross-sectional area"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13445/train_13445_a/train_13445_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Band-like sequela fibrotic density increases were observed in the upper lobe of the left lung and the middle lobe of the right lung. When examined in the lung parenchyma window; Mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). No mass nodule-infiltration was detected in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. According to the mediastinal upper-lower paratracheal previous examination, stable millimetric lymph nodes were observed.\n<heart>: Pericardial thickening-effusion was not detected. Heart sizes are slightly increased.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Gallbladder was not observed (cholecystectomized).\n\nImpression:\nStable size and number of lymph nodes in the mediastinum in millimeters. Mosaic attenuation areas in both lungs (small airway disease? small vessel disease?).  Sequelae changes in both lungs. Cholecystectomized.  Hiatal hernia. No new findings were detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13446/train_13446_a/train_13446_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31841",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Widespread round ground glass densities are observed in both lung parenchyma, predominantly in the peripheral and lower lobes.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Millimeter Schmorl nodules are observed in the thoracic vertebrae in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nConcordant findings in terms of Covid-19 pneumonia in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13453/train_13453_a/train_13453_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Covid-19 pneumonia is considered in its etiology. There are areas of increase in density consistent with linear atelectasis in the left lung lower lobe posterobasal segment and upper lobe inferior lingular segment.\n<pleura>: Pericardial, pleural effusion was not detected. When examined in the lung parenchyma window; In both lungs, there are multilobar, mostly peripheral subpleural localized indistinctly limited ground glass density increases.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheroma plaques are observed on the walls of the coronary vascular structures.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<abdomen>: In the upper abdominal sections within the image, a change in intensity of hepatosteatosis is observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Calcified plaques of atheroma in the walls of coronary vascular structures.  Hepatosteatosis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13456/train_13456_a/train_13456_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31878",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; A lentiform shaped lesion was observed on the major fissure in the apicoposterior segment of the left lung upper lobe (intrapulmonary lymph node?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No intraabdominal free-loculated fluid was detected. Focal sequela coarse calcification was observed in the posterior segment of the right lobe of the liver as far as can be observed in the sections. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. A hypodense nodular lesion was observed in the lower pole lateral of the left kidney (cyst?).\n\nImpression:\nHiatal hernia . Superposed lentiform-shaped density (intrapulmonary lymph node?) on the major fissure in the apicoposterior segment of the left lung upper lobe.  Focal sequel coarse calcification in the posterior segment of the right lobe of the liver . Hypodense nodular lesion (cyst?) in the lower pole anterolateral of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13469/train_13469_a/train_13469_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31880",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild mosaic attenuation patterns are observed in the basal segments of the lower lobes of both lungs, and no signs in favor of a significant infectious process were detected.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. Transplanted liver is observed in upper abdominal sections. There is an increase in the size of the spleen.\n\nImpression:\nTransplanted liver.  Findings consistent with small airway disease.  Increase in spleen size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13470/train_13470_a/train_13470_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Millimetric nodules were observed in the thyroid gland.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Nodules up to 5 mm in diameter are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; There are minimal atelectasis and subpleural lines in both lungs.\n<mediastinum>: Millimetric calcific plaques were observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteophyte forms in the thoracic vertebrae and narrowing in the disc distances are observed in the bone structures in the study area.\n<abdomen>: Stents placed in the bile ducts are observed. Millimetric calcific plaques were observed in the aorta and coronary arteries. Liver right lobe transplantation is available in upper abdominal sections. Segment 7 bile ducts are slightly prominent.\n\nImpression:\nLinear atelectasis and sequelae fibrotic changes in both lungs  Millimetric nonspecific nodules in both lungs  Liver right lobe transplantation, biliary stents, mild dilatation of segment 7 biliary tract"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13470/train_13470_c/train_13470_c_1.npy"
        ]
    },
    {
        "id": "report_generation_31938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Subsegmental atelectasis is observed in the lingular segment of the left lung. There is ectasia and pleuroparenchymal recession in several bronchi in the middle lobe of the right lung. In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae densities are observed in the apex of both lungs. Depandane density increases are present in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal millimetric lymph node is observed. Left aortopulmonary and hilar calcified lymph nodes are present.\n<bone>: No lytic-destructive lesion was detected in bone structures. Degenerative changes are observed in the bone structure.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The gallbladder was not observed. Multiple calcifications are observed in the spleen entering the examination area. There are metallic clips in the operated site.\n\nImpression:\nDepandenal density increases in the lower lobes of both lungs, lingular segment- subsegmental atelectasis. Tubular ectasia and pleuroparenchymal sequelae in several bronchi in the middle lobe of the right lung.  Fissure-based, nonspecific nodule in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13485/train_13485_a/train_13485_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; Widespread and patchy ground glass-consolidation areas are observed in both lungs. There are several lymph nodes, some of them calcified, in the mediastinal area, more prominent in the left lung hilum.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calphisic atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There are several lymph nodes, some of them calcified, in the mediastinal area, more prominent in the left lung hilum.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calphisic atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13485/train_13485_b/train_13485_b_1.npy"
        ]
    },
    {
        "id": "report_generation_31984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13506/train_13506_a/train_13506_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook may be compatible with early Covid-19 pneumonia or other viral pneumonias. Lung parenchyma secondary to motion artifacts could not be optimally evaluated. Subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular, right lung upper lobe anterior and both lung lower lobe basal segments. As far as can be observed, small ground-glass opacities with faint borders located centrally in the upper lobe of the left lung are observed. It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the right anterolateral corner of the thoracic vertebral corpus, bridging spur formations were observed.\n<abdomen>: The gallbladder was not observed (operated). Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen, pancreas and both kidneys are normal. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nAtherosclerotic wall calcifications in the thoracic aorta and coronary arteries. Hiatal hernia.  Suspicious findings for Covid-19 pneumonia and other viral pneumonias in both lungs; it is recommended to be evaluated together with the clinic and laboratory. Subsegmental atelectatic changes in both lungs.  Nonspecific hypodense lesion (cyst?) located subcapsular in the right lobe of the liver. Spur formations bridging each other in the right anterolateral corner of the anterior aspect of the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13508/train_13508_a/train_13508_a_1.npy"
        ]
    },
    {
        "id": "report_generation_31997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Consolidation areas are observed in the peripheral lung parenchyma in both lungs. Typical findings for Covid-19 pneumonia are observed.\n<pleura>: Widespread subpleural striations and subsegmental atelectasis are observed in the anterior segment of the upper lobe of the right lung, the superior and laterobasal segments of the lower lobe, and the lower lobe of the left lung. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Bilateral adrenal glands appear natural. In the sections passing through the upper part of the abdomen, the density of the liver parenchyma decreased in line with hepatosteatosis. Bilateral renal hypodense probable cysts are observed in non-contrast examination.\n\nImpression:\nSubpleural streaks accompanied by diffuse patchy consolidations in both lungs. Subacute-chronic period findings of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13511/train_13511_a/train_13511_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Parenchymal aeration is normal and no infiltrative lesion is detected in the lung parenchyma. Mild atelectatic changes are observed in the inferior lingula in the upper lobe of the left lung. When examined in the lung parenchyma window; There are several millimetric nonspecific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, changes in favor of steatosis are observed in the liver parenchyma.\n\nImpression:\nMild atelectatic changes are observed in the inferior lingula in the upper lobe of the left lung. Clinical lab in terms of suspected infectious process initiation. blind. recommended.  Several millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13523/train_13523_b/train_13523_b_1.npy"
        ]
    },
    {
        "id": "report_generation_32045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimeter-sized nonspecific nodules.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are sequelae changes and a few millimeter-sized nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13531/train_13531_a/train_13531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are normal.\n<lung>: In the right lung lower lobe superior segment, a ground glass-like density increase is observed in and around the consolidative area in which air bronchograms are observed.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the right lung lower lobe superior segment, the consolidative area in which air bronchograms are observed, and an increase in density in the form of ground glass around it; the appearance is a partially significant finding for Covid-19 pneumonia. However, other viral and bacterial pneumonias are included in the differential diagnosis. Evaluation together with clinical and laboratory findings recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13533/train_13533_a/train_13533_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass-infiltration was detected in both lung parenchyma. Subsegmental atelectasis areas are remarkable in the lower lobes of the left lung. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?small vessel disease?). Large air cyst in the inferior lignular segment of the left lung and sequela fibrotic density increases were observed around it. There are millimetric calcified parenchymal nodules in the right lung.\n<pleura>: On the left, there are thickenings in the pleura, which are considered to be compatible with sequelae with millimetric calcifications. No pleural thickening-effusion was detected on the right.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are calcified atherosclerotic changes in the walls of the thoracic aorta and coronary artery and the appearance of the operation materials in the coronary arteries. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: There are calcified atherosclerotic changes in the walls of the thoracic aorta and coronary artery and the appearance of the operation materials in the coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternium.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are calcified atherosclerotic changes in the walls of the thoracic aorta and coronary artery and the appearance of the operation materials in the coronary arteries.\n\nImpression:\nCalcific atherosclerotic changes and postoperative changes in the wall of the thoracic aorta-coronary artery.  Mosaic attenuation pattern in both lungs (small airway disease?small vessel disease?).  Soda calcified pleural thickenings.  Fibroatelectatic changes in the lower lobe of the left lung, air cyst in the inferior lingular segment of the left lung and sequelae around it.  Right lung millimetric calcified parenchymal nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13534/train_13534_a/train_13534_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ground glass densities are observed in all segments of both lungs, dominating the lower lobes and peripheral lung tissue in both lungs. There are interlobular septal thickenings in places within the ground glass densities.\n<pleura>: No pleural effusion was detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast examination of the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nGround glass densities in all segments of both lungs, predominant in the lower lobes and peripheral lung tissue in both lungs, interlobular septal thickenings in ground glass densities, and the appearance is typical for Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13536/train_13536_a/train_13536_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32058",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are several nodules in both lungs with a short diameter of less than 3 mm. No mass or infiltrative lesion was detected in both lungs. Bilateral tubular bronchiectasis is observed.\n<pleura>: In both lungs, there are areas of linear-subsegmental atelectasis accompanied by pleural retractions in the lingular segment of the left lung upper lobe. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: Millimetric osteophytes are observed in the anterior corners of the thoracic vertebra corpus. No lytic-destructive lesions were observed in the bone structures within the sections. There are wedge-style sclerotic areas in the corners of the T5-T8 vertebral corpus (shiny corners secondary to spondyloarthropathy?).\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Diastasis recti is observed.\n\nImpression:\nBilateral tubular bronchiectasis.  Areas of atelectasis in both lungs.  Several millimetric nonspecific nodules in both lungs.  Diastasis recti.  Wedge-style sclerotic areas at the corners of the thoracic vertebral corpus (secondary to spondyloatropopathy?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13537/train_13537_a/train_13537_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32068",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: No active infiltration or mass lesion was detected in both lungs. There are minimal emphysematous changes at the apex of both lungs. Sequela parenchymal changes are observed in the left lung lingular segment, right lung middle lobe medial segment and both lung lower lobes. There is a nonspecific nodule measuring 2.5 mm in the anterior segment of the upper lobe of the right lung.\n<pleura>: In both lung parenchyma adjacent to the pleural effusion, there are areas of increased density evaluated in favor of compressive atelectasis. In both pleural spaces, an effusion up to 35 mm is observed on the right at its deepest point.\n<mediastinum>: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. No lymph nodes in pathological size and appearance were detected in both axillary regions, supraclavicular fossa and mediastinum. Calcified atheroma plaques are observed on the wall of thoracic aorta and coronary vascular structures.\n<heart>: Mediastinal main vascular structures were not evaluated optimally because the cardiac examination was without IV contrast. Pericardial effusion was not detected. As far as can be observed, there is an increase in heart size.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes.\n<abdomen>: A mild hypodense lesion, which could not be characterized, with a diameter of 24 mm in liver segment 7, was observed within the borders of uncontrasted CT in the upper abdominal sections within the image. No lymph node was detected in intraabdominal pathological size and appearance. Intraabdominal free fluid, loculated collection was not observed. In the corpus of the left adrenal gland, there is a nodular lesion measuring approximately 15 mm in diameter, in which fat densities of millimeter sizes are also observed. Calcified atheroma plaques are observed on the wall of thoracic aorta and coronary vascular structures. It was evaluated in favor of adenoma.\n\nImpression:\nThoracic aorta, calcified atheroma plaques on the wall of coronary vascular structures  Increase in heart size  Bilateral pleural effusion, areas of increase in density evaluated in favor of compressive atelectasis in both lung parenchyma adjacent to the effusion  Millimeter-sized nonspecific nodule in the anterior segment of the right lung upper lobe  Emphysematous in both lung apex changes and sequela parenchymal changes in both lungs  Mild hypodense lesion that cannot be characterized within the borders of non-contrast CT in liver segment 7  Nodular lesion in the left adrenal gland corpus evaluated in favor of adenoma in which millimeter-sized fat densities are observed  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13542/train_13542_a/train_13542_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32080",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is also a large cavitary lesion in the lower lobe of the right lung. No mass or infiltrative lesion was detected in the left lung. However, in this examination, it is understood that budding tree appearances appear in the upper lobe of the right lung. The described appearances were evaluated in favor of infective pathology. Peribrochial thickening is observed around the distal part of the right main bronchus and the upper, middle and lower lobe bronchi. There is also consolidation in the posterior segment of the right lung. Almost complete loss of aeration is observed in the middle lobe and lower lobe of the right lung.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13547/train_13547_a/train_13547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground-glass appearances are observed in the anterior and posterior parts of both lungs in the peripheral and central areas. In addition, their ground glass appearance is accompanied by linear atelectasis. There are millimetric nodules in both lungs. The appearances described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13549/train_13549_a/train_13549_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32086",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No appearance in favor of active infiltration or consolidation was observed. Sequelae fibrotic densities and sequelae calcifications are observed in the apical segment of the upper lobe of the right lung. When examined in the lung parenchyma window; Diffuse emphysematous changes are observed in both lungs.\n<mediastinum>: Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. There is a large aneurysm and stent appearance in the abdominal aorta included in the examination. Sequelae lymph nodes containing coarse calcifications are observed in the mediastinal region.\n<heart>: Sequelae coarse calcifications are observed in the pericardium. Pericardial effusion-thickening was not observed. The ascending aorta is fusiform dilated and measures 45 mm at its widest point. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. A large number of gallstones are observed in the gallbladder. There is a large aneurysm and stent appearance in the abdominal aorta included in the examination.\n\nImpression:\nFusiform aneurysmatic dilatation is observed in the ascending aorta.  There are extensive calcific atheroma plaques in the aorta and coronary arteries.  Sequelae of calcific lymph nodes are observed in the mediastinal area.  Sequelae of fibrotic densities and coarse calcifications are observed in the upper lobe of the right lung.  There is aneurysmatic dilatation and stent appearance in the abdominal aorta included in the examination.  Cholelithiasis.  Diffuse emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13550/train_13550_a/train_13550_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A large atelectasis area accompanied by cystic bronchiectasis in the upper lobe of the left lung was noted, and a decrease in left lung volume was observed. There are sequelae changes in both lungs, which are more prominent on the left, and smooth interlobular septal thickness increases are observed in both lungs, more prominent on the right. In the lower lobe of the left lung, there are bud tree appearances accompanying the nodular consolidation areas. Infective pathologies are primarily considered in the etiology of the described findings, and evaluation and post-treatment control together with clinical and laboratory findings are recommended.\n<pleura>: In addition, there is an effusion up to 38 millimeters from the right in the deepest part of the bilateral pleural area.\n<mediastinum>: There are calcified atheromatous plaques on the wall of the mediastinal vascular structures. Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination. In the mediastinum, there are lymph nodes in fusiform configuration at the paratracheal level, with a fatty hilus of up to 17 meters in diameter.\n<heart>: An effusion of approximately 40 millimeters is observed in the deepest part of the pericardial area.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: A pacemaker is observed on the left chest wall.\n<bone>: Thoracic kyphosis has increased and osteophytic degenerative changes are observed in the vertebral corpus corners, no lytic or destructive lesion is detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13551/train_13551_a/train_13551_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A patient with a diagnosis of sinonasal lymphoma may have Covid-19 pneumonia as well as a fungal infection. In the previous examination, more prominent in the upper lobes of both lungs, peripheral lung tissue and peribronchial consolidations in all segments, ground glass densities, and consolidations that create a crazy paving appearance in the upper lobes are observed. In the previous examination, there are central consolidations and peripheral ground-glass densities-halo sign findings, which are more prominent in the left lung upper lobe apicoposterior segment and lower lobe superior segment. These appearances disappeared within the widespread consolidations in the current examination.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Cardithoracic index is natural.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the adrenal glands have a natural appearance.\n\nImpression:\nFindings showing a halo sign observed in the previous review instead, confluences have developed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13556/train_13556_c/train_13556_c_1.npy"
        ]
    },
    {
        "id": "report_generation_32128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: No lymph node with pathological size and configuration was detected at the hilar level. There are ground-glass-like density increments in both lungs that show diffuse cofluence in places. However, clinical laboratory correlation is recommended. It is meaningful in terms of Covid pneumonia during the pandemic process. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Sequelae changes are observed at the apical level in both lungs.\n<mediastinum>: Calibration of other major vascular structures in the mediastinum is natural. Several lymph nodes are observed in the mediastinum, the largest of which is in the right upper paratracheal area and measuring 10x7 mm. CTO is within the normal range. It is wider than normal. The aortic arch calibration is 31 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: There are operational clip views in the gallbladder bed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallbladder was not observed in the lodge. CTO is within the normal range. It is wider than normal. In the upper abdominal organs, including sections; There is a decrease in density consistent with hepatosteatosis in the liver. The spleen was observed to be full. The aortic arch calibration is 31 mm.\n\nImpression:\nThere are ground-glass-style density increases in both lungs showing widespread cofluence. It is significant in terms of Covid pneumonia during the pandemic process. However, clinical laboratory correlation is recommended.  Hepatosteatosis. Full appearance in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13564/train_13564_a/train_13564_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: Pathological size and configuration of lymph nodes at both hilar levels were not detected. In almost all zones of both lungs, peripherally located consolidative parenchyma areas are observed, which are more prominent at the basal level and common in the fusion action. When examined in the lung parenchyma window; Both hemithorax are symmetrical. The outlook was evaluated as compatible with viral pneumonia.\n<pleura>: No significant pleural effusion was detected in both lungs.\n<mediastinum>: Lymph nodes are observed in almost all zones in the mediastinum, the largest of which was measured in the subcarinal area and measuring 18x11 mm. Millimetric sized calcific atheroma plaques are observed in the coronary arteries and at the level of the aortic arch. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaque is observed in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: degenerative changes in bone structure are observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric sized calcific atheroma plaques are observed in the coronary arteries and at the level of the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The gallbladder intralumen density has increased. Sonographic examination is recommended. There is a descending colon diverticulum appearance.\n\nImpression:\nWidespread consolidative parenchyma areas located peripherally, more prominent at the basal level and tending to coalesce, in almost all zones in both lungs. The appearance was evaluated as compatible with viral pneumonia. It is recommended to be examined and followed up with clinical and laboratory findings.  Intraluminal density of the gallbladder has increased . Sonographic examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13575/train_13575_a/train_13575_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Nodular solid lesion of 15 mm in size is observed in the right breast at 12 o'clock.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSolid lesion in the right breast at 12 o'clock; USG examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13580/train_13580_a/train_13580_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Findings are nonspecific. Fungal infections should be considered in the differential diagnosis. It may be compatible with pneumonic infiltration. When examined in the lung parenchyma window; There are multiple parenchymal nodules with ground glass around the left lung lingular segment showing randomized distribution in all segments of both lungs and anterobasal segments in both lower lobe basal segments that tend to consolidate in the anterobasal segments.\n<pleura>: Bilateral pleural effusion-thickening was not observed.\n<mediastinum>: The largest of the described lymphadenopathies is observed at the level of the apex of the right axilla, and its short axis was 22 mm (30 mm in the previous examination). Mediastinal main vascular structures, heart contour, size are normal. Catheter images extending from the right internal jugular vein to the superior vena cava-right atrial junction are observed. In addition, lymphadenopathies are observed in the proximal paraaortic, interaortokaval and paracaval regions within the sections.\n<heart>: Pericardial effusion-thickening is not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. In the cervical chain within the sections, multiple lymphadenopathy is observed in the infraclavicular regions in both axilla, paratracheal, subcarinal and hilar regions, and bilateral internal mammarian artery traces. Mild degenerative changes are observed. Vertebral corpus heights are preserved.\n<abdomen>: Liver and spleen sizes have increased as far as can be observed in the sections. Bilateral adrenal gland, pancreas and both kidneys are normal. In addition, lymphadenopathies are observed in the proximal paraaortic, interaortokaval and paracaval regions within the sections.\n\nImpression:\nFindings may be compatible with pneumonic infiltration, fungal infections should be considered in the differential diagnosis. Correlation with laboratory findings is recommended.  Hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13583/train_13583_c/train_13583_c_1.npy"
        ]
    },
    {
        "id": "report_generation_32184",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are approximately 10 nodules with a diameter of 3 mm in both lungs, the largest of which is in the medial segment of the lower lobe of the right lung. Minimal tubular bronchiectasis is observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Linear atelectasis areas are observed in the right lung middle lobe medial segment, left lung upper lobe lingular segment, and lower lobe medial segment. There is a parenchymal air cyst in the lower lobe of the left lung.\n<pleura>: Pleural or pericardial effusion–thickening was not detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Millimetric atheroma plaques are observed in the aorta. Mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction. There is a paraesophageal lymph node with a diameter of 3 mm.\n<bone>: There are bridging osteophytes in the anterior corners of the corpus of the thoracic vertebrae, and indentations of Schmorl's nodules on the vertebral end plateaus. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Sliding type hiatal hernia is observed at the esophagogastric junction. No discernible mass was detected in the upper abdominal organs. Millimetric atheroma plaques are observed in the aorta. As far as it can be monitored within the contrast CT limits; There is hypertrophy in the caudate lobe of the liver.\n\nImpression:\nBilateral minimal tubular bronchiectasis, multiple millimetric nonspecific nodules in both lungs, areas of linear atelectasis in both lungs.  Hiatal hernia.  Hypertrophy of the liver caudate lobe.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13588/train_13588_a/train_13588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are dependent densities in the posterior parts of both lungs. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Minimal pleuroparenchymal sequelae changes are observed in both lung apex.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal cannot be evaluated optimally because no contrast agent is given. There are atheromatous plaques in the aorta and left coronary artery. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The anteroposterior diameter of the vertebra has increased. No free bone fragments were detected in the spinal canal in this examination. Compression and height loss are observed in the L1 vertebral body. Osteophytes are observed in the vertebral corpus corners. Minimal narrowing was observed in the spinal canal. The height loss is around 25-50%. Other vertebral corpus heights within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and left coronary artery.\n\nImpression:\nCompression and loss of height in the L1 vertebral body.  Minimal emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes in both lung apex.  Millimetric nodular in both lungs.  Minimal atherosclerotic changes in the aorta and coronary arteries.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13596/train_13596_a/train_13596_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32209",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Interstitial signs are prominent.\n<pleura>: When examined in the lung parenchyma window; A 6 mm nodule is observed in the subpleural series 2 image 159 at the basal level of the left lung lower lobe. Pleural effusion-thickening was not detected.\n<mediastinum>: Small lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes in the bone structures in the examination area, increase in thoracic kyphosis, hypertrophic osteophytic tapering in the vertebral corpus endplates are observed.\n<abdomen>: In the upper abdominal organs included in the sections, there are cortical cysts measuring 49 mm on the right in both kidneys.\n\nImpression:\nBilateral renal cortical cysts  Left lung lower lobe subpleural nodule at basal level  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13598/train_13598_a/train_13598_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Clinical and laboratory correlation is recommended. Atypical pneumonia can be considered in the differential diagnosis. Widespread ground-glass-like density increases, interlobular septal thickening and crazy peing appearance were observed in the bilateral upper lobes of the lung. Subsegmental atelectasis areas were observed in the lower lobes of both lungs. No mass was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Between the bilateral pleural leaves, free pleural effusion measuring 37 mm in the thickest part on the right and 20 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. No pleural thickening was detected.\n<mediastinum>: Pulmonary artery calibration is natural. The AP diameter of the ascending aorta is 38 mm and shows mild dilatation. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Since the examination was unenhanced, the mediastinal main vascular structures could not be clearly evaluated as far as they could be observed. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Multiple lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper - lower paratracheal, prevascular, and subcarinal areas.\n<heart>: Densities of the operation material are observed on the wall of the coronary artery. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial effusion-thickening was not observed. Heart contour, size is normal. Densities of aortic valve replacement were observed.\n<esophagus>: A slide type hiatal hernia was observed. Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected in contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures. Metallic suture materials of sternotomy were observed on the anterior thorax wall that entered the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The AP diameter of the ascending aorta is 38 mm and shows mild dilatation. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Upper abdominal organs included in the sections are normal. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nPostop changes in the aortic valve , postop changes in the coronary arteries . Calcified atherosclerotic changes in the thoracic aorta and coronary arteries . Widespread ground glass density increases in both lungs, interlobular septal thickening and crazy peeling appearance (atypical pneumonia?) Clinical and laboratory correlation is recommended.  Bilateral pleural effusion and atelectatic changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13606/train_13606_a/train_13606_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The larger nodules were observed in the right lung lower lobe superior segment and left lung upper lobe lingular segment. The effusion entered the major fissure and formed a localization there. No pneumonic infiltration was detected in the lung parenchyma. In the left lung upper lobe lingular segment, right lung lower lobe superior and lower lobe mediobasal segments, and right lung upper lon posterior segment lateral part, irregularly circumscribed nodules known to be metastases were observed adjacent to the fissure. Segmentary-subsegmentary minimal peribronchial thickenings were observed in the left lung. Their diameters were measured as 18.5 mm and 16 mm, respectively (11 mm and 12 mm, respectively, in the previous examination). Linear-compressive atelectasis and interlobular septal thickening were observed in the middle and lower lobes of the right lung, and the volume of the middle and lower lobes of the right lung was decreased.\n<pleura>: No pleural effusion was observed on the left.\n<mediastinum>: Aortopulmonary, right lower paratracheal and right hilar calcified lymph nodes were observed. Atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of pulmonary arteries is natural. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, larger than normal. No enlarged lymph nodes were detected in prevascular, pretracheal, subcarinal or bilateral axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. Stent was observed in LAD. Left heart enlarged.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion in favor of metastasis was observed.\n<abdomen>: In the upper abdominal organs, including sections; liver, gall bladder, spleen, pancreas, both kidneys are natural. Coritcal cyst of 24 mm diameter was observed in the lower pole of the right kidney. Atherosclerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, larger than normal.\n\nImpression:\nA stable number of metastatic nodules in both lungs with millimetric increase in size.  Atelectasis changes, interlobular septal thickenings, peribronchial thickenings and volume loss in the middle and lower lobes of the right lung.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13610/train_13610_a/train_13610_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32275",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Reticulonodular density increases and paraseptal emphysematous changes were observed in both lung apexes. It is recommended to be evaluated together with previous examinations, if any. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: In the middle lobe of the right lung, several subpleural nodules were observed, the largest of which was 6.3 mm in diameter.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Millimetric degenerative Schmorl nodule impressions were observed in the thoracic vertebral end plateaus.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia. A few nonspecific subpleural nodules in the middle lobe of the right lung, if present, it is recommended to be evaluated together with previous examinations.  Fibrotic recessions and accompanying minimal paraseptal emphysematous changes in both lung apexes . Degenerative Schmorl nodule impressions in thoracic vertebral end plateaus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13627/train_13627_a/train_13627_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Millimetric nonspecific stable nodules are observed in both lungs. Left lung upper lobectomy is observed. When examined in the lung parenchyma window; Fibrotic sequelae changes are seen in the operation site on the left.\n<pleura>: In the right lung, there are newly developed ground glass densities located in the middle lobe and more predominantly in the lower lobe, located subpleural.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques were observed in the aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. The millimetric hypodense lesion is stable in segment 8 of the Liver, which enters the cross-sectional area. Thoracic aorta diameter is normal. Calcific atheroma plaques were observed in the aorta.\n\nImpression:\nOperated lung Ca in follow-up. Left lung upper lobectomy.  Millimetric nonspecific nodules in both lungs.  Newly developed ground glass densities (viral pneumonia?) in the middle lobe and lower lobe of the right lung. Clinical correlation is recommended.  Stable hypodense lesion in liver segment 8.  Aortic atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13629/train_13629_a/train_13629_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No active infiltration or mass lesion was detected in both lungs.\n<pleura>: Effusion up to 35 mm was observed on the right in the deepest part of both pleural areas.\n<mediastinum>: There is a hyper-hypodense high-density (hemorrhagic character) collection in which air densities belonging to the early postoperative period are also observed, measuring approximately 50 mm in size at its thickest point, extending from the anterior mediastinum to the subxiphoid area.\n<heart>: Measured at approximately 25 mm at its deepest point. Effusion was observed in the pericardial space. There is a stent applied to the pericardial space. There is a marked increase in left ventricular dimensions. It is understood that the patient underwent aortic valve replacement. An increase in heart size was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13639/train_13639_a/train_13639_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; aeration of both lung parenchyma is normal and there are a few non-specific nodules bilaterally. No infiltrative lesion is detected.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSeveral non-specific nodules bilaterally"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13661/train_13661_a/train_13661_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is consolidation adjacent to the effusion in the lower lobe of the left lung. The largest of these nodules is observed in the laterobasal segment of the lower lobe of the left lung, and its longest diameter is 5 mm. Minimal emphysematous changes were observed in both lungs. There are millimetric nodules in both lungs. In addition, there are linear atelectasis in both lungs. The appearance described due to volume loss was thought to be primarily passive atelectasis. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the left. No pleural effusion was detected on the right.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. Atheroma plaques are present in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the liver parenchyma density, a decrease in density consistent with moderate and severe adiposity was observed.\n\nImpression:\nAtherosclerotic changes in the coronary arteries  Pleural effusion on the left and the appearance evaluated in favor of atelectasis in the lung adjacent to the pleural effusion  Locally linear atelectasis in both lungs  Emphysematous changes in both lungs  Millimetric nodules in both lungs  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13666/train_13666_a/train_13666_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; Crazy paving pattern accompanied by multilobar, multisegmentary, central-peripheral weighted linear subsegmental atelectatic changes and intralobular septal thickening in both lungs and patchy ground glass consolidations showing vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia. No mass lesion with limited discernibility was detected in both lungs.\n<pleura>: Thickening of the posterior costal pleura was observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the abdominal aorta. In the non-contrast examination, the mediastinum could not be evaluated optimally. Calibration of mediastinal other major vascular structures is natural. Calcific atheroma plaques were observed in the descending aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is wider than normal with an anterior-posterior diameter of 42 mm. Heart contour size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: An appearance compatible with diffuse idiopathic bone hyperostosis was observed in the thoracic vertebrae in the bone structures included in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheroma plaques were observed in the descending aorta and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the descending aorta and coronary arteries. Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Findings consistent with diffuse idiopathic bone hyperostosis in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13667/train_13667_a/train_13667_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32368",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Consolidation areas with air brochogram were observed in the right lung upper lobe posterior segment and right lung lower lobe superior segment. Accompanying ground glass density increases were observed in the lower lobe. Other bacterial-viral pneumonias should be considered in the differential diagnosis. However, it is not specific. The described manifestations can be seen in Covid pneumonia.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nAreas of consolidation in the right lung upper lobe posterior segment and lower lobe superior segment and accompanying ground-glass density increases in the lower lobe. The described manifestations may be seen in Covid pneumonia. However, they are not specific. Other bacterial-viral pneumonias should be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13670/train_13670_a/train_13670_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In the anterior mediastinum, there is a trigonal configuration of thymic tissue with partial fat involution without mass effect. No lymph node was detected in the mediastinum in pathological size and configuration. Calibration of the main mediastinal vascular structures is natural.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; There is a slight decrease in density consistent with steatosis in the liver. Density compatible with 1-2 mm calculus is observed in the middle part of the left kidney.\n\nImpression:\nNo finding compatible with pneumonia was detected.  Mild hepatosteatosis.  Density compatible with millimetric calculus in the left kidney.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13673/train_13673_a/train_13673_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: The outlook is consistent with imaging features often reported in Covid-19 pneumonia. Clinical and laboratory correlation is recommended. When both lung parenchyma windows are evaluated; Diffuse nodular ground-glass density increases and focal consolidations were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. In the upper abdominal sections that entered the study area, the liver parenchyma density was diffusely decreased, consistent with adiposity.\n\nImpression:\nThere are frequently reported imaging features of bilateral Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13683/train_13683_a/train_13683_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32402",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Evaluation with US is recommended. As far as can be seen; The dimensions of both thyroid lobes have increased and some calcified nodules are observed in the left thyroid lobe.\n<lung>: Patchy ground-glass density increases were observed in the lower lobes of both lungs (Viral pneumonia?). Clinical and laboratory correlation is recommended. There are prominent interlobular septa in both lungs. No mass was detected in both lung parenchyma. When evaluated in both lung parenchyma windows, both mild emphysematous changes are present.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes in the thoracic aorta and coronary arteries and densities of the stent material in the coronary arteries are observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Pericardial thickening-effusion was not detected. Metallic densities of the pacemaker extending to the right ventricle were observed in the anterior left chest wall. The ascending aorta measures 39 mm in diameter and shows slight dilatation. Heart size increased. Calcific atherosclerotic changes in the thoracic aorta and coronary arteries and densities of the stent material in the coronary arteries are observed.\n<breast>: Soft tissue density compatible with gynecomastia was observed in both retroareolar regions.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Calcific atherosclerotic changes in the thoracic aorta and coronary arteries and densities of the stent material in the coronary arteries are observed. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMild dilatation of the thoracic aorta, calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery, cardiomegaly. Mild emphysematous changes in both lungs, prominent interlobular septa, patches of ground-glass density increases in both lungs (viral pneumonia?). Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13686/train_13686_a/train_13686_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are extensive areas of paraseptal emphysema in both lungs. In addition, a more distinct mosaic attenuation pattern is observed in the lower lobes of both lungs (small vessel disease ? vascular pathology ?). Apart from this, no infiltrative lesion was observed in the lung.\n<pleura>: There are pleuraparenchymal fibrotic sequelae bands in the left lung inferior lingular segment. A few bilateral nodules of nonspecific appearance were observed in both lungs, the largest of which was a nodule of approximately 5 mm in diameter, located pleural in the superior right lung lower lobe. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. The diameter of the ascending aorta has increased. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No pathology that can be evaluated in favor of lytic-destructive metastases was observed in the vertebrae and bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections were not observed in the left kidney lodge (operated).\n\nImpression:\nSequelae changes in both lungs, .diffuse emphysema in both lungs,. Mosaic attenuation pattern in both lungs (small vessel disease ? vascular pathology?).  Stable size and number of LAPs in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13690/train_13690_a/train_13690_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32416",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; Patchy ground-glass densities and enlargement of vascular structures are observed in both lungs. Clinical laboratory correlation and close follow-up are recommended.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. There is an increase in heart size.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction, degenerative changes, and mild hypertrophic tapering in the vertebral corpus end plates were observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia.  Increase in cal dimensions.  Diffuse density decrease in bone structures, degenerative changes, mild hypertrophic tapering in vertebral corpus end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13694/train_13694_a/train_13694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are mild bronchial wall thickness increases in segmental bronchi in both lungs.\n<lung>: Parenchymal aeration differences are observed in both lungs towards the basals. Increases in pleuroparenchymal density in the apical segment of the upper lobe of the right lung are consistent with the change in sequelae. No pneumonic infiltration was detected in the lung parenchyma. It would be appropriate to correlate with clinic and laboratory. Aeration differences in the form of a mosaic attenuation pattern are observed. Findings were primarily evaluated secondary to small airway involvement. There are areas of linear subsegmental linear atelectasis in places.\n<mediastinum>: There are nonspecific millimetric sized mediastinal lymph nodes. Wall calcifications are observed in the abdominal aorta and its branches. The thoracic aorta shows a dolicotic course. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: The ascending aorta diameter has increased by 52 mm. However, the presence of thromboembolism could not be excluded in the case with a history of atrial fibrillation. Pericardial effusion was not detected. Heart sizes are slightly increased.\n<bone>: Degenerative changes and spondylosis findings are observed in T12, L1, L2 and L3 vertebrae. At the lower thoracic level, there is scoliosis with the apex pointing to the right.\n<abdomen>: Bilateral atrophic kidney is present. No gall bladder was observed in the upper abdominal sections (operated). Cysts are observed in both kidneys on the atrophic kidney background. Wall calcifications are observed in the abdominal aorta and its branches. The thoracic aorta shows a dolicotic course.\n\nImpression:\nIn the case with atrial fibrillation diagnosis, fusiform aneurysmatic enlargement in the ascending aorta, calcified atheromatous plaques in the thoracic and abdominal aorta, increase in heart dimensions, especially in the left atrium, mosaic attenuation pattern in the lung parenchyma towards the bases, was thought to be primarily due to small airway involvement. Presence of pulmonary embolism could not be ruled out in the present case with non-contrast examination. Correlation with clinical and laboratory would be appropriate.  Bilateral atrophic kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13707/train_13707_a/train_13707_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is observed in a heterogeneous appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are pleuroparenchymal sequelae densities in bilateral upper lobe apicoposterior segments of the lung. Clinical evaluation and radiological follow-up are recommended. In the lower lobes of both lungs, there are more prominent budding tree views on the right and diffuse focal consolidations with air bronchograms in them (findings that may be compatible with infection in the first plan).\n<mediastinum>: There are lymph nodes in the lower paratracheal, aortopulmonary, subcarinal, right hilar, and multiple oval-shaped diffuse cortical thickenings, the largest of which is 19x12 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. An image of a possible pacemaker, whose distal end ended in the apex of the right ventricle, was observed on the right anterior chest wall. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Sonographic control is recommended. Upper abdominal organs included in the sections are normal.\n\nImpression:\nImage of a possible pacemaker on the right anterior chest wall, whose distal end ends in the apex of the right ventricle. Thyroid gland has a heterogeneous appearance. Sonographic control is recommended.  Lower paratracheal, aortopulmonary, subcarinal, right hilar, multiple oval-shaped lymph nodes with diffuse cortical thickening. Pleuroparenchymal sequelae densities in bilateral lung upper lobe apicoposterior segments.  In the lower lobes of both lungs, there are budding tree views more prominently on the right and diffuse focal consolidations with air bronchograms in them (findings that may be compatible with infection in the first plan). Clinical evaluation and radiological follow-up is recommended. In the current examination, focal consolidations and budding tree landscapes observed in the lower lobes of both lungs are progressive. Apart from these, no significant difference was found."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13718/train_13718_b/train_13718_b_1.npy"
        ]
    },
    {
        "id": "report_generation_32469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearances were evaluated in favor of pneumonic infiltration. There are millimetric nonspecific nodules in both lungs. There are similar appearances in a small area in the lower lobe of the left lung. In the lower lobe of the right lung, consolidation in the posterobasal segment, frosted glass areas and budding tree appearances are observed. No mass was detected in both lungs. A similar appearance is observed in the upper lobe bronchus. There is an appearance evaluated in favor of secretion in the right lung middle lobe bronchus.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: The appearance of the electrode in the heart and cardiac pacemaker in the right hemithorax are observed. Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nEvaluated findings in favor of pneumonic infiltration in both lung lower lobes.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13718/train_13718_c/train_13718_c_1.npy"
        ]
    },
    {
        "id": "report_generation_32471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are thickenings of the bronchial walls at the bilateral central level, and peribronchial ground glass densities and reticulonodular density increases are observed in both lower lobes, more prominently on the right.\n<pleura>: There is also minimal peribronchial and subpleural consolidation on the right.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: On the right, a pacemaker inserted through the anterior chest wall is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13718/train_13718_d/train_13718_d_1.npy"
        ]
    },
    {
        "id": "report_generation_32476",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the current examination, there are secretory densities in the trachea and bronchi.\n<lung>: When examined in the lung parenchyma window; Thickening of the bronchial wall, peribronchial consolidation and reticulonodular densities are observed in the lower lobes of both lungs, more prominent on the right. Apart from this, no significant difference was found between the examinations. No significant difference or newly developed pathology was detected in parenchymal findings.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13718/train_13718_g/train_13718_g_1.npy"
        ]
    },
    {
        "id": "report_generation_32538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland has increased.\n<lung>: In the lower lobe superior segment, a mass consolidation area of 2 cm in diameter is observed around the segmental bronchus. When examined in the lung parenchyma window; Consolidation area in which air bronchograms were observed in the posterobasal segment of the left lung lower lobe was observed and it was evaluated as compatible with lobar pneumonia. Bronchopneumonic infiltration is observed in the medial and lateral segments of the right lung middle lobe. Control imaging would be appropriate due to the suspicion of possible space-occupying lesion after treatment.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. In the mediastinum, there are short mediastinal lymph nodes between 1 and 1.5 cm in diameter, located in the paraaortic bilateral lower paratrecheal, subcarinal and hilar.\n<heart>: Pericardial effusion was not detected. The diameter of the ascending aorta increased by 46 mm. Heart dimensions and compartments appear natural.\n<esophagus>: Calibration of the esophagus was followed naturally.\n<bone>: In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is a cortical cyst in the upper pole of the left kidney. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. No lymph node was detected in pathological size and appearance. No omental or peritoneal space-occupying lesion was observed. Loculated or free fluid is not observed in the upper abdominal sections.\n\nImpression:\nThere is an area of pneumonic consolidation in the posterobasal segment of the right lung lower lobe, an area of consolidation showing a massive configuration around the segmental bronchus in the lower lobe superior segment, and post-treatment follow-up imaging will be appropriate. slight increase in diameter of the aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13740/train_13740_a/train_13740_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: As far as can be seen; A hypodense nodule with a diameter of 5 mm was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the left lung, a pneumothorax area with a diameter of 13 mm was observed in the apical at its widest part. No mass, nodule and infiltration were detected in both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. USG control is recommended.\n\nImpression:\nWidespread free air images in the subcutaneous soft tissues in the left pectoral region, pneumothorax on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13741/train_13741_a/train_13741_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open.\n<lung>: There is a bulla in the apical segment of the upper lobe of the right lung. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. A pure calcified millimetric nodule was observed in the lower lobe of the right lung.\n<pleura>: No pleural effusion was detected. An increase in pleural thickness and pleuroparenchymal sequelae density increases are observed in the apical segments of the upper lobes of both lungs.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: There is a cystic density lesion with a diameter of 5 cm in the middle zone. Upper abdomen MRI is recommended for evaluation of cyst content. There is a 1.5 cm diameter cyst in the upper pole of the left kidney. However, high-density areas are occasionally observed within the lesion. There is advanced hepatosteatosis in upper abdominal sections.\n\nImpression:\nA bulla at the apex of the right lung.  Sequelae changes in both lung apex.  Advanced hepatosteatosis.  Lesions of cystic density in the left kidney, heterogeneous internal structure of the large-sized lesion is present. MRI examination is recommended for the evaluation of its internal structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13744/train_13744_a/train_13744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32552",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A 4.5x2.5 mm nodule is observed in the apicoposterior segment of the left lung upper lobe. It is mild grade. Emphysematous changes are present in both lungs. There are linear density increases in the middle lobe on the right, consistent with pleuroparenchymal sequelae. There are pleuroparenchymal sequelae changes in the left lingular segment or an increase in density consistent with band atelectasis.\n<pleura>: A nonspecific nodule with a diameter of 2 mm is observed in the mediastinum subpleural area in the middle lobe on the right. There was no finding compatible with pleural effusion, pneumonia or pneumothorax.\n<mediastinum>: Calibration of the aortic arch is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural. Mediastinal and midline structures are deviated to the right.\n<heart>: CTO is normal.\n<esophagus>: Mild hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Calibration of the aortic arch is natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. At levels passing through the upper abdomen, a decrease in density consistent with steatosis is observed in the liver.\n\nImpression:\nNo findings consistent with pneumonia were detected. Mild emphysematous changes were observed in both lungs.  Two nonspecific millimetric nodules formation in both lungs and mild sequelae changes . Mild steatosis in the liver . Mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13747/train_13747_a/train_13747_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13754/train_13754_a/train_13754_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. In addition, linear atelectasis and pleuroparenchymal sequelae changes were observed in both lungs, more prominently in the left lung. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: The catheter terminates in the right atrium. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The described appearance does not create a pronounced mass effect and does not give clear boundaries. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. In the left hemithorax, there is an increase in density in the subcutaneous adipose tissue at the anterior level of the middle part of the scapula. This appearance was primarily thought to be a postoperative change.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nLymphoma on follow-up.  Emphysematous changes in both lungs.  Atelectasis and pleuroparenchymal sequelae changes in both lungs.  Atheroma plaques in the aorta and coronary arteries.  Hiatal hernia.  Findings evaluated in favor of postoperative changes in subcutaneous adipose tissue in the left hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13759/train_13759_a/train_13759_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are areas of increase in density consistent with atelectasis in the lower lobe basals of both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are several millimeter-sized nonspecific nodules in both lungs. There are minimal emphysematous changes in the apex of both lungs.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph node was detected in the mediastinum in pathological size and appearance. Calibration of other mediastinal vascular structures is natural. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination. As far as can be observed, the diameter of the pulmonary trunk increased by 30 mm.\n<heart>: Millimetric-sized calcific atheroma plaques were observed on the walls of the coronary vascular structures. Heart contour and size are natural. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesion was detected. There are osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners in the bone structures in the study area.\n<abdomen>: An increase in spleen size was observed. There is intraabdominal diffuse free fluid. In the upper abdomen sections within the image, there are findings consistent with chronic liver parenchymal disease.\n\nImpression:\nActive infiltration, no mass lesions were detected in both lungs.  Areas of increase in density consistent with atelectasis were observed in the bases of both lungs in the lower lobes, and minimal emphysematous changes in both lungs, minimal emphysematous changes in the apices of both lungs and both lungs, and a few millimeter-sized nonspecific nodules in both lungs were observed.  Findings consistent with chronic liver parenchymal disease, splenomegaly and diffuse intra-abdominal free fluid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13771/train_13771_a/train_13771_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Atelectatic changes were observed in the right lung middle lobe and left lung lingular segment. In the left lung lower lobe basal, an area of consolidation that cannot be differentiated from atelectasis and pneumonia was observed. Ground glass areas were also observed around the consolidation. A few millimeter-sized nonspecific nodules were observed in both lungs. Emphysematous changes were observed in the apex of both lungs. There is atelectasis adjacent to the effusion in the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; In the right hemithorax, pleural effusion measuring 28 mm in its deepest part, extending into the major fissure between the pleural leaves, and 16 mm in the deepest part between the left pleural leaves was observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Calibration of the thoracic aorta is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The diameter of the pulmonary trunk was 34 mm, and it was observed wider than normal.\n<heart>: A smear-like effusion was observed in the pericardial space. A catheter extending from the left internal jugular vein to the right atrium was observed. Heart sizes are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There is bilateral gynecomastia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be observed: Calibration of the thoracic aorta is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIncreased pulmonary trunk diameter, minimal pericardial effusion.  Atelectasis in the lower lobe of the right lung.  Ground-glass densities in and around the consolidation area in which atelectasis-pneumonic infiltration cannot be differentiated in the lower lobe of the left lung; It is recommended to be evaluated together with clinical and laboratory.  Minimal emphysematous changes in the apex of both lungs.  Millimeter sized nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13771/train_13771_b/train_13771_b_1.npy"
        ]
    },
    {
        "id": "report_generation_32603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is compression atelectasis in the vicinity of the effusion in which air bronchograms are observed. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. A few millimetric nonspecific nodules are observed in both lungs and are stable.\n<pleura>: A 4 cm thick pleural effusion is observed in the right hemithorax.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The diameter of the pulmonary trunk was 34 mm and increased.\n<heart>: Heart contour and size are normal. A 1 cm thick effusion is observed between the pericardial leaves. The central venous catheter placed through the left internal jugular vein terminates at the level of the right atrium.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: The spleen is larger than normal. As far as it can be evaluated within the limits of non-contrast CT; There are metallic densities on the cross-sectional surface of the patient who is a liver right lobe transplant recipient. There is free fluid in the abdomen. In the posterior part of the spleen, there is a hypodense collection of approximately 30x12 cm in size, which is thought to be subcapsular and whose borders cannot be clearly distinguished in the non-contrast examination. There are hyperdense appearances in the spleen parenchyma secondary to previous procedures.\n\nImpression:\nLiver right lobe transplant recipient, splenomegaly.  Right pleural effusion, compression atelectasis adjacent to the effusion.  Atelectasis-consolidation complex in the left lung; their size has decreased.  Pericardial effusion; amount increased minimally.  Increase in the diameter of the pulmonary trunk.  Hypoechoic collection in the posterior part of the spleen, which cannot be clearly evaluated on non-contrast examination, and is thought to be subcapsular.  Free fluid in the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13771/train_13771_c/train_13771_c_1.npy"
        ]
    },
    {
        "id": "report_generation_32626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and a few millimetric non-specific nodules are observed in the lung parenchyma. No infiltrative lesion was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific crescentic atheroma plaques are observed in the descending aorta, 22 mm coronary arteries and aorta.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta measures 38 mm. Mediastinal main vascular structures, heart contour, size are normal. Calcific crescentic atheroma plaques are observed in the descending aorta, 22 mm coronary arteries and aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections were evaluated suboptimally within the examination limit. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific crescentic atheroma plaques are observed in the descending aorta, 22 mm coronary arteries and aorta.\n\nImpression:\nAtherosclerosis.  Several millimetric non-specific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13783/train_13783_a/train_13783_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Mosaic perfusion is observed in both lung parenchyma. Panacinar emphysemato areas are observed in the anterior segment of the left lung upper lobe. A low-density nodule with a diameter of 4.5 mm is observed in the superior segment of the lower lobe of the right lung (ima 94).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal prevascular lymph nodes with millimetric size are observed. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No additional pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nLow density nodule in the superior segment of the lower lobe of the right lung. Mosaic perfusion in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13786/train_13786_a/train_13786_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open. Intubation catheter was observed. Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas.\n<lung>: There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Calcified pleural thickening was observed on the right. Pleural effusion was observed in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. There is perihepatic, perisplenic free peritoneal fluid. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Pleural effusion Acid Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13788/train_13788_a/train_13788_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. The examination is suboptimal because of motion artifacts.\n<lung>: When examined in the lung parenchyma window; Several calcified nodules were observed in both lungs, the largest of which was approximately 7 mm in diameter in the lingula inferior segment of the left lung.\n<mediastinum>: Mediastinal major vascular structures and cardiac examination were evaluated as suboptimal because they were unenhanced. In the mediastinal prevascular area, in the aortopulmonary window and in the paratracheal area, calcified lymph nodes with a short diameter of approximately 6 mm were observed.\n<heart>: Mediastinal major vascular structures and cardiac examination were evaluated as suboptimal because they were unenhanced.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the examination area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Evaluation with MRI for the upper abdomen is recommended. A hypodense cortical-based area is observed in the middle zone of the left kidney, which enters the image area.\n\nImpression:\nCalcified nonspecific nodules in both lungs. Mediastinal lymph nodes that do not reach pathological size.  A hypodense cortical-based view in the anterior part of the left kidney midzone (MRI of the upper abdomen is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13795/train_13795_a/train_13795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32663",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Active infiltration or mass lesion is not detected in both lung parenchyma, and linear atelectasis is observed in the right lung middle lobe medial segment, left lung inferior lingular segment and both lung lower lobes. There are nodules with a size of 7.5 millimeters in the posterobasal segment of the lower lobe on the right, more numerous on the right, in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nLinear atelectasis and nodules in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13803/train_13803_a/train_13803_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32672",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Thickening of interlobular septa, clarification of interstitial signs, mild emphysematous changes are observed in both lungs, especially in the lower lobes. (small airway disease?, small vessel disease?) Clinical correlation is recommended. There was no finding in favor of a significant infectious process.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart size slightly increased. A smear-like pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: Millimetric calcific foci are observed in the subdiaphragmatic area of the right lobe of the liver. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal. Follow-up is recommended. Dilatations are observed in the intestinal loops that can be observed in the upper abdomen.\n\nImpression:\nThickening of interlobular septa in both lungs, especially in the lower lobes, clarification of interstitial signs, mild emphysematous changes (small airway disease?, small vessel disease?) Clinical correlation is recommended. There was no finding in favor of a significant infectious process. Follow-up is recommended.  Slight increase in heart size.  Placing pericardial effusion.  Millimetric calcific foci in the subdiaphragmatic area of the right lobe of the liver.  Slight hypertrophic, osteophytic tapering in the anterior of the vertebral corpus endplates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13807/train_13807_a/train_13807_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are millimetric osteophytes in the vertebrae. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits except for millimetric osteophytes in vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13822/train_13822_a/train_13822_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Ground glass appearances and occasional consolidations are observed in both lungs. The described manifestations are more pronounced in the lower lobes of the lung and in the peripheral regions. Apart from these, a patchy consolidation-nodule with slightly irregular borders is also observed in the posterior subsegment in the apicoposterior segment of the left lung upper lobe. The described findings are of the type frequently encountered in Covid-19 pneumonia, which is stated in clinical preliminary diagnosis. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheroma plaques in the left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13823/train_13823_a/train_13823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32718",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Multiple masses are present in both lungs. The largest of the masses was measured approximately 42x24 mm in the right lung lower lobe laterobasal segment (35x20 mm in the previous examination). Destructive lung tissue is noted in the perihilar area of the right lung. Soft tissue thickening is noted in the perihilar area of the right lung. In the current examination, their size has increased markedly. In addition, there are interlobular septal prominences in both lungs in the left lung and occasionally destructive lung tissues accompanied by widespread ground-glass appearances. It is stable.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion reaching 35 mm in its thickest part is observed in both lungs.\n<mediastinum>: Calcified atheroma plaques are observed in the mediastinal main vascular structures.\n<heart>: The ascending aorta is approximately 43 mm dilated. Pericardial effusion-thickening was not observed. The heart is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative osteoarthritic changes and osteophyte formations in the bone structures in the study area. No lytic-destructive lesion was detected.\n<abdomen>: In the evaluation of upper abdominal organs including sections; Stones were observed in the gallbladder lumen.\n\nImpression:\nMasses in both lungs with significant increase in size on current examination. Bilateral pleural effusion and left pneumothorax revealed on current examination.  Ground-glass appearances and destructive lung tissues in both lungs. Cholelithiasis.  Dilatation of the ascending aorta. Findings are consistent with progression."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13827/train_13827_a/train_13827_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lung parenchyma (small airway disease?, small vessel disease?). Subsegmentary atelectasis and pleuroparenchymal sequelae density are observed in the anterior segment of the right lung upper lobe. Numerous nodules smaller than 5 mm in diameter are observed in the middle lobe of the right lung, upper lobe anterior segment, middle lobe in the right lung upper lobe anterior segment, upper lobe apicoposterior segment of the left lung, and lower lobe anterobasal segment. In addition, subsegmental atelectasis and pleuroparenchymal sequelae densities are observed in the inferior lingular segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal, aortic pulmonary lymph nodes in millimetric size are observed. No pathological LAP was detected in the mediastinum.\n<heart>: Minimal pericardial effusion in the form of thin smears is observed anteriorly.\n<bone>: A small schmorl nodule is observed in the lower end plate of the T9.vertebra. Irregularity in T8.vertebra lower and T9.vertebra upper end plate and sclerosis in corpus are observed. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The gallbladder was not observed (operated). Liver parenchyma density appears to be decreased consistent with hepatosteatosis. Bilateral adrenal glands appear natural. In the sections passing through the upper part of the west; The size of the liver partially entering the examination area appears to be increased.\n\nImpression:\nNodules in both lungs, the largest of which is 8 mm in diameter in the paramediastinal area in the right lung middle lobe, while the others are smaller than 5 mm.  Pericardial effusion with minimal smearing.  Contour irregularities and sclerosis in T8.vertebra lower, T9.vertebra upper end plate; Although the appearance is not typical, it can be evaluated clinically in terms of spondyloarthropathy.  Hepatomegaly, hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13847/train_13847_a/train_13847_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are prominent central peribronchovascular structures in both lungs.\n<pleura>: Mosaic density differences and subpleural linear lines are observed in the lungs.\n<mediastinum>: A nodule extending from the left lobe of the thyroid gland to the mediastinal inlet, with an AP diameter of 34 mm at its widest point, is observed. Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. Calcific millimetric lymph nodes were observed in the mediastinum. There are extensive calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Changes related to mitral valve surgery are observed. The heart appears larger than normal. The ascending aorta is 40 mm and is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are suture materials for sternotomy. Osteophytes with a tendency to degeneration and anterior fusion were observed in the vertebral endplates. Thoracic kyphosis has increased.\n<abdomen>: In the upper abdominal sections, including the sections; A nodular lesion with a size of 18x15 mm is observed in the left adrenal gland genus, which cannot be clearly characterized in this examination. Thoracic aorta diameter is normal. There are extensive calcific atheroma plaques in the aorta and coronary arteries. There is a cortical exophytic 30 mm hypodense nodular appearance in the left kidney.\n\nImpression:\nNodule in left lobe of thyroid gland.  Suture materials of the sternotomy. Changes in mitral valve surgery.  Cardiomegaly, ectasia in the ascending aorta. Aortic and coronary artery atherosclerosis.  Mediastinal hilar calcific sequelae lymph nodes.  Thickening of the bronchial wall in both lungs, mosaic density differences (airway disease?).  Band atelectasis in both lungs.  Nodular lesion (adenoma?) in the left adrenal gland.  Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13853/train_13853_a/train_13853_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Bilateral upper lobectomy is available. Sequelae fibrotic changes are observed in the lungs. A few millimetric non-specific stable nodules, one of which is calcified, are observed in the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: S-shaped scoliosis is present at the thoracolumbar level.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; A stable cyst was observed in the right kidney.\n\nImpression:\nOperated Lung ca in follow-up; Bilateral upper lobectomy.  Millimetric non-specific stable nodules in the left lung.  Sequela fibrotic changes in the lung.  Hiatal hernia and right renal cyst.  Thoracolumbar S-shaped scoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13855/train_13855_a/train_13855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32789",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are atelectasis in the right lung middle lobe medial segment, left lung lingular segment and right lung lower lobe basal segments. In the upper lobe of the right lung, there is a nodule with slightly irregular borders in the posterior segment and measuring 7.2 mm in diameter at its widest point. Close monitoring is recommended. Minimal emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Millimetric calcified pleural thickening is observed in the costal pleura in the right hemithorax. No pleural effusion was detected.\n<mediastinum>: In the subcarinal region, there are lymph nodes measuring 9 mm in diameter. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is a millimetric plaque of calcific atheroma in the aorta.\n<heart>: Pericardial effusion and thickening were not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. There is a millimetric plaque of calcific atheroma in the aorta. No pathologically enlarged lymph node was observed.\n\nImpression:\nStable irregular bordered nodule in the upper lobe of the right lung (close monitoring is recommended).  Atelectasis in both lungs.  Calcified pleural thickenings in the right hemithorax. Millimetric atheroma plaque in the aortic arch. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13861/train_13861_b/train_13861_b_1.npy"
        ]
    },
    {
        "id": "report_generation_32801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Review 01.10. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<pleura>: In addition, bilateral minimal pleural effusion, which was observed to have newly developed in the current examination, was observed and was measured as 10 mm on the right at its deepest point.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No solid mass was detected as far as can be observed within the limits of unenhanced CT. No intraabdominal free fluid or loculated collection is observed. Thoracic aorta diameter is normal. In the upper abdominal sections within the image, several hyperdense stones measuring 8.5x6.5 mm in diameter are observed in the left kidney. Hyperdense stone is observed in the gallbladder lumen.\n\nImpression:\nThere is newly developed bilateral minimal pleural effusion and a markedly increasing pericardial effusion.  Left nephrolithiasis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13867/train_13867_a/train_13867_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32809",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook was evaluated in favor of typical-probable Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; Ground-glass-consolidation areas, which are scattered in both lung lobes and more prominent in the subpleural areas, are observed.\n<mediastinum>: There are calcific atheromatous plaques in the aortic coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are calcific atheromatous plaques in the aortic coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; liver density decreased in line with hepatosteatosis.\n\nImpression:\nTypical-probable Covid-19 pneumonia.  Hepatosteatosis.  Calcific atheroma plaques in arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13869/train_13869_a/train_13869_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the upper part of the trachea, the soft tissue density of 16 x 5 mm, which is observed in the air on the right lateral two walls, is primarily compatible with the mucus plug. No obstructive pathology is observed in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: A nosaic attenuation pattern is observed in both lungs. A few millimetric nodules measuring 3.5 mm in diameter are observed in both lungs, the largest of which is in the posterior segment of the lower lobe of the right lung.\n<pleura>: No pleural or pericardial effusion or thickening was detected. In the mediobasal segment of the left lung lower lobe, an area of approximately 33 x 17 mm in soft tissue density was observed in the subpleural area (atelectasis?). In the right lung lower lobe mediobasal segment, an area of atelectasis accompanied by pleural parenchymal sequelae changes is observed.\n<mediastinum>: A few whole lymph nodes with a diameter of 9 mm are observed in the mediastinum and hilar regions, the largest in the right interlobar area, and there is no pathologically enlarged lymph node. Pulmonary parenchyma assessment is not optimal because of motion artifacts. Millimetric calcific atheroma plaques are observed in mediastinal vascular structures. A metallic valve is observed in the aorta. The mediastinal main vascular is of normal width.\n<heart>: There is an appearance of a stent in the anterior descending coronary artery. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. The esophagogastric junction is in normal localization.\n<bone>: Thoracic kyphosis has increased and degenerative changes are observed in the bone structures within the sections. No lytic destructive-lesion was detected in the bone structures within the sections.\n<abdomen>: Irregular reticular density increases in the bilateral pararenal area and minimal fluid in the right lateroconal fascia are observed. As far as it can be evaluated within the limits of non-contrast CT: There is a 2 x 2 cm solid lesion with fat density in the medial crus of the left adrenal gland (adenoma?). The esophagogastric junction is in normal localization. The right kidney is reduced in size, its contours are lobulated, and its parenchyma is thin (atrophy?). A metallic valve is observed in the aorta.\n\nImpression:\nCardiomegaly . Atherosclerotic changes in the main mediastinal vascular structures . Appearance of soft tissue density in the subpleural area in the left lung lower lobe mediobasal segment (atelectasis?) . Millimetric nonspecific nodules in both lungs . Sequelae atelectatic changes in the right lung lower lobe . Priority adenoma in the left adrenal gland medial crus Evaluated solid lesion . Decreased size of the right kidney, lobulation of its contours and thinning of the parenchyma (atrophy?) . Irregular reticular density increase in both pararenal areas and fluid in the right lateral conal fascia ·"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13899/train_13899_a/train_13899_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score was evaluated as high.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural weight consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13904/train_13904_a/train_13904_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Thickening of the bronchial walls was observed at the hilar level.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, there are central and peripheral diffuse ground glass densities that tend to merge, being more prominent in the middle and lower parts.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a hiatal hernia.\n<bone>: Bone structures in the study area are natural. Vertebral osteophytes are observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal cardiomegaly  Diffuse ground-glass infiltrations and consolidations in both lung parenchyma (findings consistent with Covid pneumonia)  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13928/train_13928_a/train_13928_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32948",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Millimetric hypodense nodules were observed in the left thyroid lobe. Thyroid gland sizes increased. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass densities and accompanying linear subsegmental atelectasis with central-peripheral crazy paving pattern and signs of vascular enlargement were observed in both lungs. The outlook is consistent with Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Dextroscoliosis was observed with the thoracic opening facing left. In the middle part of the thoracic vertebrae, bridging spur formations were observed on the right anterolateral.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is recommended to be evaluated together with US for calculus. A nodular lesion with 1.5 cm diameter and fluid density was observed in the upper pole of the left kidney (cyst?). The upper abdominal organs are natural as far as can be seen in the sections; No space-occupying lesion was detected in the liver that entered the cross-sectional area. Millimetric nodular density increases were observed in the gallbladder lumen.\n\nImpression:\nIncrease in thyroid gland size, hypodense nodule in the left thyroid lobe; it is recommended to be evaluated together with US. Calcific atheroma plaques in the aortic arch and coronary arteries.  Hiatal hernia. High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma are recommended to be evaluated together with clinical and laboratory.  Millimetric nodular density increases (calculus?) in the gallbladder lumen; it is recommended to be evaluated together with US. At mid-thoracic level, right anterolateral bridging spur formations and left-facing dextroscoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13933/train_13933_a/train_13933_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear atelectasis is observed in the lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Changes in favor of steatosis are observed in the liver parenchyma entering the section area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nlinear atelectasis in the lower lobe of the left lung.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13937/train_13937_a/train_13937_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described findings are the findings frequently observed in Covid-19 pneumonia. Peripheral and centrally located ground glass areas and occasional consolidation of ground glass areas are observed in the upper lobe of both lungs and the middle and lower lobes of the right lung. The frosted glass areas are sometimes round in shape. There are locally enlarged veins and interlobular septal thickenings within the ground glass areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13939/train_13939_a/train_13939_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a honeycomb appearance in the right lung lower lobe superior segment and upper lobe posterior segment. There are diffuse emphysematous changes in both lungs. In addition, there are sometimes linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. The effusion continues to the apex of the lung when the patient is in the supine position. There are also pleuroparenchymal sequelae changes and linear atelectasis in both lungs. The lower lobe of the left lung is completely atelectatic, except for the superior segment.\n<pleura>: There is prominent pleural effusion on the left. There is minimal pleural effusion on the right. The pleural effusion measured 65 mm at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal: Cardiac pacemaker is observed in the subcutaneous fatty tissue in the left hemithorax. Atheroma plaques are observed in the aorta and coronary arteries. It is understood that Haata underwent aortic and mitral valve replacement.\n<heart>: Heart contour and size are normal. Pacemaker electrodes terminate in the right atrium and ventricle.\n<bone>: As far as can be observed: There are surgical materials in the sternum. There are stones in the gallbladder No fracture or lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are stones in the gallbladder No fracture or lytic-destructive lesion was detected in the bone structures within the sections. It is understood that Haata underwent aortic and mitral valve replacement. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nLeft pleural effusion.  Atelectasis and sequelae changes in both lungs.  Honeycomb appearances in the right lung.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13943/train_13943_a/train_13943_a_1.npy"
        ]
    },
    {
        "id": "report_generation_32988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Ground-glass density increases with septal thickenings were observed in the upper lobes of both lungs, and consolidation areas and crazy paving appearances that tended to coalesce in the lower lobes were observed. Other viral pneumonias can be considered in the differential diagnosis. Findings described There are frequently reported imaging features of Covid-19 pneumonia.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nGround-glass density increases with septal thickenings in the upper lobes of both lungs, consolidation areas in the lower lobes that tend to coalesce; frequently reported imaging features of Covid-19 pneumonia are present. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13951/train_13951_a/train_13951_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33012",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Centrilobular emphysematous changes are present in both lungs. When examined in the lung parenchyma window; Diffuse patchy ground glass density in both lungs, crazy paving patterns and vascular expansion are observed in the upper lobes.\n<mediastinum>: Small lymph nodes measuring up to 7 mm in multiple short axes are present in the mediastinum and bilateral hilar regions. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings evaluated primarily in favor of Covid-19 viral pneumonia in the lung parenchyma, close follow-up of the clinical laboratory is recommended.  Bilateral centrilobular paraseptal emphysematous changes . Multiple lymph nodes with a short axis measuring up to 7 mm in the mediastinum and bilateral hilar regions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13962/train_13962_a/train_13962_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: A parenchymal nodule with a diameter of approximately 6 mm was observed on the fissural face of the lower lobe superior segment of the left lung. When examined in the lung parenchyma window; In both lungs, a ground-glass appearance and a honeycomb appearance were noted in the peripheral areas consistent with interstitial lung disease. No significant changes were detected in these views in the current examination. In the previous examination, no nodule was detected due to the section thickness. Sequela fibrotic changes were observed in the right lung apex, and peripherally located millimetric air cysts and paraseptal emphysema findings were observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Stable lymph nodes with a short diameter of 9mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area and bilateral hilar region. Calcified atheroma plaques were observed in the mediastinal main vascular structures. The ascending aorta is dilated by approximately 45mm, and the descending aorta by approximately 38mm. The descending aorta has a tortuous course.\n<heart>: Pericardial effusion-thickening was not detected. The heart is normal.\n<esophagus>: The thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Vertebral corpus heights are preserved.\n<abdomen>: No obvious pathology was detected in the upper abdominal organs that entered the imaging field. The ascending aorta is dilated by approximately 45mm, and the descending aorta by approximately 38mm. No significant massive wall thickening was detected. The descending aorta has a tortuous course.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13964/train_13964_a/train_13964_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a paratracheal cyst just to the right of the midline in the distal part of the trachea. The described appearance is also present in the previous examination of the patient. No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Volume loss is most prominent especially in the right lung upper lobe apical segment and middle lobe. The described findings were also present in the previous examination of the patient and no difference was found. There was no difference in size and appearance. Findings are consistent with interstitial lung disease stated in clinical preliminary diagnosis. There is also volume loss in both lungs. No mass or infiltrative lesion in both lungs was detected in this examination.\n<pleura>: In both lungs, interlobular septal and minimal interstitial thickenings, which are more prominent in the lower lobes and peripheral subpleural areas, and a honeycomb appearance consistent with end-stage lung disease are observed in places. There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Millimetric atheroma plaques are observed in the aorta and coronary arteries. The main pulmonary artery is wider than normal in diameter. The diameters of the aortic arch and descending aorta are normal. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Mixed type hiatal hernia is observed at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections. Millimetric atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nInterstitial lung disease in follow-up, honeycomb appearance in both lungs, especially in peripheral subpleural areas, and interlobular septal and minimal interstitial thickenings . Calcific atheroma plaques in the aorta and coronary arteries . Mediastinal and hilar lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13964/train_13964_b/train_13964_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of the infectious process. Close monitoring of clinical laboratory correlation is recommended. When examined in the lung parenchyma window; In the middle lobe of the right lung, air bronchogram signs are observed, and density increases are observed in the lower lingula of the left lung upper lobe and in the basal segments of the lower lobes of both lungs. No nodular lesions were detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings evaluated in favor of bacterial infectious process in the lung parenchyma in the first place. Close monitoring of clinical laboratory correlation is recommended due to the current pandemic."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13979/train_13979_a/train_13979_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration-consolidation or space-occupying lesion was detected in both lungs. When examined in the lung parenchyma window; There are linear subsegmental atelectasis areas in both lungs, especially in the lower lobes, and sequela fibrotic densities in the vicinity of the left lung lower lobe fissure.\n<pleura>: Subpleural localized nonspecific pulmonary nodules not exceeding 5 mm in diameter are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are present in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Sequela calcific changes are observed in the pericardial area.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are present in the aorta and coronary arteries.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13983/train_13983_a/train_13983_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No pathological size and configured lymph node was detected at the hilar level. When examined in the lung parenchyma window; A nodule with a diameter of approximately 5 mm is observed in the anterior segment of the upper lobe of the right lung, and a nodule with a diameter of 4 mm in the middle lobe of the right lung. There is effusion in the left interlobar fissure. There is a mosaic attenuation pattern in both lungs. It may be compatible with small vessel disease or small airway disease. Sequelae changes are observed in the lingular segment of the left lung.\n<pleura>: There is a pleural effusion in the right lung that extends from the basal to the upper zone and reaches 35 mm in thickness where it is most prominent.\n<mediastinum>: Calibration of other major vascular structures is natural. There are lymph nodes in the mediastinum, in the upper-lower paratracheal area, in the aorticopulmonary window, at the prevascular level, with the most prominent short axis measuring around 7 mm. The aortic arch calibration was measured as 33 mm. In the fatty planes of the anterior mediastinum, slight contamination extends to the periphery of the aorta. A clear evaluation cannot be made in the non-contrast examination. If it is necessary to be evaluated together with clinical findings, advanced examination with contrast is recommended.\n<heart>: Pericardial mild thickening is observed. CTO is normal. The slight increase in density in the lumen of the ascending aorta was evaluated as compatible with the aortic graft.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area. Post-op changes are observed in the sternum.\n<abdomen>: The aortic arch calibration was measured as 33 mm. In the fatty planes of the anterior mediastinum, slight contamination extends to the periphery of the aorta. A clear evaluation cannot be made in the non-contrast examination. In the evaluation of the upper abdominal organs included in the sections, no significant pathology was detected in the non-contrast examinations. If it is necessary to be evaluated together with clinical findings, advanced examination with contrast is recommended.\n\nImpression:\n1-2 millimetric nonspecific nodules formation in both lungs . Left pleural effusion . Mild mosaic attenuation appearance in both lungs, it is recommended to be evaluated together with clinical and laboratory findings in terms of small vessel disease or small airway diseases.  Pericardial thickening, ascending Contrast-enhanced examination is recommended for further evaluation in case of clinical necessity, with an appearance at the aorta level, which is evaluated as compatible with the aortic graft, and a slight increase in density in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13989/train_13989_a/train_13989_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There is linear atelectasis in the medial segment of the right middle lobe. There are millimetric non-specific nodules in the bilateral lung. Clinical and laboratory evaluation will be appropriate.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In both lungs, patchy, peripheral, subpleural faint ground glass densities are observed in the posterior of the lower lobes, prominent on the right.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nLinear atelectasis in the medial segment of the right middle lobe. In both lungs, prominent on the right, posterior to the lower lobes, patchy, peripheral, subpleural, clear ground-glass densities. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13990/train_13990_a/train_13990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33088",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Right lung lower lobectomy is available. Nonspecific nodules are stable. Reductions in peribronchial reticulonodular infiltrates are observed in both lung lower lobes. No newly developed pathology was detected. Emphysematous appearance is present in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density losses consistent with hepatosteatosis and bilateral renal cysts in the liver entering the section area are stable. Thoracic aorta diameter is normal. No space-occupying lesion was detected in other organs. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOperated lung ca  Right lung lower lobectomy  Emphysema in both lungs  Sequelae fibrotic changes in both lungs, nonspecific stable millimetric nodules  Decrease in peribronchial reticulonodular infiltrates in both lung lower lobes  No significant difference was found between the studies apart from these."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_13996/train_13996_b/train_13996_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33111",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; diffusely located predominantly subpleural ground-glass densities are observed in both lung parenchyma.\n<mediastinum>: There are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are millimetric Schmorl nodules in the vertebrae in the bone structures within the study area.\n<abdomen>: In the upper abdominal organs included in the sections, there is diffuse loss of density in the liver (hepatosteatosis).\n\nImpression:\nFindings consistent with Covid pneumonia.  Coronary atherosclerosis . Hepatosteatosis . Hemangioma in liver segment 5?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14007/train_14007_a/train_14007_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Diffuse mild ectasia is observed in bilateral bronchial structures. Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Diffuse peripherally located ground-glass densities are observed in all segments of both lungs, and viral pneumonias are considered in the etiology of the findings. A well-defined nodule of 11 mm in size is observed in the anterior segment of the upper lobe of the right lung. Follow-up is recommended. There are areas of increased density in the left lung upper lobe inferior lingular segment and lower lobe posterobasal segment, which are evaluated in favor of linear band atelectasis. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. In addition, there are a few millimetric nonspecific nodules in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Calcified atheroma plaques are observed on the wall of mediastinal vascular structure and coronary vascular structures. Mediastinal main vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of mediastinal vascular structures and heart contour size are normal. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Mediastinal main vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of mediastinal vascular structures and heart contour size are normal. Calcified atheroma plaques are observed on the wall of mediastinal vascular structure and coronary vascular structures. A minimal effusion measuring 6 mm is observed in the deepest part of the pericardial area.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions are observed in the bone structures in the examination area, and there are widespread degenerative changes.\n<abdomen>: There are suture materials secondary to the operation in the locus. As far as can be seen within the limits of CT without contrast in the upper abdominal sections within the image; There are low-density nodular lesions of 20x11.5 mm in the lateral crus of the right adrenal gland and 20 mm in diameter in the body of the left adrenal gland, with millimeter-sized fat intensities. The gallbladder was not observed. There are air densities in the left intrahepatic bile ducts. It was evaluated in favor of adenoma.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs. 11 mm diameter nodule in the anterior segment of the upper lobe of the right lung; Follow-up is recommended. Apart from this, a few millimetric nodules in millimeters in both lungs . Diffuse mild ectasia in bilateral bronchial structures . Areas of increase in density consistent with atelectasis in the form of linear bands in the left lung upper lobe inferior segment and lower lobe posterobasal segment . Air densities in the cholecystectomized left intrahepatic bile ducts . Bilateral Nodular lesions in the adrenal gland evaluated in favor of adenoma . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14008/train_14008_a/train_14008_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: These appearances are frequently observed in viral pneumonia. When examined in the lung parenchyma window; Widespread and patchy ground glass-consolidation areas are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. At the same time, observed ground glass opacities are among the commonly observed findings in Covid-19. Upper abdominal organs included in the sections are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nFindings compatible with viral pneumonia.  Observed appearances are among the frequently observed findings in Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14010/train_14010_a/train_14010_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33122",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Fibroatelectatic changes were observed in the middle lobe of the right lung. No mass or infiltration was detected in both lungs. When examined in the lung parenchyma window; A 5 mm diameter calcified parenchymal nodule was observed in the anterior segment of the left lung upper lobe. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Prevascular, left hilar, multiple calcified lymph nodes were observed in the left aorticopulmonary window, the short axis of the largest one measuring 1 cm. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with mild adiposity.\n\nImpression:\nEmphysematous changes in both lungs. Mediastinal calcified lymph nodes, calcified parenchymal nodules in the left lung. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14011/train_14011_a/train_14011_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14015/train_14015_b/train_14015_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Several nonspecific parenchymal nodules measuring 6 mm in diameter were observed in both lung parenchyma, the largest of which was in the left lung lower lobe laterobasal segment. There are atelectatic changes in both lung lower lobes.\n<pleura>: Subpleural focal ground-glass density increases are observed in the upper lobe of the left lung and the mediobasal segment of the lower lobe of the right lung (viral pneumonia?).\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls.\n<heart>: increased heart size (cardiomegaly). Pericardial minimal effusion was observed.\n<esophagus>: When the upper abdominal sections in the examination area are evaluated; There are densities of electrodes extending to the esophagogastric junction. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are present. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: When the upper abdominal sections in the examination area are evaluated; There are densities of electrodes extending to the esophagogastric junction. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nCardiomegaly, minimal pericardial effusion. Mild calcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Sequelae changes in both lungs, atelectasis, mosaic attenuation pattern in both lungs. Focal ground-glass density increase in the upper lobe of the left lung and the mediobasal segment of the lower lobe of the right lung (viral pneumonia?. Clinical and laboratory correlation recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14018/train_14018_a/train_14018_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, there is a harmonious appearance with enlarged veins in the frosted glass areas. Peripheral and central consolidations are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung, and ground glass areas are observed, more prominently in the upper lobe of the lung. The described findings are the findings frequently observed in Covid-19 pneumonia. Ground glass areas are accompanied by interlobular septal thickenings. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There are stones in the gallbladder with a diameter of 2 cm. A stone with a diameter of 3 mm was observed in the middle part of the left kidney.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14029/train_14029_a/train_14029_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Millimetrically sized nonspecific nodules are observed in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No pathologically enlarged lymph nodes were detected in the mediastinum, in both axillary regions and at the supraclavicular level.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are osteophytic degenerative changes in the vertebral corpus corners that tend to merge in the right anterolateral. No lytic or destructive lesion was observed in the bone structures in the examination area, and the vertebral corpus heights were preserved.\n<abdomen>: Apart from this, multiple cortical and parapelvic localized lesions in both kidneys, the largest of which are 62x55 mm in size in the lower pole of the right kidney, are observed. Thoracic aorta diameter is normal. In the upper abdominal organs within the image, multiple hypodense lesions of fluid density are observed in the liver parenchyma, the largest of which is measured at the level of segment 3 and measuring 20 mm in size. They are thought to be primarily cysts. Due to the lack of contrast of the examination, it could not be clearly characterized.\n\nImpression:\nThere was no finding in favor of pneumonia in both lungs. Sliding hiatal hernia at the lower end of the esophagus.  Multiple lesions in the liver parenchyma, multiple numbers of cortical and parenchymal localized in both kidneys, hypodense fluid density, which cannot be clearly characterized due to the lack of contrast in the examination, and are primarily evaluated in favor of cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14039/train_14039_a/train_14039_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33190",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A mass at this level could not be excluded. There are millimetric nonspecific nodules in both lungs. Post-treatment control is recommended. When examined in the lung parenchyma window; Posterobasal diffuse consolidation and atelectasis are observed in the lower lobe of the left lung. There is minimal emphysema in the upper lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific plaques and coronary stents are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. In the mediastan, lymph nodes that do not reach pathological size and appearance, and the short axis of the larger ones reach 10 mm, are observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific plaques and coronary stents are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Post-treatment follow-up examination is recommended in terms of diffuse pneumonic consolidation and atelectasis in the coronary system-left lung lower lobe, and mass differentiation at this level.  Minimal emphysema in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14043/train_14043_a/train_14043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Apart from this, no active infiltration was detected in a mass lesion with distinguishable borders in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinum could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calculus images with diameters of up to 2 mm were observed in the middle and lower poles of the right kidney and in the lower pole of the left kidney. No intraabdominal free-loculated fluid was detected. Thoracic aorta diameter is normal. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Spleen, pancreas, both adrenal glands are normal.\n\nImpression:\nHiatal hernia . Passive atelectatic changes in right lung middle lobe medial and left lung upper lobe inferior lingular segment . Subcapsular well-circumscribed hypodense lesion area (cyst?) in liver right lobe posterior segment. Microlithiasis in both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14046/train_14046_a/train_14046_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33198",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score is high.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There are bilateral kidney stones.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Cyst in the liver? Nephrolithiasis Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14046/train_14046_b/train_14046_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33206",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are diffuse emphysematous changes in both lungs. Consolidations in the lower lobe of both lungs and the posterior segment of the left lung upper lobe, and surrounding ground glass areas and centriacinar nodules are observed. There are also linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. In addition, structural distortion, volume loss, linear density increases and calcifications are observed in the upper lobe of the right lung, which are evaluated in favor of pleuroparenchymal sequelae changes. The described appearance is consistent with the diagnosis of pneumonic infiltration indicated in the clinical preliminary diagnosis. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are milimetric lymph nodes, many of which are calcific, in the mediastinum and hilar regions. The main pulmonary artery diameter was 36mm and wider than normal. No pathologically enlarged lymph nodes were observed. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Aorta diameter is normal. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of pneumonic infiltration in both lungs. Emphysematous changes in both lungs and atelectasis in the lung.  Pleuroparenchymal sequelae changes in the right lung. Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increase in pulmonary artery diameters."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14050/train_14050_a/train_14050_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are millimetric nodules in both lungs. It is recommended to evaluate the patient in terms of infective pathology together with physical examination, laboratory and clinical findings. There are consolidations with air bronchograms in the middle lobe and lower lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Pulmonary artery diameters are normal. The diameters of the aortic arch and descending aorta are normal. There are no enlarged lymph nodes in pathological dimensions.\n<heart>: The anterior-posterior diameter of the ascending aorta is 44mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Almost all bone structures within the sections are observed as heterogeneous, and there are hypodense appearances that cause heterogeneity in bone structures. The described appearances are consistent with the diagnosis of multiple myeloma stated in the clinical preliminary diagnosis. Surgical filling materials are observed in the thoracic vertebral corpuscles. In addition, expansion in the ribs and height losses in the thoracic vertebrae are observed.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nMultiple myeloma on follow-up, lytic bone lesions in almost all bone structures within sections. Consolidation in right lung middle and lower lobe.  Millimetric nodules in both lungs. Fusiform aneurysmatic dilation of the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14058/train_14058_b/train_14058_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33226",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. When examined in the lung parenchyma window; There are scattered ground-glass densities in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. In the upper abdominal organs included in the sections, the liver parenchyma density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nTypical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14059/train_14059_a/train_14059_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground-glass appearances are observed in both lungs, being more prominent in the peripheral region. There are millimetric nodules in both lungs. The described appearances are consistent with Covid-19 pneumonia indicated in the clinical preliminary diagnosis. Linear atelectasis and minimal emphysematous changes were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are no enlarged lymph nodes in pathological dimensions. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There is a decrease in liver parenchyma density consistent with moderate to severe adiposity. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14059/train_14059_b/train_14059_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33246",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: A well-circumscribed parenchymal stable nodular stable mass with macrocalcifications of 31x25 mm is observed in the lingula inferior segment of the left lung (hamartoma?). Bronchiectatic changes and peribronchial thickenings are observed in bilateral perihilar areas, more prominently on the left, and bud tree appearances and reticular density increases are observed in places. When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in both lungs. The appearances were slightly increased on current examination (infected bronchiectasis?). Stable parenchymal nodules are observed in both lungs. It is stable.\n<mediastinum>: Lymph nodes with a short radius of 1 cm are observed in the mediastinal prevascular area and in the paratracheal area. Calcified atheroma plaques are observed in the mediastinal main vascular structures.\n<heart>: Calcifications are present in the coronary arteries. Pericardial effusion-thickening was not observed. There is cardiomegaly. The diameter of the ascending aorta was 38 mm.\n<esophagus>: Mixed type hiatal hernia is observed at the esophagogastric junction. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: Mixed type hiatal hernia is observed at the esophagogastric junction. In the abdominal sections within the image, there are millimetric stones in the gallbladder lumen.\n\nImpression:\nBronchiectasis in both lungs, more prominent on the left, and bud tree appearances thresholding peribronchial thickening on the left (findings suggested infected bronchiectasis.  Nodular mass with stable calcifications in the lingula inferior segment of the left lung.  Mesenteric stable lymph nodes. Mixed hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14067/train_14067_b/train_14067_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peribronchial consolidation and atelectasis are present in the lingula on the left. When examined in the lung parenchyma window; Widespread bronchiectasis and thickening of the bronchial wall are observed at the lower mediobasal level in both lung parenchyma and especially at the lingula level on the left. The nodule containing calcifications within 26 mm in the inferior segment of the left lung lingula is stable.\n<pleura>: In addition, ground glass densities with newly developed subpleural merging tendency are observed in both lung lower lobes and left upper lobe posterior.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. An appearance compatible with atherosclerotic plaque and stent is observed in the coronary arteries.\n<esophagus>: Mixed type hiatal hernia is observed. There is dilatation in the distal of the esophagus and an asymmetrical thickening reaching a diameter of 9 mm in the anterior.\n<bone>: Bone structures in the study area are natural. There are mild degenerative changes in the vertebrae. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a millimetric stone density in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are millimetric accessory spleens adjacent to the spleen.\n\nImpression:\nBilateral new developing subpleural ground-glass densities (possible for Covid pneumonia).  Nodular lesion with stable calcification in left lung lingula. Mixed hiatal hernia.  Dilatation of the distal esophagus and asymmetrical thickening of the mucosa. (Endoscopy recommended).  Aortic and coronary atherosclerosis. Stent in the coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14067/train_14067_c/train_14067_c_1.npy"
        ]
    },
    {
        "id": "report_generation_33254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A few millimetric nonspecific pulmonary nodules were observed in both lung parenchyma. Subsegmental atelectasis area in the middle lobe of the right lung is remarkable. When examined in the lung parenchyma window; Peribronchial thickening and bronchiectatic changes were observed in both lung parenchyma. Mosaic atteniation areas were observed in both lung parenchyma (small vessel disease?, small airway disease?).\n<mediastinum>: No lymph nodes were detected in pathological size and appearance. Anapulmonary artery diameter was measured 29 mm. The thoracic aorta measures 40 mm in diameter and shows mild fusiform dilatation. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Lymph nodes measuring 5 mm in the short axis of the larger one were observed in the upper-lower paratracheal, subcarinal localization. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: A compression fracture was observed in the L1 vertebra, resulting in a loss of height of approximately 50%. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No significant pathology was detected in the upper abdominal sections within the non-contrast scan limits. The thoracic aorta measures 40 mm in diameter and shows mild fusiform dilatation. Calcific atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nSequelae changes in both lungs, peribronchial thickenings and areas of mild tubular bronchiectasis in the center . Mosaic attenuation areas in both lung parenchyma (small vessel disease?, small airway disease?) . Sequelae changes in both lungs and areas of subsegmentary atelectasis . Millimetrical areas in both lungs dimensional nonspecific pulmonary nodules.  Compression fracture in L1 vertebra. Slight fusiform dilatation in the ascending aorta.  Calcific atherosclerotic changes in the thoracic abdominal aorta and coronal arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14070/train_14070_a/train_14070_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Three stone densities were observed in the right kidney, the largest one with a diameter of 7.2 mm in the upper pole, and three stone density in the left kidney, the largest with a diameter of 3.5 mm in the lower pole. Upper abdominal organs included in the sections are normal. It is recommended to be evaluated together with clinical and laboratory in terms of possible inflammatory bowel diseases. Submucosal fat deposits are observed at the level of the ascending colon and hepatic flexure, and the appearance is nonspecific.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs . Bilateral nephrolithiasis . Submucosal fat deposits at the level of the ascending colon and hepatic flexure; the appearance is nonspecific. It is recommended to be evaluated together with clinical and laboratory in terms of possible inflammatory bowel diseases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14073/train_14073_a/train_14073_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33264",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: In addition, there are well-contoured nodules in both lungs, the largest of which is adjacent to the oblique fissure in the lower lobe of the right lung, and the longest diameter is 9 mm, some of which are calcific. There are linear atelectasis in the medial segment of the middle lobe of the right lung, the lingular segment of the upper lobe of the left lung, and the basal segments of the lower lobes of both lungs. Minimal emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Tissue diagnosis is recommended. The nodule observed in the upper lobe of the right lung in the previous examination of the patient is not observed in this examination.\n<pleura>: No pleural or pericardial effusion or thickening was detected. In the right lung upper lobe posterior segment, a nodule measuring 12x12 mm in the widest part, with spiculated contours in places, is observed in the peripheral subpleural area.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Pulmonary artery diameter was 30 mm and wider than normal. The diameters of the descending aorta of the aortic arch are normal. There are millimetric atheroma plaques in the aorta.\n<heart>: The ascending aorta measures 46 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No discernible mass was detected. No upper abdominal pathologically enlarged lymph nodes were detected in the sections. The diameters of the descending aorta of the aortic arch are normal. As far as it can be observed within the limits of unenhanced CT, there is no mass with distinguishable borders in the upper abdominal organs within the sections. There is minimal thickening of both adrenal gland corpuscles. There are millimetric atheroma plaques in the aorta. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nNodule with spiculated contours in the posterior segment of the right lung upper lobe (tissue diagnosis is recommended).  Nodules in both lungs. Some atelectasis in both lungs. Minimal emphysematous changes in both lungs.  Minimal fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters. Thickening of both adrenal gland corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14075/train_14075_a/train_14075_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are bilateral cylindrical bronchiectasis. Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; Crazy paving appearances and consolidations consisting of patchy, peripheral-subpleural, ground glass density and interlobular septal thickening were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Bronchiectasis Note: Other organized pneumonias such as influenza, drug toxicity, connective tissue diseases may cause similar manifestations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14076/train_14076_a/train_14076_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; centracinar nodular density increases and interlobular septal prominence in the entire lower lobe of the left lung are noteworthy. Correlation with clinical is recommended. The appearance was suggestive of interstitial lung disease. No pathological wall thickening was detected. A few parenchymal nodules with a diameter of 4 mm were observed in the lingula superior segment of the left lung upper lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: An ovarian-configured lymph node with a short diameter of 6 mm was observed in the mediastinal paratracheal area and bilateral hilar region. No obvious pathology was detected. Mediastinal main vascular structures were evaluated as suboptimal since cardiac examination was unenhanced.\n<heart>: Mediastinal main vascular structures were evaluated as suboptimal since cardiac examination was unenhanced.\n<esophagus>: It is in thoracic esophagus calibration.\n<bone>: Bone structures in the study area are natural. No lymph nodes reaching pathological dimensions were detected in the bilateral subclavicular region and axillary region. Vertebral corpus heights are preserved.\n<abdomen>: No significant pathology was detected in the upper abdominal organs included in the sections.\n\nImpression:\nCentracinar nodular density increases and intralobular septal prominences in the entire lower lobe of the left lung (correlation is recommended with clinical for interstitial lung disease).  Lymph nodes that do not reach mediastinal pathological size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14083/train_14083_a/train_14083_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33289",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are areas of increase in density consistent with linear atelectasis accompanying the findings. There are emphysematous changes in both lungs. No mass lesions were detected in both lungs. The outlook is suggestive of COVID-19 pneumonia during recovery.\n<pleura>: Pericardial, pleural effusion was not detected. In both lungs, multilobar, peripheral subpleural areas of indistinct consolidation-intensity increases in ground glass density were observed.\n<mediastinum>: Calibration of mediastinal vascular structures, heart contour and size are natural. No pathological size and appearance lymph nodes were observed in both axillary regions, mediastinum and bilateral supraclavicular fossa.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus height and alignment are natural.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nThere are findings consistent with Covid-19 pneumonia in the recovery period in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14087/train_14087_a/train_14087_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma. Linear subsegmental atelectasis areas are observed in the bilateral lower lobe of the lung and the middle lobe of the right lung.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Sliding type mild hiatal hernia is present.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nPneumonic infiltration was not detected.  Linear atelectasis areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14094/train_14094_a/train_14094_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: It is recommended to evaluate and follow-up together with previous examinations, if any. Parenchymal nodules with a diameter of 5.3 mm were observed in both lungs, the largest of which was in the left lung lower lobe basal, adjacent to the segment bronchus. Pleuroparenchymal fibrotic recession was observed in the left lung lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. A 1.5 cm diameter bleb formation was observed in the posterobasal segment of the left lung lower lobe. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in both lung segment-subsegment bronchi.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative Schmorl node impressions were observed in the middle-distal thoracic end plates of the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver parenchyma density in the cross-sectional area has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nMinimal peribronchial thickening in segment-subsegment bronchi in both lungs, sequela fibrotic change in left lung inferior lingular segment.  Millimetric parenchymal nodules in both lungs; It is recommended to evaluate and follow-up together with previous examinations, if any.  Hepatosteatosis  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14106/train_14106_a/train_14106_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33342",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is consistent with interstitial lung disease secondary to scleroderma. No mass lesion-active infiltration was detected in both lungs. The parenchyma is descended in places and is accompanied by frosted glass densities. When examined in the lung parenchyma window; Widespread central-peripheral zone-weighted honeycomb-parenchymal multicystic appearance and interlobular septal thickenings were observed in the lower lobes of both lungs. It is recommended that the patient be evaluated together with previous examinations. Parenchymal nodules, 6.6x5.1 mm in size at the junction of the anterior-middle lobe junction of the right lung upper lobe, and 8x4.5 mm in size in the left lower lobe laterobasal segment, were observed in both lungs.\n<mediastinum>: Prevascular, aortopulmonary, right upper bilateral lower subcarinal lymph nodes measuring 9 mm in the short axis of the larger right lower paratracheal were observed. In the non-contrast examination, it could not be evaluated optimally from the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No lymph node was observed in pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Spleen, pancreas, adrenal glands, both kidneys are normal. As far as can be observed in the sections, the liver parenchyma density decreased in line with the fatty deposits.\n\nImpression:\nDiffuse interlobular septal thickenings predominantly located in the central-peripheral subzone in both lungs, diffuse parenchymal cysts accompanied by ground glass densities - honeycomb appearance and accompanying fibrosis causing widespread parenchymal destruction and distortion; the appearance is compatible with interstitial lung disease.  Both parenchymal nodules in the lung. It is recommended that the patient be evaluated together with previous examinations.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14110/train_14110_a/train_14110_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33357",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from these findings, thin-walled cysts and emphysema areas are observed in both lungs. There are linear scattered fibrotic band densities in both lungs. There is a linear atelectasis area in the lateral segment of the right lung middle lobe and centriacinar nodular ground glass areas adjacent to this area. When examined in the lung parenchyma window; Centriacinar emphysema areas are observed in the lower lobes of both lungs. Apart from this, there are also minimal frosted glass areas that are difficult to select with scattered placement. Although the findings are not clear for Covid-19 pneumonia, Covid-19 pneumonia is also included in the differential diagnosis due to ground glass opacities.\n<pleura>: In the lateral segment of the upper lobe of the left lung, there is a subpleural localized, barely distinguishable ground glass area.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHardly distinguishable ground glass opacity in the lateral segment of the right lung. Apart from this, minimal nodular ground glass areas that are scattered and difficult to distinguish are observed in both lungs. Although it is not typical for Covid-19 pneumonia, Covid-19 pneumonia is also present in the differential diagnosis due to ground glass opacities. It is recommended to evaluate it together with laboratory findings and laboratory findings.  Apart from these findings, scattered sequelae of fibrotic band densities and linear atelectasis areas in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14118/train_14118_a/train_14118_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33372",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Depandant densities were observed in the posterior parts of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. In liver parenchyma density, there is a decrease in density compatible with minimal-moderate adiposity. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14126/train_14126_a/train_14126_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A solid pulmonary nodule with a diameter of 6 mm is observed laterally in the superior segment of the lower lobe of the right lung.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. The size of the heart has increased and its contours are monitored regularly.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteophytic taperings are observed in the anterior vertebral corpus anterior in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSolid pulmonary nodule in the right lung. Osteophytic tapering in the vertebral corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14131/train_14131_a/train_14131_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground-glass areas, mostly nodular, are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described appearance is one of the frequently encountered findings in Covid 19 pneumonia, which is stated in the clinical preliminary diagnosis. There are atelectasis in both lungs. A few millimetric nodules are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14132/train_14132_a/train_14132_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Widespread, patchy, ground glass densities and consolidations were observed in both lungs. Pneumonic infiltration? There are appearances of cylindrical bronchiectasis in bilateral lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. In the mediastinum, appearances of multiple lymph nodes were observed, including the prevascular, paratracheal, aortopulmonary and subcarinal localized lymph node, the largest of which was the right inferior paratracheal 18x12 mm lymph node.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: The esophagus was evaluated within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: An appearance of a 9 mm diameter lymph node is observed in the spleen hilum. Liver parenchyma density is decreased (hepatosteatosis). In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nLymph nodes identified in the mediastinum Pneumonic infiltration? Bronchiectasis Hepatosteatosis Lymph node defined in the spleen hilum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14133/train_14133_a/train_14133_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Clinical and laboratory evaluation is recommended for Covid-19 pneumonia.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. When examined in the lung parenchyma window; Multilobar, mostly peripheral subpleural localized, indistinct ground-glass density increases are observed in both lungs, more prominently on the right, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures and the heart were not evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Free fluid-loculated collection is not observed.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14135/train_14135_a/train_14135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground-glass appearances and interlobular septal thickenings accompanying ground-glass appearances were observed in both lungs, more prominently in the lower lobe of the right lung. There are emphysematous changes, atelectasis and pleuroparenchymal sequelae changes in both lungs. Many pathologies can cause these appearances. The views described are not specific. In addition, these appearances may be due to viral pneumonia. No mass was detected in both lungs.\n<pleura>: No significant pleural thickening was observed. The pleural effusion measured 75 mm on the left at its thickest point. On the left, the pleural effusion continues to the apex of the lung when the patient is in the supine position. There is bilateral pleural effusion, more prominent on the left.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. When the patient's other findings were evaluated together, it was thought that the ground-glass appearances might be due to cardiac pathology. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are stones in the gallbladder about 2 cm in diameter. No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal.\n\nImpression:\nAtheroma plaques in the aorta and coronary arteries, increased pulmonary artery diameter, bilateral pleural effusion.  Ground glass appearance in both lungs, minimal interlobular septal thickening.  Diffuse emphysematous changes, atelectasis and sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14136/train_14136_a/train_14136_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Emphysematous changes, atelectasis and pleuroparenchymal sequelae changes were observed in both lungs. No discernible mass was observed in the lung parenchyma. In the left lung lower lobe basal segment, an area of atelectasis-consolidation was observed in the area adjacent to the effusion. There are widespread areas of infiltrative consolidation accompanied by peribronchial and peripherally weighted ground glass densities in all segments of the right lung. There are segmental-subsegmental prominent peribronchial thickenings in the right lung. The outlook was evaluated in favor of pneumonic infiltration.\n<pleura>: No significant pleural thickening was observed. When examined in the lung parenchyma window; There is bilateral pleural effusion, more prominent on the left. Left pleural effusion continues to the apex of the lung when the patient is in the supine position. The pleural effusion measured 81 mm on the left at its thickest point.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. The diameter of the pulmonary trunk was 32 mm and wider than normal. Diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Several pathological lymph nodes were observed at the right upper-lower paratracheal level, the largest of which was 19x12 mm in size. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 39 mm and an anterior-posterior diameter of the descending aorta 32 mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are at the upper limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in bone structures. Surgical suture materials secondary to previous bypass surgery in the anterior mediastinum of the sternum were observed.\n<abdomen>: No intraabdominal free-loculated fluid was detected. Diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. As far as can be seen within the sections; In the gallbladder lumen, stone densities with a diameter of 17 mm were observed. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 39 mm and an anterior-posterior diameter of the descending aorta 32 mm. There is a PEG catheter extending from the anterior abdominal wall to the stomach.\n\nImpression:\nPneumonic infiltration in the right lung; looks progressive.  Right upper-lower paratracheal lymph nodes in pathological size  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14136/train_14136_b/train_14136_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In this area, there is an appearance of ectasia due to traction in the bronchioles. Calibration of the trachea and main bronchi is normal.\n<lung>: It is recommended to be evaluated in terms of infective processes. There are soft tissue appearances in both lungs, which are considered compatible with pleuroparenchymal sequelae accompanied by microcalcifications at the apical level. A millimetric calcific lymph node was observed at the left hilar level. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. the changes described on the left are also mildly observed at the level of the lower lobe superior segment. No pathological size and configuration lymph nodes were detected at both hilar levels. In the right lung, a branch with bud view is observed in the posterior segment of the upper lobe.\n<pleura>: Apart from this, no significant pleural effusion or pneumothorax appearance was detected in both lungs. In the right lung, adjacent to the lower lobe superior segment, there is a partially calcified calcification in the parenchymal pleura and a band appearance extending towards the parenchyma.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. A few millimetric lymph nodes are observed in the upper-lower paratracheal area in the mediastinum. CTO is within the normal range. The aortic arch calibration is 30 mm.\n<bone>: Bone structures are natural.\n<abdomen>: No significant difference was detected. Mild hiatal hernia is observed. CTO is within the normal range. Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. The aortic arch calibration is 30 mm.\n\nImpression:\nSequelae changes and accompanying tractional bronchiectasis in both lungs at the apical level and in the left lung lower lobe superior segment, and a faint branch with bud view in the right lung upper lobe posterior segment ( infective processes?). Evaluation with clinical and laboratory findings is recommended. The identified findings did not differ significantly from the previous review.  Hepatosteatosis. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14141/train_14141_a/train_14141_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Clinic and lab.\n<pleura>: In the evaluation of both lung parenchyma; Patchy areas of consolidation are observed in the peripheral subpleural area in all bilateral segments, and the described findings are typical findings of covid-19 pneumonia. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. In the mediastinum, fusiform lymph nodes with a short diameter of 10 mm were observed at the precarinal level. There are calcified atheromatous plaques on the wall of vascular structures.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are osteopenia and osteophytic degenerative changes. No lytic or destructive lesions were detected in bone structures.\n<abdomen>: It cannot be characterized within the limits of non-contrast CT. In the sections passing through the upper part of the abdomen, hypodense lesions of 40 mm in diameter were observed in both kidneys, the largest on the left. It is recommended to evaluate together with the examinations. There are calcified atheromatous plaques on the wall of vascular structures.\n\nImpression:\nPatchy areas of consolidation are observed in the peripheral subpleural area in all segments of both lungs, and the described findings are typical findings of covid-19 pneumonia. Evaluation together with clinical and laboratory examinations is recommended. Hypodense lesions were observed in both kidneys in the sections passing through the upper part of it. It cannot be characterized within the limits of uncontrast CT. Osteopenia and osteophytic degenerative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14144/train_14144_a/train_14144_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs in a diffuse crazy paving pattern. There are atelectatic changes in the basal segments of the lower lobes of both lungs. A viral infectious process PCP due to the patient's known AML? CMV? Clinical laboratory correlation and close follow-up are recommended due to the current pandemic.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are bridging tendencies. Tapering was observed in the vertebral corpus end platelets.\n<abdomen>: There is a decrease in density in favor of hepatosteatosis in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space occupying lesion was detected in the liver. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings were evaluated in terms of a viral infectious process PCP? CMV?, clinical laboratory correlation and close follow-up are recommended due to the current pandemic.  Vertebra corpus tapering, bridging tendencies in end platelets . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14147/train_14147_b/train_14147_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33462",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Slightly more diffuse atelectic changes were observed on the right in the lung areas adjacent to the effusion. No mass lesion with distinguishable borders was detected in both lungs. Ground-glass areas and interlobular septal thickenings were observed in both lungs, which may be consistent with the findings of dependency. When examined in the lung parenchyma window; In both hemithoraxes, effusion with a diameter of 20 mm on the right and a smear-like effusion is observed on the left.\n<pleura>: Pleural parenchymal fibrotic ectatic sequelae changes are observed in the right lung middle lobe media and left lung upper lobe inferior lingular segment.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcification is observed in the thoracic aorta and coronary arteries. Calibration of the pulmonary trunk and both pulmonary arteries is increased.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are above normal. Atherosclerotic wall calcification is observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 42 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal. Atherosclerotic wall calcification is observed in the thoracic aorta and coronary arteries.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, increased pulmonary artery diameters, cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  Slightly more pronounced bilateral pleural effusion on the right, subsegmental atelectic changes in the lung areas adjacent to the effusion  Right lung middle lobe media and left lung upper lobe inferior pleural parenchymal fibrotic ectatic sequelae changes in the lingular segment  Dependent increases in density and interlobular septal thickenings in both lungs; evaluated in favor of pulmonary overload findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14159/train_14159_a/train_14159_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Several lymph nodes with a size of 7 mm are observed in the pretracheal area.\n<lung>: Apart from this, consolidation areas in places in the ground glass areas in the central parts of both lungs were noted. Findings may be consistent with typical-probable Covid-19 pneumonia. When examined in the lung parenchyma window; Diffuse bronchiectatic changes are observed, more prominently at the apex of both lungs. It is appropriate to evaluate the patient with control CT after treatment.\n<pleura>: Widespread patchy subpleural ground-glass areas are observed in both lungs, predominantly in the upper lobes. Peripheral subpleural paraseptal emphysema areas are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures are normal.\n<heart>: Heart size was slightly increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia . Bronchiectatic and emphysematous changes are observed in both lungs.  cardiomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14166/train_14166_a/train_14166_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: There are sequelae changes at the apical level. Findings consistent with emphysema are observed in both lungs. Band atelectasis is observed adjacent to the fissure in the superior segment of the lower lobe of the right lung. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Band atelectasis is observed at the anteromediobasal level of the lower lobe of the left lung. Focal but diffuse sequelae changes-consolidative areas are observed in both lungs, and ground glass-like density increases are observed in places.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of other major vascular structures in the mediastinum is natural. Millimetric calcific atheroma plaques are observed in the aortic arch, aortic outlet and coronary arteries. Pulmonary trunk calibration is natural.\n<heart>: Millimetric calcific atheroma plaques are observed in the aortic arch, aortic outlet and coronary arteries. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed in the aortic arch, aortic outlet and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild emphysema appearance in both lungs.  Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14166/train_14166_b/train_14166_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33479",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is an emphysematous appearance in the upper lobes of the lung. The regressed ground glass densities present in the old examination also decreased in the new examination and can be detected with difficulty. They are seen as fibrotic density in the form of intermittent sequelae.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebrae are degenerative.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysematous appearance in both lungs.  Sequelae fibrotic changes in the lungs, near-total regression in the ground glass densities present in the previous examination and sequelae densities at these levels."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14166/train_14166_c/train_14166_c_1.npy"
        ]
    },
    {
        "id": "report_generation_33481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is present in both lungs consistent with emphysema. The findings described in the previous examination are not detected and are new. It has been evaluated in favor of the infectious process, and clinical laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; In his current examination, focal patchy ground-glass densities are observed in both lungs, a consolidation area with bronchiectasis and enlargement in the vascular structures around the left lung lower lobe superiorly is observed. There is mild atelectasis in the right lung lower lobe superior segment adjacent to the fissure. A band-shaped atelectasis is observed at the anteromediobasal level of the lower lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary short axis 5 long axis measuring up to 14 mm without significant difference are observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A hypodense finding that does not differ significantly is observed in the T1 vertebral corpus. There are degenerative changes in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMediastinal lymph nodes that do not show significant difference are observed.  Mild emphysematous appearances in both lungs.  Mild atelectatic changes in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14166/train_14166_d/train_14166_d_1.npy"
        ]
    },
    {
        "id": "report_generation_33483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, minimal decrease is observed in the ground glass densities present in both lungs. When examined in the lung parenchyma window; There is a slight increase in the existing consolidation size in the left lung lower lobe superior (33x38 mm), it was (25x27 mm) in the old examination.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Lymph nodes that do not reach pathological size and appearance in the mediastinum are stable.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSlight increase in size in the present consolidation of the superior lower lobe of the left lung, and a slight decrease in the ground glass densities of both lungs, emphysema, sequelae changes in the bilateral lung.  Mediastinal stable lymph nodes.  Coronary atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14166/train_14166_e/train_14166_e_1.npy"
        ]
    },
    {
        "id": "report_generation_33485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. No mass-nodular lesion was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; Central-peripheral crazy paving pattern, patchy ground glass consolidations, accompanying subsegmentary atelectatic changes and subpleural lines were observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed in the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Degenerative changes were observed in the vertebrae.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. In the upper abdominal organs included in the sections, liver parenchyma density increased in line with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and coronary arteries . Cardiomegaly . Hiatal hernia . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory. Hepatosteatosis. Degenerative changes in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14167/train_14167_a/train_14167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is compatible with the diagnosis in the case with Covid anamnesis. When examined in the lung parenchyma window; Widespread and confluent ground-glass-like density increases and consolidative areas are observed in both lungs. No lymph node with pathological size and configuration was detected at the hilar level. There are fibroatelectatic linear density increments accompanying the image in places.\n<pleura>: A 2 mm diameter nodule is observed in the right lung upper lobe anterior segment subpleural area.\n<mediastinum>: Aortic arch calibration is 33 mm wider than normal. There are lymph nodes in the mediastinum, the largest of which is at the aorticopulmonary window and is 17x12 mm in size. Millimetric sized calcified atheorm plaques are observed in the coronary arteries in the aortic arch.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: In addition, there is another higher density lesion (fibroma?) with the dimensions of 33x15 mm on the right of the midline in the superior and posterior part. In the lower dorsal level, on the left of the midline, there is a hypodense leizon with a density of 14 HU, measuring 32x17 mm in skin-horse fat planes. There is a hypodense appearance, which is medially oriented at the proximal diaphyseal level of the right femur, which cannot be clearly evaluated in this examination.\n<bone>: There are findings compatible with DISH. Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A decrease in density consistent with steatosis is observed in the liver. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Aortic arch calibration is 33 mm wider than normal. Upper abdominal organs included in the sections are normal. There is a cortical exophytic cyst in the right kidney. Millimetric sized calcified atheorm plaques are observed in the coronary arteries in the aortic arch.\n\nImpression:\nHepatosteatosis. Right renal cortical cyst.  Hypodense nonspecific formations located medially at the proximal diaphyseal level of the right humerus and subcutaneously at the level of the back."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14167/train_14167_b/train_14167_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: No discernible mass-pneumonic infiltration was detected in the lung parenchyma. Multiple nodules were observed in both lungs. When examined in the lung parenchyma window; upper lobe of the left lung is resected. It has been learned that the nodules are metastases. The largest nodules were measured in the medial segment of the right lung middle lobe with the longest diameter of 10.9 mm (8 mm in the previous examination), and the largest on the left was 13.6 mm in the lateral (9.5 mm in the previous examination) in the posterior subsegment of the upper lobe apicoposterior segment. Diffuse emphysematous changes and occasional pleuroparenchymal sequelae were observed in both lungs.\n<mediastinum>: There are lymphadenopathies in the interaorthocaval and paracaval regions. Atheroslerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. The largest of these lymphadenopathies is observed in the interaorthocaval region and measured approximately 16x15 mm (16x13 mm in the previous examination). As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. There are multiple lymphadenopathy in the right supraclavicular region, mediastinal entrance, prevascular, paratracheal, subcarinal and both hilar regions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atheroslerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries.\n<bone>: No lytic-destructive lesion in favor of metastasis was observed in the bone structures within the sections. There is also lymphadenopathy with enlarged dimensions of 10x10 mm (8.9x8.8 mm in the previous examination) in the left supraclavicular region. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: There are lymphadenopathies in the interaorthocaval and paracaval regions. The largest of these lymphadenopathies is observed in the interaorthocaval region and measured approximately 16x15 mm (16x13 mm in the previous examination). Atheroslerotic wall calcifications were observed in the thoracoabdominal aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The left adrenal gland lodge was normal, and no space-occupying lesion was detected. The mass defined in the right kidney in the previous examination could not be evaluated because it did not enter the cross-sectional area. A stable nodular solid lesion was observed in the corpus-lateral leg of the right adrenal gland.\n\nImpression:\nBilateral supraclavicular, mediastinal, hilar and abdominal lymphadenopathies; millimeter size increase is available.  Multiple parenchymal nodules consistent with metastases in both lungs; millimeter size increase is available.  Stable nodular solid lesion in the right adrenal gland that cannot be characterized on this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14171/train_14171_a/train_14171_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33497",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are common ground glass densities that tend to merge in both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes in the mediastinum whose short axis does not exceed 1 cm.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Cystic ectasia is observed in the left kidney calyces. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal sections, there are millimetric stone densities and corrugations in the contours of the right kidney calyces.\n\nImpression:\nFindings consistent with bilateral Covid pneumonia.  Right nephrolithiasis.  Cystic caliectasis in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14172/train_14172_a/train_14172_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33509",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Several nonspecific millimetric parenchymal nodules with a diameter of 3.5 mm were observed in both lungs, the largest of which was in the left lung lower lobe laterobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few millimetric nonspecific parenchymal nodules in both lungs . Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14175/train_14175_a/train_14175_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33525",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae were observed in the left lung upper lobe inferior lingular and right lung lower lobe antero-laterobasal and left lung lower lobe posterobasal segments. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Mosaic attenuation has been found to be secondary to small airway disease. Calcific nodules, the largest of which is 7.5 mm in diameter, were observed at the junction of the right lung upper lobe posterior-lower lobe superior segment. There is segmental-subsegmental peribronchial thickening and luminal narrowing in both lungs. In addition, a millimetric nonspecific parenchymal nodule was observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: There is bilateral gynecomastia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral gynecomastia  Segmentary-subsegmental peribronchial thickening-luminal narrowing and a mosaic attenuation pattern secondary to this in the lung parenchyma  Pleuroparenchymal sequelae changes in both lungs  Calcific nodules at the level of the right lung upper lobe posterior-lower lobe superior segment junction  Millimetric non-pulmonary nodules in the right lung middle lobe nodule"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14180/train_14180_a/train_14180_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33533",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is accompanied by mild traction bronchiectasis.\n<lung>: Healed with parenchymal fibrosis. The consolidation area observed in the lower lobe basal segment of the right lung is markedly regressed. Asymmetric prominent nodular lesions of different sizes are observed in the right lobe of both lungs. It is also observed in the previous examination and no difference was found. Again on the right, asymmetric prominent bilateral ground glass opacities and interlobular septal thickenings are observed. The consolidation area, which was clearly observed in the middle and lower lobes in the previous examination, is regressed in the current examination. There is also regression in the consolidation areas in the left lung lower lobe basal segment.\n<pleura>: Asymmetrically prominent, bilateral peripheral subpleural consolidation areas are observed in both lung parenchyma on the right. Peribronchial and subpleural consolidation area in the previous examination of the left upper lobe of the left lung shows quite marked regression in the peribronchial area.\n<mediastinum>: There are mediastinal lymph nodes in the right upper paratracheal and lower paratracheal areas, with a more pronounced mild increase in diameter in the right lower paratracheal area. Calibration of mediastinal main vascular structures is naturally followed.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Heart size increased.\n<bone>: There are degenerative changes in the bone structures that enter the image area.\n\nImpression:\nThe areas of involvement in the middle lobe and lower lobe of the right lung have regressed, and the areas of involvement in the right lung lower lobe basal segments have improved with fibrosis.Regression in the left lung lower lobe posterobasal segment and consolidation areas in the lingular segment Healing without sequelae, right upper and lower paratracheal mediastinal enlarged lymph nodes are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14183/train_14183_b/train_14183_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is a thickening in the lateral part of the major fissure on the right. In the evaluation of both lung parenchyma; Peripheral patched ground glass density was observed in the left lung lower lobe superior segment and reticular infiltrates were observed in the right lung lower lobe posterobasal segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum.\n<heart>: There is global enlargement of the cardiac cavities.\n<esophagus>: Esophagus is within normal limits in case of calcific atheroma plaques in main vascular structures.\n<bone>: Degenerative osteophytes were observed in the vertebro corpus corners.\n<abdomen>: Free peritoneal fluid was observed in the perihepatic area. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Clinical and laboratory evaluation will be appropriate. Free peritoneal fluid in the perihepatic area Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14192/train_14192_a/train_14192_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: On the right, it has increased. Peribronchial wall thickening in the lower lobes of both lungs, minimal atelectasis in the lung parenchyma adjacent to the effusion, and consolidation areas that may be compatible with pneumonia are observed. Left hilar millimetric sized calcified lymph nodes are observed. In the evaluation of both lung parenchyma; Mild enlargement of the interlobular septa in both lungs, which may be secondary to venous congestion, is observed. Minimal subsegmental atelectasis is observed in the middle lobe of the right lung.\n<pleura>: Pleural effusion measuring 1.3 in the thickest part of the right hemithorax is observed.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch and ascending aorta. Right upper-bilateral lower paratracheal prevascular aortapulmonary narrow lymph nodes with a benign appearance with a hilar fat content less than 1 cm in diameter are observed.\n<heart>: The cardiothoracic index increased in favor of the heart. Cardiac cavities are wide.\n<bone>: There are degenerative changes in the vertebrae. No lytic-destructive lesion was detected.\n<abdomen>: No additional pathology was detected in the abdominal sections. In sections passing through the upper part of the west; effusion is observed in the abdomen. Bilateral adrenal glands appear natural. Calcific plaques are observed in the aortic arch and ascending aorta.\n\nImpression:\nPeribronchial wall thickening with minimal atelectasis in the neighborhood of pleural effusion in the lower lobes of both lungs, and consolidation appearances that may also belong to pneumonia. Evaluation is recommended for more bacterial pneumonia. Cardiomegaly, clarification in interlobular septa secondary to cardiac stasis.  Effusion in the abdomen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14192/train_14192_b/train_14192_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33563",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a central thickening of the peribronchial sheath.\n<lung>: There is a mosaic attenuation pattern and accompanying ground-glass-like density increases in both lungs, which are more prominent in the lower zones. When examined in the lung parenchyma window; A superposed 4x2 mm nodule is observed on the minor fissure in the right lung.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaque is observed in the left coronary artery.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural.\n\nImpression:\nMosaic attenuation pattern and accompanying ground-glass-like density increments, more prominent in the lower zones of both lungs. Appearance is atypical for Covid pneumonia. Evaluation with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14195/train_14195_a/train_14195_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33566",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; More prominent mosaic attenuation is observed in the upper lobes of both lung parenchyma. Motion artifacts are present in both lung lower lobes. Dependent increases in density in the lower lobes of both lungs are present with interstitial prominence of the alveoli. No contouring consolidation was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance. Calcific atherosclerotic plaques are present in the aortic arch, coronary arteries, descending aorta and abdominal aorta. Right upper-lower paratracheal, aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: There are degenerative changes in the bones. No lytic-destructive lesion was observed.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Calcific atherosclerotic plaques are present in the aortic arch, coronary arteries, descending aorta and abdominal aorta.\n\nImpression:\nMosaic attenuation in both lungs. Dependent increases in density, alveo-interstitial density increases in the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14196/train_14196_b/train_14196_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Millimetric air cysts are observed in the lungs. Millimetric and some calcific nonspecific nodules are observed in both lungs. When examined in the lung parenchyma window; There are ground glass densities, mosaic density differences and patch-shaped ground glass densities in the lower lobes of the lung.\n<mediastinum>: There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Atherosclerosis and stents are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Atherosclerosis and stents are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. The ascending aorta is 37 mm ectatic. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Atherosclerosis and stents are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis, stent in coronary arteries.  Nonspecific sequelae changes and millimetric nodules in the lungs.  Patchy ground glass densities in both lower lobes of the lungs (pulmonary edema?).  Ascending aortic ectasia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14198/train_14198_a/train_14198_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33577",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several nodules, some of them calcific, are observed in both lungs, the largest of which is 6 mm in diameter in the posterior segment of the right lung upper lobe. No mass or infiltrative lesion was detected in both lungs. Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. A mosaic attenuation pattern is observed in the lower lobes of both lungs (small airway disease?, small vessel disease?).\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. Calcific atheroma plaques and stent are observed in the aorta and coronary arteries.\n<heart>: The diameter of the ascending aorta was 40 mm and increased. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. Sliding type minimal hiatal hernia is observed at the esophagogastric junction.\n<bone>: There are occasional osteophytes and sclerotic foci in the corners of the thoracic vertebral corpus. Cerclage suture materials are observed in the sternum. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. Calcific atheroma plaques and stent are observed in the aorta and coronary arteries.\n\nImpression:\nCardiomegaly, aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques and stent in the aorta and coronary arteries  Mosaic attenuation pattern (small airway disease?, small vessel disease?) in both lung lower lobes.  Several millimetric nodules in both lungs.  Minimal hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14198/train_14198_b/train_14198_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Paraseptal emphysema areas are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are height losses secondary to fractures in the vertebrae. Especially in the T10 vertebra, the height loss exceeds 50%. Diffuse lytic-sclerotic appearance is observed in bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysematous changes in both lungs . Diffuse lytic - sclerotic appearance in bone structures ( case with multiple myeloma) . Height loss exceeding 50% in T10 vertebral body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14209/train_14209_a/train_14209_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are ground glass densities that tend to merge in the lungs, especially in the lower lobes and posterior parts, and accompanying minimal bronchial dilatations. When examined in the lung parenchyma window; Emphysematous appearance is present in both lungs. In addition, minimal consolidation is observed in the posterobasal region of the lower lobe on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A height loss exceeding 50% is observed in the T10 vertebral body. There are widespread sclerotic lesions in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass densities, consolidations and findings, more prominent in the lower lobes in bilateral lungs, are possible in terms of covid pneumonia, and clinical correlation is recommended.  Emphysematous appearance in bilateral lungs  Extensive sclerotic lesions in bone structures (case with multiple fibroids)  Height loss exceeding 50% in T10 vertebral body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14209/train_14209_b/train_14209_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33651",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed peripherally located, more prominently in the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. There are several lymph nodes measuring up to 5 mm in the mediastinum, especially in the paratracheal area. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. The upper abdominal organs are included in the examination, and a hypodense oval-shaped finding in the liver at the level of segment 4 with a diameter of 10 mm, adjacent to the falciform ligament, was evaluated in favor of a cyst.\n\nImpression:\nFindings compatible with Covid-19 viral pneumonia in the lung parenchyma . Small lymph nodes in the paratrecheal area measuring 5 mm in the mediastinum . A hypodense finding of 10 mm in diameter adjacent to the falciform ligament in liver segment 4 was evaluated suboptimally within the examination limits and was primarily evaluated in favor of cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14227/train_14227_a/train_14227_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: However, mucosal impaction at the level of the thyroid cartilage in the proximal part of the trachea and soft tissue thickening on the left lateral wall are observed (Mucosal impaction?).\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Segmentary atelectasis is observed in the left lung lingula inferior segment. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Lymph nodes that do not reach pathological size are observed in the paratracheal area in the mediastinal prevascular area. No obvious pathology was detected. Mediastinal main vascular structures were evaluated as suboptimal since cardiac examination was unenhanced. Calcified atheroma plaques are observed in the main vascular structures.\n<heart>: Segmentary-tubular calcified atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the lower thoracic vertebrae, Schmorl nodules in the vertebral plateaus and height loss in the vertebral corpuscles are observed. No lymph nodes reaching pathological dimensions were detected in the bilateral supraclavicular and axillary regions.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcified atheroma plaques are observed in the main vascular structures.\n\nImpression:\nSegmentary atelectasis in the lingula inferior segment of the left lung. Calcified atheromatous plaques in mediastinal major vascular structures. Lymph nodes that do not reach mediastinal pathological size. ·Reduction in vertebral corpus heights in the lower thoracic region and Schmorl nodules on plateaus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14245/train_14245_a/train_14245_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33726",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; More extensive linear atelectatic changes in the lower lobes of both lungs are accompanied by patchy consolidations with ground glass densities around them, and the outlook is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The diameter of the pulmonary trunk is 30 mm, at the upper limit of normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; thoracic aorta calibration is natural.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Schmorl nodule impressions and degenerative changes were observed in the end plateaus.\n<abdomen>: Other abdominal organs are natural. As far as can be seen in the sections, a 9 cm diameter cyst was observed in the upper pole of the right kidney. As far as can be seen; thoracic aorta calibration is natural.\n\nImpression:\nIncrease in the diameter of the pulmonary trunk . Cardiomegaly . Hiatal hernia . In both lungs; patchy consolidations with surrounding ground glass densities accompanied by more extensive interlobular septal thickening and linear atelectatic changes in the lower lobes; The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Right renal cortical cyst . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14259/train_14259_a/train_14259_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric calcific nonspecific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. There are several stones measuring up to 9 mm in size in the gallbladder entering the cross-sectional area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14262/train_14262_a/train_14262_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33768",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. There are millimetric calcifications in the posterior upper lobe of the right lung. When examined in the lung parenchyma window; In the basal segment of the lower lobe of the right lung, a large consolidation area with a size of up to 54 mm, which is observed in the air bronchogram sign, is observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Apart from the described mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. There is aneurysmal dilatation, extending to the right paracardiac area, originating from the ascending aorta, measuring 31x45 mm in size, and evaluated suboptimally within the limits of the non-contrast examination. There are calcific atheroma plaques in the coronary arteries. Apart from the described mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the bone structures in the examination area, mild height loss, Schmorl nodules in the TH12 vertebra at the middle level of the corpus.\n<abdomen>: In the upper abdominal organs included in the sections, both kidneys are atrophic and a cystic structure with a size of 110 mm, which is observed in the calcification in the wall of the right kidney, is observed.\n\nImpression:\nThere is aneurysmal dilatation extending to the right paracardiac area, originating from the ascending aorta, suspicious connection to the lower lobe of the right lung, measuring 31x45 mm in size, and evaluated suboptimally within the limits of the non-contrast examination. Contrast-enhanced Thorax CT or CT angiography is recommended for better differential diagnosis.  In bone structures degenerative changes, osteopenic appearance . Moderate slight loss of height in the TH12 vertebrae . Consolidation at the posterobasal level of the lower lobe of the right lung?, Atelectasis? area. Imaging features are typical or rarely reported for Covid-19 pneumonia. Alternative diagnoses should be considered lobar pneumonia or atelectasis.  Atherosclerosis. Large cortical cyst with calcification in the wall of the right kidney, atrophic appearance in both kidneys"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14282/train_14282_a/train_14282_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33791",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are in the midline and no obstructive pathology is observed in the lumen.\n<lung>: Segmentary-subsegmentary tubular bronchiectasis were observed in both lungs. In addition, linear fibroatelectatic density increases were observed in the lower lobe basal segments of both lungs, extending from the left lung anterior segment to the lingular segment. When examined in the lung parenchyma window; In the right lung upper lobe posterior segment, atelectatic change in the pleuroparenchymal band, which causes retraction in the major fissure in the paramediastinal area, was observed.\n<pleura>: There is a focal consolidation area in the subpleural area in the posterobasal segment of the left lung lower lobe. Stable nonspecific subpleural nodules were observed in both lungs, the largest of which was measured in the posterobasal segment of the lower lobe of the right lung, measuring approximately 6. Upper abdominal organs entering the imaging field are normal.\n<mediastinum>: Stable lymph nodes with a short diameter of up to 5 mm were observed in the paratracheal area in the mediastinal prevascular area. As far as can be seen in non-contrast examination: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen in non-contrast examination: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a defect in the posterior elements of the vertebrae at the T10 level. Stable lytic and sclerotic lesions were observed in the vertebral bodies. In the thoracic region, a transpedicular screw and plate system extended to the T8, T9, T11 and T12 vertebrae was observed. T10 vertebrae have collapse.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nMetastatic breast Ca in follow-up . Pleuroparenchymal fibrotic sequelae increase in density in both lungs, stable nonspecific pulmonary nodules . Metastatic bone disease"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14294/train_14294_a/train_14294_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The left lung upper lobe is lobectomized. Emphysematous areas are observed in both lungs. First of all, it is compatible with the infective process. Possible metastatic nodules located anteriorly in the lower lobe in the left lung parenchyma, in the laterobasal segment, and in the lower lobe abterobasal segment in the right lung have a stable appearance. Post-op metallic clips are observed in this localization. In addition, a significant increase in the budding tree appearance observed in the previous examination is observed in the basal segments of the left lung lower lobe, and consolidation is observed in this localization. In addition, a metastatic nodule with irregular spiculated contours measuring approximately 12x8.5 mm in the lower lobe of the left lung has a stable appearance.\n<pleura>: The soft tissue lesion in which contrast enhancement was observed in the previous examination between the pleural leaves in the anterior paramediastinal area, the current examination size is stable. There is pleural effusion in the upper hemithorax, which was also observed in the previous examination. In addition, the size of the lesion measuring approximately 22x17 mm, sitting on the pleura with its wide base in the superior segment of the left lung lower lobe, is 22x14 mm in the current examination, and a slight reduction in the AP diameter is observed.\n<mediastinum>: Thin-walled stable bull formation is present in paramediastinal localization. In the left hilar localization, the left upper lobe pulmonary artery and upper lobe bronchus terminate in a stump.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, no obvious pathology was distinguished.\n\nImpression:\nStable metastatic nodules in both lungs, pleural-based mass with minimal reduction in AP diameter in the superior segment of the left lung lower lobe, . Mediastinal stable lymphadenopathies . In the right intermediate bronchus in the previous examination no observed soft tissue density .Stable appearance in the localizations of left pleural effusion, contrasting soft tissue densities between the pleural leaves in the left upper hemithorax. was evaluated as stable disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14297/train_14297_a/train_14297_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are lymphadenopathies in the mediastinum and hilar regions, and the described lymphadenopathies narrow both main bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Diffuse emphysematous changes were observed in both lungs. The upper lobe of the left lung is not observed. It was learned that the patient had been operated for lung Ca. In addition, a metastatic nodule with irregular spiculated contours measuring approximately 12x8.5 in the lower lobe of the left lung has a stable appearance. Occasionally, atelectasis is observed in both lungs. Stable metastatic nodules were observed in both lungs.\n<pleura>: A well-circumscribed lesion measuring approximately 22x17 mm, sitting on the pleura with its wide base in the superior segment of the left lung lower lobe, causes no significant difference in the follow-up. When examined in the lung parenchyma window; A pleural effusion reaching 2 cm in thickness was observed in the bilateral space.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. There are lymphadenopathies in the mediastinum and hilar regions, and the described lymphadenopathies narrow both main bronchi. As far as can be seen; The diameters of the pulmonary arteries are normal. The larger lymphadenopathies observed in the mediastinal and hilar regions are observed in the paratracheal region and subcarinal region. Thoracic aorta calibration is natural. Diffuse calcified atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Thoracic aorta calibration is natural. Diffuse calcified atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOperated lung Ca, mediastinal and hilar lymphadenopathies in the follow-up, well-circumscribed oval lesion (stable) evaluated in favor of primary metastasis in the left lung lower lobe. skyline view (stable). Bilateral pleural effusion is a recent development (malignant effusion?) on current review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14297/train_14297_b/train_14297_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is slight prominence in the bulla formation observed at this level.\n<lung>: When examined in the lung parenchyma window; The left lung is hypovolemic. Again, nodules with lobulated contours and septate 7 mm in diameter and slightly superiorly 4 mm in diameter, which were not observed in the previous examination, are observed. In the superior segment of the lower lobe, there are nodules with a diameter of 5.5 mm, which were not observed in the previous examination, and nodules with a size of 10x6 mm and 4 mm in size slightly superiorly, which were not observed in the previous examination. Pleuroparenchymal density increases are observed. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes. An 8x5 mm nodule is observed at the laterobasal level in the lower lobe of the left lung and was not detected in the previous examination. There is a 2 mm diameter nodule in the left lung, which was not observed in the previous examination. Consolidative parenchyma areas are observed in the middle lobe of the right lung. It was not detected in the previous review. Peribronchial sheath thickening and bronchiectasis appearances are observed in both lungs. Defined changes at the apical level were evaluated as compatible with sequelae, and no significant difference was observed at this level. Pathological size and configuration of lymph nodes are not observed at both hilar levels. A little more caudally, a 3 mm diameter nodule is observed laterally. (secondary to lobectomy). Sequelae changes and bulla appearance are present at the apical level of the left lung. Beginning from the posterior segment of the upper lobe of the right lung, widespread bud branches are observed in the lower lobe segments and become prominent at the base. Emphysematous changes are observed in both lungs. The identified changes are also available in the old review.\n<pleura>: Consolidative densities are observed at the apical level in the upper lobe of the right lung and extending towards the center in the posterior subpleural area, and they were not detected in the previous examination.\n<mediastinum>: There are lymphadenomegaly in the mediastinum, the largest of which is in the subcarinal area, but in non-contrast examination, it cannot be distinguished from the esophagus and surrounding structures and therefore cannot be measured in size. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, and coronary arteries. For this reason, the mediastinum and heart are observed to be deviated to the left. Mediastinal main vascular structures are normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. For this reason, the mediastinum and heart are observed to be deviated to the left. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, and coronary arteries.\n<esophagus>: There are lymphadenomegaly in the mediastinum, the largest of which is in the subcarinal area, but in non-contrast examination, it cannot be distinguished from the esophagus and surrounding structures and therefore cannot be measured in size. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aortic arch, ascending aorta, and coronary arteries. A 38x32 mm mass, which was not observed in the previous examination, is observed between the left adrenal lateral crus of the kidney and the stomach. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodular lesions that have progressed according to the previous examination, the largest of which sits on the dorsal pleura in the left lung . Branch with bud that has progressed according to the previous examination in the lower lobes of both lungs (in terms of infective processes, clinical and laboratory evaluation is recommended).  Bilateral pleural effusion and adjacent consolidative areas observed in the previous examination were not detected in the current examination.  Emphysematous changes in both lungs, postoperative changes in the apical level of the upper lobe of the left lung . Mass lesion between the left adrenal lateral crus, kidney and stomach that was not observed in the previous examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14297/train_14297_c/train_14297_c_1.npy"
        ]
    },
    {
        "id": "report_generation_33803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: However, wall integrity is not observed in the anterior wall and carina posterior wall in the vicinity of the described masses, especially in the distal of the trachea, and it is observed that the air inside the trachea extends beyond the borders of the trachea and carina, more prominently in the anterior of the trachea. These appearances may be due to invasion of the masses in this localization into the trachea or carina.\n<lung>: This appearance was thought to be metastasis. This nodule was also present in the previous examination of the patient and an increase in its size was observed. The described nodular lesions may belong to metastases as well as specific infections (fungus?) may cause similar appearances. It is recommended to evaluate the patient together with clinical, physical examination and laboratory findings. Both lungs have budding tree appearances. However, in this examination, cavitary nodular lesions were observed in the right lung. In the lower lobe of the right lung, there is an irregularly circumscribed nodule with a longest diameter of 16 mm.\n<pleura>: No significant pleural effusion was detected on the right. There is minimal pleural effusion on the left.\n<mediastinum>: Mediastinal structures and vascular structures cannot be evaluated optimally because contrast material is not given. In this examination, an appearance that can be evaluated in favor of mediastinitis was not detected. The described findings are not observed in the previous examination of the patient. However, the spread of this air to the mediastinum was not observed.\n<heart>: Pericardial effusion was not detected.\n<abdomen>: Although the soft tissue appearances described in this examination can be observed, there is a significant reduction in their size.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14297/train_14297_d/train_14297_d_1.npy"
        ]
    },
    {
        "id": "report_generation_33826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. Minimal pleuroparenchymal sequelae changes were observed in both lung apexes. The largest of these nodules is observed in the peripheral area at the posterobasal-superior segment junction in the lower lobe of the left lung, and its longest diameter is approximately 6 mm. There are millimetric nodules in both lungs. There was no evidence of mass or pneumonic infiltration in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Central venous catheter is seen on the right. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. The catheter terminates in the right atrium.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances were minimally narrowed. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs  Minimal emphysematous changes in both lungs  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14309/train_14309_a/train_14309_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Some of the newly emerging nodules in the lower lobe of the right lung are minimally irregularly circumscribed. There are appearances evaluated in favor of minimal pleuroparenchymal sequelae changes in both lung apexes. Some of these nodules have just emerged. There was no appearance that could be evaluated in favor of a mass or pneumonic infiltration in both lungs. Although this appearance is not very specific, if the patient has immunodeficiency, when evaluated together with the clinical information, it was thought that there may be a fungal infection. There are millimetric nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. As far as can be observed: There is a central venous catheter inserted from the left. The catheter terminates in the right atrium.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nAML on follow-up.  Nodules in both lungs, some of which were revealed on this examination, and some with irregular borders (it is recommended that the patient be evaluated for fungal infection)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14309/train_14309_c/train_14309_c_1.npy"
        ]
    },
    {
        "id": "report_generation_33842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion is detected in both lungs. There are minimal emphysematous changes in both lungs. There are atelectasis in the lower lobes of both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaque was observed in the aortic arch. No pathologically enlarged lymph nodes were detected in the paratracheal, subcarinal and both hilar regions. There are lymphadenopathies in the prevascular region, the largest of which is 28x20 mm in size.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Millimetric stones were observed in the gallbladder. Atheroma plaque was observed in the aortic arch. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There are hypodense lesions in the upper pole of the left kidney that cannot be characterized because contrast agent is not given. There is an adenoma measuring approximately 10mm in diameter in the left adrenal gland corpus.\n\nImpression:\nAtelectasis in both lungs.  Lymphadenopathies in the prevascular region.  Adenoma in the left adrenal gland  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14312/train_14312_a/train_14312_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No area of pneumonic infiltration or consolidation was observed in the areas of the aerated lung parenchyma. It was understood that with the increase in tumor size, it completely obstructed the upper lobe bronchus. The upper lobe of the left lung is completely collapsed. In the previous examination of the malignant mass lesion infiltrating the mediastinum in the upper lobe of the left lung, its extension to the upper lobe lingular segment bronchus is observed. It is not ventilated.\n<mediastinum>: Left paraaortic metastatic lymph node and right lower paratracheal metastatic lymph node have increased milimetrically in size, and other metastatic mediastinal lymph nodes are stable.\n<heart>: There was no significant difference in pericardial infiltrating tumor sizes. It measured 36 mm in long diameter. The radiological appearance of contour irregularities (cardiomyopathy?, appearance due to visceral pericardial infiltration?) accompanied by calcifications in both ventricular myocardium, which is more prominent in the left ventricle, is stable.\n<abdomen>: There is a marked increase in the size of the metastatic mass in the right adrenal gland. It measured 29mm and 34mm respectively. The metastatic lesions in the left adrenal gland also increased in size. It was 23 mm in the previous examination. In the old examination, it is 23 mm and 17 mm.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14316/train_14316_a/train_14316_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33853",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The mass arches the trachea and both main bronchi anteriorly.\n<lung>: Minimal ground glass densities are observed at the apex of the lung parenchyma. Also available in previous review. The middle and lower lobes of the right lung are near-total atelectasis. Right intermadiate bronchus, proximal upper lobe bronchus, surrounding and obstructing middle and lower lobe bronchi, making its largest volume at the subcarinal level and continuing to the lower end of the esophagus, invading the mediastinum, indistinguishable from mediastinal possible LAPs, surrounding the right pulmonary artery and surrounding the right pulmonary artery. Right upper-bilateral lower paratracheal aorta pulmonary lymph nodes smaller than 1 cm are observed. The mass cannot be distinguished from the atelectasis lung parenchyma caused by non-contrast examination. Interlobular septal thickenings and linear pleuroparenchymal densities are observed in the observed lung parenchyma. Ground glass densities are observed in the focal small lung parenchyma observed in the lower lobe.\n<pleura>: Pleural effusion measuring 6 cm in its thickest part is observed in the right hemithorax. A pleural-based lesion with irregular contours extending to the parenchyma is observed in the posterior segment of the right lung upper lobe.\n<mediastinum>: There are paraaortic pathological LAPs that partially enter the study area. Calcific plaques are observed in the aortic arch and coronary artery walls. A central mass is observed, narrowing, invading the pulmonary veins, resting on the posterior left main bronchus, and indistinguishable from the pericardium and esophagus. No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed in the aortic arch and coronary artery walls.\n<bone>: Bone structures have a distinctly osteopenic appearance. Left supraclavicular 3x2 cm LAP with pathological appearance is observed. Expansion and sclerosis, which may belong to the fracture, are observed in the 8th rib on the right.\n<abdomen>: There are paraaortic pathological LAPs that partially enter the study area. In sections passing through the upper part of the west; There is a measurable mass of approximately 10 cm in the right lobe-surrenal gland lobe of the liver, which partially enters the examination area. Calcific plaques are observed in the aortic arch and coronary artery walls.\n\nImpression:\nA central mass invading the mediastinum in the right lung, with indistinguishable borders from lymphadenopathies that may occur in this localization, surrounding and obstructing the right lung intermediate bronchus, upper lobe bronchus proximal, middle and lower lobe bronchi, and indistinguishable borders from the pericardium and esophagus.  Right pleural effusion.  Pleural-based mass appearance in the posterior segment of the upper lobe of the right lung, with irregular extension to the parenchyma.  A large mass partially penetrating the examination area in the right lobe of the liver - the right adrenal gland locus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14318/train_14318_a/train_14318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33857",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground-glass densities are observed in both lungs, and budding tree images are observed in the posterior upper lobe of the right lung. It was initially evaluated for Covid-19 viral pneumonia and follow-up is recommended. In the hilar region of the right lung, the right intermedial bronchus, the upper lobe bronchus proximal, surrounds the middle and lower lobe bronchi, shows indentation and obstruction, continues to the lower end of the esophagus at the subclarinal level, invades the mediastinum, and the mediastinum cannot be clearly distinguished from possible LAPs.\n<pleura>: No significant difference was found in the mass appearance with irregular extension in the pleural-based parenchyma in the posterior segment of the right lung upper lobe. No significant difference was found in small amount of pleural effusion.\n<mediastinum>: Thoracic aorta diameter is normal. There is a space-occupying mass lesion that surrounds and narrows the artery, invades the pulmonary veins, cannot be clearly distinguished from the pericardium and esophagus resting on the posterior left main bronchus, and its size is suboptimal at its widest point, but measuring up to 105 mm. Mediastinal main vascular structures, heart contour, size are normal. Calcific lymph nodes are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A space-occupying lesion is observed at the right adrenal level. It is observed partially and its dimensions are evaluated as suboptimal. The upper abdomen is partially observed and evaluated as suboptimal. Thoracic aorta diameter is normal.\n\nImpression:\nThere is a minimal increase, especially in the lower lobe of the left lung, in infectious processes evaluated in favor of Covid-19 viral pneumonia, which was observed in the previous examination of both lungs.  There was no significant dimensional and structural difference in the mass lesion with extension to the right lung and mediastinum.  No significant difference was found in both pleural effusions.  No significant difference was found in the mass appearance with irregular extension in the pleural-based parenchyma in the posterior segment of the right lung upper lobe.  Partial space-occupying lesion in the right adrenal lodge.  Calcific lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14318/train_14318_c/train_14318_c_1.npy"
        ]
    },
    {
        "id": "report_generation_33869",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous appearance was observed in both lungs. In addition, in the current examination, soft tissue density increases-thickenings were observed around the upper-lower segment bronchi of the right lung. The described findings were evaluated in favor of infectious pathologies and were also present in the previous examinations of the patient. However, there is an increase. Structural distortion and sequela parenchymal changes causing volume loss were observed in the localization of the mass observed in the left lung upper lobe lingular segment in previous CT examinations. There is increased peribronchial thickening and centriacinar nodular infiltrates-budding tree view in the basal segment of the lower lobe of the right lung. Peribronchial soft tissue densities were measured 47 mm in the widest part of the left lung lower lobe superior segment. In the case with a history of radiotherapy, the findings were initially evaluated in favor of post-RT changes. New to current review (infective process?). In the previous examination, it was measured 37 mm and there is an increase in its dimensions. Nodular consolidation areas with irregular borders, the largest of which is 9.8 mm in diameter, were observed in the posterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion on the left is stable.\n<mediastinum>: Calcific atheroma plaques were observed in the aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Mediastinum and heart are deviated to the left. As far as can be seen; thoracic aorta calibration is natural.\n<heart>: Mediastinum and heart are deviated to the left. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image. Degenerative changes are observed and bone structures are markedly osteoporotic.\n<abdomen>: No significant difference was detected. The spleen is natural. Calcific atheroma plaques were observed in the aorta and coronary arteries. Cortical cysts were observed in both kidneys. It is also present in the patient's previous examination. As far as can be seen; thoracic aorta calibration is natural. The right adrenal gland is normal. In the left adrenal gland corpus, a low-density lesion evaluated in favor of adenoma, which was also observed in previous CT and PET CT examinations, was observed.\n\nImpression:\nPeribronchial soft tissue-density increases causing parenchymal distortion-volume loss in the left lung, consolidation in the lower lobe superior segment-size increase in soft tissue density; the described findings were evaluated in favor of post-RT changes in the first plan. Follow-up is recommended.  Minimal stable pleural effusion on the left.  Newly revealed subpleural nodular consolidations in the right lung upper lobe posterior segment on current examination; It was initially evaluated in favor of infective pathologies. It is recommended to be evaluated together with clinical and laboratory.  Emphysematous changes in both lungs. It is recommended to be evaluated together with clinical and laboratory.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14323/train_14323_b/train_14323_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33873",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The sizes of both thyroid glands have increased and they have a heterogeneous appearance. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the vertebrae and bone structures. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, atherosclerotic wall calcifications in the coronary arteries. Thyromegaly, heterogeneity in parenchyma; It is recommended to be evaluated together with US.  Fibroatelectasis sequelae changes in the right lung middle and left lung upper lobe inferior lingular segment. Spur formations bridging each other at the thoracic level and mild degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14325/train_14325_a/train_14325_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid glands are heterogeneous. There are hypodense nodules and there is extension towards the thoracic inlet in the right lobe.\n<lung>: No lymph node with pathological size and configuration was detected at hilar levels. There is a 3 mm diameter nodule in the superior segment of the lower lobe of the right lung. An 8 mm diameter nodule is observed in the posterobasal segment of the left lung lower lobe.\n<pleura>: When examined in the lung parenchyma window; In the lower and middle zones, there are dispersed and predominantly peripherally located consolidation areas, which also predominantly show confluence, including air bronchograms, ground-glass-like density increases, and intensely interlobular septa, thickening of parenchymal interlobular septa and subpleural septa are observed in these areas.\n<mediastinum>: The largest is 16x11 mm in the articopulmonary window. In the mediastinum, in the upper-lower paratracheal area, aorticopulmonary window and multiple lymph nodes at the subcarinal level are observed. It is wider than normal. Pulmonary trunk calibration is 30 mm.\n<heart>: CTO is normal.\n<esophagus>: There is an appearance in favor of a hiatal hernia.\n<bone>: There are degenerative changes in the bone structure in the examination area. Dorsal kyphosis increased. The case has findings compatible with DISH.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid19 pneumonia. Other viral pneumonias should be considered in the differential diagnosis and it is recommended to correlate with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14331/train_14331_b/train_14331_b_1.npy"
        ]
    },
    {
        "id": "report_generation_33888",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. Millimetric sized lymph nodes are observed in the mediastinum. Calcific atheroma plaques are observed in the abdominal aorta.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area. When examined in the lung parenchyma window; Peripheral sclerotic nonspecific but benign nodular lesions are observed in the rib structures of the right hemithorax.\n<abdomen>: A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. There is one or two diverticula appearance at the level of ascending and descending colon. There is an appearance that is considered compatible with the area protected from fat in the vicinity of the gallbladder bed. Calcific atheroma plaques are observed in the abdominal aorta. The gallbladder is contracted. However, no signs of diverticulitis were detected. As far as can be observed in the non-contrast examination; The spleen, both kidneys, and both adrenal glands are normal.\n\nImpression:\nNo finding compatible with pneumonia was detected.  Hepatosteatosis.  Mild hiatal hernia.  1, 2 diverticula appearance in the ascending and descending colon."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14332/train_14332_a/train_14332_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. There are millimetric osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14342/train_14342_a/train_14342_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33927",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis areas in the right lung middle lobe medial segment, left lung upper lobe lingular segment inferior subsegment and right lung lower lobe posterior segment. There is a millimetric nonspecific nodule with a diameter of 2.5 mm in the posterior segment of the left lung lower lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. In the upper abdominal organs within the sections, within the borders of non-contrast CT; At the level of the medial crus of the left adrenal gland, there is a 30x30 mm hypodense lesion with fat density (adenoma?). No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLinear areas of atelectasis in both lungs, millimetric nonspecific nodule in the lower lobe of the left lung.  Hypodense lesion (adenoma?) with fat density in the medial crus of the left adrenal gland.  Sliding type minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14350/train_14350_a/train_14350_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is detected.\n<lung>: When examined in the lung parenchyma window; In both lungs, in all segments, mostly peripherally located ground glass and density increase areas consistent with consolidation are observed, and viral pneumonias are considered in the etiology of the findings.\n<pleura>: Pericardial, pleural effusion is not observed.\n<mediastinum>: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: Mediastinal main vascular structures are not evaluated optimally because the heart examination is without IV contrast, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesion is observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14365/train_14365_a/train_14365_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is recommended to be evaluated together with clinical and laboratory in terms of bronchiolitis. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Pleuroparenchymal fibroatelectasis sequelae changes were observed in the middle lobe of the right lung. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). Peribronchial centriacinar nodular infiltration area is observed in the peripheral area of the left lung lower lobe laterobasal segment. A 7.7 mm diameter nodule was observed in the middle lobe of the right lung. Minimal peribronchial thickening was observed in both lungs.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the mid-thoracic level, bridging spur formations in the right anterolateral corner of the vertebrae and secondary minimal scoliotic angulation were observed.\n<abdomen>: As far as can be seen on non-contrast sections, the liver parenchyma density is diffusely decreased, consistent with minimal hepatosteatosis. It is recommended to evaluate and follow-up together with previous examinations, if any.\n\nImpression:\nMosaic attenuation pattern in both lungs (Small airway disease?, small vessel disease?).  Minimal peribronchial thickening in both lungs.  Findings consistent with bronchiolitis in the lower lobe laterobasal segment of the left lung.  Pleuroparenchymal fibroatelectasis changes in the middle lobe of the right lung.  Solid parenchymal nodule in the right lung; It is recommended to evaluate and follow-up together with previous examinations, if any.  Minimal hepatic steatosis.  Spur formations bridging each other at mid-thoracic level, mild scoliotic angulation."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14369/train_14369_a/train_14369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_33987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the right lung upper lobe posterior segment, peribronchovascular thickness increases along with centriacinar nodules and ground glass areas accompanied by interlobular septal thickness increases are observed in places. It is recommended that the patient be evaluated together with the clinic for pneumonic infiltration. A similar appearance is also present in the posterior and lateral segments of the lower lobe of the left lung.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Within the limits of non-contrast examination, no lymphadenopathy was detected in the mediastinal region with pathological size and appearance. No significant dilatation was detected in the mediastinal main vascular structures.\n<heart>: Heart size increased.\n<esophagus>: Esophageal calibration included in the examination was normal and no significant pathological wall thickening was detected. Hiatal hernia appearance is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Liver density was diffusely decreased in line with adiposity. If the patient needs to be evaluated together with his/her clinic, US examination is recommended. In the left kidney, approximately 8 mm diameter calculi, which is thought to cause dilatation in the collecting system, and significant dilatation in the left collecting system are observed.\n\nImpression:\nCentriacinar-style nodules, intrlobular septal thickness increases, and ground glass opacities in both lungs with occasional budding tree views. Although the outlook is not typical for Covid-19 pneumonia, Covid-19 pneumonia is also included in the differential diagnosis.  Cardiomegaly.  Hepatosteatosis.  Left nephrolithiasis.  Dilatation in the left collecting system."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14370/train_14370_a/train_14370_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild hiatal hernia is observed. Since other viral pneumonias are included in the differential diagnosis, evaluation together with clinical and laboratory findings is recommended. In the evaluation of both lungs in the parenchyma window; There are peripherally located ground-glass-like density increases in almost all zones of both lungs and accompanying interstitial scars. It has been evaluated as compatible with Covid pneumonia. No lymph node with hilar pathological size and configuration was detected.\n<pleura>: No pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: Calibration of major vascular structures in the mediastinum is natural. There are lymph nodes in the mediastinum, the largest of which is in the aorticopulmonary window and the short axis is 9 mm in size.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Postoperative densities are observed at the level of the right femoral head.\n<bone>: There are degenerative changes in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen entering the section area, a decrease in density compatible with fatty liver is observed. Gallbladder was not observed in the lodge. Mild hiatal hernia is observed.\n\nImpression:\nFindings compatible with Covid pneumonia. Clinical and laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Hepatosteatosis, mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14379/train_14379_a/train_14379_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In the lower part of the isthmus of the thyroid gland, an 18 mm diameter solid nodule with incomplete rim-like calcification was observed.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; more prominent centrilobular ground-glass nodules are observed in the bilateral upper lobes of both lungs. It is accompanied by a mosaic attenuation pattern in the form of parenchymal aeration differences. The findings are in favor of bronchopneumonic infiltration.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are present in LAD. Heart dimensions and compartments appear natural.\n<bone>: Degenerative changes were observed in bone structures. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: Suture materials of the sleeve gastrectomy operation are observed in the upper abdomen sections. The gallbladder is operated.\n\nImpression:\nRadiological findings consistent with bronchopneumonic infiltration in both lungs, calcific atheroma plaque in LAD, previous sleeve gastrectomy, cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14381/train_14381_a/train_14381_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34012",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are atelectasis in the lower lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung upper lobe. No mass or appearance compatible with pneumonic infiltration was detected in both ventilated lungs. There are emphysematous changes in both aerated lungs.\n<pleura>: Pleural effusion was also not observed.\n<mediastinum>: Central venous catheter is seen on the right, and the catheter ends in the superior vena cava middle part. There are also air bubbles in other parts of the mediastinum and within the pericardiac fat pad. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: Heart contour and size are normal. It is understood that the patient underwent coronary bypass surgery. No significant pericardial effusion was detected. If the patient is in the early postoperative period, the described findings are considered normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: Sternal dissociation was not observed. No fracture was detected in the suture wires observed in the sternum. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. As far as can be observed: Paramedian sternotomy is observed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nCoronary bypass surgery, findings consistent with the early postoperative period in the retrosternal region and mediastinum, atherosclerotic changes in the aorta and coronary arteries.  Minimal pneumothorax.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14383/train_14383_a/train_14383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34023",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: In the previous examination of the patient, the existing nodules were measured as 22 and 18.5 mm, respectively, and there is an increase in the size of the nodules. The largest nodules were measured 27 mm in the right lung lower lobe basal segment and 22 mm in the medial segment of the middle lobe. Numerous metastatic nodules are observed in all segments of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Numerous pathological lymph nodes with a short diameter of 42 mm were observed in the mediastinum, the largest of which was located in the lower right paratracheal, subcarinal, paraaortic and peribronchial area in the subcarinal area.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<bone>: No lytic-destructive lesions were detected in bone structures. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa.\n<abdomen>: In the current examination, newly emerging metastatic foci were also observed, and the findings are consistent with progressive disease. It was understood that liver right lobe transplantation was performed in the upper abdominal sections.\n\nImpression:\nCase who underwent liver transplantation for HCC.  Increase in the number and size of metastatic nodules in the lung . Metastatic mediastinal and paraesophageal lymph nodes; there is an increase in size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14388/train_14388_b/train_14388_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described manifestations may be metastatic masses and lymphadenopathies. There is no significant difference in the number of metastatic lesions observed in both lungs. When target lesions and non-target lesions were evaluated together, the findings were evaluated in favor of stable disease. However, some of them increased in size. There are nodules that are understood to be metastases in both lungs. It was evaluated in the category of no complete response-no progression according to non-target lesions. Due to the infiltrative character of the described views, dimensions cannot be given. The longest diameters of the described lesions were measured at 25 mm and 20 mm at their widest point. This distinction was not made in this study. Soft tissue lesions continuing along the lobar bronchi are observed in the peribronchial area in the central parts of both lungs, being more prominent on the left. When the previous examination of the patient was examined, it was understood that the 2 nodules observed in the posterobasal segment of the right lung lower lobe and the superior segment of the left lung lower lobe were the largest nodules and the target lesions were selected.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. When the previous examinations of the patient were examined, it was understood that the lymphadenopathies observed in the paratracheal region and subcarinal region were the largest lymphadenopathies. The widths of the mediastinal main vascular structures are normal. There are lymphadenopathies in prevascular, paratracheal, subcarinal and both hilar regions. The short diameters of the described lymphadenopathies were 33 mm and 40 mm at their widest point, respectively. There was no significant difference in the number and size of other lymphadenopathies observed in the mediastinum and hilar region.\n<heart>: At this date, it was learned that the patient had progressed. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: However, some have increased in size. There are no upper abdominal free fluid-collection or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nOperated HCC, mediastinal and hilar lymphadenopathies, lung metastases in follow-up"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14388/train_14388_c/train_14388_c_1.npy"
        ]
    },
    {
        "id": "report_generation_34027",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, there was no active area in both lungs of the patient that could be compatible with pneumonic infiltration-consolidation.\n<mediastinum>: Evaluation of mediastinal structures is suboptimal because the examination is performed without contrast material.\n\nImpression:\nThere was no finding that could be compatible with active pneumonic infiltration."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14388/train_14388_d/train_14388_d_1.npy"
        ]
    },
    {
        "id": "report_generation_34029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A new focal ground-glass density increase was observed in the current examination in the superior segment of the right lung lower lobe. ) When examined in the lung parenchyma window; Multiple metastatic mass lesions, the largest of which is 39 mm in the peribronchovascular area (38 mm in the previous examination) in the anterobasal segment of the lower lobe of the right lung (target 3 lesions) and in the left lobe with a long axis of 47 mm (46 mm in the previous examination) in the lingular segment (target 4 lesions) has been followed. There is a reduction in bilateral, interlobular septal thickening areas from the previous examination in the current examination.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<abdomen>: The sum of target lesions measured 164 in the current review and 149 in the previous review (approximately 10% increase). The findings were evaluated in favor of stable disease. It was understood that liver right lobe transplantation was performed in the case.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14388/train_14388_e/train_14388_e_1.npy"
        ]
    },
    {
        "id": "report_generation_34030",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There was no significant difference in the extensive metastatic nodules present in the lung parenchyma. Left lung upper lobe anterior and both lung lower lobe superiorities show increased ground glass densities on CT, which are also seen on PET/CT (may be due to viral pneumonia).\n<pleura>: A newly developed 11 mm pleural effusion is observed on the left. A newly developed pleural effusion is observed on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. The spleen is larger than normal. Upper abdominal organs included in the sections are normal. Liver transplant appears to have been performed.\n\nImpression:\nMetastatic HCC-cholangio sellar ca at follow-up  Metastatic lesions that do not differ significantly in both lungs  Stable LAPs in the mediastinum  New pleural effusion on the left  Increased ground-glass densities in both lungs (viral pneumonia?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14388/train_14388_f/train_14388_f_1.npy"
        ]
    },
    {
        "id": "report_generation_34032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: appearance was evaluated primarily in favor of dependent intensity increase. Early viral pneumonia could not be excluded.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; A nonspecific increase in density was observed in the peripheral subpleural area in the superior segment of the lower lobe of the right lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: As far as can be observed: Soft tissue density compatible with gynecomastia was observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Clinical and laboratory correlation and control is recommended.\n\nImpression:\nNonspecific ground-glass density increases in the peripheral subpleural area in the right lung lower lobe superior segment may be consistent with the appearance-dependent increase in density. However, early viral pneumonia could not be excluded. Clinical and laboratory correlation and control are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14389/train_14389_a/train_14389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34047",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 15 mm hypodense lesion is observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, more prominently in the upper lobes. There is a linear atelectasis change at the basal level of the lower lobe of the right lung.\n<mediastinum>: Mild atherosclerotic changes are observed in the aortic arch and coronary arteries. No enlargement or stenosis-occlusion was detected in the abdominal aorta. Thoracic aorta diameter is normal. Calibration of other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Calibration of other mediastinal main vascular structures, heart contour, size are normal. Mild atherosclerotic changes are observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative osteophytic taperings are observed in the vertebral corpus end plates. There is a decrease in density in the bone structures entering the cross-sectional area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. Intra and extrahepatic bile ducts are normal. Periprostatic fatty tissues are clear. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Hyperemia and edema are observed in the fatty planes around it. The size of the left kidney, contour, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. The gallbladder walls are thickened up to 5 mm and are of a faint nature. Thoracic aorta diameter is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. No significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. No space-occupying solid or cystic mass lesion is observed. Right kidney sizes are smaller than normal. Mild atherosclerotic changes are observed in the aortic arch and coronary arteries. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. No intraabdominal free-loculated fluid was detected. The contour, size, parenchyma density of the spleen is normal. Contour, size, parenchymal density of the liver are normal. In the right kidney, a 38 mm diameter cortical, fluid atteniation, oval-shaped finding was evaluated in favor of a cyst. No filling defect was detected in the gallbladder within the limits of the examination. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nCholecystitis?; clinical laboratory correlation, follow-up is recommended.  A 14 mm nodule in the left thyroid lobe.  Mild atherosclerosis.  Emphysematous changes in both lungs.  Linear atelectasis change at the posterobasal level of the lower lobe of the right lung.  Small-than-normal right kidney, cortical cyst in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14397/train_14397_a/train_14397_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34051",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickening is accompanied by structural distortion and volume loss. No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. It is thought that there is a sequelae change in this appearance. In addition, apart from the findings described in the lower superior segment of the right lung, there are nodular density increases with slightly irregular borders, the largest of which is approximately 8x11 mm in size. Minimal bronchiectasis and minimal peribronchial thickening are observed in the posterior and apical segments of the right lung upper lobe and the left upper lobe apicoposterior segment of the left lung. The described appearances were evaluated primarily in favor of pleuroparenchymal sequelae changes. No mass or infiltrative lesion was detected in both lungs. Nonspecific nodules were observed in both lungs. Apart from this, there are appearances compatible with pleuroparenchymal sequelae change in the superior segment of the left lung lower lobe. However, it is recommended to be followed because it is nodular in shape.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are areas of negative HU density in the described lesion and it was thought to be an adenoma. Atheroma plaques are present in the aorta and coronary arteries. There is a solid lesion measuring 28x22 mm in the left adrenal gland corpus. No masses with distinguishable borders were detected in the liver and spleen in the sections. There are hypodense lesions in the left kidney. When evaluated together with their density, they were thought to be cysts. It is recommended to follow. It is recommended to be evaluated together with previous examinations, if any, and to correlate with USG if there is an indication. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal bronchiectasis and minimal peribronchial thickening in the posterior and apical segments of the right lung upper lobe and left lung upper lobe apicoposterior segment, accompanied by structural distortion and volume loss, and slightly irregularly circumscribed nodular density increases in the right lung lower superior segment (recommended to follow), in the left lung Pleuroparenchymal sequelae changes in the lung . Emphysematous changes in both lungs . Millimetric nodules in both lungs . Atheromatous plaques in the aorta and coronary arteries . Mediastinal and hilar lymph nodes . Hiatal hernia . Solid lesion in the left adrenal gland (adenoma?) . Hypodense lesions (cysts?) in the left kidney )"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14399/train_14399_a/train_14399_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34061",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis and emphysematous changes in both lungs. The described appearance was primarily evaluated in favor of pneumonic infiltration. In addition, ground glass appearances are observed in both lungs from place to place. This distinction was not made in this study. There is consolidation with air bronchograms in the lower lobe of the right lung. These ground-glass appearances may be due to pneumonic infiltration as well as cardiac pathology.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The catheter terminates at the superior distal portion of the vena cava. As far as can be seen: Central venous catheter is seen on the right. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. The ascending aorta measures 46 mm in anterior-posterior diameter and is wider than normal. Pericardial effusion was not observed.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAppearance evaluated in favor of pneumonic infiltration in the lower lobe of the right lung.  Ground glass areas in both lungs that may be due to cardiac pathology or pneumonic infiltration.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14404/train_14404_a/train_14404_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. Subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular right lung lower lobe anterobasal and left lung lower lobe basal segments. When examined in the lung parenchyma window; Irregularly circumscribed focal ground glass consolidations are observed in the posterior subsegment of the right lung upper lobe posterior, left lung upper lobe apicoposterior segment, and both lung lower lobe basal segments, and the appearance is suspicious for Covid-19 pneumonia and other viral pneumonias.\n<pleura>: A smear-like effusion was observed between the leaves of the pleura in both hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Metallic densities at the prevascular level and loculated fluid of 21x14x44 mm were observed at the anterior meidyasthene.\n<heart>: Pericardial effusion was observed in the form of plastering. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Free air images were observed within the abdominal and thoracic anterolateral muscle planes (early postoperative change). When the upper abdominal organs included in the sections were evaluated; No space-occupying lesion was detected in the liver that entered the cross-sectional area. Several calculi images with a diameter of 2.4 mm were observed in the left kidney, the largest in the upper pole. The gallbladder was not observed secondary to the operation.\n\nImpression:\nSurgical suture materials and accompanying loculated fluid in the retrosternal area in the anterior mediastinum. Pericardial-pleural effusion.  Focal ground-glass densities in both lungs; appearance is suspicious for Covid-19 or other viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Subsegmentary atelectatic changes in both lungs.  Cholecystectomized.  Left nephrolithiasis . Free air images (early postoperative change) within the abdominal and thoracic anterolateral muscle planes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14410/train_14410_a/train_14410_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild atelectasis changes are observed at basal levels of both lung lower lobes. A nodule of 3 mm in size is observed in series 2 image 123, which can hardly be distinguished from these atelectatic changes superiorly in the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodule that can hardly be distinguished from millimetric atelectatic changes in the superior lower lobe of the right lung.  Mild atelectatic changes in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14413/train_14413_a/train_14413_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34127",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, its diameter was measured as 4 mm, and no significant changes were detected in size and appearance. No newly emerging infiltration was detected in the current examination. When both lung parenchyma windows are evaluated; A stable nonspecific parenchymal ground-glass nodule with millimetric size was observed in the middle lobe of the right lung.\n<bone>: It has been evaluated as compatible with osteopenia. Partial compressions that cause height loss were observed in the upper end plateau of T8 and T10 vertebrae. An increase in trabeculation is observed in the bone structure. There are old rib fractures.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14431/train_14431_b/train_14431_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34132",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are nodules of nonspecific millimetric size in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nNonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14434/train_14434_a/train_14434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34134",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: It may be compatible with superimposed bacterial superinfection of Covid-19 pneumonia. Non-pathological calcified lymph nodes were observed in the right hilum. Diffuse linear atelectasis is present in localizations where pneumonia is present. When examined in the lung parenchyma window; In the case that was followed up for Covid-19 pneumonia, parenchymal findings regressed significantly in the current examination, and the prevalence of Covid-19 pneumonia decreased significantly. However, slightly more prominent consolidations occurred in the lower lobe basal segments of both lungs on the left.\n<pleura>: A pleural effusion was observed in an anx with a diameter of 17 mm adjacent to the basal segment of the lower lobe of the left lung. The smear-like effusion observed in the right pleural space in the previous examination was not observed in the current examination.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques were observed in the thoracic aorta and LAD. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Calcifications are present in the aortic valve. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes were observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The pancreas is atrophic. Colonic segments were observed on the anterior surface of the liver (Chilaiditi syndrome). Calcified atheroma plaques were observed in the thoracic aorta and LAD. The gallbladder was not observed secondary to the operation. It could not be characterized in the non-contrast examination (cyst?). Density increases were observed in the perinephric fatty planes of both kidneys. As far as can be seen on non-contrast sections, nonspecific hypodense lesions with a diameter of 13 mm were observed in the liver segment 2 and at the junction of segment 2-3, adjacent to the falciform ligament.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and LAD. · Significant regression in lung parenchyma findings, diffuse fibroatelectasis sequelae in the patient followed up for Covid-19 pneumonia. · Newly revealed consolidations in the basal segments of the lower lobes of both lungs on current examination; It may be compatible with superimposed bacterial superinfection of Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. · Pleural effusion with minimal anxiety in the lower lobe of the left lung. · Hypodense lesions in the left lobe of the liver; not characterized in non-contrast examination (cyst?) · Chilaiditi syndrome. Diffuse density increases in perinephric fatty planes in both kidneys. · Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14435/train_14435_a/train_14435_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34176",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Scattered ground-glass-like density increments are observed in both lungs. It is compatible with the anamnesis in the case with a Covid positive diagnosis.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Calibration of mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural.\n<abdomen>: A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. It is thought that it may have originated from the skin appendages. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nScattered ground-glass-style density increases in both lungs are consistent with the anamnesis in the case with a positive diagnosis of Covid.  Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14444/train_14444_a/train_14444_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Focal patchy ground-glass densities are observed in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Apart from this, the heart and mediastinal vascular structures have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: Apart from this, the heart and mediastinal vascular structures have a natural appearance. Millimetric sized calcific plaques are selected in the coronary arteries.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen.\n\nImpression:\nFocal patchy ground-glass densities in both lung parenchyma; appearance Widely described imaging findings for Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14450/train_14450_a/train_14450_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34210",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Paraseptal emphysemetous changes, sequelae and millimetric changes in the upper lobes of both lungs. No active infiltration or mass lesion was detected. There are nonspecific nodules in size.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nParaseptal emphysemetous changes, sequelae and millimetric changes in the upper lobes of both lungs. There are nonspecific nodules in size. No active infiltration or mass lesion was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14459/train_14459_a/train_14459_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34226",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In both lungs, a few millimetrically stable nonspecific parenchymal nodules were observed according to previous examinations. Other viral pneumonias can be considered in the differential diagnosis. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Bilateral peribromchial thickenings were observed. Mild emphysematous changes are present in both lungs. Outlook Covid-19 pneumonia can be observed. There are increases in pleuroparenchymal sequelae in both lungs.\n<pleura>: In both lungs, a few focal ground-glass density increases in different localizations in the peripheral subpleural area and consolidation area in the posterobasal segment of the left lung lower lobe were observed. A free pleural effusion measuring 14 mm in thickness was observed between the pleural leaves on the left.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<heart>: Heart contour size is natural. Pericardial thickening was not detected. Postoperative changes were observed at the level of the mitral valve. Pericardial minimal effusion was observed. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contract examination limits.\n<bone>: Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected. Metallic suture material of sternotomy was observed on the anterior thorax wall.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. It is natural in upper abdominal sections entering the examination area. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nAtherosclerotic changes.  Postoperative changes in the pericardium, mild pericardial effusion.  Sequelae changes in both lungs.  Bilateral peribronchial thickenings.  Mild emphysematous changes in both lungs and several nonspecific parenchymal nodules in both lungs, some of which are calcified.  Focal ground glass density increases in a few peripheral subpleural foci in both lungs, Appearance Covid-19 pneumonia can be observed. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Left pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14466/train_14466_b/train_14466_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A 4 mm nodule was observed adjacent to the major fissure in the apex of the right lower lobe. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There are sequelae fibrotic bands in the right lung middle lobe lateral, right middle lobe medial, right lower lobe posterobasal and left lingular segment, and left lower lobe anterobasal segment.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: In the pericardial area, there is an effusion reaching a diameter of 14 mm, adjacent to the right ventricle at its widest point. Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequela fibrotic changes in both lungs.  Nonspecific nodule in the superior lower lobe of the right lung.  Pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14474/train_14474_a/train_14474_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14477/train_14477_a/train_14477_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34261",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration, consolidation or space-occupying lesion was detected. When examined in the lung parenchyma window; Subsegmental atelectasis areas are observed in the left lung upper lobe inferior lingular segment.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal major vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. Calcific atheroma plaques are observed in the aortic walls.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal major vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdomen images included in the examination are normal. Thoracic aorta diameter is normal. The gallbladder is operated. Calcific atheroma plaques are observed in the aortic walls.\n\nImpression:\nLinear atelectasis areas in the left lung upper lobe inferior lingular segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14482/train_14482_a/train_14482_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34287",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, there is a honeycomb appearance compatible with fibrosis, more prominent in the lower lobes of both lungs. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Advanced emphysematous changes are observed in both lungs, more prominently in the upper lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are stones in the gallbladder with a diameter of 20 mm. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nSevere emphysematous changes in both lungs  Honeycomb appearance in both lungs, especially in the lower lobes  Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14494/train_14494_a/train_14494_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Compression atelectasis is observed in the vicinity of the effusion. There are several millimeter-sized nonspecific lymph nodes. Linear atelectasis parenchyma areas are present in the right lung upper lobe posterior segment and left lung lower lobe basal segment. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: In lung parenchyma evaluation; Pleural effusion is observed with a diameter of 5.5 cm between the right pleural leaves and 4.5 cm between the left pleural leaves.\n<mediastinum>: There are nonspecific lymph nodes less than 1 cm in diameter located bilaterally in the mediastinum, lower paratracheal and paraaortic. No space-occupying lesion in pathological dimensions was detected from the mediastinal fat pad.\n<heart>: Pericardial effusion was not detected. Calcified atherosclerotic plaques are observed in the coronary arteries. Heart dimensions and compartments are of normal width.\n<esophagus>: The extension of the gastric cardia from the esophageal hiatus to the paraesophageal area has a herniated appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures. No lymph node was observed in the supraclavicular fossa, axilla, and pathological size and appearance.\n<abdomen>: The extension of the gastric cardia from the esophageal hiatus to the paraesophageal area has a herniated appearance. Grade 4 hydronephrosis is observed in the right kidney. There is a sliding type hiatal hernia in the upper abdominal sections. The parenchyma is almost indistinguishable.\n\nImpression:\nBilateral pleural effusion.  Subsegmental atelectasis in both lungs.  Calcified atherosclerotic plaques in the coronary arteries.  Sliding type hiatal hernia is evident  Grade 4 hydronephrosis in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14501/train_14501_a/train_14501_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34303",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Large consolidation area including air bronchogram in the lower lobe of the left lung and focal nodular consolidation area-ground glass density increases were observed in the upper lobe of the left lung. Clinical laboratory correlation is recommended. The outlook can be traced to Covid-19 pneumonia, but is not specific.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Minimal calcific atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected. The ascending aorta measures 38 mm in diameter and shows minimal dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Other upper abdominal organs are normal. In the upper abdominal sections in the examination area, calculi with a diameter of 4.6 mm in the upper pole of the right kidney and 4 mm in the lower pole were observed. Hypodense lesions of 29 mm in diameter and 14 mm in diameter were observed in the upper pole of the left kidney (cortical cyst?).\n\nImpression:\nSlight dilatation of the ascending aorta.  Large area of consolidation with air bronchogram in the lower lobe of the left lung and focal area of nodular consolidation in the upper lobe of the left lung-ground glass density increases, the appearance can be observed in Covid-19 pneumonia, but it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical-laboratory correlation is recommended.  Right nephrolithiasis.  Hypodense lesions (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14502/train_14502_a/train_14502_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; In almost all zones of both lungs, there are ground-glass-like density increases in the background, which tend to coalesce in the appearance of scattered rounds and are accompanied by thickening of the interlobular septa on the ground.\n<pleura>: Pleural effusion, pneumothorax were not detected.\n<mediastinum>: At the level of the thoracic inlet, a diverticula is observed in the right posterolateral aspect of the trachea, and in the mediastinum, the thyroid gland is observed as a wide diverticula with a lobulated contour in the area extending from the posterior neighborhood of the right lobe to the level of the aortic arch. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: At the level of the thoracic inlet, a diverticula is observed in the right posterolateral aspect of the trachea, and in the mediastinum, the thyroid gland is observed as a wide diverticula with a lobulated contour in the area extending from the posterior neighborhood of the right lobe to the level of the aortic arch. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. Although the gallbladder has a contracted appearance, its interior is dense.\n\nImpression:\nFindings consistent with Covid-19 pneumonia. A wide diverticulum extending between the thyroid gland and aortic arch that starts with a thin neck at the right posterolateral trachea at the level of the thoracic inlet."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14503/train_14503_a/train_14503_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric, nonspecific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric, nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14510/train_14510_a/train_14510_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, ground glass areas are also observed in the upper lobe of both lungs and the middle lobe of the right lung. Although the described findings are nonspecific, the distribution and appearance of the described findings are in a manner that can be observed frequently in Covid-19 pneumonia, which is indicated in the clinical preliminary diagnosis. Consolidation and minimal ground glass areas are observed in both lungs, being more prominent in the lower lobes and peripheral areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are millimetric atheroma plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the liver parenchyma density, a decrease in density is observed, which is compatible with advanced adiposity. There are millimetric atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs . Advanced hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14516/train_14516_a/train_14516_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; Sequelae atelectatic changes were observed in the medial segment of the middle lobe of the right lung, the inferior lingular segment of the left lung, and the laterobasal segment of the lower lobe of the left lung. Apart from this, both lung ventilation is normal.\n<mediastinum>: Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Congenital psorarthrosis was observed just before the costosternal joint in the left 1st rib anteriround. Vertebral corpus heights in the study area were preserved. In addition, as far as can be seen in the sections, the left lumbar rib was observed in the L1 vertebra. The right first rib has a hypoplasic appearance, is shorter than normal, and does not articulate with the manubrium.\n<abdomen>: Gallbladder, spleen, pancreas, both kidneys, adrenal glands are normal. The craniocaudal length of the liver increased by 167 mm. Peridiverticular fatty planes are obvious. As far as can be observed in the non-contrast sections, the liver parenchyma density decreased in line with the adiposity. Diverticulum was observed in the descending colon.\n\nImpression:\nRight short 1st rib-hypoplasia . Congenital pseudoarthrosis in the left 1st rib . Lumbal rib in L1 on the left . Passive atelectatic changes with minimal sequelae in both lungs . Hepatomegaly, hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14517/train_14517_a/train_14517_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34336",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Radiological findings were evaluated in favor of Covid parenchymal involvement.\n<pleura>: When examined in the lung parenchyma window; In the lower lobes of both lungs, there are areas of infiltration in the basal segments in the form of ground glass nodules, which are more prominent subpleural.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural. There are several nonspecific mediastinal lymph nodes.\n<heart>: There is pericardial effusion at the level of the apex in the form of mild smearing. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. No features were detected in the upper abdomen sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nInfiltration areas in the form of subpleural nodular ground glass opacity in the lower lobes of both lungs, radiological findings were evaluated as compatible with Covid parenchymal involvement."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14519/train_14519_a/train_14519_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34347",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Diffuse mild ectasia and peripronchial thickness increases are observed in bilateral bronchial structures. Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are minimal centracinar emphysematous changes in both lungs. Active infiltration or mass lesion is not detected in both lungs. Density increases are observed in the ground glass density, which is considered secondary to the dependent effect in both lung bases.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast.\n<heart>: Calibration of the vascular structures, heart contour and size are normal as far as can be observed. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesion is observed in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: A hyperdense stone with a diameter of 4 mm is observed in the middle zone of the left kidney. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Anterior rotation variation is observed in both kidneys.\n\nImpression:\nThere is no finding favoring pneumonic infiltration in both lungs. Diffuse mild ectasia peribronchial thickness increases in bilateral bronchial structures, and density increases in ground glass density, which is considered secondary to the dependent effect, are observed in both lung bases.  Sliding type mild hiatal hernia at the lower end of the esophagus, left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14525/train_14525_a/train_14525_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Passive atelectatic changes were observed in the paracardiac area in the medial segment of the right lung middle lobe. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Tubular bronchiectasis, which became prominent in the central part of both lungs, was observed. When examined in the lung parenchyma window; Band fibroatelectatic changes were observed in the left lung upper lobe lingular segment and both lower lobe basal segments of both lungs. Several nonspecific parenchymal nodules with a diameter of 5.7 mm were observed in both lungs, the largest of which was adjacent to the minor fissure in the middle lobe of the right lung.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed on the walls of the coronary artery.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. A 17x14 mm nodular mass lesion with a HU value of 4 was observed in the left adrenal gland corpus-medial crus junction, in which macroscopic fat was observed, and it was evaluated in favor of adenoma. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific atheroma plaques in the wall of the coronary artery . Linear band atelectatic changes in both lungs . Passive atelectasis in the medial segment of the right lung middle lobe . Nonspecific parenchymal nodules in both lungs . Central tubular bronchiectasis in both lungs . Adenal at the junction of the left adrenal gland corpus-medial adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14529/train_14529_a/train_14529_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Peribronchial thickenings are present in both lungs. When examined in the lung parenchyma window; Consolidation area in which air bronchograms are observed was observed in the lower lobe of the left lung. It was evaluated in favor of infarct. There are passive atelectatic changes secondary to effusion in the posterobasal segments of the right lung lower lobe. In addition, ground glass densities were observed in the posterior segment of the right lung upper lobe. Volume loss was also observed in this localization and was initially evaluated in favor of atelectasis. Interlobular -interlobar septal thickenings were observed in the aerated left lung and right lung lower lobe basal segments.\n<pleura>: In the right lung upper lobe posterior segment, a triangular shaped consolidation area of approximately 2x1.8cm was observed, sitting on the pleura with its broad base in the area adjacent to the pleura. Two subpleural nodules, the largest of which was 3.8mm in diameter, were observed on the major fissure in the lower lobe anterobasal segment of the right lung and on the lateral segment of the middle lobe. Effusion reaching 4.5 cm in the right pleural space and 7.1 cm in the left pleural space was observed.\n<mediastinum>: Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the calibration of the thoracic aorta is natural. Correlation with clinical and laboratory is recommended for pulmonary hypertension. Lymph nodes reaching 1 cm in prevascular right upper, bilateral lower-large short axis and not reaching pathological dimensions were observed. The diameters of the pulmonary trunk, right and left pulmonary arteries increased by 36mm, 24mm and 27mm, respectively.\n<heart>: The heart, contour and size are normal. Effusion reaching 17mm in its thickest part was observed in the pericardial space. Pericardial thickening was not detected. When the described appearance was evaluated together with other findings, it was thought to belong to cardiac pathology.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Compression characterized by loss of height was observed in the T12, L1 and L2 vertebral bodies. No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the calibration of the thoracic aorta is natural. Although the examination could not be characterized because it was not performed for the liver, it was thought that the described appearances might belong to metastasis. Nodular thickening was observed in the left adrenal gland. Its contours are lobulated. Liver sizes increased in the upper abdominal organs included in the sections. Liver sizes have increased as far as can be observed in the non-contrast examination. The right adrenal gland is normal. There are hypodense lesions in both lobes of the liver.\n\nImpression:\nAn increase in pulmonary artery diameters may be in favor of pulmonary hypertension. Clinical and laboratory correlation is recommended.  Pericardial-bilateral pleural effusion.  Consolidation area in the lower lobe of the left lung in which air bronchograms are observed, and slight volume loss; it was thought to be atelectasis.  Consolidation in the right lung upper lobe posterior segment, extending to the pleura with its broad base adjacent to the major fissure, and evaluated in favor of infarct in the first plan . Smooth interlobar-interlobular septal in the ventilated lung area thickenings and peribronchial cuffing (considered that it may belong to cardiac pathologies).  Millimetric subpleural nodules in the basal and middle lobes of the lower lobe of the right lung.  Multiple hypodense lesions, irregularity in liver contours and hepatomegaly, which cannot be clearly characterized in this examination but are thought to belong to metastasis in the liver.  Thickening of the left adrenal gland.  Compression characterized by loss of height in the T12, L1 and L2 vertebral bodies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14545/train_14545_a/train_14545_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Stable focal bronchiectasis was observed in the middle lobe of the right lung. Most prominently, narrowing is observed in the basal segment bronchial lumens of the left lung lower lobe, obstruction due to secretions in the lumen is observed. A nonspecific increase in parenchyma density is observed around bronchiectasis. Nodules observed in both lungs are stable. Both lungs narrow the lobar bronchus calibrations.\n<pleura>: An effusion with a diameter of 4 cm was observed between the leaves of the left pleura and 3.4 cm in diameter between the leaves of the right pleura. Pleural nodularities are observed adjacent to the effusion and it was thought to develop secondary to malignant involvement of the pleura.\n<mediastinum>: Calcic atheroma plaques were observed in the thoracic aorta and coronary arteries. Metastatic lymph nodes are also observed in paravertebral and paracardiac fat pads. There was no significant difference in the size of the conglomerated lymph nodes in the mediastinum. Calibration of pulmonary vascular structures is natural. The mediastinum could not be evaluated optimally in the non-contrast examination. Pathologically sized lymph nodes showing conglomeration in bilateral upper-lower paratracheal, subcarinal, peribronchial and hilar localizations are observed in the mediastinum. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 47 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is above normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Calcic atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed.\n<breast>: A few lymph nodes measuring 1 cm in short diameter were observed in the left internal mammarian chain.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: As far as can be seen in the sections, there is lobulation in the liver contours. Spleen size increased. Calcic atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 47 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is above normal.\n\nImpression:\n· Non-Hodgkin lymphoma · Mediastinal conglomerated lymph nodes, pathological lymph nodes in paravertebral and paracardiac fat pads and left internal mammary chain; is stable. · Bilateral pleural effusion; increased. · Pleural pathological nodules, stable. · Lobulation in liver contours. · Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14551/train_14551_c/train_14551_c_1.npy"
        ]
    },
    {
        "id": "report_generation_34409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Bacterial bronchopneumonia and parapneumonic effusion are considered in the foreground due to the new development of the findings in the patient who was learned to have There are peribronchial minimal ground glass densities at the central level in the lingula in the left lung.\n<pleura>: In the right lung, there are consolidation and soft tissue densities extending up to the pleura in the peribronchial area, in the upper lobe, middle lobe and most prominently in the lower lobe.\n<mediastinum>: Calcific atheroma plaques are present in the aorta and coronary arteries. Lymph nodes with a short axis not exceeding 10 mm are observed in the mediastinum. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: There is minimal band-shaped pericardial effusion. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 45 mm and is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures are osteoporotic and degenerative.\n<abdomen>: Operated colon Ca. Calcific atheroma plaques are present in the aorta and coronary arteries. There is wall thickening in the middle part of the transverse colon and it is seen that a stent was placed at this level. In the upper abdominal sections, hypodense lesions reaching the size of 47x40 mm are observed with bilobar localization in the liver, the larger ones with exophytic localization in segment 4. The gallbladder is operated at the level included in the section.\n\nImpression:\nOperated colon Ca. Newly developed ground glass densities, peribronchial consolidation, soft tissue densities and accompanying effusion, especially in the right lung, were evaluated primarily in favor of infection in the patient who was learned to have an infection.  Cholecystectomy.  Wall thickening and stent in the transverse colon.  Ectasia in the ascending aorta, coronary artery and atherosclerosis of the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14555/train_14555_a/train_14555_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were primarily evaluated in the direction of viral pneumonia, and clinical laboratory correlation follow-up is recommended for the differential diagnosis of Covid-19. No nodular lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed in the lateral and posterior segments of the lower lobes, mostly located in the peripheral subpleural.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground glass densities located mostly in the peripheral subpleural in the lower lobe lateral and posterior segments of both lungs. The findings were primarily evaluated in the direction of viral pneumonia, and clinical and laboratory correlation follow-up is recommended for the differential diagnosis of Covid-19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14557/train_14557_a/train_14557_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Dependent density increases are present in both lower lobe posterior segments of both lungs. There are 2.5x7.5 mm and 2x4 mm fusiform shaped nodules adjacent to the fissure in the right lung lower lobe superior segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Pleural or pericardial effusion – no thickening was detected.\n<mediastinum>: There is an appearance compatible with thymic remnant in the anterior mediastinum. There are some calcific millimetric lymph nodes in both axillae. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No discernible mass was detected in the upper abdominal organs within the contrast CT limits.\n\nImpression:\nTwo stable sized perifissural nodules in the superior segment of the lower lobe of the right lung; stable (intrapulmonary lymph node?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14557/train_14557_b/train_14557_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; In the lower lobe of the left lung, a focal ground-glass parenchyma area is observed in several foci. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. It was evaluated in favor of lung parenchymal involvement of Covid infection.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Due to the lack of contrast material, it could not be characterized in this examination. A hypodense solid lesion with a diameter of 19 mm was observed in the liver segment 2 localization.\n\nImpression:\nFocal atypical pneumonic infiltration areas in the lower lobe of the left lung were evaluated in favor of lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14565/train_14565_a/train_14565_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Both lungs are mildly emphysematous. Fibroatelectasis sequelae causing mild parenchymal distortion and minimal volume loss were observed in the right lung middle lobe medial segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with a diameter of 14 mm was observed adjacent to the lower pole of the spleen. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPleuroparenchymal sequela fibrotic change causing mild volume loss and structural distortion in the middle lobe of the right lung . Mild emphysematous appearance in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14567/train_14567_a/train_14567_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. There are minimal emphysematous changes in both lungs. Millimetric nodules were observed in both lungs. The largest of these nodules is observed in the superior segment of the lower lobe of the left lung, and its longest diameter is 6 mm. Minimal bronchiectasis is observed in the central parts of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: It is understood that the patient underwent coronary and by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are narrowed. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMinimal bronchiectasis in the central parts of both lungs.  Minimal emphysematous changes in both lungs.  Linear atelectasis in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14568/train_14568_a/train_14568_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; There are ground-glass densities in both lung parenchyma showing a tendency to merge with posterior subpleural weight. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: An increase in dorsal kyphosis, anterior angulation in T3-4 vertebral corpuscles, partial fusion appearance, and 25% loss of height in the middle part of the T3 corpus are observed at this level. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia . Increase in T3-4 level in dorsal kyphosis, partial anculosis (posttraumatic changes?) in the vertebral corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14584/train_14584_b/train_14584_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid is larger than normal and nodular in appearance.\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score was evaluated as high.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The ascending aorta is wide at 4.3 cm. Pericardial effusion was observed. There is global enlargement of the cardiac cavities.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There is extensive osteoporosis and compression fracture of the T12 vertebra. There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Nodular goiter Cardiomegaly Pericardial effusion Atherosclerosis Dilatation in the ascending aorta Degenerative changes in bone structures, osteoporosis and compression fracture in the T12 vertebra Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, drug toxicity should be considered in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14588/train_14588_a/train_14588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Peripheral and subpleural weighted diffuse nodular ground glass densities are present in both lung parenchyma.\n<mediastinum>: Millimetric calcific atheroma plaque is observed in the aortic arch. Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with a short axis not exceeding 1 cm were observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Anterior osteophytes, which tend to merge in the vertebrae, are observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaque is observed in the aortic arch. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings compatible with Covid pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14598/train_14598_a/train_14598_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Minimal emphysematous changes and occasional millimetric parenchymal air cysts are observed in both lungs. Compression atelectasis in both lung lower lobe posterior segments adjacent to the effusion, both lungs in lower lobe medial segments, left lung upper lobe lingular segment inferior subsegment, right lung linear in middle lobe medial segment There are areas of atelectasis.\n<pleura>: Pleural effusion with a thickness of 1 cm in the right hemithorax and 2 cm in the left hemithorax is observed. There is a 7.5x8.5 mm nodule in the subpleural area in the anterior segment of the right lung upper lobe.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Calcified areas following the pulmonary vascular structures are observed.\n<heart>: Heart contour and size are normal. Pericardial 1 cm thick effusion is observed. There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction.\n<bone>: Bridging osteophytes are observed in the corners of the thoracic vertebra corpus within the sections. There is a vacuum phenomenon consistent with degeneration at the level of the right sternoclavicular joint. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Perihepatic 1.5 cm thick fluid is present. There are widespread calcified foci in the perigastric area secondary to the embolization procedure for gastroesophageal varices. Spleen AP diameter measured 182 mm and increased. A calcified appearance, which may be compatible with the stone, is observed in the pouch. As far as it can be evaluated within the limits of non-contrast CT; There are calcified areas in the right lobe of the liver and several hypodense lesions with a diameter of about 1 cm, the largest in segment 7. The transverse diameter of the gallbladder was 46 mm, and the gallbladder appeared distended. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. Minimal density increase is observed in mesenteric fatty tissue.\n\nImpression:\nEmbolization for metastatic rectum Ca, gastroesophageal varices in follow-up.  Minimal pericardial-bilateral pleural effusion, compression atelectasis in the lower lobes of both lungs adjacent to the effusion, and areas of linear atelectasis in both lungs.  Subpleural nodule in the upper lobe of the right lung; It is recommended to be evaluated together with previous examinations, if any.  Minimal emphysematous changes and occasional millimetric parenchymal air cysts in both lungs.  Changes in the perigastric area, secondary to embolization in the hepatic parenchyma.  Hypodense lesion consistent with several metastases in the liver.  Hyperdense appearance, which may be compatible with distension and stone in the gallbladder.  Splenomegaly.  Perihepatic minimal free fluid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14610/train_14610_a/train_14610_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34536",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Linear pleuroparenchymal sequelae density is observed in the left lung apex. Nonpsychic nodules smaller than 5 mm are observed in the anterior segment of the upper lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung. Pleuroparenchymal nodular density with calcification is observed in the right lung apex. In the apex of the left lung, a nodular lesion of approximately 14x8.5 mm in size with irregular contours and a central more hypodense appearance is observed. Apart from this, mosaic attenuation is observed in both lung parenchyma (small airway disease? small vessel disease?). The patient with a primary fissure localization in the middle lobe of the right lung has a 6 mm diameter nodule suspicious for metastasis, and more prominent linear pleuroparenchymal density increases are observed in the lower lobes of both lung parenchyma.\n<pleura>: In addition, there is a subpleural nodule of approximately 4.5 mm in diameter at the apex of the right lung. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary narrow lymph nodes less than 1 cm in diameter are observed. Right upper paratracheal, right peribronchial few calcified lymph nodes are observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch, descending aorta, abdominal aorta, and coronary arteries. The AP diameter of the ascending aorta is 4.1 cm and wider than normal.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<breast>: KT port is observed on the right anterior chest wall.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcific plaques are observed in the aortic arch, descending aorta, abdominal aorta, and coronary arteries. The AP diameter of the ascending aorta is 4.1 cm and wider than normal.\n\nImpression:\nNodular lesion with irregular contours is observed in the apex of the left lung. PET-CT evaluation is recommended for metastasis or primary retraction.  6 mm diameter nodule in the right lung middle lobe that may be significant in terms of fissure-based metastasis . Current appearance in both lungs smaller than 5 mm nodules in nonspecific appearance . Mosaic attenuation in both lung parenchyma (small airway disease? small vessel disease?) and linear pleuroparenchymal sequelae in lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14611/train_14611_a/train_14611_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34538",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. There are minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. There is minimal bronchiectasis in the central parts of both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: Pleural effusion was measured 9 mm in the diaphragmatic pleura, adjacent to the lower lobe of the right lung, at its thickest point. No pleural or pericardial effusion was detected. Pleural thickenings are observed in the costal and diaphragmatic pleura in both hemithoraces, more prominently on the right. Some of the described pleural thickenings have calcifications.\n<mediastinum>: There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: The heart is larger than normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nPleural plaques in both hemithorax.  Minimal emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14612/train_14612_a/train_14612_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Linear atelectasis was also observed in the anterior segment of the upper lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. There are atelectasis in both lung lower lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14613/train_14613_a/train_14613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Several nonspecific nodules measuring 3.5 mm in size are observed in the right lung parenchyma, the largest of which is in the posterobasal segment of the lower lobe.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and bilateral supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<heart>: Calibration, contour, size of vascular structures are natural. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area.\n<abdomen>: No gross pathology was detected within the borders of non-contrast CT in the upper abdomen sections within the image.\n\nImpression:\nMillimetrically nonspecific nodules in the right lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14616/train_14616_a/train_14616_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: These views are not specific. There are interlobular septal thickenings in both lungs, more prominent in the lower lobes. There are also focal consolidations in the right lung middle lobe and lower lobe superior segments. It may belong to a viral or bacterial pneumonia. Focal ground glass areas are observed in the right lung upper lobe posterior segment and left lung upper lobe lingular segment. The described appearances were also present in the previous examination of the patient, and no difference was found in their appearance. No mass was detected in both lungs.\n<pleura>: When evaluated together with pleural effusion, it was thought that the described manifestations were primarily due to cardiac pathology. There is bilateral minimal pleural effusion.\n<heart>: In addition, minimal pericardial effusion was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14622/train_14622_b/train_14622_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34590",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild nodular patchy ground glass densities are observed at posterobasal levels, more prominently in the lower lobes of both lungs, and slightly enlarged veins at these levels. Clinical laboratory correlation follow-up is recommended for better differential diagnosis. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Changes in favor of hepatosteatosis are observed in the liver parenchyma. A small cortical cyst is observed in the left kidney. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are findings consistent with Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14631/train_14631_a/train_14631_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34606",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Reticulo nodular sequelae density increases were observed in both lung apexes. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: An asymmetric, well-circumscribed soft tissue lesion measuring 32x24 mm was observed in the upper outer-middle part of the right breast. Breast USG is recommended for rest parenchyma-mass exclusion.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nWell-circumscribed nodular asymmetric soft tissue density in the upper outer-middle quadrant of the right breast; correlation with breast USG in terms of mass-rest parenchyma is recommended.  Increases in reticulonodular density in both lung apexes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14639/train_14639_a/train_14639_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14651/train_14651_a/train_14651_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34632",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14652/train_14652_a/train_14652_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: These appearances were evaluated in favor of viral pneumonia. This finding is frequently observed in covid-19 pneumonia. In both lungs, linear density increases and parenchymal bands are observed in the central and peripheral areas, ground glass areas and peripheral areas. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14662/train_14662_a/train_14662_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14665/train_14665_a/train_14665_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Pleuroparenchymal sequelae are observed in the posterior segment of the right lung upper lobe. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in the upper lobes of both lungs. No nodule/mass was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: 1-2 calcific plaques are observed in the coronary artery and ascending aorta localization.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No significant pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nMosaic attenuation in the upper lobes of both lungs. Typical findings of Covid-19 pneumonia were not detected. If the suspicion persists, it is recommended to be examined as a laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14668/train_14668_a/train_14668_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There is a mosaic attenuation pattern in both lungs ((small airway disease? small vessel disease?).\n<pleura>: Pericardial-pleural thickening or pleural effusion is not observed. Several nonspecific nodules are observed in both lung parenchyma, the largest of which is 2mm in size at the pleural floor in the posterobasal segment of the left lung lower lobe.\n<mediastinum>: There is stent material in the left renal artery, abdominal aorta origin localization in the upper abdominal sections within the image. In the mediastinum, no lymph node is observed in the pathological size and appearance at the bilateral hilus level. Due to the lack of contrast in the examination, the mediastinal main vascular structures and the heart could not be evaluated optimally.\n<heart>: An effusion up to 18 mm is observed at the base of the heart in the deepest part of the pericardial area. Due to the lack of contrast in the examination, the mediastinal main vascular structures and the heart could not be evaluated optimally. Calibration of vascular structures and heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion is detected in the bone structures in the image, and the height of the vertebral corpus is preserved.\n<abdomen>: There is stent material in the left renal artery, abdominal aorta origin localization in the upper abdominal sections within the image.\n\nImpression:\nPericardial effusion.  Mosaic attenuation pattern in both lung parenchyma ((small airway disease? small vessel disease?).  Several millimetric nonspecific nodules in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14675/train_14675_a/train_14675_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34684",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In addition, local linear density increases and minimal structural distortion and minimal volume loss were observed in both lungs. There are minimal emphysematous changes in both lungs. Peripheral and centrally located diffuse ground glass appearances and consolidations accompanying the ground glass appearance are observed in both lungs. The described views were evaluated in favor of Covid-19 pneumonia during the pandemic process. Minimal peribronchial thickening was observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are diffuse atheromatous plaques in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: It is understood that the patient underwent coronary by-pass surgery. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities are normal within the sections. The neural foramina are open.\n<abdomen>: There are diffuse atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14677/train_14677_a/train_14677_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34706",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Density of endotracheal tube is present.\n<lung>: Other viral pneumonias can be considered in the differential diagnosis. The outlook can be seen in Covid-19 pneumonia. Emphysematous changes are present in both lungs. However, it is not typical. There are pleuroparenchymal sequelae density increases in both lungs apical.\n<pleura>: When examined in the lung parenchyma window; There are free pleural effusion and atelectatic changes measuring 2 mm in the thickest part of both lungs, extending to the fissure on the left, and measuring 10 mm on the right. Peripheral subpleural 1 cm diameter focal consolidation area in the left lung lower lobe laterobasal segment draws attention. Bilateral pleural thickening is observed. Ground-glass-like density increases are observed in the peripheral subpleural area in the upper lobe and lower lobe of the right lung. Calcified pleural thickening was observed in the diaphragmatic pleura in the lower lobe of the right lung.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion reaching 16 mm in the widest part of the pericardium.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall. No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections in the examination area, 3 mm diameter calculi was observed in the middle zone of the left kidney.\n\nImpression:\nCardiomegaly, pericardial effusion. Significant pleural effusion on the left bilateral side, atelectasis-sequelae changes, bilateral peribronchial thickenings. Emphysematous changes in both lungs.  Peripheral subpleural ground-glass density increases in the right lung. The appearance can be seen in Covid-19 pneumonia. However, it is not specific. Other viral pneumonias can be considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory data.  Left nephrolithiasis. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14688/train_14688_a/train_14688_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: First of all, it was evaluated in favor of the infectious process. Concomitant septal thickenings were evaluated in favor of interstitial edema. When examined in the lung parenchyma window; More prominent, diffuse, irregularly circumscribed nodular infiltrates are observed in the upper lobes of both lungs. Findings in the middle lobe were thought to exclude the presence of accompanying viral pneumonia. There are diffuse findings in both lungs. The radiological findings were primarily evaluated in favor of the infectious process and bacterial pneumonias.\n<pleura>: There are areas of subpleural nodular consolidation in the middle lobe. Subpleural nodular consolidation and ground glass areas are also present in the right middle lobe. There is a pleural effusion reaching a diameter of 3.5 cm between the leaves of the right pleura and 3 cm in diameter between the leaves of the left pleura.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: There are suture materials in the coronary arteries. Mild smear-like pericardial effusion was observed. Heart size and left ventricular diameter increased.\n<bone>: The sternotomy line is followed. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Free intra-abdominal fluid was observed in the perihepatic and perisplenic areas in the upper abdominal sections that entered the image area. Confirmation with the clinic and laboratory will be appropriate.\n\nImpression:\nMild pericardial effusion . Bilateral pleural effusion . Free intra-abdominal fluid . Interstitial edema in the lung . Widespread nodular infiltrates in the lung parenchyma, radiological findings were primarily evaluated in favor of infective process, bronchopneumonic infiltration. Primarily bacterial agents were considered in the etiology. Subpleural nodular consolidation in the right lung middle lobe The presence of concomitant viral infection could not be excluded due to its presence. It is thought that it may have passed during this period. Laboratory confirmation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14688/train_14688_b/train_14688_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; There are several millimetric non-specific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There is a slight decrease in density in the liver parenchyma.\n\nImpression:\nThoracic CT examination within normal limits.  There are several millimetric non-specific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14689/train_14689_a/train_14689_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bronchial wall calcifications were observed. Trachea and main bronchi are open.\n<lung>: Consolidation area is observed in the left lung lingula inferior segment. Bleb formations were observed in the right lung apex. In the evaluation of both lung parenchyma; There are extensive peribronchovascular axial interstitial and interlobular septal thickenings in the lungs.\n<pleura>: In the bilateral pleural space, there is an effusion reaching 3 cm on the right and 2 cm on the left.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. Dilatation is observed in the abdominal aorta. In the mediastinum, there are inferior paratracheal lymph nodes, the largest of which is 12 mm in the short axis. Pulmonary arteries are dilated.\n<heart>: Pacemaker is observed on the left in the anterior thoracic wall and its wire reaches the right ventricle. There is global enlargement of the cardiac cavities.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Metallic sutures were observed in the sternum. There are degenerative changes in bone structures.\n<abdomen>: Perihepatic and perisplenic and minimal free peritoneal fluid were observed. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The wall is slightly thick. Calcific atheroma plaques were observed in the main vascular structures. There is a diffuse density increase in the subcutaneous adipose tissue entering the imaging area (interstitial edema? hypoalbuminemia?). Dilatation is observed in the abdominal aorta. Millimetric cortical cysts are observed in bilateral kidneys. There is the appearance of concentrated bile in the gallbladder.\n\nImpression:\nCardiomegaly Pleural effusion, peritoneal fluid, diffuse peribronchovascular axial interstitial and interlobular septal thickening in the lungs, dilatation in the inferior vena cava (Due to cardiac congestion?) Consolidation in the inferior segment of the lingula of the left lung Paratracheal lymph nodes in the mediastinum, thickening of the gallbladder milimetrically in the bilateral kidneys, thickening of the gallbladder degenerative changes in structures There is a diffuse increase in density in the subcutaneous adipose tissue entering the imaging area (interstitial edema? hypoalbuminemia?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14690/train_14690_b/train_14690_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There is a diffuse mosaic attenuation pattern and accompanying diffuse ground-glass-like density increases in both lungs. A millimetric-sized multiple nodule with a diameter of 3 mm is observed in the left lung. There is emphysema appearance in the upper-middle sections. There is thickening of the interlobular septa. On the right, both fissures are thickened and fluid is observed at the fissure level on the right. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is also a branch with bud view in the posterior segment of the right lung upper lobe. In both lower lobe superior segments, there is a view of branches with buds. It is recommended to be evaluated together with the clinic in terms of infective pathologies.\n<pleura>: Pleural effusion with a thickness of 25 mm on the left and 12 mm on the right and an adjacent atelectatic lung segment are observed on both sides. In the upper lobe of the right lung, multiple millimetric nodules are observed in the subpleural area, the largest of which is 8x3 mm in size.\n<mediastinum>: The aortic arch calibration is 32 mm. It is wider than normal. There are lymph nodes in the subcarinal area at the prevascular level in the aorticopulmonary window in the upper-lower paratracheal area, and some of them are superposed on each other. The largest was measured in the subcarinal area, measuring 22x15 mm. Pulmonary trunk calibration is 31 mm. There are calcific atheroma plaques at the level of the aortic root in the coronary arteries in the descending and ascending aorta in the aortic arch.\n<heart>: There are calcific atheroma plaques at the level of the aortic root in the coronary arteries in the descending and ascending aorta in the aortic arch. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There is approximately 50% loss of height in the anterior D9 vertebra corpus.\n<abdomen>: There is a 36x20 mm nodule with a density of -18 HU in the left adrenal. The aortic arch calibration is 32 mm. It is wider than normal. It was initially evaluated as compatible with adenoma. In the upper abdominal organs, including sections; bilateral surrenal is full and nodular in appearance. There are calcific atheroma plaques at the level of the aortic root in the coronary arteries in the descending and ascending aorta in the aortic arch.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease? small airway disease?).  Emphysema and diffuse ground glass-like density increases.  Cardiomegaly.  Mild calibration increases in mediastinal main vascular structures, thickening of interlobular septa, bilateral pleural effusion. It is recommended to evaluate the case in terms of cardiac stasis.  At the level of both lung lower lobe superior segment and right lung upper lobe posterior segment, a bud branch view is observed. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes.  Hepatosteatosis, right adrenal nodular thickening, nodular lesion compatible with adenoma at left adrenal level.  Hiatal hernia.  Degenerative changes in bone structure.  Approximately 50% loss of height in the anterior D9 vertebra corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14693/train_14693_a/train_14693_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34723",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are millimetric atheroma plaques in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric atheroma plaques in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14694/train_14694_a/train_14694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34738",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Millimetric nonspecific nodules are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: The decrease in density in the observed liver parenchyma was evaluated in favor of hepatosteatosis. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14698/train_14698_e/train_14698_e_1.npy"
        ]
    },
    {
        "id": "report_generation_34745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are occasional atelectasis in both lungs. There is no mass or infiltrative lesion in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: It is observed that the pleural effusion is locally loculated, especially on the right, and enters into the fissure. Bilateral pleural effusion is observed, more prominently on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. Atheroma plaques are observed in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: Surgical material is observed on the mitral valve. Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Aorta diameter is normal. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in aorta and coronary arteries, increase in pulmonary artery diameter, bilateral pleural effusion . Mosaic attenuation pattern in both lungs . Atelectasis in both lungs . Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14701/train_14701_b/train_14701_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When evaluated in the parenchyma window of both lungs: Calcified, nonspecific parenchymal nodules with a diameter of 6.5 mm in the superior segment of the right lung lower lobe and 4 mm in the anterobasal segment of the left lung lower lobe were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCalcified, several nonspecific parenchymal nodules in both lungs on the right.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14705/train_14705_a/train_14705_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Fibrotic band formation was observed in the posterobasal segment of the lower lobe of the right lung. In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There is thickening in the inferolateral part of the fissure on the left. Subsegmentary atelectasis was observed in the left lung lingular segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14706/train_14706_a/train_14706_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is atypical in terms of an infectious process. When examined in the lung parenchyma window; Mild mosaic attenuation patterns are observed in the basal segments of the lower lobes of both lungs. Ventilation of both lung parenchyma is normal, and no nodular lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings anteriorly in the vertebral corpus endplates. Density reduction is observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild mosaic pattern attunations in both lung lower lobe basal segments, minimal paraseptal emphysematous changes . There are mild atelectasis changes in the left lung inferior lingula. Findings are atypical in terms of infectious process . There is a decrease in density and degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14707/train_14707_a/train_14707_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; Minimal mosaic attenuation pattern and thickening of interlobular septa are observed in both lungs.\n<pleura>: No pleural effusion-thickening was detected in the left hemithorax. 11 mm pleural effusion is observed in the right hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal, mediastinal lymphadenopathies with aortopulmonary narrow diameter exceeding 1 cm are observed. Atherosclerotic plaques are observed in the walls of the coronary artery and in the aortic arch.\n<heart>: It was evaluated as secondary to cardiac stasis. Pace maker and a catheter extending to the ventricle are observed in the anterior part of the left hemithorax. The cardiothoracic index increased in favor of the heart. Atherosclerotic plaques are observed in the walls of the coronary artery and in the aortic arch.\n<bone>: No lytic-destructive lesion was detected in the bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Atherosclerotic plaques are observed in the walls of the coronary artery and in the aortic arch.\n\nImpression:\nMinimal mosaic attenuation pattern in both lungs and thickening of interlobular septa. It was evaluated as secondary to cardiac stasis.  Right pleural effusion . Cardiomegaly . There are no typical findings for Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14709/train_14709_a/train_14709_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Passive atelectatic changes were observed in the left lung inferior lingular segment. When examined in the lung parenchyma window; Nodular consolidation areas of ground glass density were observed in the superior and basal segments of the right lung lower lobe, and it is highly suspicious for Covid-19 pneumonia. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; measured 166 mm in the long axis of the liver and increased. The parenchymal density is diffusely decreased, consistent with adiposity.\n\nImpression:\nHiatal hernia. Confident nodular consolidations in the superior and basal segments of the lower lobe of the right lung; The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Passive atelectatic changes in the inferior lingular segment of the left lung. Hepatomegaly, hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14711/train_14711_a/train_14711_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34767",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; azygos fissure variation was observed in the upper lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. S-shaped scoliosis was observed at the thoracolumbar level.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nVariation of azygos fissure in the upper lobe of the stem lung . There was no finding in favor of infection-mass in the lung parenchyma.  Thoracolumbar S-shaped scoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14712/train_14712_a/train_14712_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34782",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up are recommended. When examined in the lung parenchyma window; Patchy ground glass densities are observed in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground glass densities in both lungs, findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical and laboratory correlation and follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14719/train_14719_a/train_14719_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34790",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearance is nonspecific. Any pathology can cause a similar appearance. It is recommended to evaluate the patient together with laboratory findings. There are millimetric nodules in both lungs. There is a ground-glass appearance in the central part of the upper lobe of the right lung. Unilateral upper lobe involvement and central location is a rare finding in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The diameters of the aortic arch and descending aorta are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 43 mm in anterior-posterior diameter and is wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are old fractures in the 3rd-7th ribs of the right hemithorax. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections. Liver parenchyma density decreased in line with advanced adiposity. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nGround-glass appearance in the central part of the upper lobe of the right lung . Millimetric nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Old fractures in the ribs in the right hemithorax"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14723/train_14723_a/train_14723_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34794",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are nonspecific nodules measuring 4 mm on the left and 3 mm on the right in the lower lobes of both lungs anteromedially.\n<pleura>: Pleural effusion-thickness increase was not detected in both hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. In the aorticopulmonary window in the mediastinum, a few millimetric lymph nodes with a lower paratracheal short axis diameter not exceeding 1 cm are observed. No lymph node was detected in pathological size and appearance. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Dorsal kyphosis is flattened. No lytic-destructive lesion was observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14725/train_14725_a/train_14725_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are wall thickenings, more prominent around the left main bronchus, bronchiectatic changes extending in the basal segment of the left lung lower lobe, and wall thickening. Mild patchy ground-glass densities (infectious process?) in the lung parenchyma in the upper lobe of the left lung and in the hilar region. Clinical laboratory correlation is recommended. No nodular lesions were detected in both lung parenchyma. The findings were initially evaluated in favor of the infectious process, and the differential diagnosis of a space-occupying mass lesion cannot be made in the non-contrast examination.\n<mediastinum>: In the aorticopulmonary window, there is a finding that covers this region almost completely, the size of which cannot be measured clearly, and tends to merge with the space-occupying soft tissues observed in the paraaortic area. Soft tissue density is observed in the paraaortic area at the junction of the renal arteries partially entering the image. Mediastinal main vascular structures, heart contour, size are normal. In the upper mediastinum, there are soft tissue densities that cannot be measured clearly, extend to the aorticopulmonary window or fill the mediastinum, which tend to merge with the space-occupying finding at this level.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion with 18 mm thickness is observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: For better differential diagnosis, non-contrast CT of the upper and lower abdomen is recommended in case of doubt. In the aorticopulmonary window, there is a finding that covers this region almost completely, the size of which cannot be measured clearly, and tends to merge with the space-occupying soft tissues observed in the paraaortic area. Soft tissue density is observed in the paraaortic area at the junction of the renal arteries partially entering the image. In the upper abdominal organs included in the sections, there is left kidney pelvicalyxial ectasia.\n\nImpression:\nPeribronchial thickenings and wall thickenings are observed at the level starting from the carina level and extending to the distal branches of the left lung lower lobe basal segment along the left main bronchus. infectious process?, lymphangitic spread? Clinical laboratory correlation and follow-up are recommended in terms of differential diagnosis of mass lesion after exclusion. Due to the lack of contrast in the current examination, the differential diagnosis cannot be made clearly.  There are soft tissue densities filling the mediastinum in the upper mediastinum that cannot be measured clearly, extend to the aorticopulmonary window or tend to merge with the space-occupying finding at this level. Clinical lab in terms of lymphoproliferative disease. blind. recommended.  Pericardial effusion measuring 18 mm in thickness  Slight patchy ground-glass densities (infectious process?) in the lung parenchyma in the left lung upper lobe and hilar region. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14735/train_14735_a/train_14735_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass nodule-infiltration was detected in both lung parenchyma. When evaluated in the lung parenchyma window; band-like sequela fibrotic density increases were observed in the lower lobe of the right lung.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia detected. Hepatosteatosis.  Sequelae changes in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14736/train_14736_a/train_14736_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34834",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Linear atelectasis were observed in the left lung upper lobe inferior lingular and right lung middle lobe and basal segments of both lung lower lobes. Findings are nonspecific. When examined in the lung parenchyma window, more diffuse emphysematous changes were observed in the upper lobes of both lungs. There are segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening in both lungs. No mass lesion-active infiltration was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Numerous lymph nodes were observed in the mediastinum with short axes below 1 cm that did not reach pathological dimensions.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. It may be compatible with cardiac stasis. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nMultiple lymph nodes with short axes less than 1 cm in the mediastinum.  Emphysematous changes in lung parenchyma, linear atelectatic changes.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Signs of cardiac stasis in the lung parenchyma.  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14742/train_14742_a/train_14742_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34876",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: US control is recommended. Densities of both thyroid parenchyma are heterogeneous.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Consolidative areas and peribronchial thickenings accompany the mass. When examined in the lung parenchyma window; In the superior segment of the lower lobe of the right lung, a thick-walled irregularly circumscribed cavitary lesion with a size of approximately 49x47 mm with bud-branched-acinar opacities is observed. Post-treatment control is recommended. The described findings may be compatible with infectious processes. In addition, acinar infiltration areas were observed in the anterobasal segment of the lower lobe of the right lung. However, malignancy cannot be excluded. Subsegmentary atelectatic changes were observed in the left lung inferior lingular segment. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: A free pleural effusion measuring 1 cm in thickness was observed between the pleural leaves on the right.\n<mediastinum>: Aberrant right subclavian artery anomaly was observed in the mediastinum. Calibration of other mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal, lower paratracheal, right hilar localization, upper-lower paratracheal lymph nodes measuring 10 mm on the short axis of the largest were observed.\n<heart>: As far as can be seen; The diameter of the ascending aorta was 41 mm and showed fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. A lesion with a fat density of 8 mm with a HU value of -96 was observed in the left adrenal gland (myelolipoma?).\n\nImpression:\nThick-walled, irregularly circumscribed cavitary lesion in the superior right lung lower lobe and areas of acinar infiltration-consolidation around it, the appearance may be compatible with an infectious process. However, malignancy cannot be excluded. Post-treatment control and, if necessary, histopathological verification is recommended.  Mild pleural effusion on the right.  Atelectatic changes.  Slight fusiform dilatation of the ascending aorta.  Anomaly of the aberrant right subclavian artery.  Subsegmentary atelectatic changes on the left.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Hepatosteatosis.  Fat-density lesion (myelolipoma?) in the left adrenal gland body part."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14760/train_14760_a/train_14760_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: However, due to the pandemic, ultra-early Covid-19 pneumonia could not be excluded. When examined in the lung parenchyma window; Linear pleuroparenchymal fibrotic density increases were observed in the right lung middle lobe, left lung upper lobe inferior lingular and left lung lower lobe basal segment. Millimetric nodular ground glass density was observed, located peripherally in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment, and in the right lung lower lobe mediobasal and laterobasal segments. No mass lesion with distinguishable borders was detected in both lungs. Appearance is nonspecific.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The thoracic aorta is elongated and tortoised.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiatal hernia was observed in the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be observed in the sections, the gallbladder was not observed (operated). The thoracic aorta is elongated and tortoised.\n\nImpression:\nCardiomegaly, calcific atheromatous plaques in the thoracic aorta and coronary arteries . Hiatal hernia . Subsegmental atelectatic changes in right lung middle lobe medial, left lung upper lobe inferior lingular, and left lung lower lobe basal segment . Both lung lower lobe basal segments subsegmental icy changes in subpleural areas of lower lobe basal segments of both lungs glass nodules, appearance is nonspecific. However, due to the pandemic, ultra-early Covid-19 pneumonia could not be excluded. Control CT is recommended to be evaluated together with the clinic and laboratory and if clinically necessary.  Cholecystectomy"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14768/train_14768_a/train_14768_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34915",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical and laboratory correlation and follow-up are recommended. When examined in the lung parenchyma window; Patchy ground-glass densities are observed in both lungs, especially in both upper lobes anterior, right lung middle lobe and right lung lower lobe basal level with inverted Halo sign. It was evaluated in favor of Covid 19 viral pneumonia.\n<pleura>: There are several millimetric non-specific subpleural nodules in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings evaluated in favor of Covid 19 viral pneumonia, correlation with clinical, laboratory and close follow-up are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14771/train_14771_a/train_14771_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34935",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of the infectious process. Patchy ground glass densities are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings on the vertebral corpus endplates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. A change in favor of steatosis is observed in the liver parenchyma. Upper abdominal organs included in the sections are normal. Millimetric calcific foci are observed in the right lobe of the liver.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14777/train_14777_b/train_14777_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Findings consistent with Covid-19 pneumonia observed in the lung parenchyma are progressive in the current review. Superinfections superimposed on Covid-19 pneumonia were considered in the differential diagnosis. Consolidations occurred in the lower lobe basal segments of both lungs. Clinical and lab correlation is recommended.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14777/train_14777_c/train_14777_c_1.npy"
        ]
    },
    {
        "id": "report_generation_34983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Numerous millimetric pulmonary nodules are observed in both lungs. These appearances are also present in the previous examination of the patient, and no significant difference was found in terms of dimensions. There was no significant difference in the number and size of these pulmonary nodules. Emphysematous changes in both lungs, especially emphysematous changes that are more prominent in the upper lobes, and minimal bronchiectasis are observed. In the apical segment of the left lung upper lobe, the lesion, which manifested itself mostly as a solid component in the previous examination, turned into a cystic necrotic character in the current examination, and it was understood that the amount of soft tissue component decreased. Both lungs have sequelae linear densities.\n<pleura>: Mass lesions with multiple central cystic necrotic features are observed in the left lung pleura. No significant mass pleural thickness increase was detected in the right lung. The rate of pleural effusion in the left lung reaches approximately 4 cm at its thickest point in the current examination. According to the previous examination of the patient, there is an increase in the amount of pleural effusion in the apical segment of the left lung and pleural effusions adjacent to the right lung and the lower lobe of the left lung.\n<mediastinum>: A port catheter extending from the right anterior chest wall to the superior inferior end of the vena cava is observed. In the mediastinal area, there are several lymph nodes with short axes not reaching 1 cm. Calcific atheroma plaques are observed in the aorta and coronary arteries. When these lymph nodes were evaluated together with the patient's previous examination, no significant difference was detected.\n<heart>: Heart contour and size are normal.\n<bone>: No fractures, lytic or sclerotic lesions were detected in the bones included in the examination.\n<abdomen>: A mass with minimal coarse calcification, which is thought to be the primary mass of the patient, is observed in the body-tail part of the pancreas and its dimensions are 52x34 mm. When evaluated together with the previous examination of the patient, no significant difference was detected. In the spleen sections included in the examination, the appearances that were evaluated in favor of splenic infarction in the previous examination cannot be evaluated clearly due to the lack of contrast in the current examination. Calcific atheroma plaques are observed in the aorta and coronary arteries. However, minimal shrinkage of soft tissue components, which is thought to be secondary to treatment, is observed.\n\nImpression:\nMetastatic pancreas ca.  When evaluated together with the previous examination of the patient, although there is no significant difference in the dimensions of the masses described in the left lung pleura, minimal dimensional reduction is observed in the solid components.  It was understood that the mass located in the apical segment of the left lung upper lobe had a distinctly cystic necrotic character (secondary to treatment?).  An increase in the amount of pleural effusion was observed in the apical segment of the left lung and at the level of the lower lobe of the left lung.  There was no difference in the number and size of pulmonary nodules that were considered to be compatible with metastases in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14797/train_14797_a/train_14797_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In addition, cystic lesions-collections were observed in the left hemithorax, adjacent to the upper and lower lobes of the lung. The largest of these nodules is observed in the central part of the middle lobe of the right lung and its longest diameter is 9 mm. There are millimetric nodules in both lungs. There are emphysematous changes and linear atelectasis in both lungs. In addition, when the patient's previous examinations were examined, it was understood that the described appearances were masses. These nodules are also present in the previous examination of the patient, and some of them were found to have increased minimally in size. No appearance compatible with pneumonic infiltration was detected in both lungs. The largest of these described lesions is located at the left lung apex and measured approximately 90x90 mm in size. In addition, sequelae changes, more prominent in the upper lobe of the left lung, were observed in appearances evaluated in favor of changes.\n<pleura>: Minimal thickening was also observed in the wall of the described lesion, however, the distinction between pleural effusion and mass in the enciss could not be made in this examination. There was no significant difference in the amount of pleural effusion. Apart from these, there is also an appearance in the left hemithorax, which may be a pleural effusion or other mass in the enciss. As far as can be observed: There is minimal pleural effusion on the left. The lesions described may be a cystic-necrotic mass, or there may be a pleural effusion in the cyst. Minimal thickening of the pleura is observed in the left hemithorax.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. The patient's examination was evaluated together with other examinations dated 2022. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The port catheter terminates at the superior distal portion of the vena cava.\n<heart>: The heart is minimally larger than normal. No significant pericardial effusion was detected.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: However, some of these lesions have thickening of the wall. These manifestations may be portal vein thrombosis. There are nonspecific density increases especially around the left portal vein. These appearances are not present in the previous examination of the patient. There are atheromatous plaques in the aorta and coronary arteries. Further investigation is recommended. No upper abdominal free fluid-collection was detected in the sections. Portal vein diameter increased.\n\nImpression:\nPancreatic ca in the follow-up, cystic lesions in the left hemithorax, which were found to be masses when evaluated together with previous examinations, minimal thickening of the left pleura.  Appearance that may be compatible with pleural effusion or mass in the enkis adjacent to the lower lobe of the left lung.  Millimetric nodules in both lungs.  Emphysematous changes in both lungs, atelectasis, sequelae changes in the left lung.  Atheroscleotic changes in the aorta and coronary arteries.  Findings that may be compatible with portal vein thrombus (further investigation is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14797/train_14797_b/train_14797_b_1.npy"
        ]
    },
    {
        "id": "report_generation_34987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a diffuse emphysematous appearance in the right lung, and newly developing nodular densities up to 13 mm in diameter are observed adjacent to it.\n<pleura>: Newly developed effusion in the right lung with a diameter of up to 92 mm, newly developing widespread density increases and atelectasis at all levels in the parenchyma, peribronchial and subpleural areas of the left lung are observed.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. There is minimal free fluid newly developed in the perihepatic area. Density increases are observed in the fatty tissue in the perisplenic area. In the upper abdomen, at the level of the pancreatic body, irregularly circumscribed densities are observed in the periportal area of the primary mass whose borders cannot be clearly discerned.\n\nImpression:\nIn the patient who was known to have pancreatic Ca in the follow-up, there was a cystic lesion in the lower part of the left hemithorax or an enlarged lesion that could not be differentiated from an anky pleural effusion. Apart from this, no significant difference was found in other cystic lesions.  Newly developed massive pleural effusion on the right.  Diffuse new atelectasis and peribronchial densities in the left lung (infectious process?).  Newly developed nodular densities in the right lung (infectious process?, metastasis?).  Perihepatic newly developed free fluid."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14797/train_14797_c/train_14797_c_1.npy"
        ]
    },
    {
        "id": "report_generation_34989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are patchy ground glass densities, which are more prominent in the right upper lobe and lower lobe, and are more prominent in the peripheral subpeural localized central. It has been evaluated for viral pneumonia (Covid-19?), and clinical laboratory correlation is recommended for better differential diagnosis.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. A few millimetric lymph nodes are observed in the mediastinum. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn both lungs, there are patchy ground glass densities, which are more prominent in the right upper lobe and lower lobe, and are more peripherally located in the subpeural center."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14798/train_14798_a/train_14798_a_1.npy"
        ]
    },
    {
        "id": "report_generation_34999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; No suspicious mass or nodular space-occupying lesion was detected in both lung parenchyma. There is a nonspecific nodular lesion measuring 5 mm in diameter in the middle lobe of the right lung.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Heart size increased. Pericardial effusion was not detected. There are calcified atheroma plaques in the coronary arteries.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: The larger one is on the left and measures 6.5 cm in diameter. Cysts are observed in both kidneys.\n\nImpression:\nPneumonic infiltration not detected. A nonspecific nodular lesion in the right lung. Increased heart size, calcified atheromatous plaques in coronary arteries. Cysts in both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14802/train_14802_a/train_14802_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Dependent nonspecific density increases were observed in both lungs. When examined in the lung parenchyma window; Central-peripheral weighted, crazy paving pattern, patchy-nodular ground glass densities with faint borders were observed in both lungs. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. The described findings are consistent with Covid-19 pneumonia. Mosaic attenuation pattern was observed in both lungs. (small airway disease? small vessel disease?).\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Minimal height loss was observed in the T3 vertebra superior end plate. Osteoporosis was observed in the thoracic vertebrae.\n<abdomen>: A cortical cyst was observed in the upper pole of the left kidney. As far as can be seen within the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheromatous plaques in coronary arteries.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Mosaic attenuation pattern in the lung parenchyma (small airway disease? small vessel disease?).  Hepatosteatosis.  Left renal cortical cyst.  Osteoporosis in thoracic vertebrae, minimal height loss in T3 vertebra superior end plateau."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14804/train_14804_a/train_14804_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35004",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild mosaic pattern attenuations are observed in the lower lobes of both lungs. It was primarily evaluated as secondary to the position. It is an atypical finding for viral pneumonia, in case of suspicion clinical lab for early viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. correlation is recommended. In the evaluation of upper abdominal organs included in the sections, liver parenchymal density changes in favor of steatosis.\n\nImpression:\nThe appearance of mild mosaic pattern attenuation described above is an atypical finding for viral pneumonia, clinical laboratory correlation is recommended for early viral pneumonia in case of suspicion. Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14805/train_14805_a/train_14805_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35006",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14806/train_14806_a/train_14806_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No mass, nodule-infiltration was detected in both lung parenchyma. Subsegmental atelectatic changes were observed in the lower lobes of both lungs.\n<pleura>: Bilateral pleural thickening and effusion were not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. In the upper abdominal sections in the study area; parenchymal macrocalcifications were observed in the posterior right lobe of the liver.\n\nImpression:\nAtelectatic changes in both lungs.  Area of atelectasis-consolidation in the middle lobe of the right lung (infectious process?); clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14808/train_14808_a/train_14808_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Emphysematous changes are observed in both lungs, more prominently at the apical levels. The described finding measured 52x27 mm in the previous PET-CT and does not show significant dimensional and structural differences. The findings were initially evaluated in favor of interstitial fibrosis. In the right hilar region, there is a finding consistent with an overlying lesion measuring up to 57x29 mm in size, containing an air bronchogram sign extending to the right lung lower lobe posterior segment. Since the ones described in the left lung lower lobe lateral segment are new, there are nodular findings evaluated in favor of metastases in the first place.\n<pleura>: Right lung lower lobe (in series 2 image 173), left lung lower lobe (series 2 in image 154), one on the right, 2-3 on the left, measuring up to 7 mm in close neighborhood, and again in the lower lobe of the right lung (in series 2 image 154) There are findings in favor of metastases in the first plan, with no significant difference in size and number on the right side, measured up to 8 mm, with subpleural localization in the posterior of the lesion described above, and those on the left side evaluated as new. When examined in the lung parenchyma window; Thickening of peripherally located interlobular septa, mild bronchiectasis, pleural parenchymal recessions are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNew nodular lesions, metastases in the lower lobe of the left lung, in the lateral segment, in close proximity to the pleura? Close monitoring is recommended.  Increase in findings consistent with interstitial fibrosis in both lungs, both emphysematous changes  Mass lesion that does not show significant dimensional-structural differences in the posterior segment extending posteriorly to the paravertebral area, adjacent to the lower lobe bronchi of the right lung  Stable nodules in the right lung  Pleuroparenchymal sequelae changes, recessions in both lungs .  Diffuse density reduction, degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14818/train_14818_a/train_14818_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35061",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; nodules measuring up to 5 mm in subpleural location are observed in both lungs, the largest of which is the right lung lower lobe, serial 2 image 171. There are findings consistent with hepatosteatosis in the liver parenchyma.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch. Other mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart sizes are observed to be larger than normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal.\n\nImpression:\nCardiomegaly.  Several millimetric lymph nodes are observed in the aorticopulmonary window.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14832/train_14832_a/train_14832_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There is atelectasis in the medial segment of the right lung middle lobe. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMillimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14834/train_14834_a/train_14834_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35067",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath is observed. There is prominence in the bronchial structures, which is more pronounced at the central level, consistent with mild bronchiectasis. In the evaluation of both lungs in the parenchyma window; trachea calibration is natural.\n<lung>: Findings compatible with emphysema in both lungs, bulla-bleb formations and sequelae changes are observed at the apical level, especially on the right. A 3 mm diameter nodule is observed in the right lung and middle lobe. No pathologically sized and configured lymph nodes were detected at both hilar levels. In the evaluation of both lungs in the parenchyma window; trachea calibration is natural. It is recommended that the case be evaluated together with clinical and laboratory findings in terms of pneumonic infiltration of Covid. Ground-glass-like density increases in both lungs tending to coalesce at the periphery, and interlobular septa thickening and pleuroparenchymal density increases are observed on this background. No significant tumoral wall thickening was detected.\n<pleura>: Bilateral pleural effusion, pneumothorax were not observed. A 2 mm diameter subpleural nodule is observed in the anterior segment of the left lung upper lobe.\n<mediastinum>: Millimeter-sized lymph nodes are observed in the mediastinum, the largest of which is measured in the aorticopulmonary window and measures approximately 18x9 mm. CTO is at the maximal physiological limit. There are calcific atheroma plaques in the ascending and descending aorta. Calibration of the aortic arch in the mediastinum is within the maximal physiological limit. Calibration of vascular structures at other levels is natural.\n<heart>: Dense calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal.\n<breast>: Soft tissue appearance compatible with both gynecomastia is observed.\n<bone>: It is recommended to evaluate the case in terms of spondyloarthropathy together with clinical and laboratory findings. Degenerative changes are observed in the bone structure. There are changes secondary to sternotomy. Vertebral corpuscles are squared and density increases are observed at their corners. There is thickening and calcification of the anterior longitudinal ligament.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the ascending and descending aorta. CTO is at the maximal physiological limit. Calibration of the aortic arch in the mediastinum is within the maximal physiological limit. A nonspecific hypodense lesion with a diameter of approximately 8 mm is observed in the left lobe adjacent to the gallbladder. Calibration of vascular structures at other levels is natural. A slight decrease in density, consistent with steatosis, is observed in the liver entering the cross-sectional area. In the subscaphoid area, it is observed that there is a slight herniation of the preperitoneal fatty planes anteriorly to the subcutaneous tissue in the anterior abdomen.\n\nImpression:\nThickening of the peribronchial sheath, slightly more prominent at the central level, in bronchial structures, consistent with mild bronchiectasis. · Findings consistent with emphysema in both lungs · Ground-glass-like density increases in both lungs tending to coalesce from place to place, and interlobular septa thickening and pleuroparenchymal density increases are observed on this background. It is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid 19 pneumonic infiltration. · Atherosclerotic changes. · Hepatosteatosis. · Herniation into the anterior subcutaneous fatty planes in the subscaphoid area. · Gynecomastia. · Degenerative changes in bone structure and evaluation of the case in terms of spondyloarthropathy is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14835/train_14835_a/train_14835_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is evidence of air bubbles inside. In the evaluation of both lung parenchyma; In the right lung, ground glass densities covering the upper lobe almost completely and a wide consolidation area where the ground glass densities become more consolidated are observed. In addition, there are focal peribronchial focal consolidations in the right lung lower lobe superior segment and lower lobe anterobasal segment with a more solid central appearance and ground glass inside. It also includes air bronchograms. Apart from that, focal in the right lung lower lobe superior segment and ground glass densities in the left lung upper lobe tending to merge are observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. Right upper paratracheal narrow lymphadenomegaly reaching 2 cm in diameter and mediastinal lymph nodes smaller than millimetric in size are observed.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast examination of the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nWide consolidation with air bubble finding and air bronchograms in the ground glass density covering the upper lobe of the right lung almost completely and in a more consolidated appearance in places, and ground glass densities and focal consolidations in both lungs. They were evaluated as typical findings of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14837/train_14837_a/train_14837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Passive atelectatic changes were observed in the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Linear subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular and lower lobe laterobasal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative Schmorl nodule impressions were observed in the end plateaus in the study area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Both kidneys are fused from their lower poles on the anterior surface of the aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia. Passive atelectatic changes in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung. Linear subsegmentary atelectatic changes in the left lung upper lobe inferior lingular and lower lobe laterobasal segment. Horseshoe kidney variation.  Degenerative Schmorl nodule impressions in the thoracic vertebral end plateau."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14841/train_14841_a/train_14841_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35080",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Azygos fissure variation is observed.\n<pleura>: There is no finding compatible with pleural effusion, pneumothorax or pneumonia in both lungs.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. It is larger than normal. Pulmonary conus calibration is 32 mm, larger than normal. A cardiac pacemaker is observed in the left pectoral region, and its catheters extend through the superior vena cava towards the right heart. The aortic arch calibration is 34 mm.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the coronary arteries. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: It is larger than normal. Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, a density compatible with calculus with a diameter of about 10 mm is observed in the gallbladder. The aortic arch calibration is 34 mm. Mild hepatosteatosis is observed in the liver.\n\nImpression:\nNo findings compatible with pneumonia were detected.  Cardiomegaly . Mild calibration increases in mediastinal main vascular structures . Cholelithiasis . Mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14842/train_14842_a/train_14842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; A millimetric nonspecific subpleural nodule was observed in the lateral aspect of the left lung lower lobe.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific subpleural nodule in left lung lower lobe lateral"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14843/train_14843_a/train_14843_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion is detected, and there are a few millimetric nonspecific nodules.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nActive infiltration or mass lesion is not detected in both lung parenchyma, and there are a few millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14846/train_14846_a/train_14846_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35095",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as it can be observed secondary to motion artifact; Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Nonspecific calcific nodules were observed in the basal segment of the lower lobe of the right lung. Fibroatelectatic changes were observed in both lungs. When examined in the lung parenchyma window; Patchy ground-glass consolidations, located peripherally in both upper lobes of the lungs, and in the most common right upper lobe of the lung, forming a crazy paving pattern were observed, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion infiltration with distinguishable borders was detected in both lungs.\n<pleura>: Sequela thickening was observed in the posterior costal pleura adjacent to the basal segment of the lower lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 43 mm. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Operation materials were observed in T12 and L1 vertebral corpuscles. Spur formations bridging with each other were observed in the right anterolateral corners of the vertebral corpus. Right 6,,7,8. and left 6.,7. Old fracture lines were observed at costochondral junctions.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The gallbladder was not observed (operated). No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nFusiform aneurysmatic dilatation of the ascending aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory. Linear-band atelectatic changes in both lungs. Right lung lower lobe nonspecific calcific nodules.  Old fracture lines in the right 6th, 7th, 8th and left 6th, 7th costochondral junctions, surgical filling in the T12 and L1 vertebral corpuscles, spur formations bridging with each other in the right anterolateral corners of the vertebral corpus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14850/train_14850_a/train_14850_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35129",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The described findings are more pronounced in the lower lobes and peripheral areas. The described appearances are the findings frequently encountered in Covid 19 pneumonia, which is stated in clinical preliminary diagnosis. In addition, there are increases in density and parenchymal bands in peripheral areas in both lung lower lobes. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a millimetric atheroma plaque in the aortic arch. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a millimetric atheroma plaque in the aortic arch.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14867/train_14867_a/train_14867_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35131",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14868/train_14868_a/train_14868_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral weighted, nodular ground glass densities and consolidations are observed in both lung parenchyma. There is a tendency to merge in these densities in the lower lobes and there are bronchiectasis in their neighborhood.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis not exceeding 1 cm were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are natural.\n\nImpression:\nGround glass densities and consolidations compatible with Covid pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14873/train_14873_a/train_14873_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: It is recommended to evaluate and follow-up together with previous examinations, if any. However, due to the pandemic, early Covid-19 pneumonia could not be ruled out. No mass lesion with distinguishable borders was detected in both lungs. Appearance is nonspecific. When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Nodular ground-glass nodules with faint borders were observed in the apical segments of both lungs.\n<pleura>: Pleural nodules of approximately 18x9 mm in size were observed in the right hemithorax, anterior costal, mediastinal and diaphragmatic pleura, and the largest in the diaphragmatic pleura (asbestos exposure?).\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, lymph nodes, some of which were calcified, with short axes less than 1 cm in length, which could not reach pathological dimensions, were observed.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPleural nodules (asbestosis?) in the right hemithorax, costal-mediastinal and diaphragmatic pleura. If present, it is recommended to be evaluated and followed up together with previous examinations.  Sequelae reticulonodular density increases in the apex of both lungs.  Nodular ground-glass opacities with faint borders in the apex of both lungs; the appearance is nonspecific. Due to the pandemic, early Covid-19 pneumonia cannot be excluded. It is recommended to be evaluated together with clinic and laboratory.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14874/train_14874_a/train_14874_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Sequelae changes are observed in the middle lobe of the right lung and the lingular segment of the left lung. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There is a stable nodule of 4 mm diameter superposed on the interlobar fissure in the left lung. A stable 3 mm diameter nodule is observed in the right lung lower lobe superior segment.\n<pleura>: Pneumonia, pleural effusion or pneumothorax were not detected in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. Calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\nThe review was evaluated together with the previous CT scan of the patient. Sequelae changes observed in previous examination in both lungs and formation of a few nonspecific millimetric nodules with stable appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14884/train_14884_a/train_14884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is slightly ectatic (34 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEctasia in the ascending aorta.  Aortic and coronary artery atherosclerosis.  Sliding hiatal hernia.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14888/train_14888_a/train_14888_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35181",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Some of the described lesions are round in shape. These findings were not present in the previous examination of the patient. Ground glass appearances and local consolidations are observed in peripheral and central areas of both lungs. These findings were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14888/train_14888_b/train_14888_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Widespread patchy ground glass-consolidation areas are observed in both lungs. The findings may be significant in terms of Covid-19 pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific plaques in the aortic coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; The liver was not characterized within the limits of the examination, with a diameter of approximately 25 mm at the level of the segment 5-8 junction in the right lobe. Multiple cysts are observed in both kidneys. There are calcific plaques in the aortic coronary arteries.\n\nImpression:\nWidespread ground glass-consolidation areas, interlobar and interlobular septal thickness increases in places, which are primarily evaluated in favor of Covid-19 pneumonia.  Calcific atheromatous plaques in the aortic coronary arteries.  Multiple hypodense lesions in the liver and kidney that are primarily evaluated in favor of cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14889/train_14889_a/train_14889_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35189",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. It is observed that the described appearance shows minimal extension along the bronchi. The examination of the patient was evaluated together with the examinations dated 2020 and 2021. Trachea and both main bronchi are open.\n<lung>: There are emphysematous changes in both lungs. No mass with discernible borders was detected in this examination, and the findings described were thought to be changes due to treatments. In addition, there are atelectasis in the basal segments of the right lung middle lobe and lower lobe. It was learned that the patient was given radiotherapy. When the first examination of the patient was examined, it was understood that there was a primary mass in the central part of the right lung middle lobe. No mass or infiltrative lesion was detected in both lungs. In the middle lobe and lower lobe central parts of the right lung, a consolidation-soft tissue density appearance is observed.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of changes in lung ca, middle and lower lobes of the right lung, primarily due to treatments, in the follow-up.  Emphysematous changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14891/train_14891_a/train_14891_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Centrilobular paraseptal emphysematous changes are observed in both lungs, more prominent in the diffuse upper lobes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. There are millimetric calcific atheroma plaques in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric calcific atheroma plaques in the aortic arch. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The gallbladder walls are markedly thickened and contain air. Such aerial views can be seen secondary to the air tracked in the stone. A few millimetric calcifications are observed in the head of the pancreas.\n\nImpression:\nCentrilobular paraseptal emphysematous changes in both lungs . Mild atherosclerosis . Cholecystitis, cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14907/train_14907_a/train_14907_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: In addition, centrilobular millimetric nodule formations, which become more prominent in places, are observed in almost all segments of both lungs. The identified changes were evaluated as compatible with pneumonic infiltration. There is an air cyst in the posterior segment of the right lung upper lobe. Pathologically sized lymph nodes are not observed at both hilar levels. There are frosted glass style density increments around it. In the lower lobe of the right lung, there is a large consolidation area with air bronchograms, which is more prominent in the basal segments. Ventilation of both lung parenchyma is normal, and no nodular lesion is detected in the lung parenchyma.\n<pleura>: There was no significant pleural effusion or pneumothorax, pleural thickening in both lungs.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. In the anterior mediastinum, there is thymic tissue in trigonal configuration, which does not show any mass effect. No lymph node reaching pathological size and configuration in the mediastinum was detected.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No significant pathology was observed in the non-contrast examination of the sections passing through the upper abdomen.\n\nImpression:\nLarge consolidation area in the lower lobe of the right lung, diffuse centrilobular fine density increments in both lungs. Evaluation of the case in terms of pneumonic infiltration and follow-up examination after treatment are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14908/train_14908_a/train_14908_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; bilateral peribronchial thickenings and mild bronchiectatic changes were observed. No mass, nodule-infiltration was detected in both lung parenchyma. Subsegmental atelectasis areas were observed in the left lung inferior lingular segment and lower lobe.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Lymph nodes with a short axis smaller than 7 mm were observed in the upper-lower paratracheal, subcarinal localization. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. On the right, the image of the catheter extending to the superior vena cava is observed. A millimetric calcified atherosclerotic plaque was observed in the wall of the thoracic aorta. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: A millimetric calcified atherosclerotic plaque was observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural.\n\nImpression:\nMediastinal millimetrically sized lymph nodes. Bilateral peribronchial thickenings and mild bronchiectatic changes, areas of subsegmental atelectasis in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14909/train_14909_a/train_14909_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In the inferior part of the isthmus of the thyroid gland, a 6 mm diameter calcific nodule with exophytic extension is stable.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Findings are consistent with pulmonary interstitial fibrosis. There are subsegmental atelectasis areas in which coarse calcifications are observed in the apical segment of the upper lobe of the right lung. Several lymph nodes with a diameter of 7.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. There are several millimetric nodules, some of which are calcific, in both lungs. There is minimal traction bronchiectasis in the posterior segments of the lower lobes of both lungs. No mass or infiltrative lesion was observed in both lungs.\n<pleura>: Pleural-pericardial effusion was not detected. In both lungs, there are more prominent subpleural areas in the lower lobe posterior segments, interlobular septal thickness increases accompanied by pleural retraction, and honeycomb appearances in the lower lobes from time to time.\n<mediastinum>: Several lymph nodes with a diameter of 7.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. The left atrium is minimally dilated. Within the right epicardial fat pad, there are several nodular lesions, the largest of which is 7.5 mm in diameter (lymph node?). It is stable.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction. There are appearances of perigastric and paraesophageal embolization material.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: In the patient with liver right lobe recipient; There are postoperative surgical stapler materials on the section surface. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs. There are appearances of perigastric and paraesophageal embolization material.\n\nImpression:\nLiver right lobe transplant recipient, appearance of embolization material for perigastric, paraesophageal varices.  Appearance compatible with pulmonary interstitial fibrosis in both lungs, bilateral minimal tractional bronchiectasis.  Several millimetric nonspecific nodules in both lungs.  Areas of atelectasis in both lungs.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14913/train_14913_b/train_14913_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: No pneumonia, pleural effusion or pnoothorax was detected. Pleural effusion-thickening was not detected.\n<mediastinum>: CTO is within the normal range. No lymph node was detected in the mediastinum in pathological size and configuration. It is wider than normal. The aortic arch calibration is 31 mm.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the coronary arteries. The examination is heavily artifacted.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There is a decrease in density consistent with hepatosteatosis in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The aortic arch calibration is 31 mm.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14917/train_14917_a/train_14917_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35259",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass nodule was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Irregular thickenings of the pleural face were observed at the level of the basal segments of the lower lobes of both lungs.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are fracture lines that cause height loss in the upper end plate of T4 and T5 vertebrae. There are nondisplaced suspicious fracture lines in the corpus sterni and manubrium sterni.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nIrregular thickening of the pleural face at the level of the basal segments of both lung lower lobes; Imaging features are atypical or rarely reported for COVID-19 pneumonia. Clinical and laboratory correlation is recommended. Suspicious fracture lines that cannot be clearly differentiated from artifact in the manubrium sterni."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14922/train_14922_a/train_14922_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35265",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidations are sometimes accompanied by ground glass areas and air bronchograms. Plveral effusion continues to the apex of the lung when the patient is in the supine position. Focal consolidations are observed in the peripheral areas of both aerated lungs and in the peribronchovascular area in the central section. The described manifestations are not specific, but are evaluated in favor of a primary infective pathology (Infective pathology?, Fungal infection?). No mass was detected in both lungs.\n<pleura>: There is bilateral pleural effusion. The pleural effusion measured approximately 65 mm at the level of the lower lobe of the lung at its thickest point. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The venous catheter terminates in the superior middle part of the vena cava. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. A central venous catheter inserted from the left is observed.\n<heart>: There is a pericardial effusion measuring approximately 15 mm in its thickest part. Pericardial thickening was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAplastic anemia at follow-up.  Pleural and pericardial effusion.  Peripheral and central consolidations in both lungs and occasional accompanying ground glass appearances (recommended to be evaluated for a specific infection)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14924/train_14924_a/train_14924_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35293",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are minimal atelectasis and fibrotic changes in both lung parenchyma, more prominent in the lower lobes. In the lower lobes, this is accompanied by minimal bronchiectasis at the central level. A few, some calcific, nonspecific nodules are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques were observed in the aortic arch. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. A few small lymph nodes were observed in the mediastinum that did not reach the pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques were observed in the aortic arch. Thoracic aorta diameter is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic atherosclerosis.  Sequelae fibrotic changes and linear atelectasis in both lungs, especially in the lower lobes (sequelae of previous pneumonia?).  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14938/train_14938_a/train_14938_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35319",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Nogastric tube is available.\n<lung>: There are mild atelectatic changes in the upper lobe of the right lung and the apical levels of the left lung upper lobe. When examined in the lung parenchyma window; There is a large area of consolidation including air bronchogram signs, more prominent on the right, in the lower lobe basal segments of both lungs. It is recommended to monitor the clinical correlation for aspiration pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcifications are present in the coronary arteries. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. There are calcific atheromatous plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Multiple hypodense areas are observed in the bone structures entering the study area. Clinical correlation and follow-up are recommended for metastases. It was evaluated primarily in favor of lytic sclerotic findings.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections were included in the study partially and were evaluated as suboptimal. The gallbladder is distant.\n\nImpression:\nVolume losses in the lower lobes of both lungs, more prominent on the right, consolidation areas with air bronchogram sign, in terms of an infectious process (aspiration pneumonia, clinical laboratory correlation follow-up is recommended). atelectatic changes are observed.  Clinical correlation follow-up is recommended for metastasis in multiple lytic-sclerotic areas in bone structures. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14947/train_14947_a/train_14947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. As far as can be seen; The case has an appearance of a tracheostomy cannula. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook may be compatible with aspiration pneumonia. When examined in the lung parenchyma window; Consolidation areas with air bronchogram are observed in the lower lobes of both lungs, especially on the right. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In addition, bud tree appearance and centriacinar opacities were observed in the lower lobes of both lungs, and in the posterior segment of the right lung upper lobe. However, significant regression was not detected, especially in the right lung. Clinical evaluation is recommended. Apart from this, no newly emerged infiltration area was detected in both lungs in the current examination.\n<pleura>: On the right, a newly emerged minimal pleural effusion was detected in the current examination.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: There is a mixed type of hiatal hernia. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14947/train_14947_c/train_14947_c_1.npy"
        ]
    },
    {
        "id": "report_generation_35329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: In both lungs, especially in the lower lobes, especially in the peripheral areas, consolidations and sometimes accompanying ground glass areas are observed. The distribution and appearance of the described findings are in the style frequently observed in Covid-19 pneumonia, and the findings were evaluated in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14949/train_14949_a/train_14949_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Ventilation of both lung parenchyma is normal. Peripherally located millimetric nonspecific nodules are observed in both lungs. No active infiltration, consolidation or space-occupying lesion was detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fractures, lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14961/train_14961_a/train_14961_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35360",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral tubular bronchiectasis is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: More prominent emphysematous changes are present in the upper lobe apical segments of both lungs. In both lungs, almost all segments and lower lobes show ground glass areas with more prominent confluence in places. Findings are consistent with viral pneumonia. Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. No mass was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 9 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the lower right paratracheal area. Calcific atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Calcific atheroma plaques are observed in the aorta and coronary arteries. Sliding type hiatal hernia is observed at the esophagogastric junction. Nodular thickness increase up to 13 mm is observed in the left adrenal gland corpus.\n\nImpression:\nConfluent areas of ground glass in both lungs. Findings are consistent with viral pneumonia.  Emphysematous changes in both lungs, bilateral tubular bronchiectasis.  Mediastinal lymph nodes.  Calcific atheroma plaques in the aorta and coronary arteries.  Hiatal hernia.  Increased nodular thickness in the left adrenal gland corpus.  Hypodense nodule in the right lobe of the thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14963/train_14963_a/train_14963_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: There was no finding in favor of pneumonic infiltration in the lung parenchyma. When examined in the lung parenchyma window; Multiple metastatic nodules were observed in both lungs. The largest of the described metastases was measured in the long axis of the right lung upper lobe apical segment, 25 mm (21 mm in the previous examination), and 15 mm (13 mm in the previous examination) in the left lung lower lobe mediobasal segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: On the right, an air bubble was observed under the skin secondary to the port chamber removed on the anterior chest wall.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Intra-abdominal solid organs were evaluated in detail in MR examination.\n\nImpression:\nMetastatic colon ca."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14977/train_14977_b/train_14977_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are atelectatic changes in the anterobasal segment of the lower lobe of the right lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are atelectatic changes in the anterobasal segment of the lower lobe of the right lung, thoracic CT examination within normal limits except as described"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14978/train_14978_a/train_14978_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several lymph nodes with a diameter of 9.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window. Findings are consistent with viral pneumonia (COVID-19 pneumonia). Bilateral minimal tubular bronchiectasis is observed. A few millimetric nonspecific nodules are observed in both lungs.\n<pleura>: In both lungs, there are more extensive peripherally weighted ground-glass areas in the lower lobes, accompanied by linear atelectasis and pleural retractions. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 9.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Within the sections, indentations of Schmorl's nodules are observed in the end plateaus of the thoracic vertebrae. No lytic-destructive lesion was observed.\n<abdomen>: There is striation in the perirenal fatty tissue. The gallbladder was not observed (operated). There is a suspicious increase in wall thickness in the stomach at the greater curvature level. It cannot be characterized in this examination. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; Liver parenchyma density has decreased in favor of severe adiposity (16 HU). There is an appearance compatible with a capsular lesion with a diameter of approximately 9 mm in liver segment 6. Multiple lymphadenopathies with a diameter of 23 mm in the subdiaphragmatic perihepatic area (section 164) and 2 cm in diameter in the perigastric area are observed in the peritoneal fatty tissue.\n\nImpression:\nPeripheral weighted ground glass and accompanying areas of subsegmental atelectasis in both lungs. Findings are consistent with viral pneumonia.  Intraabdominal multiple lymphadenopathies, capsular lesion in the right lobe of the liver, and suspicious wall thickness increase at the greater curvature level of the stomach that cannot be characterized in this examination. Further testing is recommended.  Hepatosteatosis.  Cholecystectomy.  Hiatal hernia.  Nodule extending to the mediastinum in the right lobe of the thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14979/train_14979_a/train_14979_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Ground glass densities and consolidation areas are observed in the posterobasal segment of the lower lobe of the left lung and the anterobasal of the upper lobe of the right lung. Close follow-up of clinical laboratory correlation is recommended for viral pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hypertrophic osteophyte taperings are observed in the vertebral corpus end plateaus. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are partially included in the study.\n\nImpression:\nClose follow-up of clinical laboratory correlation is recommended for better differential diagnosis of the above-described consolidation areas with air bronchogram for viral pneumonia. Atherosclerotic changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14990/train_14990_a/train_14990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The bronchial walls are thickened and occasionally accompanied by areas of paraseptal emphysema. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: More extensive consolidation areas and accompanying reticulonodular density increases and ground glass areas were observed in the right lung lower lobe superior and mediobasal-laterobasal segment, and in the left lung lower lobe mediobasal segment on the right. Widespread bronchiectatic and atelectatic changes were observed in the parenchyma in localizations of the soft tissue densities described above in the paramediastinal area at the level of the superior and inferior lobes of both lungs. In the case followed up for follicular lymphoma, soft tissue densities surrounding the vascular structures in the upper mediastinum, extending up to the aortic arch and pulmonary trunk were observed, and lesion areas were observed along the mediastinum, extending to the subcarinal and bilateral hilar levels. No mass lesion with distinguishable borders was detected in both lungs. The appearance was initially evaluated in favor of pneumonic infiltration, and aspiration pneumonia was considered in the clinical preliminary diagnosis.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: In the case followed up for follicular lymphoma, soft tissue densities surrounding the vascular structures in the upper mediastinum, extending up to the aortic arch and pulmonary trunk were observed, and lesion areas were observed along the mediastinum, extending to the subcarinal and bilateral hilar levels. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A catheter extending to the superior distal vena cava was observed.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion measuring 22 mm (10 mm in the previous examination) was observed in the widest part of the pericardial space. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures within the sections are natural. Vertebral corpus heights are normal.\n\nImpression:\nFollicular lymphoma on follow-up.  More prominent areas of consolidation on the right, in the lower lobes of both lungs; primarily suggested aspiration pneumonia.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14993/train_14993_d/train_14993_d_1.npy"
        ]
    },
    {
        "id": "report_generation_35435",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: In the right axillary region, contamination is observed in the fatty tissues in which air density is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdominal organs are partially included in the examination and were evaluated as suboptimal.\n\nImpression:\nContamination is observed in fatty tissues with air density in the right axillary region. Clinical correlation is recommended.  Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_14996/train_14996_a/train_14996_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35443",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Although the mediastinum cannot be evaluated optimally in non-contrast examination; Trachea, lumen of both main bronchi are open.\n<lung>: Fibroatelectatic changes were observed in the medial segment of the middle lobe in the superior lingular segment of the left lung and in the basal segments of the lower lobes of both lungs. Uniform interlobular septal thickenings are observed in the upper and middle lobes of the right lung, and the appearance is significant in terms of lymphangitis carcinomatosa. The peribronchovascular interstitium is markedly thickened in both lungs. When examined in the lung parenchyma window; paramediastinal localized starting from the central part of the right lung and extending to the lower lobe basal and middle lobe basal segments along the intermediate bronchus; A mass lesion with an infiltrative character of 7.2x6 cm was observed, the dimensions of which could not be measured clearly, but as far as could be measured, since the contrast agent was not given, in which the fatty planes between the right pulmonary artery and vein and the esophagus were erased.\n<pleura>: 9. The drainage catheter, which was sent from the intercostal space to the right pleural space, was observed. In both lungs, subpleural nodules with a diameter of 9.7 mm, some of which are ground glass density, were observed in the anteromediobasal segment of the left lung lower lobe. Subpleural nodules, the largest of which is 8.6 mm in diameter, some of which are of ground glass density, were observed in the superior segment of both lungs upper lobe and left lung lower lobe.\n<mediastinum>: Thoracic aorta calibration and mediastinal main vascular structures are normal. Soft tissue density extending to the right hilar area and filling the mediastinum was observed in the prevascular, right upper paratracheal, bilateral lower paratracheal and subcarinal areas, and it was evaluated in favor of conglomerated lymphadenopathy with indistinguishable borders. Thoracic aorta diameter is normal. Density increases consistent with inflammatory changes were observed in the fatty planes in the mediastinum and thecal area. When examined in the lung parenchyma window; paramediastinal localized starting from the central part of the right lung and extending to the lower lobe basal and middle lobe basal segments along the intermediate bronchus; A mass lesion with an infiltrative character of 7.2x6 cm was observed, the dimensions of which could not be measured clearly, but as far as could be measured, since the contrast agent was not given, in which the fatty planes between the right pulmonary artery and vein and the esophagus were erased.\n<heart>: Heart size increased. An effusion measuring 2.1 cm in its thickest part was observed in the pericardial space.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the right hemithorax, in the posterolateral neighborhood of the 6th rib, a soft tissue density of approximately 31x12 mm was observed in the subcutaneous tissue (metastasis?). In the right hemithorax, around the 11th and 12th ribs, focal plaque-like thickening was observed on the peritoneal surface (metastasis?).\n<abdomen>: The spleen, left adrenal gland and pancreas are normal. Thoracic aorta calibration and mediastinal main vascular structures are normal. Nodular soft tissue density of 25x22 mm was observed in the right adrenal lodge (metastasis?). Thoracic aorta diameter is normal. No free fluid was observed in the abdomen. Density increases consistent with inflammatory changes were observed in the fatty planes in the mediastinum and thecal area. As far as can be seen in the non-contrast sections, hypodense lesion areas, the largest of which are 3.5x4.5 cm, were observed at the junction of the liver segments 6-7 and segment 2-3, and were initially evaluated in favor of metastasis. Irregular soft tissue density of 18.5x12 mm was observed in perinephric fatty planes adjacent to the inferior pole of the right kidney (implant?).\n\nImpression:\nConglomerated lymph nodes extending from the right upper paratracheal and prevascular area to the right hilar area . Cardiomegaly-pleural effusion . With the right pulmonary artery, pulmonary veins and esophagus, extending around the bronchial walls from the distal right intermediate bronchus in the right lung hilum and obliterating the right middle lobe bronchus. Infiltrative mass lesion invading the mediastinum, where the fatty planes between the two are deleted, interlobular septal thickenings in the right lung middle lobe adjacent to the mass inferior; the appearance may be compatible with lymphangitis carcinomatosa.  Sequelae changes in both lungs and subpleural nodules in the anteromediobasal segment of the left lung lower lobe, the largest of which is . Bilateral pleural pleural pleural lesion , peribronchovascular thickening . Metastatic masses in the liver and right adrenal gland . Soft tissue density that may be compatible with the implant in the right kidney inferior pole."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15000/train_15000_a/train_15000_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Ventilation of both lungs is natural. When examined in the lung parenchyma window; No nodular or infiltrative lesion is observed in both lung parenchyma and there are sequela parenchymal changes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequela parenchymal changes are observed in both lungs, and no active infiltration or mass lesion is detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15003/train_15003_a/train_15003_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and central consolidations and areas of ground glass are observed in both lungs, more prominently in the lower lobes. Many of these consolidations are round in shape. The described findings were evaluated in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15011/train_15011_a/train_15011_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35467",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Calcifications were observed in the left lung. When examined in the lung parenchyma window; Consolidations including air bronchograms were observed in bilateral lung basals, especially in the lower lobes (contusion?).\n<pleura>: Minimal pleural effusion is observed on the right.\n<mediastinum>: No obvious pathology was detected. No pathological wall thickening was detected. No lymph node that reached pathological size in the mediastinum was detected. In the anterior mediastinum, the appearance of soft tissue density of the thymus was observed. Mediastinal major vascular structures and cardiac examination were evaluated as suboptimal for the absence of contrast.\n<heart>: Mediastinal major vascular structures and cardiac examination were evaluated as suboptimal for the absence of contrast.\n<esophagus>: The thoracic esophagus is in normal calibration.\n<bone>: In the evaluation of bone structures; A displaced difference line is observed in the distal 1/3 of the sternum corpus. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region.\n<abdomen>: In the evaluation of the upper abdominal organs entering the imaging field; No obvious pathology was detected.\n\nImpression:\nPulmonary contusion. Displaced fracture line in the distal part of the corpus in the sternum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15012/train_15012_a/train_15012_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35472",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Also available in previous review. A few mild bronchiectasis are observed in the right lung lower lobe superior segment. persists. Ground glass areas observed at the lateral level in the posterior segment of the right lung upper lobe are not selected in the previous examination.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In addition, a nodule with a diameter of approximately 3.5 mm is observed on the subpleural surface of the left lung apex, according to the previous examination.\n<mediastinum>: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Right upper, bilateral lower paratracheal, aortic pulmonary several millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Additional pathology was not distinguished. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIt persists by decreasing.  Ground glass areas observed at the lateral level in the right lung upper lobe posterior segment are not selected in the previous examination . A few mild bronchiectasis in the right lung lower lobe superior segment are also present in the previous examination.  Also, approximately 3.5 mm in diameter on the subpleural aspect of the left lung apex stable nodule"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15013/train_15013_b/train_15013_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper paratracheal, aortapulmonary millimetric lymph node is observed. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. In the sections passing through the upper part of the west; The craniocaudal size of the liver appears to be increased.\n\nImpression:\nNo mass nodule or infiltration was detected in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15016/train_15016_a/train_15016_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35496",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are ground-glass densities in which vascular expansions are also observed in a patchy manner located peripherally in both lungs. Close monitoring of clinical laboratory correlation is recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround glass densities in which vascular expansions are observed in a patchy manner located peripherally in both lungs. Close monitoring of clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15024/train_15024_a/train_15024_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass lesions were observed in the parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15026/train_15026_a/train_15026_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<pleura>: Observed subpleural bands and structural distortions suggested a relatively subacute-chronic process. There are subpleural blebs at the bilateral apexes. In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15030/train_15030_a/train_15030_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35514",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 7 mm calcific nodule is observed in the right thyroid lobe.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are bullae measuring up to 39 mm in size in the lower lobe of the right upper lobe in both lungs.\n<pleura>: In the upper lobe of the right lung, a few millimetric subpleural nodules are observed at the lateral apical level.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are millimetric calcific atheromatous plaques in the abdominal aorta in the aortic arch and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. There are millimetric calcific atheromatous plaques in the abdominal aorta in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the end plates of the vertebral corpuscles. There is diffuse density reduction in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are millimetric calcific atheromatous plaques in the abdominal aorta in the aortic arch and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAtherosclerosis. Bull formations in the upper and lower lobes of the right lung.  A few subpleural millimetric nonspecific nodules in the upper lobe of the right lung. Atelectatic changes in the inferior lingula of the left lung upper lobe.  Degenerative changes in bone structures, osteopenic appearance. 7 mm calcific nodule in the right thyroid lobe.  Hepatosteatosis . Osteopenic appearance and degenerative changes are observed in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15033/train_15033_a/train_15033_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Although the described appearances are not specific, they are among the frequently observed findings in Covid-19 pneumonia. There are atelectasis in both lungs. Peripheral and centrally located ground-glass appearances are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Millimetric atheroma plaque is observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are millimetric stones in both kidneys. No upper abdominal free fluid-collection was detected in the sections. Millimetric atheroma plaque is observed in the aorta.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15041/train_15041_a/train_15041_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A nonspecific nodule with a diameter of 3 mm was observed in the pericardiac area in the anterobasal segment of the lower lobe of the left lung. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15043/train_15043_a/train_15043_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35544",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibrations of trachea and main bronchi are normal. Lumens are clear.\n<lung>: There is a 2 mm diameter subplevbral non-specific nodule in the apicoposterior segment of the left upper lobe of the lung.\n<pleura>: There was no finding compatible with pneumonia, pleural effusion or pneumothorax in both lungs.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of mediastinal major vascular structures is normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15048/train_15048_a/train_15048_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: More prominent interlobular septal thickenings are not observed in the upper lobes of both lungs. In the examination made in the lung parenchyma window; Sequelae changes are observed at the apical level. Clinical and laboratory correlation is recommended. Findings may be consistent with infective processes involving the interstitium. In addition, a consolidation area is observed around the upper lobe bronchus in the paramediastinal area around the upper lobe bronchus of the right lung. Atelectasis-consolidation distinction could not be made and correlation with clinical and laboratory is recommended. Consolidation areas with ground glass densities are observed in the periphery of the upper lobes of both lungs. Examination cannot be performed optimally in non-contrast sections. Consolidation areas in which air bronchograms are observed are observed in the lung areas adjacent to the effusion in both lung lower lobe basal segments.\n<pleura>: Subpleural nodules are observed in the right lung, the largest of which is 9.2 mm in the upper lobe posterior segment (4.2 mm in the previous examination) and 9.2 mm in the mediastinum adjacent to the mediastinum in the left lung in the upper lobe anterior segment (7.1 mm in the previous examination). In addition, newly emerged subpleural nodules with a diameter of 6.4 mm in diameter adjacent to each other in the subpleural area in the right middle lobe lateral segment in both lungs and 9.7 mm in diameter over the major fissure in the upper lobe apicoposterior segment of the left lung are observed.\n<mediastinum>: In the right hemithorax, the port chamber is observed on the anterior chest wall, and the image of the catheter extending to the superior distal vena cava is observed. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Millimetric calcific atheroma plaques are observed in the coronary arteries and descending aorta.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Metastasis is observed in T11 vertebra. There are newly emerged metastases in the left T3 rib anterior and posteromedial T10 vertebrae on current examination.\n<abdomen>: The contour, size, parenchyma density of the spleen is normal. No stones were observed in the left kidney within the sections. Millimetric calcific atheroma plaques are observed in the coronary arteries and descending aorta. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. There are metastases in the liver.\n\nImpression:\nBilateral pleural effusion has recently emerged in the current examination.  Density increases with diffuse ground glass densities observed in the periphery of the upper lobes of both lungs and a clear consolidation appearance around the upper lobe bronchus in the right lung upper lobe paracardiac area. Interlobular septal thickening in the upper lobes, right lung middle lobe; the findings are primarily secondary to infective processes involving the interstitium. Consolidation+atelectasis distinction in which air bronchograms are observed in the lung areas adjacent to the effusion in both lung lower lobe basal segments is recommended to be evaluated by clinical and laboratory evaluation of density increases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15054/train_15054_a/train_15054_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity.\n\nImpression:\nNo sign of pneumonia was detected.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15055/train_15055_a/train_15055_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35574",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Clinical and laboratory evaluation is recommended. Pneumonic infiltration is considered in the etiology of the findings. In the peribronchovascular area in the anterior and middle lobes of the upper lobe of the right lung, density increases are observed in the peribronchovascular area, consistent with ground glass and consolidation with indistinct borders. In addition, there are millimetrically sized nonspecific nodules and sequela parenchymal changes in both lung parenchyma. Peribronchial diffuse thickness increases are observed in both lungs.\n<pleura>: In addition, an area of increase in density, which may belong to nodular consolidation, with a size of approximately 12x7 mm, with a ground-glass halo around it with an indistinct border on the pleural base in the posterobasal segment of the left lung lower lobe was noted. Minimal pericardial and left pleural effusion are observed.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. As far as can be observed, there is an increase in the calibration of the pulmonary trunk and both pulmonary arteries. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: An increase in heart size is observed.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No bone fragment extending into the spinal canal was detected. No increase was observed in the anteroposterior diameter of the vertebral corpus. There are lytic bone lesions consistent with multiple myeloma in bone structures. An increase in thoracic kyphosis is observed in the bone structures within the image. Chronic compression fractures are observed in T12, T11, T10, T8, T6 vertebral bodies.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected.\n\nImpression:\nDiffuse peribronchial thickness increases in both lungs, areas of increased density in the right lung middle lobe and upper lobe anterior segment in the peribronchovascular area in the peribronchovascular area with ground glass and consolidation consistent with consolidation; appearance suggests pneumonic infiltration.  There is an area of increase in density evaluated in favor of nodular consolidation in the posterobasal segment of the left lung lower lobe, and nonspecific nodular lesions in millimeter sizes in both lungs and sequela parenchymal changes in both lungs are observed in both lungs.  Increased pulmonary trunk and both pulmonary arteries calibration, increased heart size, minimal pericardial and left pleural effusion.  Chronic compression fractures in bone structures, lytic bone lesions evaluated in favor of multiple myeloma, and reticular density increases in vertebral bodies secondary to osteoporosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15062/train_15062_a/train_15062_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described views were evaluated in favor of Covid-19 pneumonia in the pandemic process. Many of the consolidations are round in shape. Peripheral and central consolidations are observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: In the left adrenal gland, there is a solid mass measuring approximately 35 mm in longest diameter. No upper abdominal free fluid-collection was detected in the sections. There are areas of fat density in the described mass and it was evaluated in favor of adenoma.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15072/train_15072_a/train_15072_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: US control is recommended.\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: The outlook includes findings atypical for Covid 19 pneumonia. However, it cannot be ruled out. Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment. When both lung parenchyma windows are evaluated; Interlobular septal thickening was observed in both lungs. Patchy ground glass density increases were observed in both lungs. Air cysts were observed in both lungs.\n<pleura>: Minimal pleural effusion is observed on the right.\n<mediastinum>: There are calcified atherosclerotic changes in the wall of the thoracic aorta. Mediastinal structures were considered suboptimal when the examination was unenhanced. Multiple lymph nodes in the mediastinal upper-lower paratracheal, subcarinal localization, the short axis of the larger one measuring 1 cm, were observed.\n<heart>: Heart size has increased (cardiomegaly). There is an effusion reaching 1 cm in the thickest part of the pericardium.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are calcified atherosclerotic changes in the wall of the thoracic aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly, pericardial effusion. Mild calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Sequelae changes in the left lung. Thickening of the interlobular septa in both lungs, bilateral patchy ground glass density increases. The outlook includes findings atypical for Covid 19 pneumonia. However, it cannot be ruled out. Clinical and laboratory correlation is recommended.  Minimal pleural effusion on the right. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15074/train_15074_a/train_15074_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. Significant emphysematous changes were observed in the upper lobes of both lungs.\n<pleura>: Between the bilateral pleural leaves, free pleural effusion with a thickness of 23 mm on the right and 34 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed.\n<mediastinum>: Pulmonary artery calibration is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes measuring 17x11 mm in size were observed in the mediastinal upper-lower paratracheal, prevascular, and subcarinal areas.\n<heart>: Heart size increased. Calcific atherosclerotic changes and stent material were observed in the coronary artery wall. Pericardial thickening-effusion was not detected. The ascending aorta measures 41 mm in diameter and shows slight dilatation.\n<esophagus>: Sliding type hiatal hernia was observed.\n<bone>: No lytic-destructive lesion was detected in the bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. A slight increase in thickness was observed in the bilateral adrenal gland (adrenalal hyperplasia?).\n\nImpression:\nEmphysematous changes in both lungs.  Cardiomegaly.  Dilatation of the ascending aorta.  Atherosclerotic changes and stenting in coronary arteries.  Bilateral pleural effusion. Atelectatic changes in both lungs.  Bilateral peribronchial thickenings.  Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15076/train_15076_b/train_15076_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35609",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a parenchymal band in the middle lobe. Parenchymal band is observed in the lingular segment. Again, a 2 mm diameter calcific nodule is observed in the middle lobe.\n<pleura>: When examined in the lung parenchyma window; There is a 2 mm diameter nodule in the lateral subpleural area in the anterior segment of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes were observed in the bone structure entering the examination area.\n<abdomen>: A nodule with a diameter of 3 mm is observed at the level of the interlobar fissure. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nThere was no finding in favor of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15078/train_15078_a/train_15078_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35615",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are decreased.\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. Stable fibroatelectasis sequelae were observed in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment. Viral pneumonias and other opportunistic infections are considered in the differential diagnosis. The appearance is compatible with infective processes. No mass lesion in favor of recurrence-metastasis was detected in the lung parenchyma. Appropriate post-treatment control is recommended. In the right lung middle and lower lobe basal segments of both lungs, milimetric centrilobular ground-glass nodules, some of which are more solidified in the central, are observed. Right lung upper lobectomy was performed.\n<pleura>: Sequelae thickening was observed in both hemithoraxDA posterior costal pleura.\n<mediastinum>: Pulmonary conus, right and left pulmonary artery calibrations are increased. As far as can be observed: surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, which was above normal.\n<heart>: Its distal end terminates in the right ventricle. Pericardial effusion-thickening was not observed. Cardiac pace maker catheter is monitored. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No space-occupying lesions in lytic-sclerotic structure were detected in bone structures. As far as can be observed: surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed.\n<abdomen>: The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 31 mm, which was above normal. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Both kidney sizes and parenchyma thicknesses decreased. As far as can be seen in the sections, calculus image was observed in the gallbladder lumen.\n\nImpression:\nOperated lung Ca, changes in the right lung upper lobectomized, operation in the right lung.  Stable fibroatelectasis sequelae in the anterobasal subsegment of the left lung anteromediobasal segment.  Faintly circumscribed centrilobular ground-glass nodules in the right lung middle and lower lobe basal segments of both lungs; appearance is compatible with infective processes. Viral pneumonias and other opportunistic infections are considered in the differential diagnosis. Appropriate post-treatment control is recommended.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15079/train_15079_c/train_15079_c_1.npy"
        ]
    },
    {
        "id": "report_generation_35617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a decrease in thyroid size. It does not differ significantly.\n<trachea_and_bronchie>: No significant difference was found in soft tissue densities that cause narrowing in bronchial calibrations around middle lobe and lower lobe bronchi. No occlusive pathology was detected in Takea and both main bronchial lumens.\n<lung>: No significant difference was found in soft tissue densities that cause narrowing in bronchial calibrations around middle lobe and lower lobe bronchi. When examined in the lung parenchyma window; Right lung upper lobectomy was performed. In both lung lower lobe basal segments, there are light budding tree images, which were also observed in previous examinations. Emphysematous changes are present in both lungs. In the previous examination, centrilobular ground-glass nodules were not detected in both lungs, especially in the middle lobe of the right lung, in the current examination.\n<pleura>: In the thoracotomy site of the right lung, irregular pleural thickenings observed in the previous examination are observed.\n<mediastinum>: Pulmonary conus right and left pulmonary artery calibrations are increased. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. In the examination performed without contrast, post-op changes are observed in the sternum and anterior mediastinum. The diameter of the ascending aorta was 45 mm, and the descending aorta was 31 mm.\n<heart>: Pericardial effusion-thickening was not detected. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. In the examination performed without contrast, post-op changes are observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. There is a small stone in the gallbladder. The diameter of the ascending aorta was 45 mm, and the descending aorta was 31 mm.\n\nImpression:\nOperated lung Ca follow-up.  No significant difference was found in the atelectasis soft tissue density, which causes narrowing of the bronchi around it, in the left lung lower lobe superior posterior.  Centrilobular ground glass nodules observed in both lungs in the previous examination were resolved in the current examination.  Minimal budding tree images are observed in both lung lower lobe basal segments.  Cholelithiasis.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15079/train_15079_d/train_15079_d_1.npy"
        ]
    },
    {
        "id": "report_generation_35668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Fibroatelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In the thoracic aorta, minimal calcified atherosclerotic changes were observed in the cidarone. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the thoracic aorta, minimal calcified atherosclerotic changes were observed in the cidarone. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nFibroatelectatic changes in both lungs, millimetric nonspecific parenchymal nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15100/train_15100_a/train_15100_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15103/train_15103_a/train_15103_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15106/train_15106_a/train_15106_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35704",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No solid mass was detected as far as can be observed within the limits of unenhanced CT. In both lungs, areas of increase in density consistent with liner atelectasis are observed in places. When examined in the lung parenchyma window; There are smooth interlobular septal thickness increases and increases in symmetric ground glass density, which are more clearly observed in the lower lobes of both lungs. The findings were primarily evaluated as secondary to heart failure.\n<pleura>: In both pleural spaces, there is a free effusion up to 28 mm on the right at its deepest point.\n<mediastinum>: Multiple lymph nodes are observed in the mediastinum with a fusiform configuration measuring 18 mm in diameter at the prevascular, aortic pulmonary window, paratracheal, precarinal and subcarinal and bilateral hilum levels. Calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: The ascending aorta is wider than normal at 41 mm and the pulmonary trunk at 31 mm. Pericardial effusion was not observed. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; an increase in heart size is observed.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight hiatal hernia with a sliding type at the lower end.\n<bone>: There are degenerative changes in bone structures. In the bony structures within the image, there are surgical suture materials in the sternum. Thoracic kyphosis has increased. No lytic or destructive lesion was observed.\n<abdomen>: No lymph node was observed in intraabdominal pathological size and appearance. Calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. In the upper abdominal sections within the image; It has free liquid. There is a hyperdense stone in millimetric sizes in the middle pole of the right kidney.\n\nImpression:\nIncreased caliber of mediastinal vascular structures, increased heart size, calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures  Bilateral pleural effusion and intrabdominal free fluid, more prominent smooth interlobular septal thickness increases in the lower lobes of both lungs, and increases in symmetric ground-glass density; it was primarily evaluated as secondary to heart failure  Multiple lymph nodes with a short diameter over 1 cm in the mediastinum with a fusiform configuration  Sliding hiatal hernia at the lower end of the esophagus  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15116/train_15116_a/train_15116_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In both lungs, there are patchy ground glass areas showing more confluence in the lower lobes, more prominent consolidations and interlobular septal thickenings in the lateral segment of the right lung middle lobe are present. There are linear atelectasis areas in the lower lobe posterior segment of both lungs, and in the lingular segment of the left lung upper lobe. Tubular bronchiectasis and bulla-blep formations are present in both lung lower lobe lateral segments. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area. Findings are consistent with viral pneumonia (COVID-19 pneumonia).\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Free air is observed in the mediastinum. No enlarged lymph nodes in pathological dimensions were detected. Several lymph nodes with a diameter of 1 cm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area.\n<heart>: Heart contour and size are normal. There are calcific atheroma plaques in the LAD and circumflex artery. Minimal pericardial effusion is observed.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections. T4 vertebral corpus has a corduroy appearance compatible with hemangioma.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nPneumomediastinum.  Widespread ground-glass areas and occasional consolidations in both lungs showing confluence consistent with viral pneumonia; areas of atelectasis in both lungs, tubular bronchiectasis and bulla-blep formations in the lower lobes.  Minimal pericardial effusion, calcific atheroma plaques in the coronary arteries.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15131/train_15131_a/train_15131_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the patient who was learned to be followed up due to lung adeno Ca; A stable mass with irregular borders is observed in the posterior upper lobe of the right lung. No obvious pneumonic infiltration was detected in both lungs.\n<pleura>: Intense pleural effusion with 15 mm diameter pleural thickening is observed in the right hemithorax. There are linear subpleural weighted fibrotic densities in the lung parenchyma, especially on the right.\n<mediastinum>: Calcific plaques are present in the aorta and coronary arteries. Millimetric lymph nodes in the mediastinum and right hilar region are stable.\n<abdomen>: Calcific plaques are present in the aorta and coronary arteries.\n\nImpression:\nStable mass adjacent to the pleura in the right lung upper lobe posterior, dense pleural effusion with irregular pleural thickening (malignant pleural effusion and thickening?), sequelae fibrotic changes in the lung  Aortic and coronary artery atherosclerosis  Mediastinal and hilar millimetric lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15134/train_15134_b/train_15134_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15163/train_15163_a/train_15163_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35822",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15170/train_15170_a/train_15170_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid lobes are increased in size. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. A millimetric diverticulum was observed on the right posterolateral side of the trachea in the mediastinal intrusion.\n<lung>: The appearance may also be compatible with atelectasis or pneumonic infiltration during resolution. A parenchymal air cyst was observed adjacent to the fissure in the posterior segment of the lower lobe of the right lung. Linear atelectatic changes were observed in the right lung middle lobe medial, lower lobe posterior-laterobasal segment, and left lung upper lobe inferior lingular segment. No mass lesion with distinguishable borders was detected in both lungs. Millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Loculated effusion was observed in the right hemithorax, adjacent to the lower lobe superior and middle lobes.\n<pleura>: Patchy areas of consolidation were observed in the left lung upper lobe inferior lingular and lower lobe anteromediobasal segment, mediobasal subsegment and subpleural area.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Findings consistent with diffuse idiopathic bone hyperostosis were observed at the mid-thoracic level. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 44 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. In the upper abdominal organs included in the sections, an adenoma of 27x21 mm in the right adrenal gland corpus and 24x11 mm in the left adrenal gland was observed.\n\nImpression:\nBilateral gynecomastia . Thyromegaly; It is recommended to be evaluated together with US.  Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, fusiform aneurysmatic dilatation of the thoracic aorta, cardiomegaly . Pleural effusion in both hemithorax, fibroatelectasis sequelae in both lungs . Left lung upper lobe lingular and lower lobe anteromediobasal periphery in the left lung upper lobe upper lobe lingular and lower lobe anteromediobasal peripheral segment Focal consolidations in areas of compressive atelectasis may also be compatible with pneumonic infiltration during resolution. It is recommended to be evaluated together with clinic and laboratory . Millimetric non-specific parenchymal nodules in both lungs . Bilateral adrenal adenoma . Diffuse idiopathic bone hyperostosis in the middle thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15175/train_15175_a/train_15175_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35833",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild septal thickenings in the lower lobe basal segments of both lungs were evaluated in favor of interstitial edema. No mass or nodular suspicious space-occupying lesion was observed in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A subsegmental atelectasis area is observed in the lingulainferior segment of the left lung upper lobe.\n<pleura>: There is a pleural effusion reaching a diameter of 18 mm on the left and 10 mm in diameter adjacent to the superior segment of the lower lobe on the right between the leaves of both pleura. Linear subsegmental atelectasis areas are also observed in the right lung middle lobe, adjacent to the loculated pleural fluid.\n<mediastinum>: Mild fusiform aneurysmatic diameter increase is observed in the aortic arch and thoracic aorta due to atherosclerotic vascular disease. The diameter of the aortic arch was 38 mm at its widest point. The diameter of the thoracic aorta was 36 mm at its widest point. Findings secondary to a previous bypass operation are observed.\n<heart>: Heart size increased. Pericardial effusion was not detected. Left ventricular diameter increased.\n<breast>: There is bilateral gynecomastia.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Mild fusiform aneurysmatic diameter increase is observed in the aortic arch and thoracic aorta due to atherosclerotic vascular disease. The appearance of hyperplasia is observed in the left adrenal gland. In the upper abdominal sections, there is a nodular lesion compatible with an adenoma of 17 mm in diameter in the corpus of the right adrenal gland. The diameter of the aortic arch was 38 mm at its widest point. The diameter of the thoracic aorta was 36 mm at its widest point. Findings secondary to a previous bypass operation are observed.\n\nImpression:\nSecondary findings to previous bypass operation. Bilateral pleural effusion, areas of subsegmental atelectasis in both lungs.  Findings consistent with interstitial edema in basal segments. Fusiform enlargement of the arch of the posterior and thoracic aorta due to atherosclerotic vascular disease.  Right adrenal adenoma. Pneumonic infiltration was not detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15175/train_15175_b/train_15175_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35835",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The focal fiffurel thickness increase in the minor fissure on the right was evaluated in favor of effusion. No pneumonic infiltration was detected in the lung parenchyma. There are areas of subsegmental atelectasis in both lungs. An increase in nodular density in the left lung upper lobe lingula inferior segment was also present in the previous examination, and no significant difference was detected. It was primarily thought to belong to the atelectasis parenchyma. No suspicious space-occupying lesion was detected in the lung parenchyma.\n<pleura>: In the evaluation of lung parenchyma structures, edema compatible with mild fissure in the right major fissure, an anky pleural effusion between the pleural leaves in the right lung middle lobe, and 1 cm diameter pleural effusion in the posterior between the right pleural leaves are present. A 47 mm diameter pleural effusion is observed between the left pleural leaves.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance. Diffuse atherosclerotic plaques are observed in the thoracic aorta, aortic arch, and abdominal aorta.\n<heart>: The diameter of the left ventricle and left atrium has increased. Heart size increased. Findings secondary to a previous by-pass operation are observed.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No free fluid was detected in the abdomen. Nodular thickness increases consistent with adenoma are observed in both adrenal glands in upper abdominal sections. Diffuse atherosclerotic plaques are observed in the thoracic aorta, aortic arch, and abdominal aorta.\n\nImpression:\nSecondary findings to previous bypass operation, increased heart size, bilateral pleural effusion, atelectasis parenchymal changes in both lungs, fissural edema on the right. Interlobular septal prominence in basal segments is consistent with interstitial edema. Bilateral adrenalal adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15175/train_15175_c/train_15175_c_1.npy"
        ]
    },
    {
        "id": "report_generation_35837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: It was primarily thought to belong to the atelectasis parenchyma. No pneumonic infiltration was detected in the lung parenchyma. There are areas of subsegmental atelectasis in both lungs. Nodular density increase in the left lung upper lobe lingula inferior segment was present in the previous examination and no significant difference was detected. No suspicious space-occupying lesion was detected in the lung parenchyma.\n<pleura>: Edema consistent with mild fissuritis in the right major fissure, anxic effusion between the pleural leaves in the right lung middle lobe, and 1 cm diameter pleural effusion in the posterior between the right pleural leaves were observed.\n<mediastinum>: The transverse diameter of the pulmonary trunk was 31 mm, and the diameters of the right and left pulmonary arteries were measured as 28 and 29 mm, respectively. As far as can be seen; Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed. The anterior-posterior diameter of the ascending aorta is 44 mm, and the descending anterior-posterior diameter is 34 mm, and it is observed wider than normal. The mediastinum could not be evaluated optimally in the non-contrast examination. Widespread atherosclerotic plaques were observed in the thoracic aorta, aortic arch, and abdominal aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Widespread atherosclerotic plaques were observed in the thoracic aorta, aortic arch, and abdominal aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area. As far as can be seen; Surgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum were observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. No intra-abdominal free fluid was observed. The anterior-posterior diameter of the ascending aorta is 44 mm, and the descending anterior-posterior diameter is 34 mm, and it is observed wider than normal. Upper abdominal organs included in the sections are normal. Widespread atherosclerotic plaques were observed in the thoracic aorta, aortic arch, and abdominal aorta and coronary arteries. Nodular thickness increases consistent with adenoma are observed in the bilateral adrenal gland.\n\nImpression:\nFindings secondary to previous bypass surgery, cardiomegaly, bilateral pleural effusion, atelectasis parenchymal changes in both lungs, interlobular septal thickenings in basal segments are consistent with interstitial edema (cardiac stasis).  Bilateral adrenal adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15175/train_15175_d/train_15175_d_1.npy"
        ]
    },
    {
        "id": "report_generation_35839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are areas of increase in density evaluated in favor of compressive atelectasis in both lung parenchyma adjacent to the effusion. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: Effusions up to 50 mm in the deepest part on the right and 45 mm in the deepest part on the left are observed in the bilateral pleural space.\n<mediastinum>: The anterior-posterior diameter of the ascending aorta was 44 mm, the descending aorta was 34 mm, the transverse diameter of the pulmonary trunk was 31 mm, and the diameters of the right and left pulmonary arteries were measured as 28 and 29 mm, respectively. There are lymph nodes in the mediastinum with a fusiform configuration, with a fatty hilus measuring 13 mm in diameter, the largest of which is at the precarinal level. Surgical suture materials are observed in the upper mediastinum and sternium secondary to the previous bypass operation.\n<heart>: An increase in heart size is observed. No pericardial effusion or thickness increase was observed.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved. Surgical suture materials are observed in the upper mediastinum and sternium secondary to the previous bypass operation.\n<abdomen>: In the upper abdomen sections within the image, nodular lesions consistent with adenoma are observed in the bilateral adrenal gland within the borders of non-contrast CT. No intra-abdominal free fluid or loculated collection was detected. The anterior-posterior diameter of the ascending aorta was 44 mm, the descending aorta was 34 mm, the transverse diameter of the pulmonary trunk was 31 mm, and the diameters of the right and left pulmonary arteries were measured as 28 and 29 mm, respectively.\n\nImpression:\nDensity increase areas evaluated in favor of compressive atelectasis in the lung parenchyma adjacent to the effusion in both lungs; There was no finding in favor of pneumonic infiltration.  Bilateral adrenal adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15175/train_15175_e/train_15175_e_1.npy"
        ]
    },
    {
        "id": "report_generation_35845",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs are evaluated in the parenchyma window: Bilateral peribronchial thickenings are observed. Mild emphysematous changes were observed in both lungs, which became prominent in the apical part. Millimetric sized nonspecific parenchymal nodules were observed in both lungs. In both lungs, apical pleuroparenchymal sequelae density increases were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Minimal calcified atherosclerotic changes were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPeribronchial thickenings.  Minimal atherosclerotic changes.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Mild emphysematous changes in both lungs.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15178/train_15178_a/train_15178_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35847",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, interlobular septal protrusions are observed in the upper lobes of both lungs (secondary to cardiac stasis?). In the evaluation of both lung parenchyma; Mosaic perfusion appearance is observed in both lung parenchyma. No mass, nodule-infiltration was detected in both lungs. Right upper-bilateral lower paratracheal lymph node in millimetric size is observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Calcified plaques are observed in the walls of the aortic arch and coronary artery.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcified plaques are observed in the walls of the aortic arch and coronary artery.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Additional obvious pathology was not distinguished. In the sections passing through the upper part of the abdomen, the body part of the left adrenal gland is thick. Calcified plaques are observed in the walls of the aortic arch and coronary artery.\n\nImpression:\nMosaic perfusion pattern in both lung parenchyma and clarification in interlobular septa that may be secondary to cardiac event."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15179/train_15179_a/train_15179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35882",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Active infiltration is not observed in both lungs. There is an appearance consistent with subsegmental atelectasis in the basal segment of the lower lobe of the left lung. A millimetric nonspecific nodule observed in the medial segment of the right lung middle lobe in the previous CT examination was not detected in the current examination.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The anterior-posterior diameter of the descending aorta was 36 mm and increased.\n<heart>: No pericardial effusion or thickness increase was observed. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast in the heart examination, and an increase in the diameter of the left ventricle is observed as far as can be observed. Heart contour size is natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures in the examination area, and there are degenerative changes.\n<abdomen>: In addition, a lesion of 19 mm diameter hypodense fluid density, which cannot be clearly characterized, is observed within the borders of non-contrast CT with cortical exophytic extension in the upper pole of the right kidney (simple cyst?). In the upper abdominal sections within the image, a millimetric cortical located hyperdense hemorrhagic cyst is observed in the left kidney. The anterior-posterior diameter of the descending aorta was 36 mm and increased. There is diffuse density decrease secondary to hepatosteatosis in liver parenchyma density.\n\nImpression:\nIncreased diameter of the descending aorta and right ventricle.  There is no finding in favor of pneumonic infiltration in both lungs, subsegmental atelectasis in the posterobasal segment of the left lung lower lobe; A millimetric nonspecific nodule observed in the medial segment of the right lung middle lobe in the previous CT examination was not detected in the current examination.  Minimal hepatosteatosis  Hemorrhagic cyst in the left kidney and cortical hypodense fluid-density lesion in the right kidney; simple cyst?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15194/train_15194_a/train_15194_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35884",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are several millimetric calcific nodules in the lower lobe of the right lung. There are nonspecific nodules, which are also observed in the previous examinations, in serial 2 image 254 in the middle lobe of the right lung, and in series 2 image 180, adjacent to the fissure in the superior lobe of the lower lobe. When examined in the lung parenchyma window; In the lower lobe of the right lung, at the junction of the posterolateral segment, an 8 mm nodule with speculable patchy contours is observed in image 253 in series 2, which was not observed in the previous examination.\n<mediastinum>: Thoracic aorta diameter is normal. There are more than 1 small lymph nodes in the mediastinum with a short axis measuring up to 7 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic-osteophytic taperings on the end plates. There is diffuse density reduction in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are findings in favor of millimetric cortical cysts in both kidneys and millimetric angiomyolipoma in the left kidney, which do not show significant dimensional differences. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA new patchy ground-glass nodule with irregular contours in series 2 image 253 at the posterolateral segment junction level in the right lung sublobe; It was initially evaluated in favor of an infectious process, and clinical laboratory correlation and follow-up are recommended for the differential diagnosis of Covid-19 viral pneumonia due to the current pandemic.  A few non-significant millimetric nodules in both lungs.  There are multiple small lymph nodes in the mediastinum with a short axis measuring up to 7 mm.  Mild height loss in L1 vertebral corpus that does not show degenerative differences."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15194/train_15194_b/train_15194_b_1.npy"
        ]
    },
    {
        "id": "report_generation_35886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; There are fibroatelectatic changes in the left lung lower lobe and inferior lingular segment.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Mediastinal and bilateral hilar lymph nodes with a short axis smaller than 5 mm are observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the abdominal sections entering the study area; liver parenchyma density is diffusely decreased (hepatosteatosis).\n\nImpression:\nEventration in the left hemidiaphragm, fibroatelectatic changes in the inferior lingular segment and lower lobe of the left lung. Hepatic steotase."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15195/train_15195_a/train_15195_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35896",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. Locally, linear sequela fibroatelectasis changes were observed in both lungs. It is recommended to be evaluated together with the clinic and laboratory. Patchy ground glass consolidations with multilobar, multisegmental peripheral weight, crazy paving pattern, air bubbles and vascular enlargement were observed in both lungs, and the appearance is compatible with Covid-19 pneumonia.\n<mediastinum>: Diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. It was understood that TAVR was performed at the level of the aortic root. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of pulmonary arteries is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: the anterior-posterior diameter of the ascending aorta was 45 mm, and the anterior-posterior diameter of the descending aorta was 28.5 mm. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Heart size increased. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. A pacemaker is observed on the anterior chest wall on the left, and there are lead catheters extending to the apex of the right ventricle.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is an increase in thoracic kyphosis and mild scoliosis with left-facing opening in the thoracic vertebral column. Vertebral corpus heights are preserved.\n<abdomen>: A 1 cm diameter nodular hypodense lesion with cortical location was observed in the middle part posterior of the left kidney (cyst?). Diffuse atherosclerotic wall calcifications were observed in the abdominal aorta and its visceral branches. It was understood that TAVR was performed at the level of the aortic root. An area of millimetric nodular sequela calcification was observed adjacent to the gallbladder at the level of liver segment 5. Stable nodular thickness increase was observed in the right adrenal gland body section. As far as can be observed: the anterior-posterior diameter of the ascending aorta was 45 mm, and the anterior-posterior diameter of the descending aorta was 28.5 mm. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, TAVR applied to the aortic root, cardiomegaly, diffuse calcific atheroma plaques in the thoracic aorta and coronary arteries. Findings consistent with Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory. Linear fibroatelectasis sequelae changes in both lungs. Stable nodular thickness increase in the right adrenal gland trunk section.  Cortical hypodense lesion (cyst?) in the middle part posterior of the left kidney. Increased thoracic kyphosis and mild left-facing scoliosis in the thoracic vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15200/train_15200_a/train_15200_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy line was observed in the patient. At this level, there is thickening of the peribronchial sheath and accompanying ground glass densities. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are ground glass densities in the left lung upper lobe inferior lingular and lower lobe basal segments and a focal consolidation area in the right lung lower lobe anterobasal segment. The appearance may be compatible with infective processes. When examined in the lung parenchyma window; Centriacinar emphysematous changes were observed in both lungs. Linear atelectatic changes were observed in the lower lobe of the right lung, and the volume of the lower lobe of the right lung was minimally decreased. No suspicious nodule was detected in favor of mass lesion-metastasis with distinguishable borders in both lungs.\n<pleura>: Effusion reaching 13 mm in thickness was observed in the right pleural space. A pleural effusion was observed in the left pleural space, measuring 3.8 cm in its thickest part, showing loculation from place to place, and entering the major fissure and thickening the major fissure.\n<mediastinum>: As far as can be seen; right located aortic arch and aberrant left subclavian artery variation are present. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. The aortic arch and descending aorta have an aneurysmatic appearance with diameters of 40 mm and 34 mm, respectively. The thoracic aorta is elongated and tortoised. At the level of the left lower paratracheal, aortopulmonary window, the short axis of the largest one was 9 mm, and lymph nodes that did not reach pathological dimensions were observed.\n<heart>: Minimal effusion was observed in the pericardial space. Heart sizes are above normal. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. The esophagus is displaced to the left.\n<bone>: No lymph node in pathological size and appearance was observed in bilateral supraclavicular, axillary and retrocrural areas. Degenerative changes were observed in bone structures. No lytic-destructive lesion in favor of metastasis was observed in bone structures.\n<abdomen>: As far as can be seen; right located aortic arch and aberrant left subclavian artery variation are present. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The aortic arch and descending aorta have an aneurysmatic appearance with diameters of 40 mm and 34 mm, respectively. Two cysts with a diameter of 3.8 cm were observed in the upper pole of the left kidney. The right kidney was not observed (operated). The thoracic aorta is elongated and tortoised. Liver, spleen, and both adrenal glands are normal as far as can be seen in the sections.\n\nImpression:\nVariation of the right aortic arch and aberrant left subclavian artery, aneurysmatic dilatation in the aortic arch and descending aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries . Cardiomegaly, smearing pericardial effusion . It may be compatible with infective processes. It is recommended to be evaluated together with clinical and laboratory.  Centracinar emphysematous changes in both lungs . Linear subsegmental atelectatic changes in the basal segment of the lower lobe of the left lung . Cortical cysts in the upper pole of the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15204/train_15204_a/train_15204_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy is observed in the patient. Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Pneumonic infiltration may be in the etiology of the findings. Centriacinar emphysematous changes are observed in both lungs. Diffuse mild ectasia is observed in both lung bronchial structures. In the current examination, a newly developed 12 mm nodule was observed in the posterior segment of the right lung upper lobe, and metastasis cannot be excluded in a case with a history of prostate Ca and RCC. There are parenchymal changes and areas of increase in density consistent with linear atelectasis in both lungs. There are extensive ground-glass density areas in both lungs, which are newly developed according to the previous CT examination.\n<pleura>: In the bilateral pleural space, there are occasional anky effusions measuring 35 mm in the deepest part on the left and 25 mm in the deepest part on the right.\n<mediastinum>: According to the previous CT examination, an increase in lymph node sizes is observed. Due to the lack of contrast in the examination, mediastinal vascular structures and the heart could not be evaluated optimally, and as far as can be observed, right-located aortic arch and aberrant left subclavian artery variation are observed. The thoracic aorta is elongated and tortuous. It shows aneurysmatic dialatation with a diameter of 40 mm in the aortic arch and 34 mm in the descending aorta. In the mediastinum, there are lymph nodes with a fusiform configuration, the largest of which is at the prevascular level, and the diameter is 12 mm. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: There is an increase in heart size. Due to the lack of contrast in the examination, mediastinal vascular structures and the heart could not be evaluated optimally, and as far as can be observed, right-located aortic arch and aberrant left subclavian artery variation are observed. Pericardial minimal effusion is observed. Pericardial thickening was not detected.\n<bone>: Degenerative changes are observed in the bone structures within the image. There are no lymph nodes in pathological size and appearance in both axillary regions and in the supraclavicular fossa.\n<abdomen>: There are lesions of hypodense fluid density in the left kidney, the largest of which is 4 cm in diameter, as far as can be observed within the borders of unenhanced CT in the upper abdomen sections within the image. Due to the lack of contrast in the examination, mediastinal vascular structures and the heart could not be evaluated optimally, and as far as can be observed, right-located aortic arch and aberrant left subclavian artery variation are observed. Intraabdominal free liqu- ulated collection is not observed. The thoracic aorta is elongated and tortuous. It shows aneurysmatic dialatation with a diameter of 40 mm in the aortic arch and 34 mm in the descending aorta. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. It was evaluated in favor of the cyst.\n\nImpression:\nRight aortic arch, aberrant left subclavian artery variation, aneurysmatic dilatation in the aortic arch and descending aorta, calcified atheroma plaques in the thoracic aorta and coronary arteries. Increased heart size, minimal pericardial effusion.  Anxious pleural effusions in the bilateral pleural space.  Diffuse mild ectasia in the bronchial structures of both lungs, areas of increased density in both lungs that are evaluated in favor of linear atelectasis in both lungs, paraseptal emphysematous changes in both lungs.  Nodule, metastasis, 12 mm in size in the posterior segment of the upper lobe of the right lung, which is newly developed in the current examination? . Left renal simple cortical cysts.  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15204/train_15204_c/train_15204_c_1.npy"
        ]
    },
    {
        "id": "report_generation_35925",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A 2 mm nonspecific nodule was observed in the posterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodule in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15213/train_15213_a/train_15213_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35933",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Dependent nonspecific density increases were observed in both lungs. Mosaic attenuation was observed in the basal segments of the lower lobes of both lungs and was thought to be secondary to small airway disease. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe lingular segments. In both lungs, narrowing of the segmental bronchial lumens and wall calcifications were observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis and degenerative changes were observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The spleen was not observed. An irregularly circumscribed calyceal calculus image of 12x4.5 mm was observed in the right kidney pelvicalyceal system.\n\nImpression:\nCalcific atheroma plaques in thoracic aorta and coronary arteries . Hiatal hernia . Atelectatic changes in right lung middle lobe medial and left lung upper lobe lingular segments . Narrowing of segmental bronchial lumens in both lungs, calcification in bronchial walls, secondary to small airway disease in lower lobes of both lungs . mosaic attenuation pattern . Right nephrolithiasis . Scoliosis with left-facing opening at the thoracic level and diffuse degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15217/train_15217_a/train_15217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Active infiltration, consolidation, and space-occupying lesions were not observed in both lungs. Nonspecific millimetric pulmonary nodules were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymphadenopathy was observed in the mediastinum, both axillae, and retropectoral regions in pathological size and appearance. Within the limits of the non-contrast examination, mediastinal main vascular structures, heart contour and size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Within the limits of the non-contrast examination, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fractures, lytic or sclerotic lesions were observed in the bone structures in the examination area.\n<abdomen>: In the upper abdominal organs included in the sections, liver density was slightly decreased in favor of hepatosteatosis.\n\nImpression:\nNonspecific millimetric pulmonary nodules in both lungs  Minimal hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15220/train_15220_a/train_15220_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the parenchyma of both lungs, nonspecific nodules of millimeter size, some of which are calcified, are observed. Findings in terms of Covid-19 pneumonia are among the frequently encountered findings and it is recommended to be evaluated together with clinical and laboratory. There are centriacinar emphysematous changes in both lungs.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, ground glass density areas are observed in the lower lobes and in the left lung upper lobe apicoposterior and upper lobe lingular segment, mostly peripheral subpleural areas, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinum, no pathologically enlarged lymph nodes were detected in both axillary regions. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround-glass density areas in both lungs, mostly peripheral subpleural localized, more prominent on the left; viral pneumonias are considered in its etiology. It is recommended to be evaluated together with the clinic and laboratory in terms of Covid-19 pneumonia. nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15222/train_15222_a/train_15222_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35966",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs and linear atelectasis in the lower lobes of both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are millimetric atheroma plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Posterior fixation material is observed in the thoracolumbar region.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are millimetric atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs. Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15234/train_15234_a/train_15234_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Peribronchial focal consolidation areas are observed in the anterior segment of the upper lobe of the right lung, the posterobasal segment of the lower lobe, and the anterobasal segment of the lower lobe of the left lung. No mass or nodule was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Degenerative changes are observed in the vertebrae. No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nPeribronchial focal consolidation areas in the right lung upper lobe anterior segment, lower lobe posterobasal segment, and left lung lower lobe anterobasal segment. It may be significant for Covid-19 pneumonia due to the pandemic. Clinical and laboratory evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15239/train_15239_a/train_15239_a_1.npy"
        ]
    },
    {
        "id": "report_generation_35988",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The findings were first evaluated in favor of bronchiectatic sequelae change. When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in both lungs. Millimetric nonspecific parenchymal nodules with a diameter of 3.7 mm were observed in both lungs, the largest of which was in the anterior segment of the right lung upper lobe. Segmentary-subsegmental peribronchial thickening and luminal narrowing secondary to thickening of the bronchial wall were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. Centriacinar-paraseptal emphysematous changes were observed in the upper lobe of the right lung. There are centrilobular millimetric ground glass nodules and a budding tree view, adjacent to bronchiectatic changes in the right lung middle lobe and lower lobe mediobasal segment. Cylindrical bronchiectasis and peribronchial thickening were observed in the paracardiac areas of the right lung and left lung lower lobe mediobasal segment. At these levels, the parenchyma volume is reduced and structural distortion occurs. Findings may be compatible with infective processes-bronchiolitis. Mosaic attenuation was thought to be secondary to small airway stenosis.\n<pleura>: Bilateral pleural effusion was not observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Socal sequela linear calcification was observed in the spleen capsule. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nAtherosclerotic wall calcifications in the aortic arch and coronary arteries.  Hiatal hernia.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs, millimetric nonspecific parenchymal nodules, centriacinar-paraseptal emphysematous changes in the upper lobe of the right lung  Paracardiac areas of the right lung and left lung lower lobe mediobasal segment, parenchymal volume loss-inducing structural distortion in the cylindrical bronchioles Infective processes in the right lung middle and lower lobe mediobasal segment - findings in favor of bronchiolitis; It is recommended to be evaluated together with the clinic and laboratory.  Sequela calcification in the spleen capsule."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15245/train_15245_a/train_15245_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up of the findings in terms of viral pneumonia is recommended. When examined in the lung parenchyma window; There are ground glass densities and consolidation areas in the upper lobe of the left lung starting from the middle levels and extending to the inferior, and in the lower lobe superior segment at the lateral levels of the right lung upper lobe.\n<mediastinum>: There are multiple lymph nodes in the mediastinum, with the largest measuring up to 18 mm in size in the anterior mediastinum. Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMultiple lymph nodes in the mediastinum. Patchy ground-glass densities in both lungs and areas of consolidation in the left upper lobe of the lung. Clinical laboratory correlation and close follow-up are recommended for viral pneumonia.  Atherosclerotic changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15258/train_15258_a/train_15258_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Scattered ground-glass density increments in the left lung upper lobe anterior segment, paramediastinal area, right lung at the apical level and more caudally in the anterior segment, middle lobe, lower lobe laterobasal segment and posterobasal segment, lingular segment and laterobasal segment of the left lung, in places faint and more focal in appearance. available.\n<pleura>: Pleural effusion or pneumothorax is not observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, nodular formation compatible with the accessory spleen was observed in the anterior of the spleen. There are hypodense appearances in the left kidney that may be compatible with a cortical cyst.\n\nImpression:\nFindings were evaluated in accordance with covid-19 pneumonia. Other viral pneumonias are included in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15260/train_15260_a/train_15260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Again, nonspecific parenchymal nodules were observed at the fissure level in the middle lobe of the right lung. When both lungs are evaluated in the parenchyma window: A well-circumscribed parenchymal nodule of 8.8x8 mm was observed in the anterobasal segment of the lower lobe of the right lung. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A 6x5.7 mm parenchymal nodule was observed in the posterobasal segment of the left lung lower lobe. There are increases in pleuroparenchymal sequelae in both lungs. It is recommended to be evaluated together with previous examinations and radiological follow-up, if any. Paraseptal emphysematous changes were observed apically in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nEmphysematous changes, sequelae changes in both lungs.  Parenchymal nodules in both lung lower lobes; It is recommended to evaluate and follow up with previous examinations, if any."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15264/train_15264_a/train_15264_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36036",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The total diameter of the target lesions in the current examination was 36 mm, and 36 mm in the previous oncology PET-CT, and the target lesions were stable. Radiation pneumonitis?, infectious process due to current epidemic? Clinical laboratory correlation and follow-up are recommended for differential diagnosis. When the previous examinations were examined, the two largest metastatic lesions in the right lung lower lobe posterobasal subdiaphragmatic area and the left lung upper lobe lingula were accepted as the target lesion.\n<pleura>: When examined in the lung parenchyma window; There are multiple metastatic central and subpleural metastatic mass lesions in both lungs, which are compatible with diffuse lung metastases, parenchymal fissural, pleural localized, subpleural.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed. No lytic-destructive lesion was detected in the bone structures included in the study area. There are hypertrophic osteophytic taperings in the anteriors of the end plates of the vertebral corpuscles.\n<abdomen>: Thoracic aorta diameter is normal. The hypodense area of the liver, which was thought to be the ablation area observed in the previous examination, is observed in the current examination, and there are new hypodense areas in the subdiaphragmatic area that could not be distinguished in the previous examination without contrast. Increase in metastatic lesions in the liver? Contrast-enhanced MRI of the upper abdomen is recommended.\n\nImpression:\nLung metastases of the patient with a history of metastatic melanoma, whose history of metastatic melanoma is known, are stable in target lesion sizes. No significant dimensional and numerical differences were found in non-target lesions. Follow-up is recommended.  The hypodense area in the liver, which was thought to be the ablation area observed in the previous examination, is observed in the current examination, and the previous unenhanced area in the subdiaphragmatic area is observed There are new hypodense areas that cannot be selected in the examination. Increase in metastatic lesions in the liver? Contrast-enhanced MRI of the upper abdomen is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15266/train_15266_a/train_15266_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. The fact that the ground glass areas are mostly in the peripheral and posterior areas suggests aspiration, which is stated in the clinical preliminary diagnosis. When evaluated together with the clinical pre-diagnosis, it was thought that these appearances were compatible with pneumonic infiltration. In addition, there are patches of ground glass areas in the apicoposterior segment of the upper lobe of the left lung. Ground glass areas and consolidation are observed in both lung lower lobes, more prominently in the left and basal segments. No mass was detected in both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the aortic arch. No enlarged lymph nodes in pathological dimensions were detected. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: There is minimal pericardial effusion. Pericardial thickening was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: Millimetric atheroma plaque is observed in the aortic arch. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nFindings evaluated primarily in favor of infective pathology in the lower lobe of both lungs and the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15267/train_15267_a/train_15267_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36045",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; Pleuroparenchymal sequelae density is observed in the middle lobe on the right.\n<pleura>: Bilateral pneumonia, pleural effusion or pneumothorax were not detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Calibration of mediastinal major vascular structures is natural. Thymic tissue with trigoneal configuration and no mass effect is present in the lung and mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. There is millimetric nodularity, which is considered as accessory spleen, adjacent to the spleen. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. Liver, gallbladder, pancreas, bilateral kidneys and spleen entering the section area are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15270/train_15270_a/train_15270_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheromatous plaques in the coronary arteries. Stents were observed in the left anterior descending coronary artery and in the distal part of the right coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: There are solid masses measuring 29x21 mm in the medial leg of the right adrenal gland and 27x25 mm in the corpus of the left adrenal gland. Apart from these, no mass with discernible borders was detected within the borders of non-contrast CT in the upper abdominal organs within the sections. These masses were evaluated in favor of adenomas.\n\nImpression:\nMinimal bronchiectasis in the central parts of both lungs.  Minimal emphysematous changes in both lungs.  Atherosclerotic changes in the coronary arteries.  Adenomas in both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15275/train_15275_a/train_15275_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: There are imaging features that are frequently reported in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When both lung parenchyma windows are evaluated; Focal nodular ground glass density increases were observed in the peripheral subpleural area in the upper and lower lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, the liver parenchyma density was slightly decreased in line with the adiposity.\n\nImpression:\nNodular ground-glass density increases in both lungs, peripheral subpleural areas. There are frequently reported imaging features of Covid-19 pneumonia. Clinical and laboratory correlation is recommended. Mild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15280/train_15280_a/train_15280_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36069",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the left lung, there are consolidation and ground-glass appearances and centriacinar nodules, some of which have the appearance of budding trees, more prominently in the upper lobe apicoposterior segment and lower lobe in the superior segment. There are emphysematous changes and millimetric nonspecific nodules in both lungs. There are also minimal uniform interlobular septal thickenings in both lungs. The described appearance is non-specific. The described findings were evaluated in favor of pneumonic infiltration. In addition, there are centriacinar nodules in small areas in the right lung.\n<pleura>: There is minimal pleural effusion on the left. No pleural effusion was detected on the right.\n<mediastinum>: The largest of these lymphadenopathies is observed in the paratracheal region and its short diameter is 16 mm. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The main pulmonary artery diameter was 37 mm and wider than normal. Atheroma plaques are observed in the aorta and coronary arteries. There are lymphadenopathies in the mediastinum and hilar regions.\n<heart>: In particular, the left atrium is larger than normal. Cardiac pacemaker was observed in the subcutaneous adipose tissue in the left hemithorax, and the pacemaker electrodes terminate in the right atrium and ventricle. The ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. Pericardial effusion was not detected. However, when evaluated together with other findings, it was thought to be related to cardiac pathology. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of pneumonic infiltration in both lungs, more prominent on the left.  Emphysematous changes in both lungs.  Uniform interlobular septal thickenings in both lungs.  Millimetric nonspecific nodules in both lungs.  Cardiomegaly, enlargement of the left atrium, atherosclerotic changes in the aorta and coronary arteries, increase in pulmonary artery diameters.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15281/train_15281_b/train_15281_b_1.npy"
        ]
    },
    {
        "id": "report_generation_36090",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Tracheostomy is observed.\n<lung>: When examined in the lung parenchyma window; There are consolidations and atelectatic areas including air bronchogram sign in the right lung lower lobe inferior and right lung middle lobe. Findings were evaluated in favor of pneumonia, and aspiration pneumonia is also in its differential diagnosis.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse degenerative changes are observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTracheostomy is monitored.  Consolidations and atelectatic changes in the middle and lower lobe of the right lung with signs of consolidated air bronchograms, atelectasis at the basal level of the lower lobe of the left lung; findings were evaluated in favor of infection and aspiration pneumonia is also in its differential diagnosis. clinical lab. Blind. and follow-up is recommended.  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15285/train_15285_e/train_15285_e_1.npy"
        ]
    },
    {
        "id": "report_generation_36102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as it can be evaluated; Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific nodules in both lungs. Clarification and increased calibration are observed in both lung bases, especially in vascular structures. When examined in the lung parenchyma window; mosaic perfusion is observed in both lungs (small airway disease? small vessel disease?). No evidence of active infiltration was observed in both lung parenchyma.\n<pleura>: Pleural effusion was not observed in both hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: When the bone is examined in the window, mild osteophytic tapering is observed in the anterior corners of the vertebral corpus with an increase in thoracic kyphosis.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs included in the examination area; liver, gall bladder, spleen, bilateral adrenal gland, both kidneys are normal.\n\nImpression:\nMosaic perfusion in both lungs (small airway disease? small vessel disease?).  Several nonspecific millimetric nodules in both lungs.  Increase in thoracic kyphosis, signs of mild thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15291/train_15291_a/train_15291_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected. A nonspecific parenchymal nodule with a diameter of 2.5 mm was observed in the subpleural neighborhood in the anterior segment of the upper lobe of the right lung.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A hypodense cystic lesion with a diameter of 4 mm was observed in the left lobe of the liver in the upper abdominal sections in the examination area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No dilatation was detected in the thoracic aorta. A hypodense lesion with a diameter of 1 mm was observed in the middle zone of the right kidney (cyst?). US control is recommended. A dense hypodense lesion with a diameter of 15 mm was observed in the middle zone of the left kidney (condensed cyst?).\n\nImpression:\nMillimetric nonspecific parenchymal nodule in the right lung.  Hypodense cystic lesion in the left lobe of the liver.  Left renal hypodense lesion (condensed cyst?).  Right renal hypodense lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15293/train_15293_a/train_15293_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Focal atelectasis changes were observed in the posterobasal segment of the lower lobe of the right lung. No mass lesion-active infiltration was detected in both lungs. Passive compressive atelectasis were observed in the left lung upper lobe lingular and lower lobe basal segment paracardiac areas. When examined in the lung parenchyma window; Bronchiectatic changes and minimal peribronchial thickening were observed in both lungs. Millimetric nonspecific pulmonary nodules were observed in both lungs. Interlobular septal thickening is observed in both lower lobe basal and left upper lobe of both lungs (cardiac stasis).\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. On the left, the pacemaker and electrodes extending to the apex of the right ventricle were observed on the anterior chest wall.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\n· Cardiac pacemaker on the left anterior chest wall and electrodes extending to the right ventricular apex, cardiomegaly. · Hiatal hernia. · Findings consistent with cardiac stasis in the lung parenchyma. · Mild bronchiectatic changes that are evident in the center of both lungs, peribronchial thickening, thickening of the interlobular septa in both lungs (cardiac stasis). · Millimetric nonspecific pulmonary nodules in both lungs. Focal atelectatic change in the posterobasal segment of the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15300/train_15300_a/train_15300_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36150",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are mild degenerative changes in the vertebral corpus end plates. There is a slight decrease in density in the bone structure in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15312/train_15312_a/train_15312_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are sequelae changes in the middle lobe and right lung lower lobe posterobasal level. There is a 3x2 mm nodule in the left lung superposed to the interlobular fissure. When examined in the lung parenchyma window; Mild sequelae changes are observed at the apical level in both lungs. On the left, there are two 3 mm nodules superposed on the interlobar fissure and in the lower lobe superior segment. Sequelae changes are observed in the lingular segment of the left lung.\n<pleura>: No pleural effusion, pneumothorax or pneumonia was observed.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is at the maximal physiological limit.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15316/train_15316_a/train_15316_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Multilobar, multisegmental, central-peripheral crazy pattern formed nodular - patchy ground glass consolidations were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Pleuroparenchymal atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lower esophageal sliding type hiatal hernia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and LAD. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheroma plaques in arcus aoarta and LAD. Sliding hiatal hernia. Plumbing pericardial effusion. High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory. Pleuroparenchymal fibroatelectatic changes in the middle lobe of the right lung, the inferior lingular segment of the left lung upper lobe. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15318/train_15318_a/train_15318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Breath artifacts are present in both lung lower lobe basal segments. Millimetric calcific foci are observed in the left hilar region and paraesophageal area. There are calcific fibrotic changes at the apical level in the upper lobe of the right lung. When examined in the lung parenchyma window; Atelectatic changes are observed in the left lung lingula inferior. There is also a 4.8 mm calcific nodule in the posterobasal segment (series 202 image 139) in the lower lobe of the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are calcific fibrotic changes at the apical level in the upper lobe of the right lung. Millimetric calcific foci are observed in the left hilar region and paraesophageal area.  Non-specific calcific nodule 4.8 mm in size in the posterobasal segment of the lower lobe of the left lung (series 202 image 139)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15320/train_15320_a/train_15320_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36173",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Minimal pleuroparenchymal sequelae changes in both lung parenchyma and paravertebral fibrotic densities due to thoracic osteophytes on the right. Pneumonic infiltration was not observed in the lung parenchyma. Millimetric nonspecific nodules were observed in both lungs.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteophytes are present in the thoracic vertebrae in the bone structures in the study area and thoracic kyphosis has increased.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. In the upper abdominal organs included in the sections, the gallbladder is operated.\n\nImpression:\nAortic and coronary artery atherosclerosis  Sequelae fibrotic changes and millimetric nonspecific nodules in both lungs  Cholelithiasis  Increase in thoracic kyphosis and thoracic spondylosis  Minimal bilateral pleural effusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15325/train_15325_a/train_15325_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Due to the current pandemic, clinical laboratory correlation is recommended for suspected (covid-19) early viral pneumonia. Dependent atelectasis is present in both lungs, more prominent in the lower lobe basal segments. There are atelectasis in both lower lobe basal segments of both lungs, especially on the left.\n<pleura>: When examined in the lung parenchyma window; In the upper lobe of the right lung, adjacent to the subpleural area at the apical level, in the lower lobe superiorly, in the left lung upper lobe inferior lingula, patchy nodular ground-glass densities, which can hardly be distinguished from the parenchyma, are observed. There is a bull blep formation measuring 14 mm in the subpleural area at the basal posterobasal level of the lower lobe of the right lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are lymph nodes with a short axis measuring 6 mm in the upper mediastinum, adjacent to the trachea and in the aorticopulmonary window.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a decrease in density in bone structures. There are mild hypertrophic tapering in the endplates.\n<abdomen>: In the upper abdominal organs, the study is partial and evaluated as suboptimal. A change in favor of steatosis is observed in the liver parenchyma. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural.\n\nImpression:\nGround-glass densities described in the lung parenchyma, which are difficult to distinguish from the subpleural patchy parenchyma, are suspicious for the onset of early viral pneumonia due to the current pandemic (covid19). Clinical laboratory correlation, follow-up is recommended.  Small bullae formation in the posterobasal segment of the right lung lower lobe. Atelectatic changes in the basal segments of the lower lobes of both lungs. Hepatosteatosis. Small lymph nodes in the mediastinum. Degenerative density reduction and changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15328/train_15328_a/train_15328_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground glass densities are observed in both lungs. There are enlargements in the vascular structures. Clinical laboratory correlation is recommended for viral pneumonia of the patient whose test result is known to be positive for Covid-19. Ventilation of both lung parenchyma is normal, and no nodular lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe above-described findings of the patient, whose test result is known to be positive for Covid-19, is recommended for clinical laboratory correlation in terms of viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15333/train_15333_a/train_15333_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36205",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. There are bilateral minimal peribronchial thickenings. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are band-like sequela fibrotic density increases in the middle lobe of the right lung. When examined in the lung parenchyma window; Subsegmental atelectatic changes were observed in the lower lobes of both lungs. Minimal interlobular septal thickening was observed in the lower lobes of both lungs. Mild emphysematous changes were observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Prevascular in the mediastinal upper-lower paratrachea, lymph nodes with a short axis smaller than 1 cm in the subcarinal area were observed. The diameter of the main pulmonary artery is 30-40 mm and it shows fusiform dilatation. There are benign-appearing lymph nodes in both axillary regions with a fatty hilum visible. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size is markedly increased (cardiomegaly). Pericardial thickening-effusion was not detected. Calcification was observed in the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly.  Dilatation, atherosclerotic changes in the pulmonary artery.  Diffuse calcifications in the aortic valve.  Fibroatelectatic changes in both lungs, mild thickening of interlobular septa in the lower lobes of both lungs, bilateral minimal peribronchial thickening.  Mild emphysematous changes in both lungs.  Several millimetric nonspecific parenchymal nodules in both lungs.  Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15339/train_15339_a/train_15339_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36214",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the examination made in the lung parenchyma window; Diffuse mild ectasia and minimal peribronchial thickness increase are observed in bilateral bronchial structures. Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are smooth interlobular septal thickness increases, which are more prominent in the lower lobes of both lungs. Evaluation for interstitial lung diseases is recommended. Ventilation of both lungs is natural. Some pure calcified nonspecific nodules are observed in both lungs. In the examination made in the lung parenchyma window; Diffuse mild ectasia and minimal peribronchial thickness increase are observed in bilateral bronchial structures.\n<pleura>: No pericardial and pleural effusion or increased thickness was detected. Interface sign is observed on the pleural surfaces.\n<mediastinum>: No lymph nodes were detected in both hilar regions and mediastinum, and in pathological size and appearance. Calibration of mediastinal vascular structures and heart contour and size are natural.\n<heart>: Calibration of mediastinal vascular structures and heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; An increase in spleen size was noted. No solid mass was detected.\n\nImpression:\nThere are no signs in favor of pneumonic infiltration in both lungs, and there are millimeter-sized nonspecific nodules, some of which are pure calcified, in both lungs. Diffuse mild ectasia in the bronchial structures in both lungs, smooth interlobular septal thickness increases especially in the lower lobes, and irregularities in the pleural faces were noted. Evaluation for interstitial lung diseases is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15343/train_15343_a/train_15343_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: US control is recommended. A 1 cm diameter nodule showing peripheral calcification was observed in the left thyroid lobe.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: Bilateral pleural thickening-effusion was not detected. When examined in the lung parenchyma window; A subpleural parenchymal nodule with a diameter of 3 mm was observed in the posterior segment of the right lung upper lobe.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Density reduction consistent with osteopenia was observed in bone structures.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Postoperative changes in the stomach were observed in the upper abdominal sections that entered the examination area.\n\nImpression:\nAtherosclerotic changes.  Parenchymal nodule in the posterior segment of the right lung upper lobe.  Osteopenia in the bone structure.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15350/train_15350_a/train_15350_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36255",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and right lung lower lobe mediobasal segments. A slight ground glass density secondary to osteophyte compression was observed in the right lung lower lobe mediobasal segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFibroatelectasis sequelae changes in the lung parenchyma . There was no finding in favor of infection in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15356/train_15356_a/train_15356_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36267",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings are initially compatible with Covid-19 viral pneumonia, and clinical laboratory correlation is recommended for the differential diagnosis of other infectious processes. Consolidated ground glass density areas are observed in both lungs, mostly in the posteriors, in which they are observed to expand in the vascular structures in a diffuse patchy crazy paving pattern. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.6 mm in series 2 image 93 in the left lung lower lobe. Atelectasis is also observed, more prominently in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: There is a small hiatal hernia. Other thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The case has findings compatible with DISH and partial fusion appearance is observed in the vertebral corpuscles at the middorsal level.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. A suspicious cortical cyst is observed in the left kidney. Both kidneys are partially followed and evaluated as suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia in the first plan increasing in both lungs; Clinical laboratory correlation and follow-up are recommended for differential diagnosis of other infectious processes.  Small amount of effusion increasing in both hemithorax.  Atherosclerosis.  Degenerative changes in bone structures.  Hiatal hernia.  Suspected cortical cyst in left kidney?; It is observed partially and evaluated as suboptimal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15358/train_15358_c/train_15358_c_1.npy"
        ]
    },
    {
        "id": "report_generation_36274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in the right lung. There are minimal emphysematous changes in both lungs. In addition, there are pleuroparenchymal sequelae changes in both lung apex. There is an increase in linear density, structural distortion and volume loss in the medial segment of the right lung middle lobe. The described appearance may be atelectasis or sequelae change. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nSequelae change in the medial segment of the right lung middle lobe and findings that may be compatible with atelectasis.  Pleuroparenchymal sequelae changes in both lung apex.  Millimetric nonspecific nodules in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15361/train_15361_a/train_15361_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36290",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a loss of density in the liver in the upper abdomen included in the sections.\n\nImpression:\nThoracic CT examination within normal limits  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15367/train_15367_a/train_15367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36294",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A millimetric nonspecific nodule is observed in the basal segment of the lower lobe of the left lung.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. There are millimetric calcific atheroma plaques in the aortic arch.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There are millimetric calcific atheroma plaques in the aortic arch. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nMillimetric nonspecific nodule in the basal segment of the lower lobe of the left lung. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15369/train_15369_a/train_15369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36302",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchus is natural. Lumens are clear.\n<lung>: In the evaluation of the parenchymal window of both lungs; both hemithorax are symmetrical. In addition, there are consolidative areas in the right lung at the perihilar level in the upper lobe, central level in the lower lobe, and superposed interlobar fissure on the left in the middle lobe. Peribronchovascular sheath thickening is observed in both lungs. No pathological size and configuration of lymph nodes were detected at both hilar levels. Branches with buds are seen in both lobes, which is more prominent on the right, which is compatible with diffuse pneumonic infiltration. A diffuse mosaic attenuation pattern is observed in both lungs.\n<pleura>: No significant pleural effusion-pneumothorax was detected in both lungs.\n<mediastinum>: There are calcific atheroma plaques in the descending and ascending aorta in the main branches of the aortic arch. Multiple lymph nodes are observed at the pervascular level in the upper-lower paratracheal area in the mediastinum, the largest of which is the aorticopulmonary window and measures approximately 14x11 mm. Calibration of other major vascular structures in the mediastinum is natural.\n<heart>: Calcifications are present in the mitral and tricuspid valves. CTO is at the maximal physiological limit. Left atrium and right atrium are clearly observed.\n<esophagus>: There are lymph nodes in the paraesophageal area, approximately 10x8 mm in size. Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected.\n<bone>: Significant degenerative changes are observed in bone structures. S-shaped scoliosis is present at the dorso- lumbar level.\n<abdomen>: There are calcific atheroma plaques in the descending and ascending aorta in the main branches of the aortic arch.\n\nImpression:\nWide bud-branch view compatible with pneumonic infiltration in both lungs, widespread consolidative areas are observed. new areas of consolidation are observed and the overall distribution and severity of infiltration has become evident. It was evaluated in favor of progression.  Degenerative changes in bone structure, atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15373/train_15373_a/train_15373_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36304",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: as far as can be traced; Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No mass-infiltration was detected in both lung parenchyma. When examined in the lung parenchyma window; Mosaic attenuation areas were observed in both lungs (small airway disease? small vessel disease?). Several nonspecific parenchymal nodules measuring 4 mm in diameter were observed in both lung parenchyma, the largest of which was in the anterobasal segment of the left lung lower lobe. Atelectatic changes were observed in the left lung inferior lingular segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: On the right, the image of the catheter extending to the superior vena cava is observed. Mediastinal structures were evaluated as suboptimal since the examination was non-contrast. Lymph nodes of similar nature are observed in both axillary regions. Multiple lymph nodes were observed in the upper-lower paratracheal, subcarinal, prevascular, and bilateral hilar localization, with a short axis smaller than 1 cm, with millimetric dimensions.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected without contrast.\n<bone>: There is less than 50% height loss in the L1 vertebra upper end plate.\n<abdomen>: In the upper abdominal sections that entered the examination area, millimetric-sized, multiple calcules were observed in the gallbladder lumen.\n\nImpression:\nMediastinal, bilateral hilar and axillary, multiple millimetric lymph nodes. Superficial varicose veins extending from the left axillary region to the anterior chest wall.  Mosaic attenuation areas in both lungs (small airway disease? small vessel disease?).  Millimeter-sized, nonspecific parenchymal nodules in both lungs.  Atelectatic changes in the left lung. Cholelithiasis.  Loss of height in L1 vertebra upper end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15374/train_15374_a/train_15374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the upper lobe of the right lung, consolidative areas with air bronchograms and a slight ground-glass-like density increase are observed. In the superior segment of the lower lobe, a round-like ground-glass-like density increase is observed. Sequelae changes in the middle lobe, mild consolidation is observed. There is a sequela parenchymal band in the inferior lingular segment.\n<pleura>: Bilateral pleural effusion or pneumothorax was not detected.\n<mediastinum>: Other mediastinal vascular structures are normal. The arcus oarta calibration is 31 mm, slightly wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Hepatosteatosis was observed in the liver in the sections passing through the upper abdomen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The arcus oarta calibration is 31 mm, slightly wider than normal.\n\nImpression:\nSignificant findings in terms of Covid-19 pneumonia. Since other viral pneumonias are included in the differential diagnosis, clinical laboratory correlation of the case is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15383/train_15383_a/train_15383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36329",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Appearance is nonspecific. It may be compatible with parenchymal findings in the resolution period in the patient who had Covid-19 pneumonia. No mass lesion with distinguishable borders was observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Ground glass nodules with faint borders were observed in the subpleural areas of the right lung lower lobe mediobasal, left lung lower lobe posterobasal and laterobasal segments.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild osteodegenerative changes are observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nHiatal hernia  Few peripherally localized faintly circumscribed ground-glass nodules in the basal segments of the lower lobes of both lungs; It may be compatible with parenchymal findings during the resolution period in a patient with Covid-19 pneumonia.  Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15384/train_15384_a/train_15384_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36335",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15387/train_15387_a/train_15387_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36339",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with typical-probable Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Ground-glass opacities are observed in the lower lobes of both lungs, predominantly subpleural.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15389/train_15389_a/train_15389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36341",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Two nonspecific parenchymal nodules, 3 mm in diameter, were observed in the anterior segment of the right lung upper lobe and the superior segment of the left lung lower lobe. Mild emphysematous changes are observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases are observed in the left lung inferior lingular segment. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Parenchymal density has decreased diffusely in line with adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections in the study area; liver size increased.\n\nImpression:\nMild emphysematous changes in both lungs, peribronchial thickenings, minimal sequelae in the left lung. Millimetric-sized nonspecific parenchymal nodules in both lungs.  Hepatomegaly, hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15390/train_15390_a/train_15390_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A linear atelectatic change was observed in the left lung inferior lingular segment. Millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Millimetric calculi images were observed in the upper and middle parts of both kidneys. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver, spleen and pancreas are normal as far as can be observed in the sections.\n\nImpression:\nHiatal hernia .  Linear atelectatic change in the inferior lingular segment of the left lung . Millimetric nonspecific nonspecific parenchymal nodules in both lungs. Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15401/train_15401_a/train_15401_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. Intervertebral disc distances are preserved.\n<abdomen>: The gallbladder was not observed (operated). No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Several millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15407/train_15407_a/train_15407_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. Neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nEmphysematous changes in both lungs.  Atelectasis in both lungs.  Atherosclerotic changes in the aorta.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15426/train_15426_a/train_15426_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36432",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Atelectatic changes are observed in the middle lobe of the right lung.\n<pleura>: Pleural thickening is observed in both hemithorax, especially at the posterobasal levels of the lower lobe, and there is a pleural effusion with a thickness of 28 mm on the right and 14 mm on the left.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes surrounding the bronchial structures in both hilar regions are observed in the mediastinum and hilar regions, and their dimensions cannot be measured clearly in the non-contrast examination.\n<heart>: Pericardial effusion with a thickness of 10 mm is observed and is increasing. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, there is an appearance consistent with hepatosteatosis in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15435/train_15435_a/train_15435_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. In the bilateral bronchial system, there is an appearance compatible with mild tubular bronchiectasis and an increase in peribronchial thickness, which is more prominent in the lower lobe and at the central level.\n<lung>: When examined in the lung parenchyma window; There are paraseptal and panlobular emphysematous changes in both lungs. In the bilateral bronchial system, there is an appearance compatible with mild tubular bronchiectasis and an increase in peribronchial thickness, which is more prominent in the lower lobe and at the central level.\n<pleura>: In the bilateral lung, there are subpleural and intrapulmonary nodular lesions measuring 8x4.5 mm in size in the left lingula inferior segment, and 6.5x4 mm in the lateral segment of the middle lobe in the right lung.\n<mediastinum>: There is mild ectasia at the level of the pulmonary conus and bilateral pulmonary artery. Lymph nodes with ovoid configuration, measuring 10x14 mm in size, are observed in the mediastinal area and at the level of the bilateral hilus, the largest in the right paratracheal area. Due to the lack of contrast in the examination, mediastinal vascular structures and heart optium could not be evaluated.\n<heart>: There is a slight increase in the cardiothoracic ratio in favor of the heart. Due to the lack of contrast in the examination, mediastinal vascular structures and heart optium could not be evaluated. Calcified atheroma plaques are observed in main vascular structures and coronary arteries.\n<esophagus>: No pathological increase in wall thickness is observed in the esophagus, and a sliding type hiatal hernia is observed at the lower end.\n<bone>: Bone structures in the study area are natural. There are surgical suture materials secondary to bypass surgery in the sternum. Vertebral corpus heights are preserved.\n<abdomen>: In the abdominal sections within the imaging, gross pathology was not detected in the liver parenchyma, spleen, bilateral adrenal glands and bilateral kidneys within the limits of non-contrast CT, and a stone measuring 6.5 mm in size is observed at the base of the gallbladder.\n\nImpression:\nParaseptal and panlobular emphysematous changes in both lungs, bilateral lung bronchial structure at the central level and lower mild tubular bronchiectasis, more prominent in the lobe, mild increase in peribronchial thickness.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15436/train_15436_a/train_15436_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36452",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density consistent with moderate to severe adiposity.\n\nImpression:\nMinimal emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15441/train_15441_a/train_15441_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration or mass lesion was detected in both lung parenchyma, and there are nonspecific nodules of 5.6 millimeters in size, the largest in the left lower lobe superior segment, and smooth interlobular septal thickness increases in both lung lower lobes, which are primarily considered secondary to cardiac pathology.\n<pleura>: Minimal pericardial and left pleural effusion are observed.\n<mediastinum>: There are lymph nodes in the mediastinum that are pathological in size and undesirable.\n<heart>: There is an increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions are detected in the bone structures within the image, and there are degenerative changes.\n<abdomen>: Free fluid is observed in the upper abdominal sections within the image.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15445/train_15445_a/train_15445_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease and other diseases can cause similar appearance. Imaging features are commonly reported imaging features of Covid-19 pneumonia. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed, including air bronchogram signs observed in crazy paving pattern, mostly in the right lung lower lobe basal segment.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCommonly reported imaging features of Covid-19 pneumonia may cause similar appearance to influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease and other diseases. Close follow-up is recommended. A small amount of smear-like effusion in the right hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15451/train_15451_a/train_15451_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Apart from this, millimetric parenchymal nodules were also observed in both lungs. No mass-infiltrative lesion was detected in both lung parenchyma. It is recommended to evaluate and follow-up together with previous examinations, if any.\n<pleura>: When examined in the lung parenchyma window; A subpleural nodule with a diameter of 6.2 mm was observed in the laterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, the liver parenchyma density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nSubpleural parenchymal nodule in the right lung lower lobe laterobasal segment. If present, it is recommended to be evaluated and followed up with previous examinations.  Smaller millimetric parenchymal nodules in both lungs . No finding in favor of pneumonia in the lung parenchyma.  Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15454/train_15454_a/train_15454_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are linear atelectasis in the left lung upper lobe lingular segment and both lung lower lobes. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Periosteal reaction was not detected.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15456/train_15456_a/train_15456_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with defined borders was detected in both lungs. When examined in the lung parenchyma window; In the lung parenchyma, multilobar, multisegmental, central-peripheral linear atelectasis accompanied by crazy paving and ground-glass consolidations that cause vascular enlargement are observed, and the appearance is compatible with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae density increases were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment.\n<pleura>: Sequela thickening was observed in the posterior costal pleura adjacent to the basal segment of the lower lobe of the left lung.\n<mediastinum>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Lymph nodes with a short axis of 1 cm were observed in the right upper paratracheal area in the mediastinum. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n\nImpression:\nCalcific atheroma plaques in the thoracic aorta and coronary arteries. Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Pleuroparenchymal fibroatelectasis sequelae density increases in right lung middle lobe medial and left lung upper lobe inferior lingular segment . Sequelae thickening in posterior costal pleura in left lung lower lobe basal segment ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15467/train_15467_a/train_15467_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36526",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There are mild mosaic attenuation patterns. Breath artifacts are observed in both lungs. There are thickenings in the interlobular septa.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. There are small lymph nodes with a short axis measuring up to 5 mm in the mediastinum in both hilar regions. Catheters compatible with pacemaker double chambre are observed in the superior vena cava.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the anterior of the vertebral corpus endplates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. The gallbladder is operated.\n\nImpression:\nThe findings described above in lung parenchyma were primarily evaluated in favor of cardiac stasis. Clinical laboratory correlation and follow-up are recommended.  Small lymph nodes in mediastinum, hilar regions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15475/train_15475_a/train_15475_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36537",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A 12x6.5 mm parenchymal nodule was observed in the anterior of the left lung upper lobe, around which linear density increases that may be compatible with sequelae were observed. It is recommended to evaluate and follow-up together with previous examinations, if any.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes were observed in the wall of the coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nIrregularly circumscribed parenchymal nodule in the upper lobe of the left lung. If present, it is recommended to be evaluated and followed up with previous examinations. No pneumonia finding was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15481/train_15481_a/train_15481_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are atelectasis in the lower lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: The pleural effusion measured 25 mm at its thickest point. Bilateral minimal pleural effusion is observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The main pulmonary artery diameter was 30 mm and wider than normal. There are diffuse atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are diffuse atheromatous plaques in the aorta and coronary arteries. Aorta diameter is normal.\n\nImpression:\nMillimetric nodules in both lungs . Atelectasis in both lungs . Bilateral pleural effusion . Minimal emphysematous changes in both lungs . Atherosclerotic changes in aorta and coronary arteries . Increase in pulmonary artery diameters"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15486/train_15486_a/train_15486_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; In both lungs, the bronchial walls are thickened, predominantly centrally.\n<lung>: There was no significant pneumonic infiltration in both lungs. When examined in the lung parenchyma window; In both lungs, the bronchial walls are thickened, predominantly centrally. Band atelectasis is seen in the right middle lobe and left lingula.\n<pleura>: An anterior 3 mm nodule was observed in the upper lobe of the right lung, adjacent to the pleura. Pleural effusion-thickening was not detected. There are subpleural striations in the lower lobes.\n<mediastinum>: There are lymph nodes in the mediastinum, the larger of which reaches 10 mm in diameter. Calcific plaques were observed in the aorta and coronary arteries. The pulmonary trunk and the right pulmonary artery are 37 mm and 31 mm, respectively, and are ectatic.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaques were observed in the aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques were observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis  Pulmonary artery ectasia  Mediastinal lymph nodes  Thickening of the bronchial walls in both lungs, prominent peribronchovascular structures, linear atelectasis and subpleural lines  Millimetric nonspecific nodule in the upper lobe of the right lung  Degenerative changes in the vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15488/train_15488_a/train_15488_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Emphysematous changes in both lungs.  Atelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15497/train_15497_a/train_15497_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36595",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is an endotracheal tube in the trachea. The endotracheal tube terminates proximal to the carina.\n<lung>: There are emphysematous changes in both lungs. The views described are not specific. In both lungs, especially in the peribronchovascular areas, consolidations and ground-glass appearances accompanying the consolidation and minimal interlobular septal thickening are observed. These appearances are the findings that can be observed in Covid-19 pneumonia, which is stated in the clinical preliminary diagnosis of the patient. No mass was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: The main pulmonary artery diameter was 33 mm and was wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. Central venous catheters inserted from both sides are observed. Atheroma plaques are present in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The central venous catheter placed from the left ends in the distal part of the left brachiocephalic vein, and the one in the right ends in the superior proximal vena cava.\n<heart>: There is a pericardial effusion measuring 18 mm in its thickest part. As far as can be observed: The heart is larger than normal. Pericardial thickening was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Aorta diameter is normal. There is minimal upper abdominal free fluid within the sections. Atheroma plaques are present in the aorta and coronary arteries. There is a nasogastric tube in the stomach. No upper abdominal collection was detected.\n\nImpression:\nCardiomegaly, pleural or pericardial effusion, atheroma plaques in the aorta and coronary arteries, increased pulmonary artery diameters.  Findings evaluated primarily in favor of infective pathology (viral pneumonia) in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15508/train_15508_a/train_15508_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Cvid-19 pneumonia.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. When examined in the lung parenchyma window; In both lung parenchyma, multilobar, diffuse, mostly peripheral, subpleural, dorsal-located ground glass and density increase areas compatible with consolidation are observed and viral pneumonias are considered.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15509/train_15509_a/train_15509_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Active infiltration and mass lesion were not detected in both lung parenchyma. Ventilation of both lungs is natural.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in both axillary regions, supraclavicular fossae, and mediastinum. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<heart>: Calibration of vascular structures as far as can be observed, heart contour size is normal. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesion was observed in the bone structures within the examination area.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15511/train_15511_b/train_15511_b_1.npy"
        ]
    },
    {
        "id": "report_generation_36625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nInspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15521/train_15521_a/train_15521_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and anamnesis findings. There was no lymph node that reached pathological size and configuration at both hilar levels. There are also ground-glass-like density increments in the inferior lingular segment and the posterobasal segment. There are frosted glass style density increments around it. Appearance is nonspecific. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: Apart from this, no significant mass appearance or pleural effusion or pneumothorax was detected in both lungs. In the left lung, a nodular, locally linear amorphous lesion is observed in the pleuroparenchymal extension in the lateral subpleural area, caudal to the upper lobe apicoposterior segment.\n<mediastinum>: The aortic arch calibration is 35mm and wider than normal. Multiple lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Pulmonary conus calibration is 32mm, wider than normal. Calcific atheroma plaques are observed in the aortic arch. No pathologically sized and configured lymph nodes were detected in the paraaortic and interaortocaval areas. Abdominal aorta calibration is natural.\n<heart>: Pericardial thickening and mild effusion are present. CTO increased in favor of the heart. Calcific atheroma plaques are observed in the right and left coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Slight heterogeneity is observed in the 6th and partially 7th rib medullary bone structure on the left. Mild degenerative changes are observed in the bone structure.\n<abdomen>: At the right adrenal level, there is a well-circumscribed hypodense lesion measuring approximately 32x22 mm and giving a density value of -8/1 HU. Surrounding soft tissue planes are normal. The aortic arch calibration is 35mm and wider than normal. The spleen is full and nodular formation is observed in the spleen hilum, which is isodense with the spleen, which is considered compatible with the accessory spleen. Abdominal aorta calibration is natural. The gallbladder appears contracted. In the non-contrast sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Calcific atheroma plaques are observed in the aortic arch. No pathologically sized and configured lymph nodes were detected in the paraaortic and interaortocaval areas. It was evaluated as compatible with adenoma. A hypodense lesion, which is approximately 25x21mm in size and consistent with an adenoma, is observed in the left adrenal gland, giving similar density values.\n\nImpression:\nPleuroparenchymal reticulonodular nonspecific appearance in the apicoposterior segment caudal of the left lung upper lobe and ground-glass-like density increases around it. Evaluation with clinical and laboratory findings is recommended.  Hepatosteatosis, bilateral adrenal adenoma, mild splenomegaly and accessory spleen.  Cardiomegaly, pericardial thickening and mild effusion, atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15526/train_15526_a/train_15526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial sheath thickening is observed.\n<lung>: A nodule with a diameter of 3 mm is observed in the apicoposterior segment of the upper lobe of the left lung. When examined in the lung parenchyma window; In the right lung, atelectasis is observed in the middle lobe and completely in the upper lobe. According to the previous review, an increase is also observed in the area of consolidation. In the perihilar area, there are consolidative parenchyma areas in which air bronchograms are observed in the upper lobe posterior segment caudal and in the aly lobe segments.\n<pleura>: There is a subpleural 4x2 mm nodule immediately caudal. There is significant effusion in the right pleural space. Pleural effusion reaching approximately 8 mm in thickness is observed in the left pleural space.\n<mediastinum>: The mediastinum is deviated to the left. There are calcific atheroma plaques in the aortic arch and coronary arteries. The aortic arch calibration is 31 mm wider than normal. No mediastinal lymph node with pathological size and configuration was detected.\n<heart>: There are calcific atheroma plaques in the aortic arch and coronary arteries. CTO is normal.\n<breast>: There are sequelae changes in codes 3, 4, and 5 on the left.\n<abdomen>: It looks stable. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Sequelae changes are observed in codes 5 and 6 on the right. There are calcific atheroma plaques in the aortic arch and coronary arteries. The aortic arch calibration is 31 mm wider than normal.\n\nImpression:\nPleural effusion, which is prominent on the right and mild on the left, which is not observed in the previous examination, ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15529/train_15529_a/train_15529_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Patchy ground-glass areas accompanied by multilobar-multisegmentary, linear subsegmentary atelectatic changes and fibrotic retraction were observed in both lungs, and the appearance was evaluated as Covid-19 pneumonia and accompanying sequela fibrotic shrinkages.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structure in the examination area.\n<abdomen>: Nonspecific hypodense nodular lesions of approximately 1.5 cm in diameter were observed in segment 4A, the largest in both lobes of the liver (cyst?).\n\nImpression:\nCovid-19 pneumonia and accompanying diffuse fibrotic sequelae changes in lung parenchyma . Multiple nonspecific hypodense lesion (cyst?) in both lobes of liver . Mild degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15531/train_15531_a/train_15531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. There are two nodules in the right lung, the largest of which is 4.5 mm in diameter in the anterior segment of the upper lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal. There is an appearance compatible with thymic remnant in the anterior mediastinum.\n<heart>: There is minimal increase in density in the pericardial fat pad and several lymph nodes, the largest of which has a short diameter of 3.5 mm. Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nTwo millimetric nonspecific nodules in the right lung.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15532/train_15532_a/train_15532_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: When both lung parenchyma windows are evaluated; Patchy ground glass density increases were observed in both lungs. Mosaic attenuation pattern is observed in both lungs ((small airway disease? small vessel disease?). Emphysematous changes are observed in the apical part of both lungs, areas of parenchymal fibrosis are observed. Millimetric-sized nonspecific parenchymal nodules are observed in both lungs.\n<pleura>: Pleural calcified plaque is observed in the inferior lingular segment of the left lung. No pleural effusion-thickening is detected on the right. Minimal pleural effusion is observed on the left.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. The ascending aorta was 43 mm, and the descending aorta was 40 mm in diameter and showed fusiform dilatation. There are calcified lymph nodes in the mediastinal upper-lower paratracheal, subcarinal area, the short axis of the largest, measuring 7 mm in the subcarinal area.\n<heart>: Heart size increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: Degenerative changes in bone structure No lytic-destructive lesion was detected.Height loss was observed in the T11 vertebra (approximately 30%).\n<abdomen>: No space-occupying lesion is detected in the liver entering the section area. In the upper abdominal organs including the sections, the contours of the spleen show prominent nodulation. The ascending aorta was 43 mm, and the descending aorta was 40 mm in diameter and showed fusiform dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Bilateral adrenal glands are normal and no space-occupying lesion is detected.\n\nImpression:\nCalcified atherosclerotic changes in the thoracic aorta and coronary artery wall, fusiform dilatation in the thoracic aorta. Cardiomegaly.  Mediastinal lymph nodes. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?), emphysematous changes in both lungs.  Calcified pleural plaque in left lung. Millimetric sized nonspecific parenchymal nodules in both lungs, minimal pleural effusion on the left.  Loss of height at T11 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15533/train_15533_b/train_15533_b_1.npy"
        ]
    },
    {
        "id": "report_generation_36660",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Diffuse ground glass densities are observed in both lungs with a peripheral distribution tending to coalesce. When examined in the lung parenchyma window; There are sequelae fibrotic changes in the upper lobe apex of both lungs.\n<pleura>: Subpleural millimetric air cysts are observed in the upper lobes of both lungs.\n<mediastinum>: There are millimetric lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Millimetric calcific plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Millimetric osteophytes are observed anteriorly in the vertebrae.\n<abdomen>: Thoracic aorta diameter is normal. A hypodense lesion of approximately 10 mm in size without clear borders was observed at the level of segment 2 in the liver (hemangioma?). Upper abdominal organs included in the sections are normal. There is diffuse density loss in the liver entering the section area (hepatosteatosis). Millimetric calyx stone is observed in the middle part of the left kidney. Although the spleen is not observed, isodense nodular lesions with 38x31 mm spleen parenchyma and isodense nodular lesions are observed in the spleen lodge and adjacent to the pancreatic tail (splenosis?).\n\nImpression:\nFindings consistent with Covid pneumonia. Coronary atherosclerosis.  Splenosis . Hepatosteatosis.  Hemangioma in liver segment 2? . Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15537/train_15537_a/train_15537_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Linear sequelae of fibrotic density increases and millimetric calcified pulmonary nodules are observed in the middle lobe of the right lung. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Several nonspecific pulmonary nodules, the largest of which are 5.3 mm in diameter, are observed in the left lung upper lobe apicoposterior segment and right lung middle lobe. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral minimal free pleural effusion and mild atelectatic changes in the adjacent lung parenchyma are observed.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Lymph nodes with a short axis smaller than 1 cm are observed between the upper-lower paratracheal, prevascular, subcarinal and right supradiaphragmatic fatty planes.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: An increase in trabeculation due to loss of myelization is observed in bone structures in the study area. Compression fracture causing height loss is observed in the upper end plate and corpus of T12 vertebra.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Millimetric calculus is observed in the gallbladder lumen.\n\nImpression:\nCalcific atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Lymph nodes between the mediastinal and right supradiaphragmatic fatty planes.  Emphysematous changes in both lungs, sequelae in both lungs. Several nonspecific millimetric pulmonary nodules in both lungs.  Minimal pleural effusion and atelectatic changes are observed in both lungs.  Compression in T12 vertebrae. Cardiomegaly. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15540/train_15540_a/train_15540_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are minimal bronchiectasis in the bronchi in both lungs, prominent in the center.\n<lung>: When examined in the lung parenchyma window; Minimal fibrotic changes and millimetric air cysts are observed in the upper lobe apex of both lungs. Millimetric nodules up to 3.5 mm in diameter were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMinimal central bronchiectasis in both lungs.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15545/train_15545_a/train_15545_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae changes and mild emphysematous changes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae changes and mild emphysematous changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15551/train_15551_a/train_15551_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are emphysematous changes, hyperemia and edematous findings under the skin. There are slightly patchy ground-glass densities in the right lung upper lobe posterior and left lung inferior lingula posterior. When examined in the lung parenchyma window; A moderate amount of effusion is observed in both hemithoraces, more prominent on the right. Air bronchogram slightly consolidated areas are observed within atelectatic changes in the lower lobe basal segments.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Fatty tissues in the mediastinum are slightly hyperemic and edematous (postoperative?).\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. The left kidney is not included in the images, and the right kidney is atrophic. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nSmall-moderate amount of effusion in both lungs, more prominent on the right, Consolidated atelectatic changes observed in air bronchogram signs in the lower lobe basal segments of both lungs . Slightly patchy ground-glass densities in the inferior lingula posterior on the left in the upper lobes of both lungs, secondary to pulmonary edema ?.infiltration? clinical laboratory correlation is recommended.  Atherosclerosis . Hyperemia and edema emphysematous changes in the skin and subcutaneous fatty tissues of the anterior chest wall secondary to pacemaker placement . Cardiomegaly, a small amount of free fluid in the mediastinum . Right atrophic kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15558/train_15558_a/train_15558_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36727",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to evaluate with clinical and laboratory findings in terms of Covid pneumonia. No lymph node with pathological size and configuration is observed at the hilar level. Several nodules, the largest of which is 4 mm in diameter, are observed in the anterior segment of the right lung upper lobe and in the middle lobe. Pleuroparenchymal linear density increases are observed in the middle lobe. When examined in the lung parenchyma window; In both lungs, there are diffuse and partly confluenced ground-glass-like density increase and interstitial traces accompanying from place to place.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the aortic arch, descending and ascending aorta. There are millimetric lymph nodes in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the aortic arch, descending and ascending aorta. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. Concentric wall thickness increase is observed in a short segment in the distal esophagus.\n<bone>: There are findings compatible with DISH. Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric-sized calcific atheroma plaques are observed in the coronary arteries of the aortic arch, descending and ascending aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. An exophytic cyst with a diameter of approximately 18 mm is observed in the middle part of the left kidney. Surrounding soft tissue plans are natural. A millimeter-sized density compatible with the accessory spleen is observed in the vicinity of the spleen. It is slightly dense. A decrease in density is observed in the liver, which is compatible with mild adiposity.\n\nImpression:\nWidespread and locally confluent ground-glass-like density increase in both lungs and clarification in the interstitial traces accompanying from time to time, it is recommended to be evaluated with clinical and laboratory findings in terms of Covid pneumonia.  Hypodense lesion in the middle part of the left kidney evaluated as compatible with an exophytic cyst with dense contents."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15563/train_15563_a/train_15563_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36737",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lung parenchyma, where the right lung is more prominent, crazy paving appearances accompanied by interlobular septal thickenings are observed between ground glass densities and ground glass densities. Right upper-bilateral lower paratracheal, aorticopulmonary millimetric lymph node is observed. In the current review, the outlook may be compatible with Covid-19 pneumonia.).).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch and coronary artery walls.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart. Calcific plaques are observed in the aortic arch and coronary artery walls.\n<bone>: A slight loss of height is observed in the lower end plateau at the T11 vertebra level (secondary to osteopenia?). There is an osteopenic appearance in bone structures.\n<abdomen>: The craniocaudal size of the spleen is increased. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. Calcific plaques are observed in the aortic arch and coronary artery walls. It is recommended that the patient be evaluated together with the anamnesis. Calculus are observed in the gallbladder.\n\nImpression:\nGround glass densities-crazy paving appearance in all segments of both lungs, more prominent in the right lung. The pulmonary nodule with irregular contours in previous thinnings is not observed in the next examination. The anamnesis of infection or malignancy secondary to the operation is not known. The appearance in the current examination is related to Covid-19 pneumonia or viral pneumonias. However, lymphangitic spread cannot be excluded in the presence of underlying malignancy . Cardiomegaly . Splenomegaly . Cholelithiasis . Osteopenic appearance in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15564/train_15564_e/train_15564_e_1.npy"
        ]
    },
    {
        "id": "report_generation_36749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild ectasia and peribronchial thickness increases are observed in the central bronchial structures of both lungs. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequelae changes in the medial segment of the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nMild ectasia and peribronchial thickness increases in the central bronchial structures in both lungs, Sequelae changes in the medial segment of the right lung middle lobe and the inferior lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15570/train_15570_a/train_15570_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36752",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Several nonspecific nodules measuring 4.5 mm in size were observed in the right lung, the largest of which was in the middle lobe lateral segment. Sequela parenchymal changes were observed in the apex of both lungs.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures in the examination area, there is an increase in thoracic kyphosis, osteophytic degenerative changes that tend to merge at the corners of the vertebral corpus are observed, and there is sclerosis in the end plateaus. Evaluation for ankylosing spondylitis is recommended.\n<abdomen>: No free fluid or loculated collection was detected as far as can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. No lymph node was observed in intraabdominal pathological size and appearance.\n\nImpression:\nThere is no finding in favor of pneumonic infiltration in both lung parenchyma. There are sequela parenchymal changes in the apex, and nonspecific nodules in millimeter sizes in the right lung parenchyma.  There is an increase in thoracic kyphosis, osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners, and sclerosis in the end plateaus. Evaluation for ankylosing spondylitis is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15572/train_15572_a/train_15572_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36756",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings were primarily evaluated secondary to cardiac stasis, and clinical and laboratory correlation is recommended for the differential diagnosis of infectious. When examined in the lung parenchyma window; There are diffuse mosaic attenuation pattern in both lungs, thickening of interlobular septa and prominent vascular structures.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pesmaker or pacemaker catheter extending to the superior vena cava and right heart is observed. There are multiple short lymph nodes measuring up to 7 mm in the mediastinum.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Schmorl nodules and degenerative height losses are observed in the vertebral corpus end paltes. Diffuse density reduction is observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Ondulation and hemorrhagic-simple cortical cystic changes were observed in both kidney parenchymal structures. In the upper abdominal organs included in the sections, several splenular accessory spleens are observed adjacent to the spleen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal.\n\nImpression:\nChanges secondary to cardiac stasis in the lung parenchyma. Due to the described stasis, there is a patchy density of ground glass densities, especially in the posterior lower lobe of the right lung, which is observed due to the described stasis. Clinical and laboratory correlation is recommended for the differential diagnosis of infectious.  Ondulation and hemorrhagic- simple cortical cystic changes.  Small lymph nodes with a short axis measuring up to 7 mm in the mediastinum. Ostepenic-degenerative appearances in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15574/train_15574_a/train_15574_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are in the midline and no obstructive pathology was detected in the lumen.\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). When examined in the lung parenchyma window; In the right lung lower lobe laterobasal segment, volume loss and linear density increases were observed, which may be compatible with sequelae change-linear atelectasis. In the previous examination, this level of light ground glass density was observed. However, its density has increased in the current review. The appearance was also present in the previous examination and no difference was detected. A few millimetric, stable nonspecific nodules were observed in the right lung. Focal ground-glass density was observed in the anterobasal segment of the lower lobe of the right lung. The appearance may be compatible with viral infections involving the interstitium.\n<pleura>: Pericardial-pleural thickening was not detected. There is minimal effusion in the pericardial and bilateral pleural space.\n<mediastinum>: The catheter terminates at the superior-right atrium junction of the vena cava. Mediastinal main vascular structures appear normal. Central venous catheter is seen on the right. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No fractures or lytic-destructive lesions were observed in bone structures. Periosteal reaction was not detected.\n<abdomen>: It is recommended to be evaluated together with clinical and laboratory. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No lymph nodes in pathological dimensions were observed.\n\nImpression:\nHiatal hernia . Pericardial-pleural effusion . Stable appearance in the lower lobe of the right lung, which may belong to atelectasis-sequelae change.  A few millimetric nonspecific nodules in the right lung.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15582/train_15582_b/train_15582_b_1.npy"
        ]
    },
    {
        "id": "report_generation_36778",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and both main bronchi.\n<lung>: There are atelectasis adjacent to the effusion in the laterobasal segment of the lower lobe of the right lung and the lower lobe of the left lung. There are minimal emphysematous changes in both lungs. Minimal ground glass area is observed in the right lung lower lobe superior segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural effusion was observed on the right. There is no pleural effusion on the right. There is minimal pleural effusion on the left.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. A central venous catheter is seen on the right, and the catheter terminates at the junction of the vena superior-right atrial.\n<heart>: There is minimal pericardial effusion. Pericardial thickening was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: No lytic-destructive lesions were detected in bone fractures or structures within the sections. Periosteal reaction was not detected.\n<abdomen>: No intraabdominal free fluid-collection was detected.\n\nImpression:\nMinimal pericardial effusion on the left. Atelectasis in both lungs.  Nonspecific ground-glass area in lower lobe of right lung. Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15582/train_15582_c/train_15582_c_1.npy"
        ]
    },
    {
        "id": "report_generation_36797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There is an azygous lobe variation in the upper zone of the right lung. Sequelae were evaluated in favor of changes. In addition, there are a few nonspecific nodules in millimetric sizes in both lungs. There are diffuse mild bronchiectatic changes in the bases of both lungs, fibroatelectatic changes accompanied by peribrochial thickness increases.\n<pleura>: A 4.5 mm sized nodular lesion located subpleural is observed in the medial segment of the right lung middle lobe.\n<mediastinum>: Calcified atheroma plaques are observed on the walls of mediastinal main vascular structures and coronary arteries. In the mediastinal prevascular, aortapulmonary window, paratracheal area and bilateral region, fusiform lymph nodes with a short diameter up to 11 mm are observed, the largest in the right lower paratracheal area. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the AP diameter of the ascending aorta was larger than normal with 42 mm. Calcified atromous plaques were observed in the main vascular structures.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the AP diameter of the ascending aorta was larger than normal with 42 mm. Calcified atheroma plaques are observed on the walls of mediastinal main vascular structures and coronary arteries. There is minimal effusion measuring 11 mm in the pericardial area, in the deepest part, adjacent to the left ventricle. There is an increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: However, a decrease in vertebral corpus heights was observed in the lower thoracic region. No lytic-destructive lesion is observed in the bone structures in the study area. There is a soft tissue density lesion under the skin at the level of the lower thoracic vertebrae to the right of the midline posteriorly.\n<abdomen>: In the left adrenal gland body part, there is a 14x11 mm nodular thickness increase in which fat densities are observed. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the AP diameter of the ascending aorta was larger than normal with 42 mm. Calcified atromous plaques were observed in the main vascular structures. In the evaluation of the upper abdominal organs within the imaging field, multiple hypodense lesions measuring approximately 116x75 mm are observed in both kidneys, the largest of which is observed in the left kidney midzone (cortical cyst?).\n\nImpression:\nMinimal bronchiectasis in the basals of both lungs, peribronchial thickness increases, and fibroatelectatic changes in the adjacent lung parenchyma were evaluated as compatible with sequelae changes. Several nonspecific nodules in the right lung middle lobe, the largest of which are located subpleural in both lung parenchyma.  Mediastinal lymph nodes. Bilateral renal cortical cyst.  A lesion with soft tissue density in the subcutaneous fatty tissue adjacent to the lower thoracic vertebrae on the right of the midline posteriorly.  Nodular increase in thickness (adenoma?) in which fat densities are observed in the left adrenal gland body section."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15591/train_15591_a/train_15591_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the anterior segment of the left lung upper lobe, 3 mm in diameter, in the apicoposterior segment, 2 adjacent lingular segments with 9 and 8 mm diameters, 7x5 mm in dimensions, 5x3 mm in the laterobasal segment, and 7x4 mm in the posterobasal segment. There are multiple nodule formations in different sizes. In the evaluation of both lungs in the parenchyma window; Pleuroparenchymal density increases consistent with sequelae changes are observed in both lungs at the apical level. Linear density consistent with band atelectasis is observed in the upper lobe anterior segment of the right lung. No pathological size and configuration lymph nodes were detected at both hilar levels. In the posterior segment of the upper lobe of the right lung, a focal area of infiltrative branch with buds is seen.\n<pleura>: Thickening of the subpleural interstitial tissue at the level of the middle lobe of the right lung in the lingular segment of the left lung, irregularity in the pleural contours and thin parenchymal bands are observed. Right lung upper lobe anterior segment subpleural 2 mm diameter more caudally 3x2 mm sized posterior segment caudally adjacent to each other 4 mm diameter 2 lower lobes at anterobasal level 2 posterobasal segments, the larger of which is 4 mm in diameter, 3 mm diameter slightly more superiorly, 5 mm diameter slightly more superiorly subpleural and 2 peripherally located nodules, the largest of which is 8 mm in diameter, and a few nodules, the largest of which is 6 mm in diameter.\n<mediastinum>: CTO is within the normal range. Millimetric sized lymph nodes are observed. No lymph node was detected in the mediastinum in pathological size and configuration. Millimetric-sized calcific atheroma plaques are observed in the coronary arteries in the main branches of the aortic arch. Calibration of other mediastinal major vascular structures is normal. The aortic arch calibration was measured as 30 mm and was larger than normal.\n<heart>: Millimetric-sized calcific atheroma plaques are observed in the coronary arteries in the main branches of the aortic arch.\n<esophagus>: There is a hiatal hernia.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: In the posterior segment of the right lobe of the liver, nonspecific hypodense lesions with a diameter of 8 mm in the anterior segment with a diameter of 12 mm in the posterior segment are observed in the posterior segment of the liver, located in the caudal subcapsular region, with a lobulated contour, approximately 28x20 mm in size, in a partially calcified appearance, slightly more superiorly. CTO is within the normal range. A little more superiorly, there is a hyperdense lesion with a diameter of 2 mm compatible with calculus. In the left kidney superior pole, the density, which is considered to be compatible with 2 mm diameter calculi, is observed. A hyperdense lesion with a diameter of about 3 mm is observed in the middle part of the right kidney (hemorrhagic cyst). There is a hiatal hernia. Surrounding soft tissue plans are natural. Both adrenals are natural. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. Millimetric-sized calcific atheroma plaques are observed in the coronary arteries in the main branches of the aortic arch. The aortic arch calibration was measured as 30 mm and was larger than normal.\n\nImpression:\nNonspecific nodule formation in both lungs. Right lung upper lobe posterior segment and branch view with focal infiltrative bud.  Slight irregularity in the pleural contours in the middle lobe of the right lung, in the lingular segment of the left lung, thickening of the subpleural interstitial tissue and thin parenchymal bands, sequelae at the apical level. Hiatal hernia.  Bilateral nephrolithiasis and density that may be compatible with millimetric hemorrhagic cyst in the right kidney middle zone. Degenerative changes in bone structure, atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15592/train_15592_a/train_15592_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is natural. Lumens are clear.\n<lung>: Ground-glass-like density increases and an accompanying mosaic attenuation pattern are observed in the upper lobe posterior levels and lower lobe segments in both lungs. Millimetric sized lymph nodes are also observed at the right hilar level. The largest was measured in the right lower paratracheal area, measuring 15x5 mm. On the right, there is a view of the accompanying bud branch at the infrahilar level.\n<pleura>: Bilateral pleural effusion or pneumothorax was not observed.\n<mediastinum>: CTO is at the maximal physiological limit. It is larger than normal. The aortic arch calibration is 33 mm. Calcific atheroma plaques are observed in the coronary arteries at the level of the aortic arch and descending aorta. In the upper-lower paratracheal area, multiple lymph nodes at the perivascular level are observed in the aorticopulmonary window, and the fatty hilar fat of some of them is clearly distinguished.\n<esophagus>: Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteophytic taperings are observed at the corners of the bone structure in the study area.\n<abdomen>: Control is recommended. CTO is at the maximal physiological limit. It has been evaluated as compatible with Chilaiditi syndrome. In the evaluation of the upper abdominal organs included in the sections, a nodular density of approximately 3 mm in diameter is observed in the anterior neighborhood of the spleen (accessory spleen?). It is larger than normal. Bowel loops are observed at the prehepatic level on the right. Irregularity and local thinning of the parenchyma are observed in the left kidney (sequelae of pyelonephritis?). Surrounding soft tissues have a natural appearance. The aortic arch calibration is 33 mm. Calcific atheroma plaques are observed in the coronary arteries at the level of the aortic arch and descending aorta.\n\nImpression:\nElevation in the right diaphragm, there is a difference of approximately 4.5 cm between the right and left diaphragms.  Ground-glass-like density increments and accompanying mosaic attenuation pattern in the upper lobe posterior levels and lower lobe segments in both lungs. The right prehepatic level of bowel loops was considered consistent with Chilaiditi syndrome.  Irregularity and local thinning of the parenchyma in the left kidney (sequelae of pyelonephritis?).  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15596/train_15596_a/train_15596_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No parenchymal sequelae were observed. Linear atelectasis are observed in the middle lobe of the right lung and the lingula inferior segment of the left lung. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. In his current examination, no pneumonic infiltration was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections, liver sizes increased and parenchymal density decreased in line with moderate adiposity.\n\nImpression:\nStable linear subsegmental atelectasis in both lungs, hepatomegaly, moderate fatty liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15601/train_15601_b/train_15601_b_1.npy"
        ]
    },
    {
        "id": "report_generation_36838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. There is a millimetric atheroma plaque in the proximal part of the left anterior descending coronary artery.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. As far as the upper abdominal organs within the sections can be observed in this examination, there is no mass with distinguishable borders. There are millimetric stones in the gallbladder. There is a 3 mm diameter stone in the lower pole of the right kidney.\n\nImpression:\nMillimetric atheroma plaque in the left anterior descending coronary artery . Cholelithiasis . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15608/train_15608_a/train_15608_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There is a millimetric nodule in the lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is no discernible mass in the upper abdominal organs within the sections. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15609/train_15609_a/train_15609_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; There are semisolid nodules measuring 6.5 mm in size in the right lung upper lobe posterior, lower lobe posterobasal segments, left lung lower lobe posterobasal and lower lobe superior segments, and the largest in the right lung upper lobe posterior segment. In addition, a 3.5 mm nonspecific solid nodule is observed in the lateral segment of the lower lobe of the left lung. Both lung parenchyma aeration is normal and no infiltrative lesion is detected.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No enlargement or stenosis-occlusion was detected in the abdominal aorta. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: Vertebral corpus heights are natural. Bone structures entering the cross-sectional area are natural.\n<abdomen>: Grade I ectasia is observed in the left kidney pelvicalyceal system and the ureter is followed as dilated proximally. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Hepatic and portal venous systems are normal. The contour, size, parenchyma density of the pancreas is natural. GIST segments were not calibrated adequately due to the lack of oral and rectal contrast in this examination, and no pathological wall thickness increase was detected as far as can be observed. Intra-abdominal parenchymal organs could not be evaluated optimally because the examination was without IV contrast. Intra and extrahepatic bile ducts, gallbladder are normal. Periprostatic fatty tissues are clear. A 15x10 mm diverticular lesion is observed in the second part of the duodenum. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. No stones are observed in the right kidney and right ureter tracing. In the proximal upper 1/3 distal part of the left ureter, 2 stones of 6.5x4.5 mm and 8.5x5 mm in size are observed approximately 6 cm distal to the level of the ureteropelvic junction. There is a hypodense appearance secondary to hepatosteatosis in parenchymal density. A 6.5x3.5 mm hyperdense stone is observed in the lower pole of the left kidney. Contour, size, localization, parenchymal thickness and right kidney pelvicalyceal system of both kidneys are normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. No space-occupying solid or cystic mass lesion is observed. Its contours are natural. Abdominal vascular structures are natural. No enlargement or stenosis-occlusion was detected in the abdominal aorta. No intraabdominal free-loculated fluid was detected. As far as it can be observed within the limits of non-contrast CT; the liver craniocaudal size increased by 181 mm. The contour, size, parenchyma density of the spleen is normal. No enlargement was detected in the main pancreatic duct.\n\nImpression:\nThere are semisolid nodules measuring 6.5 mm in size in the right lung upper lobe posterior, lower lobe posterobasal segments, and in the left lung lower lobe posterobasal and lower lobe superior segments, the largest in the right lung upper lobe posterior segment. Also, there are nonspecific solid nodules measuring 3.5 mm in the left lung lower lobe lateral segment. nodule is observed. Follow-up is recommended.  Hepatomegaly, hepatosteatosis . Left hydroureteronephrosis, left nephrolithiasis, ureterolithiasis . Diverticular lesion in the 2nd continent of the duodenum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15610/train_15610_a/train_15610_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36879",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchial lumens are in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; There are diffuse paraseptal-centracinar emphysematous changes and segmental tubular bronchiectasis in both lungs. There is a honeycomb appearance in the peripheral parts of both lung lower lobe basal and right lung middle lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The diameter of the pulmonary conus was 36 mm, the diameter of the right main pulmonary artery was 27 mm, and the diameter of the left main pulmonary artery was 24 mm. Lymph nodes with a short axis measuring less than 1 cm in the paratracheal, prevascular, aortopulmonary window, and subcarinal area that did not reach pathological dimensions were observed. The diameters of the pulmonary trunk and both main pulmonary arteries have increased.\n<heart>: Atherosclerotic wall calcifications are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Left heart dimensions increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Thickening is observed in the left adrenal gland corpus.\n\nImpression:\nIt is recommended to evaluate the honeycomb appearance in the lower lobe basal and periphery of the left lung middle lobe in both lungs in terms of interstitial pulmonary fibrosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15628/train_15628_a/train_15628_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. At the thoracic level, left-facing scoliosis is observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits, except for scoliosis with left-facing scoliosis at the thoracic level."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15631/train_15631_a/train_15631_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36890",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; No occlusive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: The findings were evaluated in favor of pneumonic infiltration. Clinic and lab. It is recommended to be evaluated together with Diffuse fibroatelectasis and emphysematous changes were observed in both lungs. There are thickening of the peribronchovascular interchange in both lungs, areas of consolidation in the lower lobes, centriacinar nodular infiltrates.\n<pleura>: When examined in the lung parenchyma window; In the bilateral pleural space, an effusion measuring 31 mm in the deepest part on the right and 14 mm in the deepest part on the left was observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta calibration is natural. Pulmonary trunk diameter was 31 mm wider than normal. Lymph nodes reaching pathological dimensions were observed at the right upper, bilateral lower subcarinal level, the largest of which was 18.7x15 mm.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: There is height loss in T5, T6 and T7 vertebra superior end plateaus.\n<abdomen>: Thoracic aorta calibration is natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No stones were observed in both kidneys. As far as can be seen in non-contrast sections; liver, gall bladder, spleen, pancreas are normal.\n\nImpression:\nIncreased pulmonary trunk diameter, mild cardiomegaly . Sliding type hiatal hernia in the lower end of the esophagus . Pathological lymph nodes in the mediastinum . Bilateral pleural effusion . Consolidation areas in the lower lobe basal segments of both lungs, widespread peribronchovascular interstitial thickening, and when the findings are evaluated in favor of pneumonic infiltration, clinical and lab.  Compression fractures characterized by loss of height in the T5, T6 and T7 vertebral bodies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15633/train_15633_a/train_15633_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36898",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: A 7 mm diameter nodule and sequela fibroatelectasis were observed in the medial segment of the right lung middle lobe. In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Subpleural blebs were observed in the right apex. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Enlargement and sliding paraesophageal hernia were observed in the esophageal hiatus.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate. Pulmonary nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15636/train_15636_a/train_15636_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36909",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Linear atelectasis is observed in the medial segment of the lower lobe of the right lung. When examined in the lung parenchyma window; Mosaic attenuation pattern is observed in both lungs. Apart from this, no nodular or infiltrative lesion was detected in the lung parenchyma. There are bronchovascular thickness increases in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Minimal hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The upper abdominal organs included in the examination have a natural appearance. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMosaic attenuation pattern in both lungs, small airway-small vessel disease.  Linear subsegmental atelectasis in the medial segment of the lower lobe of the right lung.  Minimal hiatal hernia.  Calcific plaques in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15639/train_15639_b/train_15639_b_1.npy"
        ]
    },
    {
        "id": "report_generation_36921",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland dimensions and contour are natural.\n<lung>: Dependent atelectasis areas are observed in both lung lower lobe basal segments because of insufficient inspiration and in dependent localizations. Mild bronchial wall thickness increases and mild tubular bronchiectasis foci are observed in both lung segment bronchi. Linear and subsegmental atelectasis areas are present in both lung lower lobe superior segments and basal segments. No signs of active infectious involvement are observed in both lung parenchyma. Areas of increased aeration are observed in both lungs. In the evaluation of lung parenchyma structures; In the upper lobe segment bronchi of both lungs, mucus plugs are observed that fill the bronchial lumens from place to place. There is also an area of atelectasis at subsegmental level in the lingula inferior segment of the left lung upper lobe.\n<mediastinum>: Diffuse wall calcifications are observed in the aortic arch and thoracic aorta. Wall calcifications are also observed in the abdominal aorta. Millimetric nonspecific mediastinal lymph nodes are observed in the right upper paratracheal bilateral lower paratracheal subcarinal right pulmonary and paraaortic localization.\n<heart>: Pericardial effusion was not observed. There are extensive calcified atheroma plaques in the LAD and surcumflex. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in pathological size and appearance in both supraclavicular fossae. Old fracture lines are observed in the left 6-7-8-9- and 10th ribs. There is an osteoporotic appearance in bone structures.\n<abdomen>: There are suture materials in the lodge. In the sections passing through the upper abdomen, the gallbladder is operated. Diffuse wall calcifications are observed in the aortic arch and thoracic aorta. No space-occupying lesion was detected. Wall calcifications are also observed in the abdominal aorta.\n\nImpression:\nMucous plugs obstructing the bronchial lumens in the upper lobes in both lung segment bronchi. Slight bronchial wall thickness increases and mild tubular bronchiectasis foci in both lung segment bronchi.  Areas of subsegmental linear atelectasis and dependent areas of atelectasis in the lower lobes of both lungs.  Previous costafractures on the left, osteoporotic appearance in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15643/train_15643_a/train_15643_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36925",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes and localized linear atelectasis in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Minimal bronchiectasis was observed in the central parts of both lungs and minimal peribronchial thickening in the central parts of both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: There is a mixed type hiatal hernia at the lower end of the esophagus. The wall thickness increase is observed in the long segment. Minimal wall thickness increase was observed in the esophagus. Therefore, it was thought to be a more benign pathology.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Gallbladder wall dimensions are normal. There are stones in the gallbladder. No upper abdominal free fluid-collection was observed in the sections. Pericholecystitis free fluid was not detected. Atheroma plaques are observed in the aorta and coronary arteries. It is recommended that the patient be evaluated together with the clinical and physical examination findings and further examination if indicated.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia.  Minimal long segment wall thickness increase in the esophagus.  Minimal peribronchial thickening in both lungs, minimal bronchiectasis in the central parts of both lungs.  Emphysematous changes in both lungs.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15645/train_15645_a/train_15645_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36939",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Millimetric nodular calcifications were observed in the trachea and both main and segmental bronchial walls (tracheobronkopatia osteochondroplastica). No occlusive pathology was observed in the lumen.\n<lung>: No nodular or infiltrative lesion was detected in the left lung parenchyma. When examined in the lung parenchyma window; Mosaic perfusion defect is observed in both lungs and is compatible with small airway diseases (asthma- bronchitis?).\n<pleura>: A subpleural nodule with a diameter of 4 mm was observed in the lateral segment of the right lung middle lobe.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta. Although the mediastinum cannot be evaluated optimally in the non-contrast examination, the calibration of the mediastinal main vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed in the distal esophagus.\n<bone>: Bone structures in the study area are natural. Large Schmorl nodule causing approximately 75% height loss in L1 vertebra superior end plateau and degenerative changes in bone structures are observed.\n<abdomen>: As far as can be observed in non-contrast examinations; No mass with distinguishable borders was observed in the liver, spleen, both adrenal glands, and both kidneys and pancreas. The pancreas is atrophic. An appearance compatible with the accessory spleen with a diameter of 7 mm was observed in the lower pole posterior of the spleen. Atherosclerotic wall calcifications were observed in the thoracic aorta. Metallic sutures were observed in the gallbladder fossa. The gallbladder was not observed.\n\nImpression:\nAppearance compatible with tracheobronchopathia osteochondroplastica in the trachea, both main bronchi and its segmental branches . Cardiomegaly . Sliding type hiatal hernia in the distal esophagus . Mosaic perfusion defect compatible with small airway (asthma - bronchitis?) in both lungs, clinic and lab. Correlation with is recommended.  Nonspecific subpleural nodule in the right lung middle lobe lateral segment . Large Schmorl nodule causing approximately 75% height loss in L1 vertebra superior end plateau, degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15652/train_15652_a/train_15652_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36944",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. Viral pneumonias are considered in the etiology of the findings. In both lung parenchyma, there are areas of increased density consistent with diffuse ground glass and consolidation, which are more clearly observed in the lower lobes.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. Mediastinal vascular structures could not be evaluated optimally due to the lack of IV contrast in the cardiac examination, and as far as can be observed; Calibration of mediastinal vascular structures is natural. Calcified atheroma plaques are observed in the coronary vascular structure and thoracic aortic wall.\n<heart>: Heart contour, the size is natural. Calcified atheroma plaques are observed in the coronary vascular structure and thoracic aortic wall.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: Calcified atheroma plaques are observed in the coronary vascular structure and thoracic aortic wall. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs. Calcified atheroma plaques in the wall of the thoracic aorta, coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15655/train_15655_a/train_15655_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36956",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver entering the section area, and no space-occupying lesion was detected.\n\nImpression:\nHepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15660/train_15660_a/train_15660_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are atelectasis in the left lung upper lobe lingular segment inferior subsegm and right lung middle lobe. Apart from these, both lung aeration is normal and no mass or infiltrative lesion is detected in the first lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nhiatal hernia . atelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15670/train_15670_a/train_15670_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36991",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Small lymph nodes are observed in the mediastinum. Thoracic aorta diameter is normal. There are calcific atheroma plaques in the coronary arteries and aortic arch. Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Significant increase in heart size is observed. There are calcific atheroma plaques in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction is observed in bone structures and there are tapering in the end plates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are calcific atheroma plaques in the coronary arteries and aortic arch. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild atherosclerosis.  Increase in heart size.  Diffuse density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15676/train_15676_a/train_15676_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36995",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Apart from this, there are areas of intense increase in ground glass density in both lungs with unclear borders without clear boundaries. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?). Pneumonic infiltration is considered in the etiology of the findings. In the posterobasal segment of the lower lobe of the right lung, an area of increase in density consistent with nodular consolidation without clear boundaries was observed.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Calibration of other mediastinal vascular structures is natural.\n<heart>: Mediastinal main vascular structures are not evaluated optimally due to the lack of contrast in the heart examination, and there is an increase in heart size as far as can be observed. The ascending aorta shows aneurysmatic dilatation with a diameter of 42 mm. Calcific atheroma plaques were observed in the wall of LAD.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: No lymph node was detected in intraabdominal pathological size and appearance. Free fluid, loculated collection is not observed. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nSliding hiatal hernia at the lower end of the esophagus.  Calcific atheroma plaques in the wall of the LAD, increased heart size.  An area of increase in density consistent with newly developed nodular consolidation in the posterobasal segment of the lower lobe of the left lung, and areas of increased density of ground glass density in both lungs, more prominently on the right, on current examination; Pneumonic infiltration is considered in its etiology. It is recommended to be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15678/train_15678_a/train_15678_a_1.npy"
        ]
    },
    {
        "id": "report_generation_36997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The largest of the described lymph nodes is observed in the right hilar region and its dimensions are 17x12 mm. When examined in the lung parenchyma window; There is regression of ground glass areas in both lungs, which may be consistent with atypical pneumonic infiltration observed on previous examination. Subsegmental atelectasis areas were observed in the upper lobe of the right lung, the inferior lingular segment of the left lung, and the posterobasal segment of the lower lobe of both lungs. Stable parenchymal nodules were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. According to the previous examination, stable lymph nodes were observed in the mediastinal, upper-lower paratracheal area, aorticopulmonary, hilar, and subcarinal areas.\n<heart>: Calcific atherosclerotic changes were observed in the wall of the coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: There was no significant change in other findings in the current examination. In the upper abdominal sections included in the study area, diffuse density reduction consistent with fatty liver was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15678/train_15678_b/train_15678_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37001",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. A few nodules with a diameter of 2. Linear atelectasis areas are observed in the medial segment of the lower lobe of the left lung and the medial segment of the middle lobe of the right lung.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus. Sliding type hiatal hernia is observed at the esophagogastric junction.\n<breast>: An appearance compatible with gynecomastia is observed in both retroareolar areas.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The gallbladder was not observed (operated). Sliding type hiatal hernia is observed at the esophagogastric junction. Within the limits of non-contrast BT; no mass with distinguishable borders was detected in the liver, spleen, both adrenal glands and pancreas.\n\nImpression:\nOperated rectal Ca in follow-up; several millimetric nonspecific nodules in both lungs; is stable.  Mediastinal lymph nodes; is stable.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15680/train_15680_a/train_15680_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37005",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are millimetric sequela fibrotic changes in the upper lobe apex of both lungs. Minimal atelectasis was observed in the left lung inferior lingular segment.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Vertebral osteophytes are present. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15682/train_15682_a/train_15682_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass lesion is observed in the lung parenchyma. There is a covid pneumonia compatible pattern. In lung parenchyma evaluation; Bilateral asymmetric peribronchial ground glass density and consolidation areas are observed in both lungs. It is newly developed in the process. Radiological findings were primarily evaluated in favor of infective process and atypical pneumonia.\n<mediastinum>: Wall calcifications are observed in the aortic arch and thoracic aorta. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Heart size increased. Pericardial effusion was not detected. There is stent material in the LAD.\n<bone>: There is osteoporosis in bone structures.\n<abdomen>: No feature was detected in the upper abdomen sections included in the image. It was understood that he had a gallbladder operation. Wall calcifications are observed in the aortic arch and thoracic aorta.\n\nImpression:\nFindings consistent with Covid pneumonia.  Increased heart size, stent in LAD.  Cholecystectomy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15683/train_15683_b/train_15683_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There are nodules in the thyroid gland.\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<pleura>: Both hemithorax have extensive pleural coarse and nodular calcifications.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Diffuse calcified atheroma plaques are present in LAD.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Numerous millimetric cysts are observed in both kidneys. In the upper abdominal sections, there are numerous hypodense cystic lesions in the liver parenchyma. Both kidney sizes and parenchyma thicknesses decreased. It is compatible with bilateral atrophic kidney.\n\nImpression:\nDiffuse coarse nodular pleural calcifications . Calcified atheromatous plaques in the LAD . Bilateral atrophic kidney, multiple cysts in both kidneys and liver . Nodules in the thyroid gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15685/train_15685_a/train_15685_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37018",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: When both lung parenchyma windows are evaluated; In both lungs, newly revealed patchy ground-glass density increases were observed in the current examination, minimal peripheral consolidation areas were observed in the lower lobe and upper lobe posterior of the right lung. Diffuse emphysematous changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases and structural distortion areas were observed in both lungs apical. The left lung lower lobe was not observed secondary to the operation. In the operation site, the left lung lower lobe bronchus ends together and there are suture materials at this level. Pleuroparenchymal sequelae density increases in the left lung lingular segment are noteworthy.\n<pleura>: A free pleural effusion reaching 2 cm was observed between the pleural leaves on the right, and it has recently emerged in the current examination.\n<mediastinum>: According to the previous mediastinal examination, lymph nodes measuring 6. According to the previous examination, several millimeter-sized lymph nodes were observed adjacent to the anterior-inferior pericardium, the short axis of the larger one measuring 7mm in diameter. Mediastinal main vascular structures, heart contour, size are natural. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Mediastinal main vascular structures, heart contour, size are natural. Pericardial thickening- effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: There are metallic suture materials belonging to sternotomy in the sternum. Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is a thick-walled ankys collection measuring 45 mm in the thickest part of the operation cavity. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLeft lung lower lobectomy, anxist collection in the operation site, stable. Diffuse emphysematous changes, sequelae changes in both lungs, are stable.  Diffuse patchy ground-glass density increases in both lungs. Minimal consolidation areas in the right lung lower lobe and upper lobe posterior segment (recommended clinical and laboratory correlation for infectious process). Mediastinal stable lymph nodes.  Newly revealed pleural effusion on current examination on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15688/train_15688_a/train_15688_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A hypodense nodule with a diameter of 2.2 cm was observed in the right thyroid lobe.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Millimetric nonspecific parenchymal nodules are observed in both lungs. Left lung volume decreased secondary to minimal sequelae changes. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Pleuroparenchymal fibroatelectasis sequelae density increases were observed in the right lung middle lobe, left lung upper lobe lingular and both lung lower lobe basal segments.\n<pleura>: In both hemithorax, sequela thickening in posterior costal pleura and increase in favor of sequelae in subpleural fatty planes were observed.\n<mediastinum>: A fusiform aneurysmatic segment measuring approximately 6.1 cm at its widest point, extending along the segment of approximately 8.7 cm at the suprahilar level at the distal of the descending aorta, is observed and there is an endovascular stent placed at this level. The mediastinum could not be evaluated optimally in the non-contrast examination. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of pulmonary arteries is natural. As far as can be seen; Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. The anterior-posterior diameter of the ascending aorta is above normal with 41 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No metastases or lytic-destructive lesions were detected in the bone structures included in the study area. As far as can be seen; Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. A fusiform aneurysmatic segment measuring approximately 6.1 cm at its widest point, extending along the segment of approximately 8.7 cm at the suprahilar level at the distal of the descending aorta, is observed and there is an endovascular stent placed at this level. Two accessory spleens with dimensions of 2.1 and 1.9 cm were observed anteriorly at the level of the spleen hilus. Density increases consistent with mud or stones were observed in the gallbladder lumen. Diffuse calcific atheroma plaques were observed in the thoracic aorta, its supraaortic branches and coronary arteries. It is recommended to be evaluated together with US. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and mediastinum, diffuse calcific atheroma plaques in the thoracic aorta, its supraaortic branches and coronary arteries, cardiomegaly. Fusiform aneurysmatic dilatation in the descending aorta and endovascular stent placed at this level. Sequelae changes in posterior costal pleura in both lungs. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Millimetric nonspecific parenchymal nodules in both lungs . Density increases in the gallbladder lumen compatible with mud-stones are recommended to be evaluated together with US."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15693/train_15693_a/train_15693_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings were primarily evaluated for early viral pneumonia. Close follow-up of clinical laboratory correlation is recommended for Covid-19. No nodular lesions were detected in both lung parenchyma. When examined in the lung parenchyma window; Patchy ground-glass nodular densities are observed in both lungs, mostly peripherally located on the left.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground-glass nodular densities, mostly located peripherally in both lungs, mostly on the left. Findings were primarily evaluated in the direction of early viral pneumonia. Close follow-up of clinical laboratory correlation is recommended for Covid-19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15699/train_15699_a/train_15699_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. The evaluation of solid organs, vascular structures and mediastinal area is suboptimal because the examination is non-contrast. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNon-contrast thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15705/train_15705_a/train_15705_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37065",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Reticulonodular fibrotic density increases were observed in both lung apexes. A thin-walled parenchymal air cyst with a diameter of 12 mm was observed in the laterobasal segment of the lower lobe of the left lung. Passive atelectatic changes were observed in the medial segment of the right lung middle lobe. There is a mosaic attenuation pattern in both lung parenchyma (small airway disease?, small vessel disease?). When examined in the lung parenchyma window; Tubular bronchiectasis and peribronchial thickening were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the abdominal aorta. In the non-contrast examination, the mediastinal could not be evaluated optimally. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bridging spur formations were observed in the anterolateral corner of the vertebral corpus at the middle and lower thoracic level. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Atherosclerotic wall calcifications were observed in the abdominal aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nChanges secondary to previous bypass surgery in the sternum and anterior mediastinum, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  Tubular bronchiectasis-peribronchial thickening prominent in the center of both lungs  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease? ).  Passive atelectatic changes in the medial segment of the middle lobe of the right lung  Increases in reticulonodular fibrotic density in the apices of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15709/train_15709_a/train_15709_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37075",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are accompanying peribronchial coarse calcification foci. Secretions are observed in some bronchial lumens.\n<lung>: Cystic bronchiectasis foci are observed in the anterior segment of the right lung upper lobe. Subsegmental atelectasis area is observed in the lower lobe basal segment. No active pneumonic infiltration or consolidation area was detected in the lung parenchyma. There are right lower paratracheal and peribronchial calcified lymph nodes. No space-occupying lesion in pathological size and appearance was observed in the lung parenchyma. It was evaluated in favor of postpneumonic sequelae. Tubular bronchiectasis foci are present in the lower lobe of the left lung, and lung parenchymal aeration is increased.\n<mediastinum>: There are coarse calcification foci in the parenchyma, suggesting a previous TB infection with mediastinal calcified lymph nodes. Wall calcifications and calcific atherosclerotic plaques are observed in the aortic arch. Calibrations of mediastinal major vascular structures are normal. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: There are calcified atherosclerotic plaques distal to the stent. Pericardial effusion was not detected. A short stent is observed in LAD. Heart dimensions and compartments are of normal width.\n<esophagus>: Slippery type mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the vertebrae. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Wall calcifications and calcific atherosclerotic plaques are observed in the aortic arch.\n\nImpression:\nParenchymal coarse calcification foci and mediastinal calcified lymph nodes in the right lung in favor of previous TB infection sequela  Bronchiectasis areas in the right lung upper lobe and left lung lower lobe  Short stent material in LAD  Slippery type mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15714/train_15714_a/train_15714_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the evaluation of both lung parenchyma; Emphysematous areas are observed in the upper lobes of both lung parenchyma. In the right lung upper lobe posterior segment, lower lobe superior segment, less frequently lower lobe posterior basal segment, left lung lower lobe superior and basal segments, there are areas of consolidation in ground glass density accompanied by interlobular septal thickening, and sometimes crazy paving appearance. There is a calcified nodule in the lingular segment of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. Subpleural nodules are observed in the middle lobe of the right lung and in the laterobasal segment of the lower lobe.\n<mediastinum>: Right upper paratracheal, prevascular, aortic pulmonary narrow lymph nodes less than 1 cm in diameter are observed. The diameter of the main pulmonary artery is 3.5 cm, the diameter of the right pulmonary artery and the left pulmonary artery are 3 cm, and they are above normal.\n<bone>: Sclerotic nodular lesions are observed in the dorsal vertebrae. Degenerative changes are observed in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, calculi images are observed in the localization of the gallbladder. A calculus with a diameter of approximately 7.5 mm is observed in the right kidney, which partially penetrates the examination area.\n\nImpression:\nConsolidation areas in ground glass density and sometimes crazy paving appearance accompanied by interlobular septal thickening in both lungs. It was evaluated as significant in terms of viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15715/train_15715_a/train_15715_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37079",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Especially the ventricles are observed as larger than normal. As far as can be observed: The heart is larger than normal. It is understood that the patient was operated for congenital heart disease.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are stones in the gallbladder. Calcifications are observed in the right adrenal gland. This outlook was evaluated in favor of sequelae changes. There is a decrease in liver parenchyma density consistent with minimal-moderate adiposity. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nCholelithiasis . Findings evaluated in favor of sequelae changes in the right adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15716/train_15716_a/train_15716_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37081",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: US control is recommended. The dimensions of both thyroid glands have increased, and multiple slightly hyperdense nodules, the largest of which is 22 mm in diameter, are observed in the left lobe.\n<trachea_and_bronchie>: As far as can be seen; The density of the tracheostomy cannula is observed. Diffuse nodular calcifications are observed in the trachea and lumen of both main bronchi. Bilateral peribronchial thickenings are observed.\n<lung>: When examined in the lung parenchyma window; Mosaic attenuation areas are observed in both lungs (small airway disease? small vessel disease?). No mass lesion was detected in the parenchyma of both lungs, with clear boundaries in the non-enhanced examination limits.\n<pleura>: Free pleural effusion measuring 5 cm on the right and 2.5 cm on the left between the bilateral pleural leaves and areas of atelectasis-consolidation in the adjacent lung parenchyma are remarkable.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The diameter of the main pulmonary artery is 30 mm and it shows mild dilatation. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Millimetric lymph nodes are observed in the upper-lower paratracheal, prevascular, and subcarinal areas. No lymph node was detected in pathological size and appearance.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Calibration of the ascending aorta is natural. Pericardial thickening was not detected. Minimal pericardial effusion is observed. Heart size increased.\n<esophagus>: Siliding type hiatal hernia is observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: Thorocolumbar kyphosis is increased. Widespread bridging spur formations are observed at the vertebral corpus corners.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. It was evaluated in favor of hyperplasia rather than adenoma. Diffuse thickening of the bilateral adrenal gland is observed in the upper abdominal sections entering the examination area. Mild free fluid is observed in the perihepatic area.\n\nImpression:\nCardiomegaly, mild dilatation of the pulmonary artery, minimal pericardial effusion. Emphysematous changes in both lungs (small airway disease? small vessel disease?). Bilateral right prominent pleural effusion. Areas of atelectasis-consolidation in adjacent lung parenchyma.  Multinodular goiter. Calcific atherosclerotic changes in the wall of the thoracic aorta-coronary artery. Slight free fluid in the perihepatic space."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15717/train_15717_a/train_15717_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37085",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15719/train_15719_a/train_15719_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. Thickening of the peribronchovascular sheath is observed.\n<lung>: The mass lesion contours are slightly lobulated. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchus is natural. No significant lymph node was detected in both hilar-level non-contrast examinations. There are spicular extensions in places on the surface.\n<pleura>: There is a 21x17 mm mass lesion located in the pleura in the anterior segment posterior of the left lung upper lobe, which was not observed in the previous examination. Irregularity in the pleural contour in both lungs, more prominently in the upper zones, thickening of the interstitial tissue, more prominently in the subpleural areas, thickening of the subpleural interlobular septa, and honeycomb appearance, especially in the upper lobes of both lungs, are observed. There was no significant pleural effusion or significant pneumothorax in both lungs.\n<mediastinum>: CTO is within normal limits. The aortic arch calibration is 34 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. A calcific atheroma plaque is observed in the aortic arch. In the mediastinum, lymph nodes are observed in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area, and the largest is 14x11 mm in size in the aorticopulmonary window.\n<heart>: Calcific atheroma plaque is observed in the coronary arteries.\n<bone>: There is an appearance compatible with DISH at the mid-thoracic level. Dorsal kyphosis is evident. Degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. It is wider than normal. In the non-contrast sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. Surrounding soft tissues are normal. The aortic arch calibration is 34 mm. A calcific atheroma plaque is observed in the aortic arch.\n\nImpression:\nA mass lesion partially sitting on the pleura is observed in the lateral of the anterior segment of the left lung upper lobe, and it was not detected in the previous examination.  Hepatosteatosis.  Degenerative changes in bone structure and findings consistent with DISH."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15722/train_15722_b/train_15722_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: This area is also present in the recent PET CT examination of the patient and no significant difference was detected in its dimensions. However, it was not evaluated in favor of infection in the first place. In the patient with small cell lung carcinoma after known interstitial lung disease, sequelae fibrotic linear densities and honeycomb appearances consistent with interstitial lung disease are observed in the peripheral areas of both lungs. In the left lung upper lobe lingular segment, there is a consolidation area extending to the peribronchial area. Areas of subsegmental atelectasis common in both lungs are also observed.\n<pleura>: There are emphysematous changes and air cysts, more prominently in the subpleural areas of both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. In addition, there are several lymph nodes in the mediastinal area, the largest of which is at the level of the right lung hilum, with a short axis not exceeding 1 cm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Soft tissue separation could not be made within the consolidation area, since the examination was unenhanced. There are hypodense lesions in the liver that appear to be consistent with multiple metastases.\n\nImpression:\nThere are appearances compatible with interstitial lung disease.  Sequelae changes and extensive emphysematous areas are observed in both lungs.  Calcific atheroma plaques are observed in the aorta and coronary arteries.  There are lymph nodes with a short axis not exceeding 1 cm in the mediastinal area.  There are many hypodense lesions consistent with liver metastasis. No appearance that may be compatible with active infection was observed.  Consolidation area at the level of the lingular segment in the upper lobe of the left lung is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15722/train_15722_d/train_15722_d_1.npy"
        ]
    },
    {
        "id": "report_generation_37098",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are nodules in the left lung, the largest of which is in the anterior segment of the upper lobe and the longest diameter is 12 mm, and they are evaluated in favor of metastases. It is observed that the nodule described in the upper lobe of the left lung has increased minimally in its dimensions. There was no appearance to be evaluated in favor of pneumonic infiltration in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<abdomen>: Hypodense lesions were observed in both lobes of the liver. The borders of these metastatic lesions cannot be evaluated clearly. These lesions were thought to be metastases. No intrabdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. As far as can be observed, it is understood that the size of the metastatic lesions observed especially in the right lobe of the liver has increased.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15722/train_15722_e/train_15722_e_1.npy"
        ]
    },
    {
        "id": "report_generation_37106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15726/train_15726_a/train_15726_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No filling defect compatible with embolism was detected in the pulmonary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: No mass or filling defect compatible with thrombus was detected within the heart cavities. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is no discernible mass in the upper abdominal organs within the sections. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15728/train_15728_a/train_15728_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37114",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was distinguished in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Although motion artifacts were observed in the mid-thoracic localization, no obvious pathology was observed in the bone structures.\n<abdomen>: No additional pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass nodule infiltration was distinguished in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15730/train_15730_a/train_15730_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ventilation of both lungs is normal. No active infiltration or consolidation was detected in the bilateral lungs. No pulmonary nodules were observed in both lungs.\n<mediastinum>: Evaluation of mediastinal main vascular structures is normal, although suboptimal due to lack of contrast. In the mediastinal area, no lymphadenopathy was detected in the pretracheal, subcarinal, paravascular, aortopulmonary, hilar regions in pathological size and appearance. Several lymph nodes are observed in both axillary regions, the largest of which is 1 cm in the short axis on the left. No calcific atheroma plaque was observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Minimal hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. The upper abdominal organs included in the examination are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No calcific atheroma plaque was observed in the aorta and coronary arteries.\n\nImpression:\nThoracic CT examination within normal limits.  Several lymph nodes, the largest of which is 1 cm on the short axis, are observed in both axillae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15731/train_15731_a/train_15731_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37118",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. Atelectasis was observed in both lungs. The described appearances involve approximately 50% of the lobes, especially in the right lung. Although the described findings are not specific, these appearances were evaluated in favor of Covid-19 pneumonia during the pandemic process. Peripheral and central consolidations and ground-glass appearance accompanying the consolidations are observed in both lungs, more prominently on the right. No mass was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. The main pulmonary artery diameter was 38 mm and wider than normal. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not observed. As far as can be observed: The heart is larger than normal. Pacemaker electrodes terminate at the apex of the right ventricle and in the epicardial area adjacent to the left ventricle.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are atheromatous plaques in the aorta and coronary arteries. Aorta diameter is normal.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15732/train_15732_a/train_15732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are uniform interlobular septal thickness increases in both lungs and were primarily evaluated as secondary to cardiac stesis. Viral pneumonias are considered in the etiology of the findings. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia. There are sequelae paarnchymal changes in both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?). Ground glass density areas are observed in the anterior-posterior segments of the right lung upper lobe, the lower lobe superior-posterobasal segment, and the left lung lower lobe superior-upper lobe anterior.\n<pleura>: More prominent bilateral pleural effusion is observed on the right, and it was measured 33 mm on the right at its deepest point.\n<mediastinum>: The AP diameter of the ascending aorta was 43mm, the pulmonary trunk was 32mm, and the right pulmonary artery was 31mm, and it was wider than normal. There are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures. Lymphadenopathies that have lost their fusiform configuration are observed in the mediastinum, the largest of which is 12 mm in diameter at the precarinal level.\n<heart>: An increase in heart size is observed. There are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary vascular structures. Pericardial effusion was not observed.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: An increase in thoracic kyphosis, right-facing scoliosis in the thoracic vertebral column, and diffuse changes in bone structures are observed in the bone structures within the image.\n<abdomen>: The AP diameter of the ascending aorta was 43mm, the pulmonary trunk was 32mm, and the right pulmonary artery was 31mm, and it was wider than normal. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Intraabdominal free liqu- ulated collection is not observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15736/train_15736_a/train_15736_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37132",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When the distributions and locations of the described lesions are evaluated together with clinical information, it brings to mind Covid 19 pneumonia. In the upper and lower lobes of both lungs and in the middle lobe of the right lung, consolidations, most of which are peripherally located, and areas of ground glass are observed. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with discernible borders was detected as far as it can be observed within the borders of unenhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15739/train_15739_a/train_15739_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the upper and lower lobes of both lungs and in the middle lobe of the right lung, there are peripheral and centrally located ground glass appearances, occasional consolidations and density increases evaluated in favor of atelectasis. The views described are not specific. These appearances may be in viral or bacterial pneumonias. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nPeripheral and centrally located ground glass areas in both lungs, occasional consolidations and occasional atelectasis (it is recommended to evaluate the patient for viral or bacterial pneumonias)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15744/train_15744_a/train_15744_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37174",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is an increase in peribronchial thickness. Trachea and both main bronchi are open. A thin web is observed in the trachea from place to place.\n<lung>: Multiple lymphadenopathies are observed in the mediastinum and bilateral hilar regions, the largest of which is 12 mm in diameter in the right lower paratracheal area, some with millimetric calcifications. There is bulla formation in the lower lobe of the right lung. Findings are consistent with interstitial pulmonary fibrosis. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There are honeycomb appearance in the subpleural area, accompanying interlobular septal thickness increases and areas of linear atelectasis in both lungs. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Multiple lymphadenopathies are observed in the mediastinum and bilateral hilar regions, the largest of which is 12 mm in diameter in the right lower paratracheal area, some with millimetric calcifications. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. The diameter of the ascending aorta was 38 mm and increased.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: There are old fracture lines healed with callus formation in the left 3-5th c ribs. No lytic-destructive lesion was detected. There is a decrease in osteopenic density in the bone structures within the sections.\n<abdomen>: As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Calcific atheroma plaques are observed in the aorta and coronary arteries. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nHoneycomb appearance in the subpleural area of both lungs, accompanying interlobular septal thickness increases and areas of linear atelectasis. Findings are consistent with interstitial pulmonary fibrosis.  Emphysematous changes in both lungs.  Mediastinal lymphadenopathies.  Dilatation of the ascending aorta, calcific atheromatous plaques in the aorta and coronary arteries.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15759/train_15759_a/train_15759_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37178",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In bilateral lung parenchyma, more prominent on the right, peripheral ground glass densities are predominantly present in the upper lobe on the right and the lower lobe on the left. No nodular or infiltrative lesion was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerations in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPossible findings for bilateral Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15761/train_15761_a/train_15761_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37200",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs, more prominent on the right. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?).\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15772/train_15772_a/train_15772_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37204",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Pneumonic infiltration areas in the form of bilateral asymmetric diffuse nodular ground glass densities are observed in both lobes and all segments in the lung parenchyma. Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<mediastinum>: Reactive lymph nodes less than 1 cm in diameter are observed in the mediastinum, located bilaterally in the lower paratracheal subcarinal and peribronchial areas. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node in pathological size and appearance was observed in the axilla, supraclavicular fossa. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is moderate hepatosteatosis in liver parenchyma density. In the upper abdominal sections, there are several millimetric calculus with a diameter of 4-5 mm in the gallbladder lumen.\n\nImpression:\nPneumonic infiltration areas in the form of ground glass density in the lung parenchyma, radiological findings are compatible with the involvement of the lung parenchyma of Covid infection.  Mediastinal reactive lymph nodes . Cholelithiasis, moderate hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15774/train_15774_a/train_15774_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37211",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is observed.\n<lung>: In the examination made in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lung parenchyma, and there are a few nonspecific nodules in millimetric sizes. There is a mosaic attenuation pattern (small airway disease? small vessel disease?), which is more prominent in the lower lobes of both lungs.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: Calibration of mediastinal vascular structures, heart contour and size are natural. No lymph nodes in pathological size and appearance were detected in the bilateral supraclavicular fossa, both axillary regions and mediastinum.\n<heart>: Calibration of mediastinal vascular structures, heart contour and size are natural. There are minimally calcified atheromatous plaques in the wall of the coronary vascular structures.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: There is a hyperdense stone in millimetric sizes in the middle zone of the right kidney. In the upper abdominal sections within the image, a hypodense lesion of 7.5 mm in size and subcapsular location is observed at the level of liver segment 7, as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nPneumonic infiltration is not observed in both lungs, and a few millimeter-sized nonspecific nodules and mosaic attenuation pattern more clearly observed in the lower lobes (small airway disease? small vessel disease?) . Sliding type mild hiatal hernia at the lower end of the esophagus.  Uncharacterized hypodense lesion and right nephrolithiasis within the borders of contrast-enhanced CT located subcapsular at the level of liver segment 7"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15778/train_15778_a/train_15778_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37215",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are sometimes linear atelectesis in both lungs. There are emphysematous changes in both lungs, more prominent in the upper lobes. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nEmphysematous changes in both lungs  Atelectasis in both lungs  Atherosclerotic changes in the aorta  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15780/train_15780_a/train_15780_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37221",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Since the examination is slightly mobile, it cannot be evaluated clearly, but minimal clarification in bronchial calibrations in the lower lobes and thickening of the bronchial wall in the middle-lower zones are observed.\n<lung>: However, the appearance is faint and partially overlaps with the sequelae changes in its neighborhood. No significant lymph node was detected at both hilar levels that could be evaluated in the non-contrast examination. In the left lung lower lobe laterobasal segment, a branch with bud view is observed. Sequelae changes are observed in the inferior lingular segment. There is mild sequelae change in the anterior segment of the left lung upper lobe. Since the examination is slightly mobile, it cannot be evaluated clearly, but minimal clarification in bronchial calibrations in the lower lobes and thickening of the bronchial wall in the middle-lower zones are observed. When examined in the lung parenchyma window; both hemithorax are symmetrical. There are pleuroparenchymal density increases consistent with sequelae changes in both lung lower lobe basal segments.\n<pleura>: Apart from this, no significant infiltration area, mass lesion or pleural effusion was detected.\n<mediastinum>: Pulmonary trunk calibration is 28 mm. There are lymph nodes in the mediastinum, in the upper-lower paratracheal area, and in the aorticopulmonary window, the largest of which was measured in the aorticopulmonary window and measuring approximately 17x9.5 mm. It is slightly above normal. Calibration of the aortic arch and other major vascular structures is natural. There are calcific atheroma plaques in the aortic arch and descending aorta.\n<heart>: CTO slightly increased in favor of the heart. Calcifications are present in the coronary arteries. Cardiac chambers cannot be evaluated in non-contrast examination. Calcifications are observed at the level of the mitral valve.\n<bone>: There are changes secondary to sternotomy. Degenerative changes are observed in the bone structure.\n<abdomen>: It is slightly above normal. Calibration of the aortic arch and other major vascular structures is natural. At the subxiphoid level, mild herniation of the preperitoneal fatty planes under the skin is observed. Both adrenals are natural. In the non-contrast examination, the liver and spleen parenchyma are normal as far as can be observed. There are calcific atheroma plaques in the aortic arch and descending aorta. There is a decrease in density consistent with mild hepatosteatosis in the liver.\n\nImpression:\nSlight prominence in bronchial calibration and bronchial sheathing at basal level in both lungs, sequelae changes in posterobasal segments . Faint bud branch appearance in the lower lobe laterobasal segment of the left lung, it is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15782/train_15782_a/train_15782_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings are one of the frequently observed findings in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, especially in the lower lobes, subpleural consolidation-ground glass areas are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15789/train_15789_a/train_15789_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37237",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Peripherally located subpleural consolidations and ground glass densities are present in both lung parenchyma. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density loss is observed in the liver. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid pneumonia. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15790/train_15790_a/train_15790_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37239",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; Peripherally located subpleural patchy ground glass densities are observed in both lungs, mostly on the right.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15790/train_15790_b/train_15790_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37247",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15794/train_15794_a/train_15794_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; In the upper and middle lobes of the right lung, and in the basal segments of the lower lobe of the left lung, central-peripheral interlobular septal thickenings accompanied by nodular-patchy ground-glass densities are observed. No mass lesion with distinguishable borders was detected in both lungs. Ground-glass densities in the middle lobe of the right lung are accompanied by changes in pleuroparenchymal band atelectatic sequelae. and laboratory evaluation is recommended. The described findings are suspicious for Covid 19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Focal pericardial effusion reaching 6.5 mm thickness was observed anteriorly at the heart base level. Pericardial thickening was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nPericardial focal effusion . Suspicious findings in terms of Covid 19 pneumonia in the right lung upper-middle lobe, left lung lower lobe basal segments, it is recommended to be evaluated together with clinical and laboratory. Pleuroparenchymal broadband atelectatic sequelae changes in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15796/train_15796_a/train_15796_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37253",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: There is a mosaic atteniation pattern in the central parts of the bilateral lungs. In the anterior segment of the right lung upper lobe, there is a minimal consolidation area, which is interpreted in favor of atelectasis, including air bronchograms within the pericardiac location. When examined in the lung parenchyma window; The volume of the upper lobe of the right lung has decreased, and bronchiectatic changes and increases in peribronchial thickness are observed, especially in the bronchi of the right lung leading to the upper lobe. In this area, fibrotic bands that create traction from time to time have attracted attention. Emphysematous changes are observed in both lungs. Peripheral nonspecific sequela milimetric nodules showing calcification are observed in both lungs. No signs of acute infiltration were detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart size increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophytic changes were observed in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nWidespread bronchiectatic changes and peribornchial thickness increases are observed in the right lung, especially extending to the upper lobe bronchi.  Emphysematous changes Atelectasis in the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15797/train_15797_a/train_15797_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Nonspecific calcified parenchymal nodules with a diameter of 4 mm in the superior lobular segment of the left lung upper lobe and 5.5 mm in diameter in the posterobasal segment of the lower pole were observed. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected. In the left lung lower lobe laterobasal segment, a subpleural 3 mm diameter noncalcified parenchymal nodule was observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was non-contracted.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Soft tissue densities suggestive of axillary breast pattern were observed in both axillary regions.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Accessory spleen is observed in the lower pole posterior of the spleen.\n\nImpression:\nBilateral axillary breast pattern. Nonspecific parenchymal nodules, some of which are calcified, in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15809/train_15809_a/train_15809_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Etiological evaluation is recommended considering the patient's immunity. It is in the form of ground glass opacities around the central consolidation. Angio-invading agents can be considered in the differential diagnosis due to the presence of halo sign. Fungal infections such as Aspergillus may be included in the differential diagnosis. When examined in the lung parenchyma window; There are areas of pneumonic consolidation in the right lung lower lobe anterobasal segment and posterobasal segment, and in the left lung lower lobe posterobasal segment. A solid and ground glass nodule with a diameter of 5 mm in the apical segment of the upper lobe of the right lung and a budding tree view in this localization are consistent with bronchopneumonic infiltration. A halo sign is observed around the consolidation lesions in the lower lobe of the right lung.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. A millimetric subintimal hemorrhage area was observed in the left lateral part of the thoracic aorta. It is millimeter in size. No lymph node was observed in pathological size and appearance in both axillae.\n<heart>: The mediolateral diameter of the ascending aorta was 47 mm and increased.\n<bone>: In both supraclavicular regions, no lymph node in pathological size and appearance was observed in the cross-section. There are osteophyte formations leading to bridging in the anterolateral corners of the vertebrae.\n<abdomen>: In the evaluation of the upper abdomen sections entering the image area, there is a 27x24 mm cystic lesion in the pancreatic tail with a thick wall structure and peripheral calcification in the superior part of the distal part of the pancreas. It is millimeter in size. Further examination with MRI of the upper abdomen is recommended for cystic neoplasms. The spleen was not observed (operated). A millimetric subintimal hemorrhage area was observed in the left lateral part of the thoracic aorta. A 34 mm diameter cortical cyst was observed in the right kidney.\n\nImpression:\nIn the lower lobes of both lungs, there are patch-shaped subsegmental consolidation areas around which ground glass opacity is observed, and the clinical pre-diagnosis of pneumonia was evaluated in the current case compatible with pneumonic consolidation. Due to the presence of halo finding, fungal infections such as aspergillus may be included in the differential diagnosis, considering the patient's immunity. . Tuberculosis may cause a halo sign, but their localization does not match tbc. Defined lesions are localized in basal segments. In the case with a pancreatic mass, exclusion of malignancy will be appropriate. Correlation with clinical and laboratory findings is recommended.  2 solid and frosted in the upper lobe apical segment of the right lung. glass nodule and centracinar millimetric nodules compatible with bronchiolitis in this localization. r.  Simple cyst in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15810/train_15810_a/train_15810_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are thickenings of the bronchial walls. Trachea, both main bronchi are open.\n<lung>: Millimetric nonspecific nodules were observed in both lung parenchyma. When examined in the lung parenchyma window; Peribronchial budding tree-like reticulonodular point density increases are observed in both lung parenchyma, especially in the upper lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Diffuse density loss was observed in the liver.\n\nImpression:\nPeribronchial budding tree and reticulonodular point densities in both lung parenchyma (not typical for covid pneumonia. Hypersensitive pneumonia?, bacterial bronchiolitis?).  Millimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15816/train_15816_a/train_15816_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37305",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral and centrally located patchy ground glass densities, enlarged veins, mild bronchiectasis are observed in both lungs, more prominently on the right. Clinical laboratory correlation is recommended. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Mild atherosclerotic changes in the aortic arch and coronary arteries, and a smear-like pericardial effusion are observed. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Mild atherosclerotic changes in the aortic arch and coronary arteries, and a smear-like pericardial effusion are observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a decrease in density in the bone structure in the examination area, and hypertrophic osteophytic tapering in the end plates.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Mild atherosclerotic changes in the aortic arch and coronary arteries, and a smear-like pericardial effusion are observed.\n\nImpression:\nFindings compatible with Covid-19 viral pneumonia, clinical laboratory correlation, close follow-up are recommended.  Placing pericardial effusion  Atherosclerosis  Decreased density in bone structure, hypertrophic osteophytic spikes in end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15818/train_15818_a/train_15818_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Subsegmentary atelectesis is observed in the medial segment of the right lung middle lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a minimal hiatal hernia of the sliding type at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: When evaluated together with its density, it was thought to be a cyst. It is recommended that the patient be evaluated together with the previous examination and, if there is an indication, USG. No upper abdominal free fluid-collection was detected in the sections. In the upper pole of the left kidney, there is a hypodense lesion in the posterior that cannot be characterized due to the lack of contrast material. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nAtelectesis in the medial segment of the middle lobe of the right lung  Atherosclerotic changes in the aorta  Hiatal hernia  Hypodense lesion (cyst?) in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15819/train_15819_a/train_15819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. There are emphysematous changes in both lungs. Apart from this, there are nodules measuring approximately 5.3 mm in diameter, the largest in the upper lobe apicoposterior segment posterior subsegment on the left, and approximately 6 mm in diameter, with the largest on the right in the lateral segment of the middle lobe in both lungs. Since the patient is not breathing properly during the examination, both lungs cannot be evaluated clearly, especially in terms of focal lesion. There are dependent densities in the posterior segments of both lungs. It is recommended that they be evaluated and followed up with their previous examinations, if any. There is a calcific nodule measuring 8 mm in diameter in the apical subsegment of the left lung upper lobe apicoposterior segment.\n<pleura>: There is minimal pleural effusion on the right. No pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: No pericardial effusion or thickening was detected. There are atheromatous plaques in the coronary arteries. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Widespread low density, consistent with osteopenia, is observed in the bone structures within the sections. There are bridging osteophytes in the vertebral bodies. The neural foramina are open. Intervertebral disc distances are narrowed. Vertebral corpus heights and alignments within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. When evaluated together with US examination, it was understood that they belonged to simple cysts. In the left lobe of the liver, there are two hypodense lesions, the largest of which can not be characterized since no contrast agent is given, and the largest is approximately 25 mm in diameter.\n\nImpression:\nNodules in both lungs (follow-up recommended).  Emphysematous changes in both lungs and localized linear atelectasis.  Atherosclerotic changes in the aorta and coronary arteries, coronary bypass surgery. Simple liver cysts. Minimal pleural effusion on the right. Thoracic and lumbar spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15823/train_15823_a/train_15823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37332",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo sign of pneumonia detected. NOTE: CT may be negative early in Covid-19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15830/train_15830_b/train_15830_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37348",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There was no obvious finding consistent with pneumonia in both lungs. In the evaluation of both lungs in the parenchyma window, there are findings compatible with emphysema. In the middle lobe medial-lateral segment transition, a focal ground-glass-like density increase superposed to sequela changes has a nonspecific appearance. Increases in pleuroparenchymal density observed in the middle lobe of the right lung are compatible with sequelae changes. No pathological size and configuration lymph nodes were detected at both hilar levels. There are sequelae changes at the laterobasal level in the left lung and lower lobe in the lingular segment.\n<mediastinum>: CTO is within the normal range. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. The aortic arch was evaluated as 30 mm. Calibration of other mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected at the hilar level in the mediastinum.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There are findings compatible with DISH. Trabecular coarsening and hypodense appearance compatible with hemangioma are present in D8-D11 and D12 vertebrae.\n<abdomen>: MRI is recommended. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. When the upper abdominal organs included in the sections were evaluated; In the middle part of the right kidney, a lesion compatible with angiomyolipoma with a diameter of approximately 5 mm is observed, which gives negative HU density values, which is evaluated as compatible with cortical cyst. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. There is a hypodense lesion measuring approximately 20x18 mm at the junction of the pancreas body and tail. The aortic arch was evaluated as 30 mm.\n\nImpression:\nSequelae changes are observed in both lungs. There is a focal ground-glass-like density increase superposed to sequela changes in the middle lobe on the right. It appears atypical for Covid pneumonia. There is a hypodense lesion of approximately 20x18 mm in the pancreas body and tail junction. MRI is recommended.  Degenerative changes in bone structure.  Angiomyolipoma in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15837/train_15837_a/train_15837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. In the left lung lower lobe laterobasal segment, band-like sequela fibrotic density increases were observed. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Millimetric subpleural nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Sequelae changes in left lung . Nonspecific parenchymal nodules in both lungs . Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15844/train_15844_a/train_15844_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There is a millimetric nonspecific nodule in the upper lobe of the right lung.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: There is an occlusive type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: Intervertebral disc distances were minimally narrowed. The neural foramen is open. There are osteophytes in the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nMinimal atherosclerotic changes in the aorta.  Hiatal hernia.  Millimetric nonspecific nodule in the right lung.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15850/train_15850_a/train_15850_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground glass density increases are observed in both lungs. Thickening is observed in the accompanying interlobular septa. Subsegmental atelectasis areas are remarkable in the lower lobes of both lungs. Millimetric sized nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: In addition, a minimal free pleural effusion measuring 2 cm in thickness is observed on the right between the bilateral pleural leaves. There is a decrease in the volume of the middle lobe of the right lung and a focal pleural effusion area on the right.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. There are two lymph nodes in the right supradiaphragmatic area, the largest of which is 12 mm in the short axis. No lymph node was detected in mediastinal and hilar pathological size and appearance. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta in the upper abdominal sections entering the examination area. The diameter of the main pulmonary artery was 36 mm and it shows dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: The ascending aorta measures 39 mm in diameter and shows slight dilatation. Pericardial mild effusion is present. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. As far as can be seen; Heart size has increased (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in bone structures.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta in the upper abdominal sections entering the examination area.\n\nImpression:\nCardiomegaly, dilatation of the pulmonary artery and ascending aorta.  Diffuse patchy ground-glass density increases in both lungs, interlobular septal thickenings, and peribronchial thickenings. Clinical-lab correlation is recommended. Bilateral pleural effusion and focal area of pleural effusion at the level of the right lung middle lobe, mild pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15851/train_15851_a/train_15851_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<pleura>: When examined in the lung parenchyma window; Newly developed diffuse, subpleural weighted nodular ground glass densities are observed in both lung parenchyma.\n<mediastinum>: Other mediastinal vascular structures are natural. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is slightly ectatic (37 mm). Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the bone structures within the study area; There are minimal degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The gallbladder is operated. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmerging findings consistent with bilateral Covid pneumonia.  Mild ectasia in the ascending aorta.  Cholecytectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15862/train_15862_a/train_15862_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, the gallbladder has an operated appearance. Bilateral adrenal glands appear natural. Metallic clips are observed in the lodge.\n\nImpression:\nNo mass, nodule-infiltration was detected in both lung parenchyma  Cholecystectomized"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15862/train_15862_c/train_15862_c_1.npy"
        ]
    },
    {
        "id": "report_generation_37436",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up of the findings in terms of Covid-19 viral pneumonia is recommended.\n<pleura>: When examined in the lung parenchyma window; There are patchy subpleural ground-glass densities located peripherally, more prominently at the apical levels of the upper lobes of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripherally located subpleural patchy ground glass densities, more prominent at the apical levels in the upper lobes of both lungs, have been evaluated for Covid-19 viral pneumonia, and clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15873/train_15873_a/train_15873_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37438",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Mosaic perfusion is present in both lungs. In addition, prominent linear atelectasis areas are observed especially in the posterobasal segments, more prominently on the right in the lower lobes of both lungs.\n<pleura>: In both hemithoraxes, calcific pleural plaque formations reaching 15 mm in the thickest part were observed, more prominent in the anterior and posterior lower segments of the anterior and posterior pleural surfaces and on the right on the supradiaphragm face, and this is consistent with asbestos exposure. In the right lung, it caused significant recession in the middle lobes of the pleural faces.\n<mediastinum>: Prominent calcific plaque formations are observed in the walls of the coronary artery, the arch of the aorta, and the wall of the descending aorta.\n<heart>: The heart size has increased. The anterior posterior diameter of the ascending aorta has increased by 4.7 cm. Prominent calcific plaque formations are observed in the walls of the coronary artery, the arch of the aorta, and the wall of the descending aorta. Right pectorally placed pacemaker is monitored and there are ventricular and atrium electrodes.\n<esophagus>: Thoracic esophagus calibration is normal.\n<bone>: When the bone is examined in the window, multisegmental degenerative changes are observed in the thoracic vertebral column. Thoracic kyphosis is normal.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a stone with a diameter of 7 mm in the gallbladder lumen. Prominent calcific plaque formations are observed in the walls of the coronary artery, the arch of the aorta, and the wall of the descending aorta. There are several cysts, the largest of which reaches 10 cm, in the upper pole of the left kidney. In the upper abdominal organs within the examination area; liver, spleen, pancreas are normal. However, both kidneys were not fully investigated. No significant increase in wall thickness was detected.\n\nImpression:\nAs the main finding, calcific pleural plaque formations reaching 15 mm in the thickest part of both hemithorax are consistent with asbestos exposure.  Large parenchymal distortion and atelectatic areas adjacent to plaque formations in the subpleural area in the middle lobe of the right lung. Significant enlargement of the ascending aorta. Cardiomegaly. Calcific plaque formations in the wall of the descending aorta and coronary artery walls in the aortic arch.  Cholelithiasis. Bilateral renal cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15874/train_15874_a/train_15874_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Soft tissue density is observed around the right intermediate bronchus. However, there is suspicion of a mass in this localization. It arches the middle lobe bronchus.\n<lung>: In the right lung middle and lower lobe basal segment, consolidation areas, which are primarily evaluated in favor of atelectasis, accompanying bronchial wall thickness increases are observed. Compression atelectasis is observed in its vicinity. It is nonspecific.\n<pleura>: There is a 4 cm diameter pleural effusion between the pleural leaves in the right lung. Fissural edema in the right major fissure accompanies pleural effusion. There is a stable millimetric nodule located subpleural in the left lung lower lobe laterobasal segment. There is a 2.5 cm diameter pleural effusion between the left pleural leaves. Increases in pleural thickness and subpleural density in the anterior segment of the right lung upper lobe were interpreted in favor of a change secondary to radiotherapy.\n<mediastinum>: No lymph node was observed in the axilla in pathological size and appearance. Assessment of mediastinal structures is suboptimal since no contrast material is given. The larger one measured 10 mm in short diameter (metastatic LAP?). The largest measured 22 mm in diameter. There is one suspicious lymph node with a short axis measuring 9 mm in the mediastinum from the prevascular area posterior to the sternum (series 202, ima 63).\n<heart>: Pericardial effusion was not detected. Since contrast is not given, it cannot be clearly differentiated from vascular structures.\n<breast>: The right breast was not observed (operated). The patient has a mastectomy.\n<bone>: Sclerotic bone metastases are observed in the vertebrae. Soft tissue densities are observed in the left supraclavicular fossa.\n<abdomen>: There is free fluid in the abdomen. Numerous metastatic masses are observed in the parenchyma. Liver sizes increased.\n\nImpression:\nOperated breast Ca, suspicious metastatic LAPs in the left supraclavicular fossa, mediastinum, . Bilateral pleural effusion . Significant increases in bronchial wall thickness in the right lung lower lobe and middle lobe and accompanying parenchymal consolidation areas were primarily evaluated in favor of atelectasis. Post-treatment control is recommended.  Stable nonspecific nodule in left lung . Diffuse liver metastases, hepatomegaly, intra-abdominal free fluid, sclerotic bone metastases"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15878/train_15878_a/train_15878_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Emphysematous changes are observed in both lungs, more prominently in the upper lobes, and atelectasis in both lungs, most prominent in the middle lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: Coronary arteries have atheromatous plaques. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Upper abdominal minimal collection was observed. There is minimal upper abdominal free fluid within the sections.\n\nImpression:\nAtelectasis in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15883/train_15883_a/train_15883_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs, more prominently in the basal segments of the right lung upper lobe and left lung lower lobe, and linear atelectasis was observed in both lungs, most prominent in the right lung middle lobe. There are millimetric nodules in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fracture or lytic-destructive was observed in the bone structures in the study area. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: No free fluid was observed at the upper abdominal level included in the sections.\n\nImpression:\nPost-op changes secondary to previous bypass surgery in the sternum and anterior mediastinum, diffuse calcific atheroma plaques in the coronary arteries.  Emphysema-linear atelectatic changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15883/train_15883_b/train_15883_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. No mass was observed in both lungs. The described nodules were also present in the previous examination of the patient and no difference was found in their number and size. The largest of these nodules is observed in the peripheral area of the lower lobe of the left lung, and its longest diameter is approximately 8 mm in diameter.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Atheroma plaques are present in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Atheroma plaques are present in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Stable nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, coronary bypass surgery.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15883/train_15883_c/train_15883_c_1.npy"
        ]
    },
    {
        "id": "report_generation_37463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are emphysematous changes and local atelectasis in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: It was understood that the patient had undergone coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesion was detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nStable nodules in both lungs.  Emphysematous changes and atelectasis in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15883/train_15883_d/train_15883_d_1.npy"
        ]
    },
    {
        "id": "report_generation_37465",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes and locally linear atelectasis were observed in both lungs. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: diffuse atherosclerotic wall calcifications were observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the sections. Degenerative changes were observed in the bone structure. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n\nImpression:\nStable nodules in both lungs.  Emphysematous-atelectasis changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15883/train_15883_e/train_15883_e_1.npy"
        ]
    },
    {
        "id": "report_generation_37485",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<pleura>: The amount of pleural effusion observed on the left in the previous examination has decreased.\n<mediastinum>: Diffuse atherosclerotic changes were observed.\n<heart>: Heart size has increased (cardiomegaly).\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: There was no significant change in other findings in the current examination. The free fluid observed in the perihepatic area in the upper abdominal sections entering the examination area in the previous examination is not detected in the current examination. Diffuse atherosclerotic changes were observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15890/train_15890_b/train_15890_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No nodular or mass lesion, pneumonic infiltration area was detected in the lung parenchyma. In lung parenchyma evaluation; There are local aeration differences in both lung parenchyma.\n<mediastinum>: No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nSlight aeration differences in my parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15894/train_15894_a/train_15894_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections, there is diffuse density loss in the liver. Thoracic aorta diameter is normal.\n\nImpression:\nThorax CT examination within normal limits.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15906/train_15906_a/train_15906_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37533",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are areas of increase in density evaluated in favor of linear atelectesis in the posterobasal segment of both lung lower lobes. There are uniform interlobular septal thickness increases in both lungs and occasional centriacinar ground glass density and density increases. There are minimal peribronchial thickness increases in both lung bronchial structures.\n<pleura>: In the current examination, subcentrimetric minimal effusion is observed in both pleural spaces.\n<mediastinum>: No lymph node was detected in the mediastinum in pathological size and appearance. There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; There is an increase in the diameter of the pulmonary artery in the thoracic aorta.\n<heart>: An increase in heart size is observed. Pericardial effusion was not observed. The findings were evaluated as secondary to cardiac stasis.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: There are degenerative changes in the bone structures within the image.\n<abdomen>: There are calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures. In addition, in the current examination, the intraabdominal free fluid observed in the previous CT examination showed almost complete regression. No pathology was detected in the upper abdominal sections within the image. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; There is an increase in the diameter of the pulmonary artery in the thoracic aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15911/train_15911_b/train_15911_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37535",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). There are linear atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The main pulmonary artery diameter was 37 mm and wider than normal. There are no enlarged lymph nodes in pathological dimensions. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The aortic arch is elongated. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 43 mm in diameter and is wider than normal. As far as can be observed: The heart is larger than normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Liver contours are irregular. Atheroma plaques are observed in the aorta and coronary arteries. The aortic arch is elongated. There is intraabdominal free fluid. It is recommended that the patient be evaluated for chronic liver parenchymal disease.\n\nImpression:\nCardiomegaly, atherosclerotic changes in the aorta and coronary arteries.  Mediayastinal and hilar lymph nodes.  Bilateral minimal pleural effusion. Mosaic attenuation pattern in both lungs.  Irregularity in liver contours and intra-abdominal free fluid (recommended to be evaluated for chronic liver parenchymal disease)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15911/train_15911_c/train_15911_c_1.npy"
        ]
    },
    {
        "id": "report_generation_37541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The described findings can be seen in cystic fibrosis. Clinical lab cor. When examined in the lung parenchyma window; Large cylindrical cystic bronchiectatic areas in the lung parenchyma extending to the lower lobes and right lung middle lobe in both hilar regions. follow-up is recommended.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. Calcific atheromatous plaques were observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a decrease in density in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLarge cylindrical cystic bronchiectatic areas in the lung parenchyma extending to the lower lobes and right lung middle lobe in both hilar regions. The described findings can be seen in Cystic Fibrosis. Clinical lab cor. follow-up is recommended.  Atelectatic changes in the middle lobe of the right lung.  Millimetric lymph nodes are observed in the hilar regions of the mediastinum.  Atherosclerotic findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15915/train_15915_a/train_15915_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37547",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. Atheroma plaques were observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques were observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15918/train_15918_a/train_15918_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is secondary to wall thickness increases in segmental bronchi.\n<lung>: There are bronchial wall thickness increases and areas of linear subsegmental atelectasis in the basal segment bronchi of the lower lobe of the right lung. When examined in the lung parenchyma window; Soft tissue density obstructing the left lung lower lobe posterobasal segment bronchus and its branches is observed. Control imaging would be appropriate to rule out the suspicion of an underlying mass after pneumonia treatment. Subsegmental atelectasis areas are observed in the right lung middle lobe medial segment and left lung lingula inferior segment. An area of lobar pneumonic consolidation is observed in the lower lobe of the left lung, which almost completely fills the basal segment.\n<mediastinum>: Wall calcifications are observed in the abdominal aorta. Right upper paratracheal, bilateral lower paratracheal and subcarinal localized nonspecific lymph nodes with short axis not exceeding 1 cm are present. Calibrations of mediastinal main vascular structures were followed naturally. No lymph node was observed in pathological size and appearance in both axillae.\n<heart>: The left ventricle has a hypertrophic appearance. Heart size increased. Calcified atheroma plaques were observed in the coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. Osteophyte formations leading to bridging are observed in the anterior corners of the thoracic vertebral corpus and ligament calcification foci throughout the ALL (DISH).\n<abdomen>: Wall calcifications are observed in the abdominal aorta. There is a hypodense lesion with a diameter of 14mm in the upper pole of the left kidney and a cortical exophytic location and a density above 10HU (hemorrhagic cyst?). There is a slinding type erroneous hernia in the evaluation of the upper abdominal sections entering the image area.\n\nImpression:\nControl imaging will be appropriate in terms of soft tissue density obstructing the bronchus of the left lung lower lobe posterobasal segment and lobar pneumonic consolidation in the left lower lobe basal segment of the left lung, exclusion of the underlying mass due to obstruction in the left lower bronchus after treatment. Increased heart size, calcified atheroma in the coronary arteries plaques. Sliding type hiatal hernia.  Isodense cortical lesion with parenchyma in the left kidney (hemorrhagic cyst? Evaluation with USG would be appropriate)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15921/train_15921_a/train_15921_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37559",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<pleura>: When examined in the lung parenchyma window; A 7 mm diameter pleural nodule was observed at the junction of the upper lobe anterior and middle lobes in the right lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Thymic remnant was observed in the anterior mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No lymph node was observed in the mediastinum and in both axillae in pathological size and appearance.\n<heart>: Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Several lymph nodes, the largest of which were 15x6 mm in size, were observed in the anterior neighborhood of the esophagus proximal to the esophagogastric junction. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are natural within the sections.\n<abdomen>: Thoracic aorta diameter is normal. Liver, gallbladder, spleen, both adrenal glands and pancreas are normal as far as can be seen on non-contrast sections.\n\nImpression:\nNonspecific pleural nodule at the junction of the upper lobe anterior and middle lobes in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15924/train_15924_a/train_15924_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is accompanied by mild tracheomegaly.\n<lung>: No new lesion was detected. It was understood that the lung healed with parenchymal destruction. Traction bronchiectasis is accompanied and areas of parenchymal fibrosis accompanied by pleuroparenchymal retractions are observed. Areas of active inflammation still persist in the ground glass density. While parenchymal infiltrates of ground glass density continue in the upper lobe apical segments, it has been predominantly replaced by consolidation in other segments. In the previous examination, atypical pneumonic infiltration areas, predominantly of ground-glass density, with increasing prevalence towards the basals, are observed in both lungs. In his current examination, the transformation of the areas of ground glass density into consolidation is observed.\n<pleura>: Pleural effusion is not observed.\n<heart>: There is an increase in heart size and extensive calcific atherosclerotic plaques in the coronary arteries. Pericardial effusion was not detected. No feature was observed in the sections of the upper horse.\n<esophagus>: Sliding type hiatal hernia is present.\n\nImpression:\nIn the case followed up with Covid pneumonia, in the previous examination, it was observed that the infiltration areas of ground glass density turned into consolidation with volume loss. In the ground glass density, active inflammation areas continue, pleuroparenchymal recessions and traction bronchiectasis are observed, and it is thought to heal with parenchymal sequelae. Widespread lung involvement still continues."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15937/train_15937_c/train_15937_c_1.npy"
        ]
    },
    {
        "id": "report_generation_37594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The described manifestations were evaluated primarily in favor of infective pathology (viral pneumonia?). Ground glass areas are observed especially in the upper lobe of the right lung and the upper lobe of the left lung. It is recommended to be evaluated together with the findings. There are sometimes linear actectasis in both lungs. The patient's clinical and lab. No mass was detected in both lungs.\n<pleura>: No significant pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal cannot be evaluated optimally because no contrast agent is given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: Especially the left atrium is observed to be larger than normal. As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are narrowed. Vertebral corpus heights, alignments and densities within the sections are normal. Intervertebral disc distances are narrowed.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. The right kidney is atrophic. There is a stone measuring approximately 1 cm in diameter in the right renal pelvis.\n\nImpression:\nGround-glass areas in both lungs, more prominent on the right . Occasional atelectasis in both lungs . Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15940/train_15940_a/train_15940_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37596",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. Diffuse subsegmental atelectatic changes were observed in the paracardiac areas of both lungs. Focal patchy ground glass consolidations with crazy paving pattern were observed in the anterior segment of the right lung upper lobe, and the appearance is highly suspicious for Covid-19 pneumonia. When examined in the lung parenchyma window; Segmentary-subsegmental peribronchial thickenings were observed in both lungs.\n<pleura>: Sequelae thickening in the posterior costal pleura in both hemithorax and pleuroparenchymal fibroatelectasis sequelae changes were observed in both lung lower lobe posterobasal, right lung lower lobe superior and left lung upper lobe inferior lingular segments.\n<mediastinum>: The diameters of the pulmonary trunk and both pulmonary arteries have increased. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. The size of the heart has increased massively, more prominently in the left heart chambers. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal osteodegenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 32 mm, larger than normal. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. The right kidney is atrophic.\n\nImpression:\nFusiform ectasia in the ascending aorta, increased pulmonary artery diameters, massive cardiomegaly, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  High suspicious appearance for Covid-19 pneumonia in the right upper lobe of the lung; It is recommended to be evaluated together with clinical and laboratory.  Subsegmentary atelectatic changes in the paracardiac areas of both lungs, segmental-subsegmental tubular bronchiectasis, pleuroparenchymal fibroatelectasis sequelae changes, sequelae thickening in the posterior costal pleura  Atrophy in the right kidney  Minimal osteodegenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15940/train_15940_b/train_15940_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37631",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Patchy ground glass density increases were observed at these levels in both lungs.\n<pleura>: A free pleural effusion was observed between the right pleural leaves, with a thickness of 8.6 mm in the current examination and 22 mm in the previous examination.\n<mediastinum>: Mediastinal stable lymph nodes were observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15956/train_15956_a/train_15956_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37637",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Structural distortion in the vicinity of the apical segment of the right lung, accompanied by volume loss, in the comparative evaluation made with the previous CT examination, a nodule with stable size and appearance, which was initially evaluated in favor of granuloma, is observed. Apart from this, in the comparative evaluation of both lung parenchyma with the previous CT examination , there are a few non-specific nodules with stable number and size in millimeters. Calcified lymph nodes are observed in the right hilar region and right paratracheal region. When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. There are several non-specific nodules in millimeter sizes.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. There is no lymph node in the mediastinum in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: A sequel fracture appearance is observed in the L1 vertebra right transfer process.\n<abdomen>: No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nThere was no finding in favor of active infiltration in both lungs.  Nodular lesion in the apical segment of the right lung, which was evaluated in favor of the first panda granuloma with stable size and appearance in the comparative evaluation made with the previous CT examination.  In the comparative evaluation of both lung parenchyma with the previous CT examination, a few non-specific nodules with stable numbers and sizes in millimeters.  Sequelae fracture line in L1 vertebra right transfer process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15957/train_15957_b/train_15957_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Parenchyma density is homogeneous. Thyroid gland sizes are slightly increased.\n<lung>: No traumatic pathology was detected in the lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; In the right lung upper lobe anterior segment and lower lobe posterobasal segment, subpleural pure calcified nodules were observed. Pleural effusion-thickening was not detected. In addition, there is a subpleural nonspecific nodular lesion with a diameter of 3 mm in the posterior segment of the right lung upper lobe.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal main vascular structures were followed naturally. No lymph node was observed in pathological size and appearance in both axillae.\n<heart>: Heart dimensions and compartments appear natural.\n<bone>: In both supraclavicular fossas, no lymph node in pathological size and appearance was observed in the cross-section. No fracture was observed in the bone structures in the study area.\n<abdomen>: No pathology was observed in the sections passing through the upper abdomen.\n\nImpression:\nNo traumatic pathology was detected in the bone structures or lung parenchyma in the section. Subpleural, millimetric size, nonspecific pulmonary nodule located in the posterior segment of the right lung upper lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15961/train_15961_a/train_15961_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; No mass-infiltration was detected in both lung parenchyma.\n<pleura>: In the right lung upper lobe posterior segment, 3.5 mm diameter pulmonary nodules were observed adjacent to the mediastinal pleura, and 4.5 mm and 3.7 mm diameter pulmonary nodules were observed in the lower lobe laterobasal segment of the left lung. Pleural thickening-effusion was not detected.\n<mediastinum>: In the anterior pericardial localization, a soft tissue density of 19x7.5 mm was observed between the mediastinal fatty planes. No lymph node was detected in mediastinal pathological size and appearance. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the upper abdominal sections in the non-contrast scan limits.\n\nImpression:\nFew pulmonary nodules in both lungs in the localization described in the report . Low-density soft tissue density in the pericardium anterior adjacent to the mediastinal fatty planes without significant mass effect."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15964/train_15964_a/train_15964_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37655",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: A 4.5 mm diameter nodule was observed in the medial of the posterior segment of the right lung upper lobe. Minimal emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are two adjacent nodules in the lower lobe of the left lung, in the laterobasal segment and the largest one measuring approximately 4.5 mm in diameter. The described nodules can also be observed in the previous examination of the patient, and no difference was found in their size and appearance.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are no enlarged lymph nodes in pathological dimensions. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nStable millimetric nodules in both lungs . Emphysematous changes in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15964/train_15964_b/train_15964_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There is minimal peribronchial thickening in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal peribronchial thickening in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15969/train_15969_a/train_15969_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; A 3 mm subpleural nodule is observed in serial 2 image 136 in the middle lobe of the right lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Millimetric calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are stones in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSeveral millimetric calcific nodules in the right lung.  Cholelithiasis.  Millimetric calcific atheroma plaques in coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15979/train_15979_a/train_15979_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37693",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The dimensions of the left thyroid lobe have increased.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Several nonspecific pulmonary nodules measuring 4 mm in diameter were observed in the right lung lower lobe superior segment and laterobasal segment. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Pleuraparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. No pleural effusion was detected.\n<mediastinum>: The diameter of the ascending aorta was 49 mm and showed fusiform aneurysmatic dilatation. Lymph nodes measuring 13x7 mm in size were observed in prevascular upper-lower paratracheal, aorticopulmonary and subcarinal localizations. No lymph node was detected in pathological size and appearance. The diameter of the aortic arch was 36 mm and the diameter of the descending aorta was 38 mm, showing dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n<heart>: A minimal effusion measuring 4 mm in thickness was observed in the anterior pericardium. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: A well-circumscribed, milimetric sclerotic lesion was observed on the left humeral head. Degenerative changes were observed in bone structures. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: A hypodense lesion consistent with two cortical cysts, the largest of which is 60 mm in diameter, was observed in the upper pole posterior cortex of the right kidney. The diameter of the ascending aorta was 49 mm and showed fusiform aneurysmatic dilatation. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural. The diameter of the aortic arch was 36 mm and the diameter of the descending aorta was 38 mm, showing dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nFusiform aneurysmatic dilation of the thoracic aorta.  Mediastinal lymph nodes.  Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary arteries. Pericardial minimal effusion.  Sequelae changes in both lungs, a few nonspecific pulmonary nodules in the right lung. Cortical cysts in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15980/train_15980_a/train_15980_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37699",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is a millimetric atheroma plaque in the aortic arch. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is an appearance of surgical material in the interatrial septum. There are also a few millimetric calcific plaques in the left anterior descending coronary artery and the right coronary artery. It was learned that ASD closure was performed on the patient. As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: There is a sliding type minimal hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. In the liver parenchyma density, a decrease in density consistent with minimal-moderate adiposity is observed. There is a millimetric atheroma plaque in the aortic arch. In the upper abdominal organs within the sections, there is no mass with discernible borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMinimal atherosclerotic changes in the aorta.  Minimal hiatal hernia.  Minimal emphysematous changes in both lungs.  Linear atelectasis in both lungs.  Hepatic steatosis.  Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15983/train_15983_a/train_15983_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; focal bud branch view is observed in the anterior segment of the right lung upper lobe. There is also a 4 mm diameter nodule in the upper lobe. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Bilateral pleural effusion or pneumothorax is not observed.\n<mediastinum>: Pulmonary trunk calibration is at the maximal physiological limit with 28 mm. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of other mediastinal major vascular structures is natural. The aortic arch calibration is 30 mm, slightly above normal.\n<heart>: CTO is at the maximal physiological limit.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver. The aortic arch calibration is 30 mm, slightly above normal.\n\nImpression:\nFocal bud branch view in the anterior segment of the right lung upper lobe. The described finding is atypical for Covid pneumonia. Evaluation for bacterial and viral pneumonias is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15986/train_15986_a/train_15986_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37719",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It was evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; Peripheral localized in both lungs, patchy crazy paving pattern, consolidation areas are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Hyperdense findings with a diameter of more than 5 mm in the gallbladder were evaluated in favor of stones.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as organized pneumonia-drug toxicity and connective tissue disease may cause a similar appearance. Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15991/train_15991_a/train_15991_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: In the first examination of the patient, it was learned that a mass observed in the posterior segment of the right lung upper lobe and radiotherapy was applied to this mass. It was evaluated in favor of sequelae. There are prominent paraseptal-centriacinar emphysematous changes in both lungs on the right. There are interlobular septal thickenings in the lung parenchyma superior to the mass. In his previous examinations, there is an area of consolidation accompanied by structural distortion in this localization that does not give a significant mass contour. Soft tissue density, which also extends to the fissure in consolidation, remained stable throughout all previous examinations. In the current examination, there is a contouring mass lesion measuring approximately 68x35 mm in this localization. It was evaluated in favor of a recurrent-recurrent mass. There was no finding in favor of active infiltration-pneumonia in both lungs. A stable calcified nodule was observed in the posterobasal segment of the left lung lower lobe.\n<pleura>: Common nonspecific ground glass densities observed in the previous examination were not observed in the current examination, and in both lungs; More extensive linear subsegmentary atelectic changes and subpleural striations were observed in the lower lobe basal segments.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. Millimetric atheroma plaques are observed in the aorta and coronary arteries. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Lymph nodes reaching pathological dimensions were observed in the lower left paratracheal, subcarinal, and right hilar region, the largest of which was 18 mm (13 m in the previous examination) in the short axis of the subcarinal area. Lymph nodes measuring 15x8.6 mm (11x5.3 mm in the previous technique) are observed in the right supraclavicular area.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Fusional appearances are observed in the intervertebral joint spaces ( Spondyloarthropathy?) There are lytic bone metastases observed in previous examinations. Narrowing was observed in the dorsal intervertebral joint spaces. Loss of height in the anterior part of the L1 vertebra corpus has been observed in previous examinations.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric atheroma plaques are observed in the aorta and coronary arteries. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nMalignant mass lesion consistent with recurrence-residue on the basis of stable structural distortion area in the posterior segment of the right lung upper lobe  Linear subsegmental atelectasis changes in both lungs, subpleural striations (consistent with sequelae).  Stable calcified nodule in the posterobasal segment of the lower lobe of the left lung  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15996/train_15996_a/train_15996_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Interlobular septal thickenings were observed in the right lung. When examined in the lung parenchyma window; In the right hilus localization, there is a mass lesion surrounding the intermediate bronchus in the anterior and posterior segment of the intermediate bronchus, and in the upper lobe posterior segment of the right lung, invading the mediastinum. It was understood that the described lesion was the primary mass of the case. In the current examination, wide areas of consolidation are noted in the middle and lower lobes of the right lung. In the current examination, the described mass was 73x40 mm (73x41 mm in the previous examination) and an irregularly circumscribed mass lesion that did not show significant size change was observed. Ectasia and peribronchial wall thickening are observed in the lower lobes bronchi. The described mass extends towards the major fissure.\n<pleura>: In addition, diffuse pleural thickening with irregular borders, which was also observed in the previous examination, was observed in the right hemithorax. Minimal pleural effusion and atelectasis changes were observed on the left and were newly revealed in the current examination. Subpleural focal ground-glass density increase was observed in the anterior segment of the left lung upper lobe.\n<mediastinum>: According to the previous examination, stable short axis lymph nodes smaller than 1 cm were observed in the right upper bilateral lower paratracheal area. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. As far as can be seen; Port chamber and catheter image extending superiorly to the vena cava were observed on the right anterior chest wall. Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Fusion was also observed in the posterior elements. It is recommended to evaluate with clinical and laboratory data in terms of possible inflammatory arthritis. At the level of the dorsal vertebrae, narrowing and calcifications and fusion were observed in their distances. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: It just appeared in the current review. Accessory spleen with a diameter of 1.5 cm was observed at the level of the spleen hilus. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. US control is recommended. In the upper abdominal sections entering the examination area, the gallbladder wall thickness has increased and it has an edematous appearance.\n\nImpression:\nMediastinal stable lymph nodes  Minimal effusion and atelectatic changes in the left lung.  Subpleural focal nonspecific ground-glass density increase in the left upper lobe of the lung has just been revealed in the current review.  Increase in gallbladder wall thickness-edema, US control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15996/train_15996_b/train_15996_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: Sequelae changes, pleuroparenchymal density increases are observed in both lungs at the apical level, and tractional bronchiectasis is seen. Significant emphysematous changes and bulla-blep formations are observed in both lungs. It is clearly observed at the apical level and in the left lower lobe. There are calcific nodules, the largest of which is 5 mm in diameter, in the anterior segment of the upper lobe.\n<pleura>: No bilateral pleural effusion or pneumonia was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed in the case.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nThe examination is suboptimal due to intense respiratory artifacts.  No findings compatible with pneumonia were detected.  Significant emphysematous changes in both lungs . Sequelae changes, more prominent in the upper lobes of both lungs, and tractional bronchiectasis appearances"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_15999/train_15999_a/train_15999_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37745",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. A triangular density is observed secondary to the thymic remnant in the anterior mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast examination of the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16002/train_16002_a/train_16002_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. It is recommended to follow them. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. No mass or infiltrative lesion was detected in both lungs. Soft tissue density appearances and minimal volume loss are observed in the right lung middle lobe lateral segment and the laterobasal segment of the lower lobe in the peripheral area. The described appearances were evaluated primarily in favor of round atelectasis.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There are atheromatous plaques in the aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta.\n\nImpression:\nAppearances evaluated primarily in favor of round atelectasis in the right lung (recommended to be followed) . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16004/train_16004_a/train_16004_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Firstly, it was evaluated in favor of an infective pathology. In the mediobasal segment of the lower lobe of the right lung, peripheral consolidation and ground glass area are observed. The described appearance is non-specific. There are millimetric nodules in both lungs. It is recommended that the patient be evaluated together with the laboratory findings. Although unilateral involvement and the described appearance are not very typical for Covid-19 pneumonia, this appearance was also thought to be covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nPeripheral consolidation and ground glass area in the right lung lower lobe mediobasal segment (it is recommended to evaluate the patient together with laboratory findings for Covid-19 pneumonia)  Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16025/train_16025_a/train_16025_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37805",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse interlobular septa thickening in both lungs, patchy ground glass densities, mosaic attenuation patterns, especially in the lower lobes, are observed.\n<pleura>: Pleural calcifications measuring 12 mm in the left paracardiac area and measuring 27 mm in the long axis and 3 mm in the short axis are observed in the right lung middle lobe anterior.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes with a central necrotic size of up to 11 mm, some in the mediastinium, in more than one paratracheal, subcarinal, aorticopulmonary window, in both hilar regions. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes in bone structures, hypertrophic osteophytic tapering in the anterior of the vertebral corpus end plate were observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground glass densities in both lungs; In the patient known to have Covid 19 viral pneumonia, follow-up is recommended for the continuation of infectious processes.  Mosaic attenuation patterns in both lungs (edema?, small airway disease?, small vessel disease?).  A few small lymph nodes in the mediastinum, pleural calcifications, a small amount of effusion in the right hemithorax.  Degenerative changes in bone structures, hypertrophic osteophytic tapering in the anterior of the vertebral corpus end plate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16027/train_16027_a/train_16027_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is an endotracheal tube in the trachea.\n<lung>: No mass was detected in both ventilated lungs. Therefore, differential diagnosis could not be made. Consolidation and ground-glass appearances are observed in the posterobasal and anteromediobasal segments in the middle and lower lobes of the right lung and the lower lobe of the left lung. However, the distribution and appearance of the findings are not in the manner often observed in Covid 19 pneumonia. In addition, there are consolidation and frosted glass appearances in other parts of the lungs that are ventilated. Many pathologies can cause similar appearance.\n<pleura>: No significant pleural effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion and thickening were not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Inside the esophagus there is a nasogastric tube that ends in the stomach.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Inside the esophagus there is a nasogastric tube that ends in the stomach.\n\nImpression:\nConsolidation and ground glass appearances in both lungs, more prominent on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16033/train_16033_a/train_16033_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal emphysematous changes were observed in both lungs. There are atelectasis in the left lung upper lobe lingular segment and right lung middle lobe. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are hypodense lesions in the liver that cannot be characterized in this examination. No enlarged lymph nodes in pathological dimensions were detected. Evaluation of the patient with previous examinations, if any, and USG are recommended if there is an indication. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. A few millimetric nodules in both lungs . Atelectasis in both lungs. Hypodense lesions in the liver that cannot be characterized on this examination"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16034/train_16034_a/train_16034_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37835",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: Areas of linear density increase are observed in the lower lobes of both lungs, and although the appearance is primarily evaluated in favor of atelectasis, the underlying pneumonic infiltration cannot be excluded. There are paraseptal emphysematous changes in the centriacinar-upper lobes of both lungs. In the examination made in the lung parenchyma window; no mass lesion is observed in both lungs.\n<pleura>: Minimal pericardial and pleural effusion was not detected.\n<mediastinum>: It could not be evaluated optimally because it was performed without contrast material. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The pulmonary conus is wider than normal at 31 mm. Mediastinal vascular structures and heart examination IV.\n<heart>: Mediastinal vascular structures and heart examination IV. Heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No solid mass was detected within the limits of unenhanced CT. The vertical dimension of the spleen was measured as 140 mm and increased. Free fluid, loculated collection is not observed. The AP diameter of the gallbladder was 47 mm, and it appeared distended. In the upper abdominal sections within the image, the liver CC size was measured as 186 mm and increased. It is recommended to be evaluated together with clinical and laboratory findings. In parenchyma density, hypodense appearance compatible with hepatosteatosis is observed.\n\nImpression:\nParaseptal-centriacinar emphysematous changes in both lungs, areas of linear density increase in the lower lobes of both lungs; although primarily evaluated in favor of atelectasis, pneumonic infiltration cannot be excluded. Evaluation is recommended together with clinical and laboratory findings.  Increase in pulmonary conus calibration.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Hepatosplenomegaly, hepatosteatosis. Distandual appearance in the gallbladder."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16040/train_16040_a/train_16040_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37839",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal pleuroparenchymal sequelae changes in both lung apexes and linear atelectasis in the lower lobe of both lungs and the lingular segment of the left lung upper lobe. There are minimal emphysematous changes in both lungs. Millimetric nonspecific nodules are observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes and atelectasis in both lungs.  Millimetric nodules in both lungs.  Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16040/train_16040_c/train_16040_c_1.npy"
        ]
    },
    {
        "id": "report_generation_37849",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is accompanied by minimal cylindrical bronchiectasis. Trachea and main bronchi are open.\n<lung>: A 6 mm diameter nodule was observed in the right lung lower lobe superior segment. In the evaluation of both lung parenchyma; Diffuse interlobular septal thickening in both lungs, and centrilobular nodular opacities in the upper lobes of clear-ground glass density were observed. Infectious agents, drug toxicity, vasculitides, organizing pneumonias, connective tissue diseases may cause similar appearances.\n<pleura>: There are increases in density consistent with subpleural bands and transient atelectasis in the posterobasal segments of the bilateral lower lobes. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nDiffuse interlobular septal thickening in both lungs, centrilobular nodular opacities, minimal cylindrical bronchiectasis, subpleural bands, and transient atelectasis. Infectious agents, drug toxicity, vasculitides, organizing pneumonias, connective tissue diseases may cause similar appearances. Clinical evaluation and laboratory examination are recommended for differential diagnosis. Right lung lower lobe superior nodule"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16045/train_16045_a/train_16045_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37859",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is in favor of Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; There are ground glass densities, which are scattered in both lungs in a patchy manner and more dominantly in the subpleural areas.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. Other mediastinal main vascular structures, heart contour, size are normal. The diameter of the oracal aorta is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The diameter of the oracal aorta is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta.\n\nImpression:\nTypical-probable Covid-19 pneumonia.  Calcific atheromatous plaques in the walls of the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16050/train_16050_a/train_16050_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37861",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. There was no finding compatible with pneumonia. When examined in the lung parenchyma window; Sequelae changes are observed in both lungs at the apical level. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16051/train_16051_a/train_16051_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lung parenchyma, bronchiectasis accompanied by linear opacities that start from the central and extend towards the periphery are observed in all lobes in the peribronchial areas. 2-3 on the right.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal sections, the gallbladder was operated.\n\nImpression:\nLinear peribronchial infiltrates and concomitant bronchiectasis with diffuse confluence in all lobes of both lungs. Findings may be compatible with interstitial lung disease on the basis of viral pneumonia. Correlation with clinical and laboratory is recommended.  Right anterior drainage catheter inserted into the hemithorax."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16053/train_16053_a/train_16053_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37875",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Multilobar, diffuse ground glass and areas of increase in density consistent with consolidation are observed in both lung parenchyma, and viral pneumonias are considered in the etiology of the findings. No mass was detected in both lungs.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. There is no lymph node in the mediastinum in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. Calcified atheroma plaques are observed on the wall of the coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No lymph node is observed in intraabdominal pathological size and appearance. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nFindings consistent with diffuse viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16059/train_16059_a/train_16059_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37902",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with a distinguishable border was detected in the lung parenchyma. When examined in the lung parenchyma window; Two nonspecific parenchymal nodules, 6 mm in diameter, were observed in the right lung lower lobe laterobasal and upper lobe anterior segment.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Wide Schmorl nodule impression was observed in D8 vertebra inferior end plate.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. The right kidney was not observed. Minimal intra-abdominal free fluid was observed.\n\nImpression:\n· Nonspecific parenchymal nodules in the right lung. · Free intra-abdominal fluid. Large Schmorl nodule impression on D8 vertebra inferior end plate"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16072/train_16072_a/train_16072_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No newly developed active infiltration or mass lesion was detected. In the current examination, at the level of consolidation areas, which were evaluated in favor of widespread patchy pneumonic infiltration defined in the previous CT examination in both lungs, areas of density increase in ground glass density and increases in interlobular septal thickness were observed.\n<abdomen>: There is also a decrease in the size of the lymph node observed in the paraaortic area adjacent to the upper pole of the left kidney in the current examination. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16073/train_16073_a/train_16073_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37906",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is no significant difference in the volume occupied by the existing densities, and there is an increase in the density of the densities. It is seen that soft tissue densities in the form of atelectasis are formed instead of ground glass densities.\n<pleura>: In both lung parenchyma, there are peribronchial atelectasis, fibrotic densities, and subpleural streaks that start from the central and extend to the pleura accompanied by bronchiectatic segments, most prominently in the right and upper lobes.\n<mediastinum>: Stable lymph nodes with a short axis reaching 8.5 mm are observed in the right paratracheal localization within the mediastinum.\n<abdomen>: No newly developed pathology was observed. Apart from this, no significant difference was found between the examinations. In upper abdominal sections; The paraaortic lymph node adjacent to the left kidney is stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16073/train_16073_b/train_16073_b_1.npy"
        ]
    },
    {
        "id": "report_generation_37910",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidated lung segments that may belong to pneumonic infiltration and/or atelectasis are observed in the right lung middle lobe, upper lobe posterior segment and left lung upper lobe. The largest of the described nodules is observed in the posterior segment of the right lung upper lobe and its longest diameter is 10 mm. There are smooth interlobular septal thickenings in both lungs, more prominent in the upper lobes. There are millimetric nodules in both lungs. This distinction was not made in this study.\n<pleura>: The pleural effusion measured 46 mm on the right at its thickest point. There is bilateral pleural effusion, more prominent on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. The largest lymphadenopathy with distinguishable borders is observed in the paratracheal region and its short diameter is 23 mm. There are atheromatous plaques in the aorta and coronary arteries. The borders of some of the lymphadenopathies cannot be distinguished from each other because contrast agent is not given. There are lymphadenopathies in the mediastinum and hilar regions.\n<heart>: Pericardial effusion measured 22 mm at its thickest point. Pericardial effusion is observed. Pericardial thickening was not detected. As far as can be observed: The heart is larger than normal. When evaluated together with other findings, it was thought that the findings might be due to cardiac pathology.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. In addition, there are lymphadenopathies in the cervical region within the sections and in the rectopectoral and interpectoral regions. The neural foramina are open. Height loss is observed in the T6 vertebral body. Other vertebral body heights are normal. The height loss is about 75% in the central part of the vertebra.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nCML at follow-up, lymphadenopathies in the neck, interpectoral and retropectoral regions, mediastinum and hilar regions.  Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, pericardial effusion.  Bilateral pleural effusion.  Consolidations in both lungs, which may be consistent with pneumonic infiltration and/or atelectasis.  Uniform interlobular septal thickenings in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16075/train_16075_a/train_16075_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37955",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There is a mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?). In the inferior lingular segment, there are increases in density consistent with pleuroparenchymal sequelae.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected. Focal consolidation is observed in the lateral subpleural area in the posterior segment of the right lung upper lobe.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. Scattered thymic tissue without mass effect is observed. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The left kidney is subject. Upper abdominal organs included in the sections are normal. The surrounding soft tissue plans within the study area are natural. Mild steatosis is observed in the liver entering the cross-sectional area. Density compatible with two adjacent calculi, the largest of which is 3 mm in diameter, is observed in the middle part of the right kidney.\n\nImpression:\nFocal consolidation in the lateral subpleural area in the posterior segment of the right lung upper lobe.  Pleuroparenchymal sequelae changes in the lingular segment of the left lung.  Mosaic attenuation pattern in both lungs. The findings described are atypical for Covid pneumonia. Evaluation with the clinic is recommended.  Hepatosteatosis.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16091/train_16091_a/train_16091_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37964",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are smooth interlobular septal thickness increases, which are more prominent in the lower lobes of both lungs. Bilateral hilus examination could not be evaluated optimally due to the lack of contrast. When examined in the lung parenchyma window; Sentracinar-paraseptal emphysematous changes are observed in both lungs. An area of increase in density consistent with consolidation is observed in the superior segment of the left lung lower lobe, in which air bronchograms are also observed, and pneumonic infiltration is considered in the etiology of the findings.\n<pleura>: Left pleural effusion is observed and measured as 11 mm at its deepest point.\n<mediastinum>: The ascending aorta is 44 mm and the descending aorta 31 mm wider than normal. Calcified atheroma plaques are observed on the wall of mediastinal and coronary vascular structures. In the mediastinum, there are lymph nodes with fusiform configuration, the largest of which is observed at the level of the prevascular-aorticopulmonary window, with a short diameter of 10 mm. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<heart>: Pericardial effusion is not observed. Calcified atheroma plaques are observed on the wall of mediastinal and coronary vascular structures. Heart contour size is natural. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures in the examination area, and there are degenerative changes.\n<abdomen>: The ascending aorta is 44 mm and the descending aorta 31 mm wider than normal. No free fluid or loculated collection was detected as far as can be observed within the borders of non-contrast CT in the upper abdominal sections within the image. Solid mass was not observed.\n\nImpression:\nParaseptal-centracinar emphysematous changes in both lungs, smooth interlobular-interstitial septal thickness increases observed more prominently in the lower lobes (findings consistent with interstitial lung disease) . Area of increase in density consistent with consolidation in the superior segment of the left lung lower lobe with air bronchograms; It was evaluated as compatible with pneumonic infiltration. Evaluation together with clinical and laboratory findings is recommended.  Calcified atheromatous plaques on the wall of the thoracic aorta and coronary vascular structures . Minimal left pleural effusion . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16095/train_16095_a/train_16095_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the upper and lower lobes of both lungs and in the middle lobe of the right lung, especially in the peribronchovascular area, ground glass appearance and smooth interlobular septal thickening are observed. Atelectasis was observed adjacent to the effusion in the lower lobes of both lungs. No mass was detected in both lungs.\n<pleura>: The pleural effusion measured 45 mm on the left at its thickest point. Bilateral minimal pleural effusion is observed. No pleural or pericardial effusion was detected. Although the described findings are not specific, when evaluated together with the distribution of the findings and pleural effusion and cardiomegaly, it was thought that the appearances were primarily due to pulmonary edema.\n<mediastinum>: Millimetric atheroma plaques are also observed in the aortic arch. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. The diameter of the main pulmonary artery was also measured 30 mm and was wider than normal.\n<heart>: Heart contour and size are normal. The ascending aorta measures 44 mm in anterior-posterior diameter and is wider than normal. Pericardial effusion was not detected. There are stent and millimetric atheroma plaques in the left anterior descending coronary artery. As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: Millimetric atheroma plaques are also observed in the aortic arch. No upper abdominal free fluid - collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nCardiomegaly, bilateral pleural effusion, ground glass areas in both lungs and interlobular septal thickenings (findings thought to be due to cardiac pathology)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16096/train_16096_a/train_16096_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37981",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: No pathologically enlarged lymph nodes were detected in the bilateral supraclavicular fossa, mediastinum and bilateral axillary region.\n<pleura>: When examined in the lung parenchyma window; In both lungs, multilobar mostly peripheral dorsal, subpleural localized ground glass and areas of increased density in the nodular merging tendency compatible with consolidation are observed, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the bilateral supraclavicular fossa, mediastinum and bilateral axillary region. The mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed, the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: No solid mass was detected in the upper abdominal organs included in the sections, as far as can be observed within the non-contrast CT classes. No intraabdominal free fluid-loculated collection was observed. No mass lesions were detected in the peritoneum and omentum.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16103/train_16103_a/train_16103_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37993",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the differential diagnosis, Covid-19 pneumonia and other viral pneumonias were considered due to the pandemic. Tubular bronchiectatic changes and minimal peribronchial thickening were observed in the center of both lungs. Follow-up is recommended. When examined in the lung parenchyma window; There are central-peripheral reticular density increases and accompanying nodular ground glass consolidations in both lungs. Pleuroparenchymal fibroatelectasis sequelae changes in both lungs No mass lesion with distinguishable borders was detected in both lungs. In addition, parenchymal nodules with a diameter of approximately 8 mm were observed in the anterobasal subsegment of the left lung lower lobe anteromediobasal segment in both lungs.\n<mediastinum>: Multiple lymph nodes with prevascular, right upper-bilateral lower paratracheal, subcarinal, bilateral hilar, aortopulmonary and axillary short axes less than 1 cm were observed. Subject to pulmonary artery calibrations. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. The examination was considered suboptimal since no contrast agent was given.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in LAD. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. At the mid-thoracic level, bridging spur formations were observed in the right anterolateral corner of the vertebra.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 26 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The examination was considered suboptimal since no contrast agent was given.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta, calcific atheromatous plaques in the LAD . Patchy ground-glass consolidations and accompanying traction bronchiectasis in both lungs with more extensive interlobular septal thickenings in the central and peribronchial area. In the differential diagnosis, other viral pneumonias, especially Covid-19 pneumonia, were considered.  Pleuroparenchymal fibroatelectasis sequelae changes in both lungs . Millimetric parenchymal nodules in both lungs . Spur formations bridging each other in the right anterolateral corner of the vertebrae at the mid-thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16109/train_16109_a/train_16109_a_1.npy"
        ]
    },
    {
        "id": "report_generation_37999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; bilateral minimal peribronchial thickenings were observed. A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the lower lobe of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A hypodense lesion of 18x12 mm was observed in the distal of the esophagus, in the right half, adjacent to the paraesophageal.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; liver parenchyma density was diffusely decreased in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nBilateral minimal peribronchial thickenings.  Nonspecific parenchymal nodule in the left lung.  Hypodense lesion distal to the esophagus in the right half adjacent to the paraesophageal.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16112/train_16112_a/train_16112_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38025",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Atypical pneumonic infiltration areas in the form of ground glass density and septal thickening are observed in several foci in both lungs. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. Radiological findings are consistent with lung parenchymal involvement of Covid infection.\n<mediastinum>: It is accompanied by mediastinal millimetric reactive lymph nodes. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings consistent with Covid pneumonia. Parenchymal involvement is mild."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16126/train_16126_a/train_16126_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected. There are diffuse mild dilatation and minimal peribronchial thickness increases in the bronchial structures in both lungs, and sequelae are interpreted in favor of a change.\n<lung>: In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Density increase areas compatible with linear atelectasis are observed in both lung lower lobe posterobasal segment, left lung lower lobe mediobasal, inferior lingular segment, apex of both lungs, right lung middle lobe lateral and lower lobe posterobasal segment. Emphysematous changes and thin-walled air cysts in millimetric dimensions are observed. In both lung parenchyma, a few nonspecific nodules with a ground glass density halo are observed, measuring 6.2 mm, the largest of which is observed in the superior segment of the right lung lower lobe.\n<mediastinum>: The pulmonary conus and both pulmonary arteries are observed to be wider than normal. There are no lymph nodes in pathological size and appearance in the mediastinum, bilateral axillary region and supraclavicular area. There are calcified atheroma plaques on the walls of the descending aorta, abdominal aorta and coronary vascular structures.\n<heart>: No pericardial effusion or increased thickness was detected. There are calcified atheroma plaques on the walls of the descending aorta, abdominal aorta and coronary vascular structures. The ascending aorta is wider than normal with an AP diameter of 43 mm. An increase in favor of the heart is observed in the cardiothoracic index.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion is observed in the bone structures within the image, and degenerative changes are present.\n<abdomen>: In the abdominal sections within the image, no solid mass is observed in the non-contrast CT examination. There are calcified atheroma plaques on the walls of the descending aorta, abdominal aorta and coronary vascular structures. Bilateral adrenal glands are normal.\n\nImpression:\nWide-than-normal view of the ascending aorta, pulmonary conus, and both pulmonary arteries. Slight increase in cardiothoracic ratio in favor of the heart.  Calcified atheroma plaques in the wall of the descending aorta, coronary vascular structures and abdominal aorta . Emphysematous changes in both lung parenchyma, thin-walled millimetric air cysts, areas of increased density consistent with linear atelectasis in places, diffuse mild ectasia in bronchial structures and increases in peribronchial thickness (sequelae) evaluated in favor of the change).  Several millimetric nodules in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16141/train_16141_a/train_16141_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38064",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It can be seen in Covid-19 viral pneumonia. Close monitoring of clinical laboratory correlation is recommended.\n<pleura>: When examined in the lung parenchyma window; There is a ground glass density with a halo sign around it in a nodular subpleural patchwork style in the posterior of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the liver parenchyma, the subcapsular 19 mm-sized fluid attenuation was evaluated in favor of an oval-shaped finding of the cyst. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe parenchymal finding described in the upper lobe of the right lung can be seen in Covid-19 viral pneumonia. Clinical laboratory correlation monitoring is recommended.  Cyst in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16143/train_16143_a/train_16143_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38072",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Septal thickness increases are observed. Radiological findings were evaluated as compatible with parenchymal involvement of Covid infection. There is focal infiltration in several foci in the left lung. In addition, tubular bronchiectasis foci are observed in the lower lobes of both lungs. No suspicious mass or nodular space-occupying lesion was detected.\n<pleura>: In lung parenchyma evaluation; There are atypical infiltration areas of subpleural and peribronchial ground glass density in the right lung upper lobe and lower lobe superior segment.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No space-occupying lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings compatible with lung parenchymal involvement of Covid infection  Tubular bronchiectasis in both lung lower lobes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16146/train_16146_a/train_16146_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38097",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook is consistent with Covid-19 pneumonia. When examined in the lung parenchyma window; multilobar, multi-segmental in both lungs, more common in left lung lower lobe basal; Peripheral weighted, crazy paving patterned nodular-patterned ground glass consolidations were observed. No mass lesion with selectable classes was detected in both lungs. It is recommended to be evaluated together with clinical and laboratory. A few nonspecific millimetric parenchymal nodules were observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the thoracic aorta and LAD. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour size is normal. As far as can be observed, the ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. In the right anterolateral corner of the thoracic vertebra, bridging spur formations are observed. Thoracic kyphosis has increased.\n<abdomen>: Calcific atheroma plaques were observed in the thoracic aorta and LAD. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\n· Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries. · Findings consistent with Covid-19 pneumonia in the lung parenchyma. · Several millimetric nonspecific pulmonary nodules in both lungs. · Hepatosteatosis. · Bridging spur formations in the right anterolateral corner of the thoracic column, increased thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16150/train_16150_a/train_16150_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea and both main bronchial air passages are open.\n<lung>: No pneumonic infiltration was detected in the aerated lung parenchyma. More common cystic bronchiectasis areas are observed in both lungs, most prominently in the right middle and bilateral lower lobes. In the lower lobe of the left lung, there are air-fluid levels and secretions within the ectatic bronchial lumens. Aeration differences and increased aeration are observed in both upper lobes of the lungs.\n<mediastinum>: There are nonspecific millimetric lymph nodes located in the right upper and lower paratracheal and paravascular locations in the mediastinum. The diameters of the right and left main pulmonary arteries in the pulmonary trunk are slightly prominent. Truncus diameter and 37 mm, right main pulmonary artery diameter was 31 mm, and left main pulmonary artery diameter was 34 mm.\n<heart>: Heart sizes are of normal width. A short segment calcific atherosclerotic plaque is observed at the origin of the LAD. Pericardial effusion was not detected.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No fracture was observed. No lytic-destructive lesion that can be distinguished by CT was detected in the bone structures. There is osteoporosis in bone structures. An increase in thoracic kyphosis and degenerative changes in the vertebrae are observed. There is mild scoliosis with the apex pointing to the left at the lower thoracic level.\n<abdomen>: No space-occupying lesion was observed. Cysts are present in both kidneys in upper abdominal sections. A hyperdense appearance of the calcules that level within the gallbladder lumen is observed. It measures 63 mm in diameter on the left and 50 mm on the right.\n\nImpression:\nIncreased aeration in the lung parenchyma and more extensive cystic bronchiectasis in the lower lobes of both lungs and more in the right middle lobe.  Secretion and air-fluid levels in the ectatic bronchial lumens in the lower lobe of the left lung.  Slight increase in pulmonary artery diameters.  Calcific atherosclerotic plaques in LAD.  Cholelithiasis.  Cysts of both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16155/train_16155_a/train_16155_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with the clinic and laboratory. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental central-peripheral crazy paving pattern and patchy ground-glass consolidations that showed signs of vascular enlargement and accompanying subsegmental atelectatic changes were observed. No mass lesion with distinguishable borders was detected in both lungs. Millimetric nonspecific parenchymal nodules were observed in both lungs. The findings are consistent with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Mild degenerative changes were observed in the bone structures in the study area.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nHiatal hernia. Findings consistent with Covid-19 pneumonia in the lung parenchyma. Millimetric nonspecific parenchymal nodules in both lungs. Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16158/train_16158_a/train_16158_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38156",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The described appearance may be compatible with the infectious process. Clinical and laboratory correlation and post-treatment control are recommended. Atelectatic changes were observed in the lower lobes of both lungs. Or it may be compatible with post-treatment secondary changes. Alveolar condolidation areas were observed in both lungs apical, left lung lingular segment and right lung lower lobes. The size and number of nodules described from the previous review increased.\n<pleura>: When examined in the lung parenchyma window; Nodular mass lesions are observed, the largest of which is located in the subpleural posterior of the right lung upper lobe, 21 mm in the current examination, 12 mm in the previous examination, and evaluated in favor of multiple metastases in both lungs. A newly emerging free pleural effusion measuring 22 mm on the right and 19 mm on the left was observed between the bilateral pleural leaves in the current examination.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Lymphadenopathies were observed in the portal hilum and paraaortic area. Since the examination is unenhanced, the size of the lymph nodes cannot be evaluated clearly. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall.\n<heart>: Pericardial thickening-effusion was not detected. Heart contour size is natural. Pericardial minimal effusion was observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; Multiple metastatic lesions were observed in both lobes and caudate lobe of the liver. In the current examination, there is newly emerging free intra-abdominal fluid. Lymphadenopathies were observed in the portal hilum and paraaortic area.\n\nImpression:\nStomach Ca in follow-up.  Mediastinal lymph nodes showing increased size from previous examination.  Lesions that increase in size and number in both lungs and are evaluated in favor of metastasis.  Atelectatic changes in both lungs.  Newly revealed nodular alveolar condolidation areas in both lungs on current examination; the appearance may be compatible with changes due to the infectious process or post-treatment. Clinical-laboratory correlation and post-treatment control are recommended.  Multiple metastases in the liver, intrabdominal lymphadenopathies.  Newly revealed pleural effusion and intra-abdominal free fluid on bilateral current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16176/train_16176_a/train_16176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the left lung, there is a consolidative parenchyma area containing air bronchograms in the lower lobe basal, which was not observed in the previous examination. Density, which is consistent with band atelectasis, is observed in the superior segment of the lower lobe and is also present in the previous examination. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Lymph nodes are present in both hilums, although they cannot be clearly evaluated in contrast-enhanced examination. It is also observed in the old review.\n<pleura>: On the right, there is a consolidative parenchyma area with air bronchogras adjacent to the pleural effusion. There is a lesion of approximately 18x11 mm in size, consistent with multiple metastases, located in almost all areas of both lungs, the largest of which is in the anterior segment of the right lung upper lobe, adjacent to the second rib, and subpleural. Pleural effusion, which extends from the basal to the upper lobe on both sides and reaches 15 mm on the right and 18 mm on the left at its thickest point, is 14 mm on the right and 18 mm on the left.\n<mediastinum>: No significant difference was found in terms of numbers. The aortic arch calibration is 35 mm. There are lymph nodes in the mediastinum, the largest of which is observed in almost all areas at the prevascular level (the largest is 15x11 mm at the prevascular level). In the case, a catheter extending towards the right atrium apex along the venous port and superior vena cava is observed in the right pectoral region.\n<heart>: Pericardium is observed as thick. CTO increased in favor of the heart. Calibration of other major vascular structures is natural.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Hypodense lesions consistent with metastasis are observed. In the upper abdominal organs, including sections; The liver is observed to be larger than normal. The parenchyma is distinctly heterogeneous. The aortic arch calibration is 35 mm. Perihepatic and perisplenic level effusion is present.\n\nImpression:\nNodular lesions consistent with metastases in both lungs that have progressed from previous examination.  Mild pleural effusion in both lungs, adjacent areas of consolidative parenchyma that have progressed according to previous examination.  Cardiomegaly.  Mediastinal and hilar lymph nodes.  Lesions consistent with liver metastases, hepatomegaly, perihepatic and perisplenic effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16176/train_16176_b/train_16176_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is one nodule with a diameter of 5.5 mm in the posterobasal segment of the lower lobe of the right lung, adjacent to the paravertebral area. Subsegmental atelectasis is observed in the middle lobe of the right lung. There are several nodules smaller than 5 mm in the right lung. When examined in the lung parenchyma window; Mosaic pattern is observed in both lung parenchyma. Areas of ground glass density are observed in the lower lobe of the right lung, along the paramediastinal area, adjacent to the degenerative vertebra.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are several lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, the largest 11x5.5 mm in size. Thoracic aorta diameter is normal. Wall calcifications are observed in the aorta and coronary arteries. Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Left-facing scoliosis is present. Degenerative changes are observed in the bones in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Wall calcifications are observed in the aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIncreased cardiothoracic index in favor of the heart (cardiomegaly). Wall calcifications in the aorta and coronary arteries.  Several lymph nodes, upper, lower paratracheal, aortopulmonary, subcarinal, the largest 11x5.5 mm in size.  Mosaic pattern in both lung parenchyma.  Areas of ground glass density in the lower lobe of the right lung, along the paramediastinal area, adjacent to the degenerative vertebrae. One nodule with a diameter of 5.5 mm, in the posterobasal segment of the lower lobe of the right lung, adjacent to the paravertebral area.  A few nodules smaller than 5 mm in the right lung. Subsegmentary atelectasis in the middle lobe of the right lung.  Degenerative changes in the bones in the examination area.  Scoliosis with left-facing opening."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16177/train_16177_a/train_16177_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38164",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the inferior lingular segment of the left lung, the middle lobe of the right lung, and the lower lobes of both lungs. A focal ground-glass density increase was observed in the upper lobe of the right lung. When examined in the lung parenchyma window; Bronchiectasis changes prominent in the bilateral central and peribronchial thickenings prominent in the lower lobes were observed. Parenchymal nodules of stable size and number were observed in both lungs, the largest of which was 5.6 mm in the lower lobe of the right lung, and 6 mm in diameter at the level of the superior segment of the lower lobe in the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Bilateral pleural thickening and effusion was not observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were considered suboptimal when the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nFocal ground-glass-like density increase in the upper lobe of the right lung. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16179/train_16179_a/train_16179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38182",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Since other viral pneumonias are included in the differential diagnosis, it is recommended to be evaluated together with clinical and laboratory findings. When examined in the lung parenchyma window; Peripheral distribution in almost all zones in both lungs is observed in round configuration ground glass-like densities, which is significant in terms of Covid pneumonia. A follow-up examination is recommended after treatment. In both lungs, nodular densities with sharper borders accompanying the appearance are observed in places.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: The aortic arch calibration is 32 mm and wider than normal. Pulmonary trunk calibration is 29 mm and wider than normal. Calibration of other mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a decrease in density consistent with liver mild hepatosteatosis is observed. The aortic arch calibration is 32 mm and wider than normal. A peripheral sclerotic nodular formation is observed in the posterior neighborhood of the spleen (lymph node?).\n\nImpression:\nFindings compatible with Covid pneumonia. Clinical-laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Nodular densities with sharper boundaries accompanying the appearance in both lungs from place to place. A follow-up examination is recommended after treatment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16187/train_16187_a/train_16187_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38190",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mass lesions consistent with multiple metastases were observed in all lobes of both lungs. The largest of the metastases described was 36 mm in the long axis in the middle lobe of the right lung, and 38 mm in the superior segment of the lower lobe in the left lung. There was no significant change in the size and number of metastatic lesions described according to the previous review.\n<pleura>: Bilateral pleural effusion observed in the previous examination was not detected in the current examination.\n<mediastinum>: Multiple lymphadenopathies are observed in the upper-lower paratracheal, prevascular, subcarinal, and paraesophageal localizations, with the short axis of the largest being 15 mm. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections within the study area, there are multiple lesions in both lobes of the liver and the caudate lobe, the larger one in segment 6 localization, with a short axis measuring 69 mm, consistent with metatasis. Right adrenal gland calibration was normal and no space-occupying lesion was detected. A stable hypodense lesion of 1 cm in diameter was observed in the left adrenal gland.\n\nImpression:\nEndometrial Ca at follow-up. Multiple metastases in both lungs, stable in size and number on previous examination.  Mediastinal and hilar stable lymphadenopathies . Stable metastases in the liver that do not show significant change in size and number.  Stable hypodense lesion in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16190/train_16190_a/train_16190_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Millimetric sized nonspecific parenchymal nodules are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, there are faint ground-glass density increases that tend to coalesce in the peripheral, subpleural area, and subsegmental atelectasis in the lower lobes.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the upper-lower paratracheal area, millimetric lymph nodes were observed in prevascular localization.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: In addition, multiple calcified lymph nodes measuring 10 mm on the short axis of the left were observed in both axillary regions. There are also lymph nodes of noncalcified millimetric parenchyma in the right axillary region.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections that entered the examination area, a suspicious appearance was observed in the gallbladder lumen in terms of millimeter-sized calculus.\n\nImpression:\nAtherosclerotic changes.  Left calcified multiple lymph nodes in both axillary regions.  Diffuse peripheral, subpleural faint ground glass density increases in both lung parenchyma, appearance can be observed in Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  US control of millimetric hyperdensity (calculus?) in the gallbladder lumen is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16191/train_16191_a/train_16191_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38231",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Consolidation areas are observed in the left lung inferior lingular segment, lower lobe laterobasal and right lung lower lobe laterobasal air bronchograms accompanied by millimetric calcific nodules. When examined in the lung parenchyma window; Volume loss, structural distortion, sequela pleuroparenchymal band - fibrotic recessions were observed in both upper lobe apex of both lungs. Nodule-consolidation areas, which were observed in the previous examination but increased in size in the current examination, were observed in the left lung upper lobe apicoposterior segment, superior lingular segment, lower lobe laterobasal segment, and right lung lower lobe laterobasal segment. Millimetric calcific lymph nodes were also observed at the left hilar and intrapulmonary level. Although the appearance was primarily due to infection, it was evaluated as secondary to infection.\n<pleura>: Pleural effusion reaching 5.7 mm in diameter at its thickest part was observed at the level of the heart base in the pericardial space.\n<mediastinum>: Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Mediastinal main vascular structures are normal. Pulmonary main vascular structures are natural. On the right, the port chamber and the catheter extending to the superior proximal vena cava were observed on the anterior chest wall.\n<heart>: Heart size increased. The diameter of the ascending aorta is 41 mm and it is ectatic. Pericardial thickening was not observed.\n<esophagus>: A sliding hiatal hernia was observed in the distal esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Multiple sclerotic metastases were observed in the bone structures within the examination area.\n<abdomen>: Although the evaluation cannot be made optimally in non-contrast sections, the liver, spleen, both kidneys, and both adrenal glands are normal as far as can be observed. Diffuse calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No gallbladder was observed (operated). Post-treatment control is recommended.\n\nImpression:\nProstate Ca on follow-up . It is recommended to evaluate the patient together with clinical and laboratory findings. Other findings are stable. Multiple stable bone metastases"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16206/train_16206_a/train_16206_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38252",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the late period thorax CT, there is lymphatic leakage in the left lung basal, anterior costophrenic sinus localization, and around the drain catheter.\n<pleura>: There are mass formations in the anterior mediastinum and on the left pleural surfaces.\n<heart>: Since non-contrast sections were taken, it could not be characterized.\n<abdomen>: The integrity of the lymphatic system is preserved in the retroperitoneal area in the right iliac abdominal and thoracic region.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16217/train_16217_a/train_16217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, no newly developed pathology was detected.\n<pleura>: In addition, it is seen that the thickening of the pleural faces on the left decreases.\n<mediastinum>: The lesion measuring approximately 78x92 mm in the widest axial section filling the anterior mediastinum has decreased to 61x80 mm. Contrast materials belonging to lymphangiography performed previously are seen in the supraclavicular region, in the right upper tracheal area in the mediastinum, at the paraaortic level in the retroperitoneal area in the anterior mediastinum, and in the paraaortic area in the upper abdominal sections.\n<breast>: A catheter placed on the anterior chest wall is seen on the right.\n<abdomen>: Contrast materials belonging to lymphangiography performed previously are seen in the supraclavicular region, in the right upper tracheal area in the mediastinum, at the paraaortic level in the retroperitoneal area in the anterior mediastinum, and in the paraaortic area in the upper abdominal sections.\n\nImpression:\nIn the patient followed up for non-hodgkin lymphoma; decrease in anterior mediastinal mass size, decrease in left hydropneumothorax findings.  Slight reduction in left lung effusion and consolidations.  Apart from these, no newly developed pathology was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16217/train_16217_b/train_16217_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38272",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; patchy ground glass densities Halo signs crazy paving pattern consolidation areas are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Clinical and laboratory correlation, follow-up recommended Upper abdominal organs included in the sections are natural.\n\nImpression:\nFindings in the lung parenchyma consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation, follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16224/train_16224_a/train_16224_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38301",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open. Lumen calibrations have narrowed. There is an increase in bronchial wall thickness in lobar bronchi and segmental bronchi.\n<lung>: However, the shortest diameter of the largest lymph node was 18 mm in the left lung hilum. There are multiple nodules in both lungs, the largest of which is 8 mm in diameter in the right middle lobe. Further examination and pathological diagnosis would be appropriate.\n<mediastinum>: Due to the lack of contrast material, separation from vascular structures and healthy size measurement cannot be made. Lung parenchymal nodules together with pathological mediastinal lymph nodes suggest a systemic disease. In the mediastinum, a large number of pathologically sized lymph nodes located bilaterally in the upper and lower paratracheal, paraaortic, peribronchial, hilar and paraesophageal were observed.\n<heart>: Pericardial effusion was not detected. Calcific atherosclerotic plaques are observed in LAD. Heart dimensions and compartments are of normal width.\n<bone>: No lymph node was observed in the supraclavicular fossa, in the axilla, in pathological size and appearance in the cross-section. No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections. No space-occupying lesions were observed in the adrenal tracts.\n\nImpression:\nPathologic dimensions of mediastinal lymph nodes, multiple nonspecific nodules in both lungs (Pulmonary parenchymal nodules together with pathologic mediastinal lymph nodes suggest a systemic disease. Further investigation and pathologic diagnosis would be appropriate)  Calcific atherosclerotic plaques in LAD."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16239/train_16239_a/train_16239_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a 3 mm diameter nodule in the upper lobe posterior segment on the right. In the evaluation of the lung parenchyma window; 3x2 mm nonspecific millimetric nodule is observed in the middle lobe on the right.\n<pleura>: Pneumonia, pleural effusion and pneumothorax were not observed in both lung parenchyma.\n<mediastinum>: CTO is normal. It is at the maximal physiological limit. The aortic arch calibration is 29 mm. Calibration of other mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. It is at the maximal physiological limit. No space-occupying lesion was detected in the liver in the sections passing through the upper abdomen. The aortic arch calibration is 29 mm. Surrounding soft tissue plans are natural.\n\nImpression:\nThere was no significant finding in favor of interstitial lung disease.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16245/train_16245_a/train_16245_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, subsegmental atelectasis and alveolar interstitial mild density increases and areas of consolidation in the middle lobe of the left lung. In the evaluation of both lung parenchyma; Atelectasis is observed in the right lung upper lobe posterior segment, paramediastinal area and bilateral lower lobe superior and basal segments.\n<pleura>: Pleural effusions measuring 9 mm in the thickest part and 8 mm in the left are observed in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Atherosclerotic calcific plaques and hyperdacicity of cardiac stent and aortic valve calcifications are observed in the abdominal aorta descending from the aortic arch. Prevascular, right upper-bilateral lower paratracheal aortapulmonary lymph nodes with a narrow diameter of 7 mm are observed.\n<heart>: Atherosclerotic calcific plaques and hyperdacicity of cardiac stent and aortic valve calcifications are observed in the abdominal aorta descending from the aortic arch.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. is monitored. Atherosclerotic calcific plaques and hyperdacicity of cardiac stent and aortic valve calcifications are observed in the abdominal aorta descending from the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nConsolidations in the right lung upper lobe posterior segment in the paramediastinal area and in the lower lobes of both lungs considered secondary to atelectasis, bilateral pleural effusion, subsegmental atelectasis in the left lung lingular segment, and areas of consolidation that may be compatible with infective processes with added alveolar interstitial."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16246/train_16246_a/train_16246_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38318",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid parenchyma density is heterogeneous and its dimensions have increased. US control is recommended.\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Post-op changes in the lower lobe and post-op suture materials in the lower lobe bronchi were observed in the patient with a history of right lung lower lobectomy. Subsegmental atelectasis areas in the inferior lingular segment of the left lung are noteworthy. Subsegmental atelectasis areas were observed in the residual right middle lobe of the lung. A few millimetric nonspecific pulmonary nodules were observed in both lungs. There are bronchiectatic changes in both lungs. In the current examination, no lesion that can be evaluated in favor of residual-recurrent bronchojectenic cyst was detected.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. Glandular soft tissue was observed in the anterior mediastinum. MRI is recommended to differentiate thymic hyperplasia and remnant thymus.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour and size are natural.\n<esophagus>: Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The interposition of the colon loops between the liver and the diaphragm is observed in the upper abdominal sections in the examination area (Chiliaditi syndrome). Accessory spleen with a diameter of 13 mm was observed at the level of the splenic hilum.\n\nImpression:\nOperated bronchogenic cyst, right lower lobectomy at follow-up. Soft tissue density in the anterior mediastinum, thymic hyperplasia? Thymic remnant? Correlation with MRI is recommended. Subsegmental areas of atelectasis in both lungs, mild bronchiectatic changes in both lungs, and a few nonspecific millimetric pulmonary nodules. Chiliaditi syndrome."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16248/train_16248_a/train_16248_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16252/train_16252_a/train_16252_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38338",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Bilateral minimal peribronchial thickening was observed. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as optimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal peribronchial thickenings in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16257/train_16257_a/train_16257_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bronchoalveolar lavage may be considered in a case with a prediagnosis of Sweet's syndrome. Trachea and main bronchi are open.\n<lung>: In the right lung lower lobe superior segment, adjacent to the fissure, an appearance of 3.6 mm and 7.4 mm ground-glass nodules was observed. A 5 mm diameter nodule was observed in the apicoposterior segment of the upper lobe of the left lung. Fibro atelectasis was observed in bilateral lung apex. In the right lung upper lobe posterior segment, a ground glass density in an acinar pattern with a diameter of 8 mm was observed adjacent to the fissure. In the evaluation of both lung parenchyma; Consolidation including air bronchograms was observed in an area of 6.5 x 4.5 cm, as measured from transverse images, at the base of the apicoposterior segment of the left lung upper lobe, adjacent to the fissure.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Prevascular, paratracheal, aortopulmonary, subcarinal, mostly millimetric lymph nodes were observed in the mediastinum, the largest being 17 x 12 mm in the right inferior paratracheal region.\n<heart>: The heart is in natural appearance. Calcific atheroma plaques were observed in major vascular structures and coronary arteries.\n<esophagus>: The esophagus was evaluated within normal limits.\n<bone>: Degenerative osteophytes were observed in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nLymph nodes defined in the mediastinum Atherosclerosis Consolidation in the apicoposterior segment of the left lung upper lobe, bronchoalveolar lavage may be considered in a case with a preliminary diagnosis of Sweet's syndrome. Ground glass density and ground glass density nodules in an acinar pattern defined in the intact lung Nodule defined in the left lung Degenerative changes in the bones"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16263/train_16263_a/train_16263_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse ground glass densities were observed in bilateral lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Thoracic aorta diameter is normal. Thoracic aorta is slightly ectatic. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: The ascending aorta is 41 mm ectatic. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Minimal sliding type hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural. There are extensive osteodegenerative changes in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Thoracic aorta is slightly ectatic. Upper abdominal organs included in the sections are normal. Spleen size increased (146 mm).\n\nImpression:\nFindings consistent with Covid pneumonia.  Ectasia in the aorta.  Splenomegaly.  Osteodegenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16273/train_16273_a/train_16273_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38383",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No infiltration was detected. Motion artifacts are observed in the lower lobes of both lungs. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch.\n<heart>: Pericardial effusion measuring 18 mm in its thickest part is observed. The cardiothoracic index increased in favor of the heart. A stent is observed in the coronary artery.\n<bone>: Degenerative changes are observed in the dorsal vertebrae. Dorsal kyphosis is increased. Degenerative changes are observed in the bone structure.\n<abdomen>: Right renal atrophy is observed. Calcifications are present in both renal calyces. Calcific plaques are observed in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMosaic attenuation in both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16276/train_16276_a/train_16276_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38385",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16277/train_16277_a/train_16277_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38396",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When both lung parenchyma windows are evaluated; Mild emphysematous changes were observed in both lungs.\n<pleura>: In the posterobasal segment of the lower lobe of the right lung, two subpleural parenchymal nodules measuring 5 mm in diameter were observed. In the anterior segment of the upper lobe, a subpleural 2.5 mm nonspecific parenchymal nodule was observed.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: Mild degenerative changes are observed in the bone structure. No lytic-destructive lesion was detected.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nMillimetric-sized nonspecific parenchymal nodules in the right lung. Mild emphysematous changes in both lungs.  Mild degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16281/train_16281_a/train_16281_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38402",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The present nodule is also present in the previous examination of the patient. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. The described appearances were primarily evaluated in favor of changes secondary to treatment. When examined in the lung parenchyma window; Minimal emphysematous changes were observed in both lungs. A 6.2 mm diameter nodule was observed in the mediobasal subsegment of the left lung lower lobe anteromediobasal segment.\n<pleura>: Density increases, structural distortion and minimal volume loss are observed in the subpleural area in the right lung upper lobe anterior segment and middle lobe anterior segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcific atheroma plaques are observed in the thoracic aorta. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Sclerotic bone lesions are observed in T10 vertebra corpus posterior, T6 vertebra inferior end plate, and T2 vertebra superior end plate. A sclerotic lesion was observed in the distal sternum and was present in the previous examination of the patient. No lytic-destructive lesion was observed in bone structures. The lesions described were also present in the previous examination of the patient, and no significant difference was detected.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the thoracic aorta.\n\nImpression:\nBreast Ca in follow-up, stable nodule in the left lung lower lobe mediobasal segment.  No suspicious lesion-active infiltration-mass was detected in terms of newly emerged nodule in the lung parenchyma.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16284/train_16284_a/train_16284_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open.\n<lung>: Radiological findings were evaluated as compatible with Covid-19 pneumonia.\n<pleura>: When the lung parenchyma window is examined; Subpleural consolidation areas are observed in both lungs, which become prominent towards bilateral asymmetric bases. No pleural effusion was detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Central venous catheter is observed. Calibrations of mediastinal major vascular structures are normal.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: In bone structures, there are sclerotic bone metastases in the vertebral bodies, ribs and sternum. The evaluation for the supraclavicular fossa, which is the cause of incomplete projection artifact caused by the arms, is suboptimal.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings consistent with Covid pneumonia.  Sclerotic bone metastases.  Stable solitary nodule in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16284/train_16284_b/train_16284_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38408",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; In the right lung middle lobe, left lung upper lobe and both lung lower lobes, patchy ground glass consolidations forming a multisegmental central-peripheral crazy paving pattern were observed. No mass lesion with distinguishable borders was detected in both lungs. There are also linear subsegmentary atelectatic changes and subpeural striations in the lower lobes and left lung upper lobe inferior lingular segment. The described findings are consistent with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Thickening is observed at the left adrenal gland medial crus - body junction.\n\nImpression:\nFindings in lung parenchyma consistent with Covid-19 pneumonia. Hepatosteatosis.  Thickening at the level of the left adrenal gland trunk-medial crus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16286/train_16286_a/train_16286_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38410",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the left lung inferior lingular segment and right lung middle lobe. No mass nodule-infiltration was detected in both lung parenchyma. Variational azygos lobe and fissure were observed in the lower lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs, variational azygos lobe and fissure in the upper lobe of the right lung . No sign of pneumonia was detected (NOTE: CT may be negative in the early stage of Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16287/train_16287_a/train_16287_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38422",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. No mass nodule-infiltration was detected. When examined in the lung parenchyma window; Mild mosaic pattern attenuations are observed in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteopenic degenerative appearances are observed in bone structures.\n<abdomen>: Millimetric calcific foci are observed in liver segment 4. Liver sizes increased. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMinimal mosaic pattern appearance in the lung parenchyma. Heart and liver sizes greater than the upper limit of normal. Osteopenic degenerative appearances in bone structures. Millimetric calcific foci in segment 4 of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16292/train_16292_a/train_16292_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; diffuse patchy nodular ground glass opacities - areas of minimal consolidation are observed in both lungs. The outlook is typical - likely compatible with Covid-19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical - probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16300/train_16300_a/train_16300_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: The described appearance is consistent with imaging features often reported in Covid-19 pneumonia. Clinical and laboratory correlation is recommended. When both lung parenchyma windows are evaluated; Ground-glass density increases and consolidations were observed in the lower lobes of both lungs, which showed a clear common tendency to coalesce.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal and subcarinal area.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. In the upper abdominal sections that entered the study area, the liver parenchyma density was diffusely decreased, consistent with adiposity.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in bilateral lung parenchyma. Clinical and laboratory correlation is recommended.  NOTE: Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16308/train_16308_a/train_16308_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38464",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild atelectatic changes in the left lung inferior lingula are consistent with pericardial effusion measuring 6 mm in thickness in a smearing style. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In the upper lobe of the left lung, serial 23 image 74 shows a 4 mm indistinct nonspecific nodule.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild atelectasis changes in the inferior lingula of the left lung upper lobe, a smear-like pericardial effusion measuring up to 6 mm in thickness. A faint nonspecific nodule in the left upper lobe upper lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16311/train_16311_a/train_16311_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38472",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground glass densities, enlargement of vascular structures, and thickening of interlobular septa are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Upper abdominal organs are partially observed. Liver and spleen are slightly increased in size. Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; There is a decrease in density in favor of hepatosteatosis in the liver parenchyma.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia.  Increase in spleen and liver size.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16314/train_16314_a/train_16314_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38481",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Linear atelectatic changes are noted in the left lung upper lobe apicoposterior segment and lower lobe basal segment, and in the right lung middle lobe. A few nonspecific pulmonary nodules with diameters less than 5 mm were observed in both lungs. The outlook was evaluated in favor of pneumonic infiltration. The right lung has a widely consolidated appearance in the middle lobe lateral segment and lower lobe basal segment, and the left lung in the lower lobe basal segment.\n<pleura>: When examined in the lung parenchyma window; Effusion reaching 21 mm in the right pleural space and 27 mm in the left pleural space was observed.\n<mediastinum>: On the right, the port chamber on the anterior surface of the pectoral muscle on the anterior chest wall and the catheter extending to the superior distal vena cava are observed. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Effusion reaching 1 cm was observed in the pericardial space. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse lytic metastases were observed in bone structures within the sections.\n<abdomen>: A cystic lesion with a diameter of 2x1.5 cm located subcapsular was observed in the posterior lower pole of the spleen. Liver and spleen sizes increased as can be seen on non-contrast sections. The pancreas, both adrenal glands and both kidneys are normal. No free fluid was observed in the abdomen within the sections. It is stable.\n\nImpression:\nPericardial- bilateral pleural effusion. Consolidation areas in the right lung middle lobe lateral, lower lobe basal and left lung lower lobe posterobasal segments; findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory. Stable nonspecific pulmonary nodules in both lungs.  Hepatosplenomegaly . Diffuse lytic metastases in all bone structures within sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16318/train_16318_a/train_16318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: These views are not specific. There are budding tree appearances in the lower lobe of the right lung and the posterior segment of the right lung upper lobe. The described vision can also be observed in PET-CT and no significantly increased FDG uptake was detected. There is a sharply circumscribed, smooth-contoured solid-appearing lesion measuring approximately 30x38 mm in the medial of the left lung lower lobe superior segment. It may be compatible with distal airway disease. In addition, there are pleuroparenchymal sequelae changes in both lung apex and left lung lower lobe. Diffuse emphysematous changes in both lungs and atelectasis, more prominent in the lower lobes, were observed. No mass was detected in both lungs.\n<pleura>: There is also minimal pleural effusion on the right. Pleural effusion is observed on the left. No pleural thickening was detected.\n<mediastinum>: The largest of these lymph nodes is observed in the prevascular region and the shortest diameter of the largest is 10 mm. Because no contrast agent is given, mediastinal and abdominal structures within the sections cannot be evaluated optimally. There are lymph nodes in the mediastinum and hilar regions. There is an appearance of a stent in the aortic arch. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. It is understood that the patient underwent mitral valve and aortic valve replacement.\n<esophagus>: As far as can be observed: It was learned that the patient was operated for gastric ca and total gastrectomy and esophagojejunostomy were performed.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There is minimal upper abdominal free fluid within the sections. Because no contrast agent is given, mediastinal and abdominal structures within the sections cannot be evaluated optimally. No upper abdominal collection was detected. As far as can be observed: It was learned that the patient was operated for gastric ca and total gastrectomy and esophagojejunostomy were performed. No mass with discernible borders was detected in this examination on the anastomosis line. There is an appearance of a stent in the aortic arch. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOperated stomach ca.  Mediastinal and hilar lymph nodes.  Atherosclerotic changes in the aorta and coronary arteries.  Left pleural effusion.  A sharp, well-contoured, solid-appearing lesion with extrapleural location at the level of the superior segment of the lower lobe of the lung in the left hemithorax.  Atelectasis and sequelae changes in both lungs.  Emphysematous changes in both lungs.  Centriacinar nodules in the right lung, some of which have the appearance of budding trees."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16320/train_16320_a/train_16320_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings are compatible with Covid pneumonia. When examined in the lung parenchyma window; Bilateral asymmetric ground glass opacity and parenchymal involvement areas in the form of consolidation areas are observed in the upper lobes of both lungs.\n<pleura>: In the lateral segment of the right lung middle lobe, there is a 5 mm diameter, nonspecific nodule located in the suppleural region.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcified atheroma plaques are observed at the coronary artery outlets. Pericardial effusion was not detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: As far as can be seen; Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; There is an 8 mm diameter angiomyolipoma in the right kidney.\n\nImpression:\nInvolvement areas consistent with covid pneumonia in the lung parenchyma. One nonspecific pulmonary nodule in the right lung. Angiomyolipoma in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16322/train_16322_a/train_16322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Ground glass appearance is observed in the right lung basal. Nonspecific stable parenchymal nodules are observed in both lungs, the largest of which is approximately 4 mm in diameter in the posterior segment of the left lung upper lobe. Post-treatment control is recommended. It was formed in the current examination (infective ?). When examined in the lung parenchyma window; Fibroatelectatic changes are observed in bilateral lung basals.\n<mediastinum>: Calcified atheroma plaques are observed in the mediastinal main vascular structures. Stable lymph nodes with a short diameter of up to 4 mm are observed in the mediastinal prevascular area and paratracheal area.\n<heart>: The heart is larger than normal and pericardial effusion reaching approximately 1.5 cm2 is observed. It is stable.\n<esophagus>: However, type 1 hiatal hernia is observed at the esophagogastric junction. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are widespread lytic appearances in bone structures. However, a mass with a soft tissue component is observed in the posterior part of the 5th rib on the left, and in the posterior part of the 10th rib on the right. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. In addition, there is an increase in size in the lytic lesion in the right part of the corpus of the 1st thoracic vertebra.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. However, type 1 hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nIn a patient with a pre-diagnosis of multiple myeloma, the mass with soft tissue components and an increase in size in the hypodense lytic lesion in the thoracic 1st vertebrae in the 5th rib on the left posterior on the right, in the 10th rib posterior section,. Nonspecific parenchymal nodules and fibroatelectatic changes in both lungs.  Cardiomegaly and pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16323/train_16323_b/train_16323_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38501",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. It is accompanied by an increase in thickness in the segmental bronchial walls.\n<lung>: It is understood that it is newly developed. In addition, an increase in pleuroparenchymal linear density is observed in the lower lobes of both lungs (sequelae change). Mosaic attenuation pattern is observed in the lower lobes of both lungs. It was understood that the mosaic pattern developed secondary to obstructive small airway disease. The lesion was also present in the old examination of the case, and no difference was detected. In the right lung major fissure, a fissure-based nodular oposite of 5 mm in diameter was observed and was not present in the previous scan. Follow-up imaging is recommended after 3 months. A nodular lesion with a diameter of 4 mm sitting on the major fissure was observed in the left lung. A similar appearance was also present in the patient's previous examination, and no difference was found. When examined in the lung parenchyma window; There is subsegmental atelectasis area in the right lung upper lobe apical segment and lower lobe posterobasal segment.\n<pleura>: A pleuroparenchymal sequela change is observed that does not give a subpleural mass contour to the right lung lower lobe superior segment.\n<mediastinum>: Thoracic aorta diameter is normal. The mediastinal main vascular structures are normal in size. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There is a pericardial effusion reaching 16 mm in diameter at its widest point, between the pericardial leaves, adjacent to the left ventricle. It was also present in the old-dated groan and no difference was detected. Left ventricle is dilated.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the perivertebral soft tissue adjacent to the T7-T8-T9 vertebral corpus, there are accompanying soft tissue lesions in bone lesions in the left 3-4-5-6-8-9-10-11, right 5-6-7-11 and 12th ribs. There is extensive lytic-destructive involvement in the bone structures that enter the image area (a case with myeloma). The soft tissue components accompanying the bone lesions were also observed slightly in the previous examination, but in the current examination, the soft tissue components became prominent and their size increased.\n<abdomen>: Thoracic aorta diameter is normal.\n\nImpression:\n5 mm diameter nodular lesion adjacent to the major fissure in the upper lobe of the right lung (it was not present in the previous examination, it was found to be new, follow-up imaging is recommended after 3 months.)  Mosaic attenuation pattern was observed in the lower lobes of both lungs and it was understood that it developed secondary to small airway disease . Lytic-destructive lesions in favor of widespread involvement in the bone marrow and accompanying soft tissue components in the vicinity of the verterba corpus and costo (similar finding in the case with myeloma is also present in the previous examination. Pericardial effusion (also present in the previous examination, no difference was found) . Sequelae change in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16323/train_16323_e/train_16323_e_1.npy"
        ]
    },
    {
        "id": "report_generation_38503",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: With the increase in bronchial wall thickness, intraluminal secretions are occasionally observed. Segmental bronchi are lobar and segmental bronchi collapse.\n<lung>: The shooting took place in expiration. There are subsegmental linear atelectasis areas in the middle lobe of the right lung and the lingular segment of the left lung. Areas of nodular consolidation are observed in several foci in the basal segment of the lower lobe of the right lung. Interlobular septal thickening in the lower lobe basal segments favors interstitial edema. After the treatment of pulmonary edema findings of the case, follow-up imaging would be appropriate. An area of nodular consolidation is observed in the basal segment of the lower lobe of the right lung. It is nonspecific.\n<pleura>: There is a pleural effusion reaching a diameter of 4.5 cm between 3 leaves of the right pleura and between the leaves of the left pleura.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Although the calibration of the mediastial main vascular structures was normal, the diameter of the ascending aorta was slightly increased by 47 mm. There is aortic valve calcification. Heart size increased. Valve replacement is available in the aortic valve. Suture materials and calcified atheroma plaques are observed in the coronary arteries.\n<bone>: There are osteoporosis and degenerative changes in bone structures. The sternotomy line is observed in the sternum. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: In the upper abdomen sections, free or loculated fluid is not observed within the section.\n\nImpression:\nIncreased heart size, previous bypass, and findings favoring aortic valve replacement. Findings consistent with bilateral pleural effusion, interstitial pulmonary edema in the basal segments.  Area of nodular consolidation in the basal segment of the lower lobe of the right lung. It may be in favor of the infectious process. However, control imaging after the treatment of pulmonary edema findings will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16324/train_16324_a/train_16324_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: A nonspecific nodule with a diameter of 2 mm is observed in the left lung upper lobe apicoposterior segment lateral. There are densities compatible with pleuroparenchymal sequelae in the inferior lingular segment. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: There was no finding compatible with pleural effusion, pneumothorax, pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Calibration of major vascular structures in the mediastinum is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A millimetric-sized calcific atheroma plaque is observed in the aortic arch.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the bone structure. S-shaped scoliosis is present in the dorso- lumbar region.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There is a decrease in density compatible with mild fat in the liver entering the cross-sectional area. Surrounding soft tissue plans are natural. A millimetric-sized calcific atheroma plaque is observed in the aortic arch.\n\nImpression:\nNo findings compatible with pneumonia . Mild hepatosteatosis . Degenerative changes in bone structure, S-shaped scoliosis in the dorso- lumbar region"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16327/train_16327_a/train_16327_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right lung 4 mm diameter at apex (ima 34), right lung middle lobe (ima 69) 6 mm diameter, left lung apex 5 mm diameter (ima 40), left lung upper lobe 7 mm diameter in apicoposterior segment (ima 51), left lung Irregular contoured nodular densities of 8. The halo sign and air crescent sign, which were evaluated in favor of fungal infection in previous examinations, have disappeared. Right upper-bilateral lower paratracheal lymph nodes in millimetric size are observed. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No additional pathology was distinguished. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nSignificant reduction in nodular densities evaluated in favor of fungal infection observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16332/train_16332_a/train_16332_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is slight regression. In the anterior segment of the left lung upper lobe, a nodular formation with a faint border of approximately 3 mm in diameter is observed, and it was 7 mm in diameter in the previous examination. There is significant regression. When examined in the lung parenchyma window; Sequelae changes are observed bilaterally at the apical level. A 4.5x2 mm nodule is observed in the apicoposterior segment of the upper lobe of the left lung, and it was 5x3 mm in size in the previous examination. A little more caudally, a nodular formation of 6. A nodular formation with dimensions of approximately 3.5x2.5 mm is observed in the upper lobe anterior segment of the right lung, and it is 6x3.5 mm in size in the previous examination. There is a mosaic attenuation pattern in both lungs, which was not observed in the previous examination. There is no pathological size and configuration of lymph nodes at the hilar level on both sides. Faint ground glass densities observed around it in the previous examination were not detected in the current examination.\n<pleura>: No significant pleural effusion was detected in both lungs.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n\nImpression:\nNewly emerged mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16332/train_16332_b/train_16332_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38524",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In this examination, minimal bronchiectasis, minimal peribronchial thickening and consolidation in the peribronchovascular area are observed in this localization.\n<lung>: However, as far as can be seen, its longest diameter was measured as approximately 50 mm at its widest point (series 2 section 173). It was learned that the patient was given radiotherapy, and it was thought that the described appearance might be compatible with the changes due to radiotherapy. There are similar appearances in the posterior subsegment of the left lung upper lobe apicoposterior segment. The borders of the mass cannot be evaluated clearly since no contrast material is given. When evaluated together with the patient's radiotherapy history, it was thought that it was primarily related to radiotherapy. The described findings have also recently emerged. In addition, there are linear density increases, structural distortion and volume loss in this localization. Millimetric nonspecific nodules are observed in both lungs. In the first examination of the patient, it is observed that the described mass extends along the left lung lower lobe superior segment bronchus to the lower lobe superior segment. In addition, minimal peribronchial thickening in the medial of the anterior segment of the left lung upper lobe, and consolidation and ground glass area in the medial segment are observed. In the previous examination, there were appearances of ground glass density in this localization. No mass was detected in the right lung. There is a mosaic attenuation pattern in both lungs (small airway? small vessel disease?). It is recommended to follow. These findings were primarily thought to be compatible with infective pathology. However, the presence of infective pathology could not be completely excluded. The described finding was absent in the patient's previous examinations.\n<pleura>: In the left lung lower lobe superior segment-anteromediobasal segment combination, there are ground glass areas and millimetric centriacinar nodules in the subpleural area. There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. As far as can be seen; At the level of the aorticopulmonary window, a soft tissue density lesion with infiltrative character, whose borders cannot be distinguished from the left main bronchus and main vascular structures, extending along the left main bronchus and extending to the pulmonary hilus is observed. There are atheromatous plaques in the aorta and coronary arteries. The short diameters of the described lymph nodes are less than 1 cm. There are lymph nodes in the prevascular, paratracheal, subcarinal and hilar regions. The diameters of the pulmonary arteries are normal.\n<heart>: Heart contour and size are normal. The ascending aorta measures 45 mm in anterior-posterior diameter and is wider than normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No pathologically enlarged lymph nodes were observed. The diameters of the aortic arch and descending aorta are normal. In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nIn follow-up, lung Ca, a lesion in soft tissue density that extends along the left main bronchus in the aorticopulmonary window and extends to the pulmonary hilus with indistinguishable borders from the main bronchus and vascular structure, consolidations in the peribronchovascular area in the left lung lower lobe superior segment and upper lobe apicoposterior segment, ground glass areas and volume loss and structural distortion (findings were evaluated primarily in favor of radiotherapy-related changes. It is recommended to follow-up) ground glass area and consolidation (change due to radiotherapy? infective pathology??) in the medial of left upper lobe anterior segment of the left lung. findings evaluated in favor of infective pathology. Millimetric nodules in both lungs. Mosaic attenuation pattern in both lungs.  Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic changes in the aorta and coronary arteries. Mediastinel and hilar lymph nodes. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16333/train_16333_a/train_16333_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\n? Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16335/train_16335_a/train_16335_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38531",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild linear atelectatic changes and mosaic attenuation patterns are observed in both lungs, especially in the lower lobes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Fine-calibrated linear material is observed in the pulmonary arteries. Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The ascending aorta measures 42 mm and is wider than normal. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are tapering in the end plates of the vertebral corpuscles. There is diffuse density reduction in bone structures. Thoracic kyphosis slightly increased.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly.  Dilation of the ascending aorta.  Fine-calibrated linear material is observed in the pulmonary arteries.  Mild linear atelectatic changes in both lungs, especially in the lower lobes, mosaic attenuation patterns.  Diffuse density decrease in bone structures, tapering in vertebral corpuscles, end plates, slight increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16337/train_16337_a/train_16337_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38543",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: As far as can be seen; Heterogeneous hyperdense nodules were observed in both thyroid glands. US control is recommended.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?). A few millimetric nonspecific parenchymal nodules were observed in different localizations in both lungs. When examined in the lung parenchyma window; pleuroparenchymal sequelae density increases were observed in both lungs apical.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes measuring 1 cm in the short axis of the largest were observed in the mediastinal upper-lower paratracheal area.\n<heart>: Heart size slightly increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: It is recommended to be evaluated together with clinical and laboratory data in terms of inflammatory arthritis. Mild degenerative changes were observed in bone structures. Occasionally, a fusion appearance was observed in the facet joints. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCardiomegaly.  Mediastinal lymph nodes.  Sequelae changes in both lungs, millimetric parenchymal nodules in both lungs, mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Bilateral peribronchial thickenings.  It is recommended to evaluate the facet joints together with clinical and laboratory data in terms of occasional fusion and possible inflammatory arthritis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16342/train_16342_a/train_16342_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. A few millimetric nonspecific nodules were observed in both lungs. There are linear atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The main pulmonary artery diameter was 32 mm and wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Aorta diameter is normal. There is an appearance evaluated in favor of stones in the gallbladder. There are atheromatous plaques in the aorta and coronary arteries. Atheroma plaques are observed in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries . Increase in the diameter of the pulmonary artery . Emphysematous changes in both lungs . Atelectasis in both lungs . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16349/train_16349_a/train_16349_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: A millimetric-sized nonspecific parenchymal nodule is observed in the lower lobe of the left lung. When both lung parenchyma windows are evaluated; no mass-nodule-infiltration was detected in both lung parenchyma. Fibroatelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins. Sliding type hiatal hernia was observed.\n<bone>: Trabeculation increase consistent with osteopenia was observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the examination area are normal.\n\nImpression:\nSequelae changes in both lungs.  Millimetric sized nonspecific parenchymal nodules in the lower lobe of the left lung.  Hiatal hernia.  Increased trabeculation in bone structures consistent with osteopenia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16352/train_16352_a/train_16352_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38564",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; The bronchial walls are minimally thickened at the central level in both lungs.\n<lung>: There are several millimetric nodules in both lungs, the largest of which reaches 3 mm in diameter in the upper lobe on the right.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. On the right, a catheter inserted from the jugular vein to the right atrium is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Osteophytes extending anteriorly are observed in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Degenerative changes in the vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16354/train_16354_a/train_16354_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16361/train_16361_a/train_16361_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of the onset of interstitial fibrosis, secondary to the regression of the infection observed in the previous examination. Clinical laboratory correlation monitoring is recommended. When examined in the lung parenchyma window; There are clarifications in interstitial signs, bronchiectasis, patchy ground glass densities, increase in peribronchial sheathing in both lungs, especially in the lower lobe basal segments and right lung middle lobe and left lung upper lobe inferior lingula.\n<mediastinum>: In the mediastinum, there are several short axis small lymph nodes measuring up to 8 mm in the aorticopulmonary window. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. There are diffuse degenerative changes in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. In fluid attenuation measuring 21 mm posteriorly in the middle zone of both kidneys, an oval-shaped finding was evaluated in favor of a cyst.\n\nImpression:\nThere is a finding compatible with heart valve replacement material.  Post-infection in the lung parenchyma, consistent with the onset of interstitial fibrosis.  Small lymph nodes with a short axis measuring up to 8 mm in the mediastinum.  Diffuse degenerative changes in bone structures.  Cortical cyst in the middle zone of both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16373/train_16373_a/train_16373_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38608",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A superposed 3 mm diameter nodule is observed on the major fissure on the right.\n<pleura>: When examined in the lung parenchyma window; subpleural 4 mm diameter faint nodule is observed in the upper eelob anterior segment of the right lung. No findings consistent with pleural effusion, pneumothorax or pneumonia were detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: There is a faintly circumscribed hypodense appearance adjacent to the falciform ligament (area protected from focal fat?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. Nodular formation is observed in the spleen hilum (accessory spleen?).\n\nImpression:\nNo findings compatible with pneumonia . Hepatosteatosis, hypodense appearance with faint borders adjacent to the falciform ligament (area protected from focal fat?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16376/train_16376_a/train_16376_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. Bone structures within the sections have a sclerotic appearance.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The described appearance was thought to be due to the patient's primary disease (chronic renal failure). The left kidney is atrophic. There are atheromatous plaques in the aorta and coronary arteries. The right kidney was not observed.\n\nImpression:\nMillimetric nonspecific nodules in both lungs. Minimal emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Left atrophic kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16380/train_16380_a/train_16380_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, there are ground glass densities that tend to merge with peribronchial and subpleural.\n<mediastinum>: Thoracic aorta diameter is normal. Millimetric lymph nodes with a short axis not exceeding 5 mm were observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anteriorly extending osteophytes were observed in the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal sections, millimetric stones were observed in the gallbladder.\n\nImpression:\nMediastinal millimetric lymph nodes.  Findings consistent with viral pneumonia in both lungs.  Cholelithiasis.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16381/train_16381_a/train_16381_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Millimetric sized nonspecific parenchymal nodules were observed in both lung parenchyma. When examined in the lung parenchyma window; Uniform interlobular septal thickenings are observed in bilateral lower lobes (secondary to cardiac pathology?). Bilateral peribronchial thickenings were observed.\n<pleura>: Between the bilateral pleural leaves, a free pleural effusion measuring 12 mm in thickness on the right and 47 mm on the left was observed.\n<mediastinum>: The diameter of the main pulmonary artery was 38 mm, the diameter of the right pulmonary artery was 26 mm, and the diameter of the left pulmonary artery was 23 mm, showing dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. No lymph node was detected in mediastinal pathological size and appearance. Millimetric lymph nodes are observed in the mediastinal upper-lower paratracheal, prevascular area.\n<heart>: Heart size increased. The ascending aorta measures 43 mm in diameter and shows fusiform dilatation. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: The liver contours are irregular in the upper abdominal sections in the examination area. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. There are multiple cortical parapelvic cysts showing calcifications around some of them in both kidneys.\n\nImpression:\nCardiomegaly, dilatation of the thoracic aorta and coronary arteries. Bilateral pleural effusion.  Bilateral smooth interlobular septal thickenings (secondary to cardiac pathology?).  Millimetric sized nonspecific parenchymal nodules in both lung parenchyma.  Bilateral multiple renal cysts, irregular appearance in liver contours."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16383/train_16383_a/train_16383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38626",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: In the supraclavicular fossa, no lymph node in pathological size and appearance was observed in the axilla and mediastinum within the cross-section. No lymph node in pathological size and appearance was observed in the mediastinum. A central venous catheter is available.\n<heart>: Pericardial effusion was not detected. Mild aortic valve calcification is observed. Heart dimensions and compartments are of normal width.\n<bone>: Widespread bone involvement is observed. Height losses are evident at T3, T5, T6, T9 and T12 levels.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nCase with a diagnosis of multiple myeloma. Bone involvement of myeloma and significant loss of height in the thoracic vertebrae.  No mass was observed in the lung parenchyma. Pneumonia was not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16384/train_16384_a/train_16384_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38638",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Ground glass densities and interlobular septal thickenings are observed in the nonspecific appearance, which is more prominent in the lower lobes of both lungs. In the evaluation of both lung parenchyma; mosaic atternation is observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The diameter of the main pulmonary artery is 3.5 cm, the diameter of the right and left pulmonary artery is 2.5 cm, and they are wider than normal. Right upper-bilateral lower paratracheal aortopulmonary subcarinal narrow lymph nodes less than 1 cm in diameter are observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the coronary arteries in the aortic arch, descending and abdominal aorta. Secondary pulmonary lobules are prominent.\n<heart>: Pericardial effusion in the form of thin smears is observed. The cardiothoracic index increased in favor of the heart.\n<bone>: It has an osteopenic appearance in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, a hypodense nodular lesion of approximately 13x10 mm in size is observed in the left lobe lateral segment of the liver, which is obscure in the non-contrast examination. A hypodense nodular lesion of approximately 5 cm in diameter is observed in the right kidney, which partially enters the examination area (renal cyst). MRI examination is recommended if sonographic control is required. Calcific plaques are observed in the coronary arteries in the aortic arch, descending and abdominal aorta.\n\nImpression:\nCardiomegaly, enlargement of the main pulmonary artery and both pulmonary arteries . Mosaic atternation in both lungs (small airway disease? small vessel disease?).  More prominent nonspecific ground-glass densities in the lower lobes of both lungs, prominence in the secondary pulmonary lobules and interlobular septal thickenings suggest cardiac stasis. Clinical evaluation is recommended in terms of additional infection. MRI examination is recommended if sonographic control is required.  Osteopenia in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16389/train_16389_a/train_16389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are in the middle, and no obstructive pathology was observed in the lumen.\n<lung>: Occasionally, linear atelectasis was observed in both lungs. There are minimal emphysematous changes in both lungs. No infiltrative lesion or mass with distinguishable borders was observed in both lungs. The irregular bordered nodule observed in the middle lobe of the right lung in previous examinations is completely regressed in the current examination. When examined in the lung parenchyma window; Linear density increases and minimal structural distortion were observed in favor of pleuroparenchymal sequela fibrotic changes in both lung apex.5 mm in diameter in the superior segment of the right lung lower lobe.\n<mediastinum>: Pulmonary artery diameters are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given. Atheroma plaques were observed in the thoracic aorta and coronary arteries. Arch and descending aorta diameters are normal. In the mediastinum and both axillae, lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed, the heart contour and size are normal. The ascending aorta measures 41 mm in diameter and is wider than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Diffuse degenerative changes were observed in the thoracolumbar vertebrae within the sections.\n<abdomen>: Although optimal evaluation cannot be made in non-contrast sections, as far as can be observed; No mass with distinguishable borders was observed in the liver, gall bladder, spleen, pancreas and both adrenal glands. Atheroma plaques were observed in the thoracic aorta and coronary arteries. Arch and descending aorta diameters are normal. No calculi were detected in both kidneys, including the sections.\n\nImpression:\nThe nodule in the follow-up, the nodule observed in the middle lobe of the right lung in the current examination is completely regressed. Linear fibrotic density changes observed in both lungs, the nodules are stable.  Fusiform aneurysmatic dilatation in the ascending aorta . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16407/train_16407_a/train_16407_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland parenchyma is heterogeneous.\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: It is recommended to evaluate the case for viral pneumonias, including Covid, together with clinical and laboratory findings. There are peripherally located ground-glass-like density increases in the upper-middle zone of both lungs prominent on the left, thickening of the interlobular septa on this background, and consolidative areas in places. There are mildly graded consolidative parenchyma areas in the lingular segment and posterobasal level in the left lung. No pathological size and configuration of lymph nodes were detected at both hilar levels. Sequelae changes are observed in the middle lobe of the right lung, and there is a consolidated parenchyma area where air bronchograms are observed at this level. There are faint reticulonodular density increases in the lower lobe posterior segment of the right lung. Densities compatible with pleuroparenchymal sequelae are observed at the posterobasal level in both lungs.\n<mediastinum>: Calibration of the aortic arch is at the maximal physiological limit. It is wider than normal. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Pulmonary trunk calibration is 29 mm. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. CTO is within the normal range. The ascending and descending medium calibration is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed. There are millimetric nodular-linear views in the paraesophageal area (lymph node?, collateral vascular structures?).\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: The gallbladder partially enters the image. Calibration of the aortic arch is at the maximal physiological limit. The spleen is full. There is a smear-like effusion in the perihepatic area. There is lobulation in the contours of the liver in the upper abdominal sections entering the examination area. Calcific atheroma plaques are observed in the aortic arch, descending aorta, and coronary arteries. In the non-contrast examination, the diagnostic sensitivity of the demarked lesion in the liver is markedly low. However, intralumenal density is observed to be increased.\n\nImpression:\nPeripheral ground-glass-like density increases in the upper-middle zone of both lungs prominent on the left, thickening of the interlobular septa on this background and consolidative areas in places, it is recommended to evaluate the case together with clinical and laboratory findings for viral pneumonias, including Covid.  Findings consistent with chronic liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16410/train_16410_a/train_16410_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38689",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Thickening of interlobular septa and consolidative areas were observed on this floor.\n<pleura>: Minimal pleural effusion in the right lung and mild atelectatic changes in both lungs were observed. Right pleural effusion has just emerged in the current examination.\n<mediastinum>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n<esophagus>: Paraesophageal varicose veins were observed.\n<abdomen>: The liver contours are irregular in the upper abdominal sections in the examination area. Mild free fluid, which was also observed in the previous examination, was observed in the perihepatic area. Left lobe and caudate lobe appear hypertrophied. It is recommended to be evaluated in terms of chronic liver parenchymal disease. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16410/train_16410_b/train_16410_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38697",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When evaluated in the parenchyma window of both lungs: Emphysematous changes were observed in both lungs. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Tubular-cystic bronchiectasis were observed in the middle lobe of the right lung, the inferior lingular segment of the left lung, and the lower lobes of both lungs.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Multiple lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal, prevascular and subcarinal areas of the mediastinum.\n<heart>: Heart contour, size is natural. Pericardial thickening-effusion was not detected. The ascending aorta measures 45 mm in diameter and shows fusiform dilatation. As far as can be observed: Postoperative changes in the aortic valve were observed.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area. There are metallic suture materials belonging to sternotomy on the anterior thorax wall.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPostoperative changes in the aortic valve.  Fusiform aneurysmatic dilatation in the ascending aorta.  Atherosclerotic changes.  Emphysematous changes, sequelae changes in both lungs.  Prominent cystic-tubular bronchiectasis in the lower lobes of both lungs.  Hiatal hernia.  Mediastinal multiple lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16414/train_16414_a/train_16414_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38705",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A few millimeter-sized nonspecific nodular density increases are observed in the right lung. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nA few millimeter-sized nonspecific nodular density increases in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16418/train_16418_a/train_16418_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are nonspecific pulmonary nodules less than 5 mm in diameter in both lungs. No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nNonspecific millimetric pulmonary nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16422/train_16422_a/train_16422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38725",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. The appearances described suggest distal airway disease. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: When evaluated together with the clinical knowledge of the patient, these appearances were evaluated primarily in favor of infective pathology. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes are observed in both lungs. It is recommended to be evaluated together with laboratory findings. In the upper lobe of the right lung, there are centriacinar nodules, some of which have the appearance of budding trees. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are millimetric osteophytes in the vertebral corpus corners. The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. In liver parenchyma density, there is a decrease in density compatible with moderate-to-severe adiposity.\n\nImpression:\nFindings evaluated in favor of infective pathology in the upper lobe of the right lung . Minimal emphysematous changes in both lungs . Millimetric nodules in both lungs . Hiatal hernia . Hepatic steatosis . Minimal thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16428/train_16428_a/train_16428_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: An intubation catheter is observed in the trachea. The trachea is in the midline. This appearance was primarily evaluated in favor of mucosal impaction. The intubation catheter is observed over the pre-tracheal bronchus.\n<lung>: Similar appearance is also seen in the right lung lower lobe superior segment and posterobasal segment. These areas of consolidation are observed at the hilus level, especially in the middle and lower lobes of the right lung, and at the level of the hilus in the left lung, adjacent to the lower lobe, and these appearances were primarily evaluated in favor of atelectasis. This consolidation area covers the lower lobe of the left lung almost completely (pneumonic infiltration?). When examined in the lung parenchyma window; Consolidation areas containing air bronchograms are observed at the level of the hilum of both lungs. In the lower lobe of the left lung, there is another large collection area containing air bronchograms. Right after the separation of the upper lobe bronchus of the right lung, obstruction is observed in the lower and middle lobe bronchi of the right lung, and linear air images are also present within this obstruction area. No pathology was detected in the mediastinal area at the level of prevascular, pretracheal, upper paratracheal, lower paratracheal, and both lung hiluses. Several nonspecific pulmonary nodules were observed in both lungs, the largest of which was approximately 4 mm in diameter in the superior segment of the right lung lower lobe. In the upper lobe of both lungs, and in the middle lobe of the right lung, there are generally peribronchial and centrally located ground glass opacities that form consolidation areas (pneumonic infiltration? Pulmonary edema?).\n<pleura>: A 2 mm thick pleural effusion is observed.\n<mediastinum>: No pathology was detected in the mediastinal area at the level of prevascular, pretracheal, upper paratracheal, lower paratracheal, and both lung hiluses. Calibrations of mediastinal vascular structures are normal within the limits of the non-contrast scan. Calcific atheroma plaques are observed in the aortic walls.\n<heart>: There is a port catheter extending into the right atrium. Nodular nonspecific opacities are observed in the precardiac fat pad. No pericardial thickness increase or effusion was observed. NG probe is monitored. Contrast-enhanced examination is appropriate if clinically necessary.\n<bone>: No lymphadenopathy was observed in the supraclavicular region in pathological size and appearance. No fractures or lytic-destructive lesions were detected in the bones included in the examination.\n<abdomen>: NG probe is observed in the stomach. The liver partially entering the imaging area has a hypodense appearance at the level of the falciform ligament (focal adiposity?). In the upper abdomen images included in the examination, there is an increase in nodular thickness in the left adrenal gland corpus. Calcific atheroma plaques are observed in the aortic walls.\n\nImpression:\nConsolidation area (pneumonia?) in the lower lobe of the left lung.  Ground glass opacities in both lungs (pneumonic infiltration? pulmonary edema?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16434/train_16434_a/train_16434_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; A subsegmental atelectatic change was observed in the medial segment of the right lung middle lobe. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: Sequela thickening was observed in the anterolateral costal pleura adjacent to the middle lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other vascular structures of the mediastinum is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries.\n<heart>: As far as can be seen; The ascending aorta is slightly wider than normal, with an anterior-posterior diameter of 38 mm. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteogenerative changes were observed in the bone structure in the study area.\n<abdomen>: Upper abdominal organs included in the sections are natural. Atherosclerotic wall calcifications were observed in the thoracic aorta-supraaortic branches and coronary arteries.\n\nImpression:\nFusiform ectasia in the ascending aorta, atherosclerotic wall calcifications in the thoracic aorta-supraaortic branches and coronary arteries  Subsegmental atelectasis in the medial segment of the right lung middle lobe, sequelae thickening in the anterolateral costal pleura adjacent to the middle lobe  Osteodegenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16437/train_16437_a/train_16437_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38766",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the upper and lower lobes of both lungs, ground-glass density increases with a common tendency to coalesce in the lower lobes and consolidative changes in the lower lobes were observed. The outlook is consistent with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis of 7 mm were observed in the mediastinal upper-lower paratracheal and subcarinal areas.\n<heart>: Heart size has increased (cardiomegaly). The ascending aorta measures 43 mm in diameter and shows fusiform dilatation. Postoperative suture material was observed in the pericardium. Calcific atherosclerotic changes are observed in the wall of the coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Thorocolumbar kyphosis was observed. Metallic suture materials of sternotomy were observed in the sternum.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; A 26 mm diameter cortical cyst was observed in the upper pole of the left kidney.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended.  Cardiomegaly.  Fusiform dilatation of the ascending aorta.  Left renal hypodense lesion (cyst).  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16446/train_16446_a/train_16446_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38769",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Interlobular septal and interstitial thickenings are observed in both lungs, especially in the lower lobes. Other than that, no significant difference was found in the findings. In addition, ground glass areas are also observed in small areas in both lungs, most prominently in the lower lobe of the right lung. Minimal bronchiectasis is observed in both lungs, especially in the central part and especially in the lower lobes. Both lungs have millimetric nonspecific nodules, some of which are calcific. There are also millimetric centriacinar nodules in both lungs, again more prominent in the lower lobes. There is no mass or infiltrative lesion in both lungs. In addition, a honeycomb appearance is observed in the lower lobes of both lungs. The described findings are consistent with the diagnosis of idiopathic pulmonary fibrosis stated in the clinical preliminary diagnosis.\n<pleura>: No pleural or pericardial effusion was detected. There is no pleural and pericardial effusion.\n<mediastinum>: The main pulmonary artery diameter was 30 mm and wider than normal. No pathologically enlarged lymph nodes were observed. The diameters of the aortic arch and descending aorta are normal. There are lymph nodes in the prevascular, paratracheal, subcarinal, and both hilar regions. Calcifications are observed in some of the described lymph nodes, the largest of which is observed in the prevascular region and its short diameter is 13 mm. Atheroma plaques are observed in the aorta and coronary arteries. The diameters of the right and left pulmonary arteries are larger than normal.\n<heart>: The ascending aorta is measured 40mm in anterior-posterior diameter and is minimally wider than normal. Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nIn the follow-up, idiopathic pulmonary fibrosis, interlobular septal thickening especially in the lower lobes of both lungs, ground glass areas in places, bronchiectasis more prominent in the lower lobes of both lungs, millimetric centriacinar nodules in both lungs, again more prominent in the lower lobe . Minimal fusiform aneurysmatic dilation of the ascending aorta, atherosclerotic changes in the aorta and coronary arteries. Increased pulmonary artery diameters. Mediastinal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16447/train_16447_b/train_16447_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38779",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; image resolution is very low due to motion artifact. There are more prominent parenchymal ground-glass opacity and septal thickening in the central areas of both lungs. Findings were primarily evaluated in favor of pulmonary edema. To rule out the presence of infection, it would be appropriate to repeat imaging after congestion therapy.\n<mediastinum>: No lymph node in pathological size and appearance was detected in the mediastinum.\n<heart>: Imaging is quite suboptimal due to motion artifact. Pericardial effusion was not detected. Calcified atheroma plaques are present in LAD. Heart size increased. Cardiac pacemaker catheter is monitored.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiac pacemaker catheter, increased heart size, calcified atheroma plaques in the LAD. Findings compatible with pulmonary edema, repeating the examination would be appropriate in terms of evaluation of pneumonia after the treatment of the case."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16452/train_16452_a/train_16452_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38780",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The views described are not specific. Since the patient is not breathing properly during the examination, the lung parenchyma cannot be optimally evaluated in terms of focal lesion. No mass or infiltrative lesion was detected in both lungs. The described manifestations are not typical findings observed in Covid-19 pneumonia. As far as can be observed: Ground glass areas are observed in both lungs, especially in the upper lobes.\n<pleura>: No pleural or pericardial effusion was detected.\n<heart>: When evaluated together with cardiac findings, it was thought that ground glass appearances may be due to cardiac pathology. These appearances can also be observed in the previous examination of the patient and no significant difference was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16452/train_16452_b/train_16452_b_1.npy"
        ]
    },
    {
        "id": "report_generation_38823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, a decrease in minimal density is observed, consistent with mild hepatosteatosis in the liver.\n\nImpression:\nThere was no finding in favor of pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16469/train_16469_a/train_16469_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: There are pleuroparenchymal sequelae density increases in the left lung lingular segment. Mild emphysematous changes are present in both lungs. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Lymph nodes with a short axis of 1 cm were observed in the mediastinal, upper-lower paratracheal, prevascular, and aorticopulmonary window. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: There are postoperative suture materials at the …….???... level. Liver sizes increased in the upper abdominal sections included in the study area. Parenchymal density has decreased diffusely in line with adiposity. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. A cortical cyst of 18 mm in diameter was observed in the middle zone of the right kidney.\n\nImpression:\nEmphysematous changes, sequelae changes in both lungs. Calcified atherosclerotic changes in the thoracic aorta and coronary artery.  Mediastinal lymph nodes. Hepatomegaly, hepatosteatosis, right renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16520/train_16520_a/train_16520_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38943",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No space-occupying mass lesion was observed in the lung parenchyma. When examined in the lung parenchyma window; There is minimal emphysematous appearance in the upper lobes of both lungs. Millimetric non-specific nodules are observed in both lungs. Minimal bronchiectasis and bronchial wall thickening are observed in the middle lobe on the right.\n<pleura>: In the lower lobes, there are sequelae fibrotic densities and subpleural fibrotic densities.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. Calcific atheroma plaques are observed in the thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed. The ascending aorta is ectatic (39 mm). There are calcific atheroma plaques in the coronary arteries, and a stent-like appearance is observed in RCA.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural.\n<abdomen>: it is natural. In the upper abdominal organs, including sections; There is a stone density of 1.4 mm in diameter in the upper pole of the right kidney. Calcific atheroma plaques are observed in the thoracic aorta. In addition, a stone density of 4.5 mm in diameter is observed at the level of the gallbladder neck.\n\nImpression:\nEctasia of the ascending aorta, coronary arerosclerosis and stenting in RCA, minimal cardiomegaly.  Minimal emphysema in both lungs, sequelae fibrotic densities, non-specific nodules, minimal bronchiectasis and bronchial wall thickening in the right middle lobe.  Right nephrolithiasis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16523/train_16523_a/train_16523_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38949",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<pleura>: When examined in the lung parenchyma window; There are ground-glass densities in the lung parenchyma, especially in the left upper lobe, in the apicoposterior and anterior segments, in which they are observed in subpleural patchy vascular expansion. There is a pleural effusion measuring 61 mm in thickness in the right hemithorax.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A fragmented fracture is observed in the left humeral head. There is a diffuse density decrease in bone structures, and there are hypertrophic and osteophytic taperings in the end plates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Clinical laboratory correlation is recommended. The contours of the liver parenchyma are reduced in irregular size (liver S?). Upper abdominal organs included in the sections are normal. There is perihepatic effusion in the upper abdomen and effusion in the perisplenic area.\n\nImpression:\nFindings that may be compatible with Covid-19 viral pneumonia should be evaluated in the clinical lab in terms of the differential diagnosis of the infectious process. blind. 2  Moderate pleural effusion in the right hemithorax.  Findings consistent with Liver S.  A fragmented fracture is observed in the left humeral head.  Perihepatic, free fluid in the perisplenic space.  Small lymph nodes in the paraaortic area.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16526/train_16526_a/train_16526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A nodule, which is thought to have calcification in the left thyroid lobe, and which can be distinguished from the parenchyma in the examination margins, is observed.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In case of doubt, its correlation with USG is recommended.\n<lung>: When examined in the lung parenchyma window; Mild mosaic attenuation patterns and thickening of interlobular septa are observed in both lungs (Small vessel disease? Small airway disease?). There are hypertrophic osteophytic taperings in the end plates of the vertebral body and mild atelectatic changes in the lung parenchyma adjacent to these taperings.\n<pleura>: At the anterior level of the lower lobe of the right lung (in series 2 image 316), 2 nonspecific subpleural nodules measuring 4 mm are observed in the subpleural left lung, again at the lower lobe anteromedial level (in the series 2 image 324). Apart from these nodules described, there are also a few millimetric nonspecific subpleural nodules.\n<mediastinum>: Thoracic aorta diameter is normal. There are calcific atheromatous plaques in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A small hiatal hernia is observed.\n<bone>: Diffuse density reduction of the bone structures in the study area and osteophytic tapering, which tends to bridge the vertebral corpus endplates, are observed. There are hypertrophic osteophytic taperings in the end plates of the vertebral body and mild atelectatic changes in the lung parenchyma adjacent to these taperings.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheromatous plaques in the aortic arch and coronary arteries.\n\nImpression:\nSubpleural nonspecific nodules measuring up to 4 mm on the right and 3 mm on the left in both lungs. Mild mosaic attenuation pattern in both lungs and thickenings of the interlobular septa (Small airway disease? Small vessel disease?).  Arteriosclerosis. Suspicious nodule in left thyroid lobe. Small hiatal hernia. Diffuse density reduction in bony structures and osteophytic taperings with a tendency to bridging the vertebral corpus endplates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16537/train_16537_a/train_16537_a_1.npy"
        ]
    },
    {
        "id": "report_generation_38977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Widespread ground-glass appearances and consolidations and interlobular septal thickenings accompanying ground-glass appearance were observed in both lungs, the features being more prominent in the posterior part. The findings described during the pandemic process were evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16538/train_16538_a/train_16538_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39012",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a millimetric calcific nodule in the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric calcific nodule in the lower lobe of the left lung  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16550/train_16550_a/train_16550_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39014",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: No mass lesions were detected in both lungs.\n<pleura>: In the evaluation made in the lung parenchyma window: In both lungs, multilobar, peripheral, subpleural dorsal localized vaguely circumscribed ground glass and density increase areas compatible with consolidation are observed, and Covid-19 pneumonia was considered in the etiology of the findings. Pericardial-pleural effusion is not observed.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally due to the absence of IV contrast in cardiac examination. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Calibration of vascular structures, heart contour and size are normal.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: No solid mass was detected. In the upper abdominal sections within the image, a 2.5 mm diameter hyperdense stone is observed in the lower pole of the left kidney. Intraabdominal free liqu- ulated collection is not observed. No mass lesion was detected in the peritoneum or omentum.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16550/train_16550_b/train_16550_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, no newly developed pathology was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16550/train_16550_c/train_16550_c_1.npy"
        ]
    },
    {
        "id": "report_generation_39022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; No mass nodule was detected in both lung parenchyma. In the anterobasal segment of the lower lobe of the left lung, focal, several adjacent, nodular ground-glass density increases were observed. The outlook can be observed in early-stage Covid-19 pneumonia. However, it is not specific.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nFocal, several adjacent, nodular ground-glass density increases in the anterobasal segment of the lower lobe of the left lung; The outlook can be observed in early-stage Covid-19 pneumonia. However, it is not specific. Other infectious-non-infectious processes can be considered in the differential diagnosis. Clinical-laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16553/train_16553_a/train_16553_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39024",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Millimetric calcific nodules are observed in both lung parenchyma. There are band atelectasis in the lower lobes of both lungs.\n<pleura>: When examined in the lung parenchyma window; There is minimal subpleural consolidation in the anterior upper lobe of the right lung and ground glass densities around it.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Millimetric lymph nodes not exceeding 1 cm in the short axis of the mediastinum are observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. The spleen was increased in size (138 mm). An increase in the size of the liver entering the cross-sectional area and a diffuse decrease in its density are observed.\n\nImpression:\nPneumonic consolidation and ground glass densities in the upper lobe of the right lung in a patient with a history of Covid.  Band atelectasis in the lower lobes of both lungs.  Millimetric nonspecific calcific nodules in bilateral lung.  Hepatosplenomegaly. Diffuse hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16554/train_16554_a/train_16554_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Widespread panacinar and centriacinar emphysemato areas are observed in both lungs. In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae are observed in the apex of both lungs. It was considered primarily as an infective process. Post-treatment control is recommended. In the right lung lower lobe mediobasal segment and middle lobe minimal, prominent budding tree appearances in the left lung lower lobe basal segments, peribronchial infiltrates, light ground glass are observed. Nonspecific nodules are observed in the right lung middle lobe with a diameter of 4.3 mm and a diameter of 1-2 mm in its immediate vicinity, in millimeter size in the left lung lingular segment (ima 126-135) In the sections passing through the upper part of the abdomen, the liver is in the lateral segment of the left lobe and the right lobe is in the posterior segment, hypodensities of 6-7 mm in diameter are observed in the anterior segment of the right lobe.\n<mediastinum>: Right upper, bilateral lower paratracheal aortopulmonary aortopulmonary enlargement with a narrow diameter of a few of them reaches 10 mm, and other millimetric mediastinal lymphadenomegaly is observed. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch.\n<heart>: The cardiothoracic index increased in favor of the heart. There are calcifications in the walls of the coronary artery.\n<esophagus>: The distal esophageal wall is slightly thick.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: There is calculus in the gallbladder. MR examination is recommended if sonographic control is required. A slightly hypodense probable cortical cyst, 12x13 mm in size, located in the lateral cortical region, is observed in the posterior of the left kidney. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. A hypodense lesion of approximately 20x12 mm in the left adrenal gland body and approximately 1x1 cm in the right adrenal gland is observed (nonfunctional adenoma?). Nonspecific nodules are observed in the right lung middle lobe with a diameter of 4.3 mm and a diameter of 1-2 mm in its immediate vicinity, in millimeter size in the left lung lingular segment (ima 126-135) In the sections passing through the upper part of the abdomen, the liver is in the lateral segment of the left lobe and the right lobe is in the posterior segment, hypodensities of 6-7 mm in diameter are observed in the anterior segment of the right lobe.\n\nImpression:\nGround-glass appearances in both lungs, budding tree trees and peribronchial infiltrations, which are more prominent in the basal segments of the lower lobe of the left lung, were primarily evaluated as secondary to the infective process. Post-treatment control is recommended.  2 nonspecific nodules in the middle lobe of the right lung and the lingular segment of the left lung.  Diffuse centriacinar panacinar emphysematous areas in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16566/train_16566_a/train_16566_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are millimetric multiple nodules in both lungs, more prominent on the right. There was no mass in both lungs and no infiltrative lesion in the right lung. There are diffuse emphysematous changes in both lungs, more prominent in the upper lobes. The described appearance was absent in the patient's previous examination and was primarily evaluated in favor of pneumonic infiltration. Consolidation is observed in the anteromediobasal segment of the lower lobe of the left lung. The largest of the nodules described is observed in the middle lobe of the right lung and measured approximately 5 mm in diameter.\n<pleura>: No pleural effusion was detected. However, there are calcified pleural plaques in both hemithorax and costal pleura.\n<mediastinum>: Aorta diameter is normal. Optimal structures of the mediastinal structures cannot be evaluated because the contrast agent is not given. The main pulmonary artery diameter was 36 mm and wider than normal. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: No pericardial effusion or thickening was detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: As far as can be observed in this examination, there is no pathological wall thickness increase in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Intervertebral disc distances were minimally narrowed. The plates described measure approximately 5 mm at their thickest point. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open.\n<abdomen>: Aorta diameter is normal. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections. There are areas of fat density within the described lesion and adenoma lheine was evaluated. A nodular lesion measuring approximately 20x13 mm is observed in the left adrenal gland corpus. There are calcific atheroma plaques in the aorta and coronary arteries. There are stones in the gallbladder measuring about 2 cm in diameter.\n\nImpression:\nDiffuse emphysematous changes in both lungs. Consolidation evaluated in favor of pneumonic infiltration in the left lung lower lobe anteromediobasal segment.  Stable nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries, an increase in the diameter of the pulmonary arteries. Mediastinal and hilar lymph nodes. Calcified pleural plaques in both hemithorax. Hiatal hernia. Cholelithiasis.  The appearance evaluated in favor of adenoma in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16566/train_16566_b/train_16566_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Two millimetric nonspecific parenchymal nodules were observed in the middle lobe of the right lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in the middle lobe of the right lung. No evidence of infection-mass was detected in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16569/train_16569_a/train_16569_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39074",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Subsegmental atelectasis is observed in the medial segment of the right lung middle lobe. No active infiltration, consolidation or mass was observed in both lungs.\n<pleura>: A nonspecific pulmonary nodule with a diameter of 3 mm is observed in the subpleural area in the superior segment of the lower lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Reactive lymph nodes with hypodense fatty hiluses are observed in the mediastinal area.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; In the liver, there is diffuse density reduction consistent with hepatosteatosis. Liver sizes increased.\n\nImpression:\nHepatosteatosis, hepatomegaly.  Calcific atheroma plaques in the aorta, coronary arteries.  Nonspecific millimetric pulmonary nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16573/train_16573_a/train_16573_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits except bilateral gynecomastia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16586/train_16586_a/train_16586_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39104",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are atelectatic changes in the basal segments of the lower lobes of both lungs. An increase in density, which is evaluated in favor of consolidation, is observed at the posterobasal level of the left lung lower lobe. There are mild emphysematous changes in the upper lobes of both lungs, mostly in the apicoposteriors. When examined in the lung parenchyma window; Mild bronchiectatic changes and peribronchial sheathing are observed in the areas extending from the hilar region to the lateral and posterior segments in the lower lobe of the right lung.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction, degenerative changes, and hypertrophic osteophytic tapering in the end plates are present in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Diastasis recti is observed in the anterior abdominal wall in the epigastric region, the opening of which is 46 mm in which intraperitoneal fatty tissues are observed.\n\nImpression:\nDiastasis recti with fatty planes in the epigastric region.  Cylindrical bronchiectasis, peribronchial thickenings in the lung parenchyma, clinical laboratory correlation follow-up is recommended in terms of infectious process.  Atherosclerotic changes.  Degenerative findings in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16587/train_16587_a/train_16587_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39106",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are consolidation and ground glass densities in the middle lobe of the right lung and more specifically in the lower lobe. When examined in the lung parenchyma window; Mosaic density differences and peribronchial central weighted thickenings are seen in both lung parenchyma.\n<pleura>: There is minimal pleural effusion accompanying this.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is rotoscoliosis in the thoracic vertebrae. It has a common degenerative and osteoporotic appearance in bone structures in the study area. There are surgical changes in the sternum.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Central bronchial wall thickening and mosaic density differences in both lungs, diffuse consolidation, ground glass densities and effusion in the right lung middle lobe and lower lobe. (Aspiration pneumonia?).  Degenerative changes in bone structures, thoracic rotoscoliosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16587/train_16587_b/train_16587_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. When examined in the lung parenchyma window; There is diffuse mild ectasia and increased peribronchial thickness, which is more evident in the central bronchial structures of both lungs.\n<lung>: No active infiltration or mass lesion was detected in both lungs. Sequela parenchymal changes are observed in bilateral apex. Ventilation of both lungs is natural. When examined in the lung parenchyma window; There is diffuse mild ectasia and increased peribronchial thickness, which is more evident in the central bronchial structures of both lungs.\n<pleura>: No bilateral pleural effusion or increase in thickness was detected. In both lungs, nodular lesions measuring 6 mm in diameter in the lower lobe posterobasal segment on the right and 8.5x5 mm in size on the pleural base, the largest in the lower lobe lateral segment on the left, are observed.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; The mediastinal major vascular structures and heart contour are normal in size. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: There are calcified atheromatous plaques on the walls of the coronary vascular structures. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; The mediastinal major vascular structures and heart contour are normal in size. Minimal pericardial effusion is observed. The pacemaker is observed on the anterior left chest wall, and the electrode of the pacemaker is observed in the right heart cavity.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area.\n<abdomen>: As far as can be observed within the limits of non-contrast CT in the upper abdominal organs included in the sections; no solid mass was detected.\n\nImpression:\nThere are no signs in favor of pneumonic infiltration in both lungs, sequela parenchymal changes in the bilateral apexes and nodular lesions in millimeter sizes in both lung parenchyma, diffuse mild ectasia and peribronchial thickness increases in bilateral bronchial structures.  Calcified atheromatous plaques and minimal pericardial effusion on the walls of the coronary vascular structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16589/train_16589_a/train_16589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are common ground glass densities in the form of crazy paving, which tend to merge in the peripherally located posterior area in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Minimal calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Millimetric osteophytes are observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. There is minimal diffuse density loss in the liver. Minimal calcific atheroma plaques are observed in the aorta and coronary arteries. Apart from this, the upper abdominal organs included in the sections are natural.\n\nImpression:\nFindings consistent with Covid pneumonia. Cystic nodule in left lobe of thyroid gland. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16594/train_16594_a/train_16594_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs are evaluated in the parenchyma window: A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected. Parenchymal nodules measuring 8 mm in diameter were observed in both lungs, the largest of which was in the upper lobe of the right lung, located subpleural.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. As far as can be observed: The diameter of the ascending aorta is 41 mm and shows slight fusiform dilatation. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Cardiomegaly.  Mild fusiform dilatation of the thoracic aorta, calcified atreosclerotic changes in the wall of the thoracic aorta.  Parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16599/train_16599_a/train_16599_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland is heterogeneous. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: An endotracheal tube extending to the right main bronchus was observed in the tracheal lumen.\n<lung>: All identified findings are compatible with pneumonic infiltration (aspiration pneumonia?). Interlobar-intralobular septal thickenings in the lung parenchyma were evaluated in favor of cardiac stasis. Focal consolidation area was also observed in the right lung middle lobe lateral segment. Interlobar septal thickening and accompanying ground glass densities and centriacinar nodules were observed in the ventilated lung areas. When examined in the lung parenchyma window; Consolidation areas in which air bronchograms are observed were observed in the posterior parts of the lower lobes and upper lobes of both lungs.\n<mediastinum>: Calibration of other vascular structures of the mediastinum is natural. No pathologically enlarged lymph node was detected in the mediastinum. There is extensive atherosclerosis in the abdominal aorta and its visceral branches. The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified lymph nodes, some of which did not reach pathological dimensions, were observed in the mediastinum with short axes below 1 cm. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries.\n<heart>: As far as can be observed, the ascending aorta is wider than normal with an anterior-posterior diameter of 45 mm. Heart sizes are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. There are findings consistent with diffuse idiopathic bone hyperostosis in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is extensive atherosclerosis in the abdominal aorta and its visceral branches. Multiple calculi in the shape of calyces were observed in both kidneys. No intraabdominal free-loculated fluid was detected. The contour, size, parenchyma density of the pancreas is natural. Diffuse atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. In both kidneys, there is thinning of the parenchyma and lobulation in its contours, which is compatible with the sequelae of chronic pyelonephritis. As far as can be seen in non-contrast sections; Multiple millimetric calculi giving a level in the gallbladder lumin were observed. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct.\n\nImpression:\n· Asymmetric enlargement, parenchymal heterogeneity and calcific nodules in the left thyroid gland; It is recommended to be evaluated together with thyroid US. · Multiple lymph nodes in the mediastinum, some of which do not reach calcified pathological dimensions. Fusiform aneurysmatic dilation of the ascending aorta, atherosclerotic wall calcifications in the thoracic aorta and its supraaortic branches and coronary arteries. · Diffuse areas of consolidation in the lower lobes of the lung parenchyma, (aspiration pneumonia?); It is recommended to be evaluated together with clinical and laboratory. · Findings consistent with stasis in the lung parenchyma. · Cholelithiasis. · Atrophic changes in both kidneys, multiple Starghorn calculus. · Diffuse degenerative changes in bone structure and findings consistent with DISH."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16600/train_16600_a/train_16600_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39147",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. A low density (mean 20HU) lesion is observed in the medial segment of the right lung middle lobe, with a broad base of pleuropericarial, approximately 8x18 mm in size, with lobulated contours in places. It could not be characterized in the non-contrast examination. Several nodules with a diameter of 2 mm are observed in both lungs, the largest of which is in the lateral segment of the right lung middle lobe.\n<pleura>: Pleural-pericardial effusion was not detected. Calcific pleural plaques are observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. However, it was evaluated primarily in favor of benign pathologies (pericardial cyst?).\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<breast>: An appearance compatible with gynecomastia is observed in the bilateral retroareolar area.\n<bone>: No lytic-destructive lesion was observed in bone structures.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs.  Low-density lesion in the right lung middle lobe, pleuropericardial area; could not be characterized on this examination (pericardial cyst?). It is recommended to be evaluated together with previous examinations, if any.  Pleural calcific plaque in the upper lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16603/train_16603_a/train_16603_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground-glass appearances and occasionally centriacinar nodules are observed in both lungs. There are also nodules around which frosted glass areas are observed. The appearance and distribution of the described findings are non-specific. No mass was detected in both lungs.\n<pleura>: Bilateral minimal pleural effusion was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter. There are no enlarged lymph nodes in pathological dimensions. Mediastinal main vascular structures are normal.\n<heart>: Pericardial thickening was not detected. There is a pericardial effusion measuring 25 mm in its thickest part. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities are normal within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nPericardial effusion.  Pleural effusion.  Hiatal henri.  Diffuse ground glass appearances in both lungs, nodules with a ground glass area around them, and centriacinar nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16606/train_16606_a/train_16606_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39158",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It was evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, there are patchy ground glass densities in which the expansion of the vascular structures is observed in a diffuse crazy paving pattern.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hypertrophic-osteophytic tapering is observed in the anterior of the end plates of the vertebral corpuscles.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A change in favor of hepatosteatosis is observed in the liver parenchyma. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal. It is larger than normal. There are calcifications up to 16 mm in size in more than one close neighborhood in the right lobe of the liver. The liver measures up to 220 mm in the craniocaudal axis.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia, clinical lab. blind. follow-up is recommended.  Hepatomegaly.  Several calcific foci in the right lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16608/train_16608_a/train_16608_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Density increases in the left lung upper lobe apicoposterior segment apical subsegment, structural distortion and volume loss are observed, and pleuroparenchymal sequelae were evaluated in favor of fibrotic changes. The views described are not specific. No mass or infiltrative lesion was detected in both lungs. Minimal bronchiectasis is observed in both lungs, especially in the central parts. There is surgical suture material in the medial part of the right lung upper lobe apical segment and adjacent to the lower lobe posterobasal segment.\n<pleura>: No pleural or pericardial effusion was detected. In both lungs, especially in the lower lobe, interlobular septal and interstitial thickenings in peripheral subpleural areas and a honeycomb appearance are observed in places.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are millimetric atheroma plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal. There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: There is a stone with a diameter of 7 mm in the cystic duct. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. There are millimetric atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nInterlobular septal and interstitial thickenings in the peripheral subpleural areas and sometimes honeycomb appearance in both lungs, especially in the lower lobe. Findings evaluated in favor of pleuroparenchymal sequelae changes in the upper lobe of the left lung.  Minimal bronchiectasis, more prominent in the central parts of both lungs. Atherosclerotic changes in the aorta and coronary arteries.  Stone in the cystic duct."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16615/train_16615_a/train_16615_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several millimetric nonspecific nodules in both lungs. Minimal emphysematous changes were observed in both lungs. There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs. The described appearances are consistent with the diagnosis of interstitial lung disease. In the upper and lower lobes of both lungs, especially in the peripheral areas, interlobular septal and interstitial thickenings and a honeycomb appearance are observed in places.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are millimetric stones in the gallbladder. Upper abdominal free fluid-collection pathologically enlarged lymph nodes or not detected in sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of interstitial lung disease in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16615/train_16615_d/train_16615_d_1.npy"
        ]
    },
    {
        "id": "report_generation_39183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Both lungs have a more pronounced mosaic attenuation pattern on the right (small airway disease?, small vessel disease?). Subsegmental atelectatic changes were observed in the left lung upper lobe inferior lingular and lower lobe basal segments of both lungs, and in the medial segment of the right lung middle lobe. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures are natural. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The patient has a left ventricular assist device. Heart size increased. Left atrium and ventricle are dilated.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Degenerative changes in bone structures and postoperative surgical suture materials were observed in the sternum.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nCardiomegaly, left ventricular-atrium dilatation, left ventricular assist device.  Hiatal hernia.  Minimal pleural effusion on the left.  More pronounced mosaic attenuation pattern on the right in both lungs (small airway disease?, small vessel disease?).  Pleuroparenchymal sequelae atelectatic changes in both lungs.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16617/train_16617_a/train_16617_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook was evaluated in favor of viral pneumonia. Findings are also frequently observed in Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Consolidation areas containing air bronchograms are observed in the subpleural areas of both lungs. No pleural effusion was detected.\n<mediastinum>: Thoracic aorta diameter is normal. Calibration of other mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. A smear-like effusion is ringing in the pericardial area. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The neural foramina are open. Osteophytic taperings are observed in the bone structures in the study area. No fracture or lytic-destructive lesion was detected.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nViral pneumonia; It was evaluated in favor of Covid-19 pneumonia under pandemic conditions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16620/train_16620_a/train_16620_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; mosaic density differences in both lungs, thickening of the bronchial wall, interlobular septal thickening, and band atelectasis, more prominent in the lower lobes, are observed.\n<pleura>: There are lamellar sequelae calcifications in the pleura, more prominent in the lower parts.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Distinct calcific atheroma plaques are present in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial 7.5 mm effusion is observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Scoliosis with right thoracolumbar opening is observed. There are degenerative changes in the vertebrae.\n<abdomen>: There are stone densities in the gallbladder in the sections passing through the upper abdomen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are widespread calcific plaques in the abdominal cavity and its branches. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Gastric fundus hernia from hiatus. Distinct calcific atheroma plaques are present in the aorta and coronary arteries.\n\nImpression:\nNodular appearance in the thyroid gland.  Aortic and coronary artery atherosclerosis.  Pericardial effusion.  Sequelae changes in the lungs, pleural calcifications, bronchial wall thickening, interlobular septal thickening,  Cholelithiasis.  Thorocolumbar scoliosis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16621/train_16621_a/train_16621_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39208",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The dimensions of both thyroid lobes increased, and hypodense nodules showing calcification were observed in both thyroid lobes. US control is recommended.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Fibroatelectatic changes were observed in the middle lobe of the right lung-both lower lobes of the lungs and the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction consistent with osteopenia was observed in the bone structures included in the study area. Tapering, osteophytic changes, and vacuum phenomena in the intervertebral discs of the lower thoracic vertebrae were observed in the vertebral corpus corners.\n<abdomen>: A nodular density of approximately 13 mm in diameter is observed in the right adrenal genus. Diffuse thickening is observed in the left adrenal, more prominently in the medial crus. (adenoma?). Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections included in the examination area, there is a well-circumscribed hypodense cystic lesion with a size of 76x52 mm in the epigastric region, adjacent to the lesser curvature of the stomach.\n\nImpression:\nFibroatelectatic changes in both lungs. Perineronchial thickenings. Midline hypodense cystic lesion in the epigastric region. Diffuse calcified atherosclerotic changes in the coronary arteries.  Nodular density is observed in the right adrenal genus (adenoma?), diffuse thickening in the left adrenal gland.  Osteopenia in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16626/train_16626_a/train_16626_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39210",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Some of the consolidations are round in shape. Peripheral and central consolidations and ground glass areas are observed in both lungs, more prominently in the upper lobe of the right lung. The appearances described can be caused by many reasons. However, during the pandemic process, the findings were primarily evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16626/train_16626_b/train_16626_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The size of the thyroid gland has increased and has a heterogeneous appearance. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; segmental-subsegmental minimal peribronchial thickening was observed in both lungs. Atelectatic changes were observed in the right lung middle lobe medial, left lung upper lobe inferior lingular and right lung lower lobe anterobasal segments.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 29 mm. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The diameter of the pulmonary trunk is above normal with 32 mm.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. Pericardial effusion-thickening was not observed. The aortic valve is calcified.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in the bone structure. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. As far as can be seen within the sections; Multiple millimetric stones were observed in the gallbladder lumen. Accessory spleen with a diameter of 21 mm was observed at the level of the splenic hilum. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 43 mm, and the anterior-posterior diameter of the descending aorta was 29 mm.\n\nImpression:\nThyromegaly, heterogeneity in parenchyma; It is recommended to be evaluated together with US.  Suture materials secondary to bypass surgery in the sternum and anterior mediastinum, cardiomegaly, aneurysmatic dilatation in the ascending aorta, calcific atheroma plaques in the aortic arch and coronary arteries, increase in the diameter of the pulmonary trunk.  Segmentary-subsegmentary minimal peribronchial thickening, atelectatic changes in both lungs.  Cholelithiasis.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16635/train_16635_a/train_16635_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39234",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Follow-up is recommended for the differential diagnosis of an infectious process. There are atelectasis and mild consolidations in the form of thick bands with air bronchogram signs, which are more prominent in the lower lobes of both lungs.\n<pleura>: These thick band-shaped atelectasis and consolidative areas that are followed cause retraction in the pleural structures. When examined in the lung parenchyma window; A nodular lesion with a subpleural location, measuring 9.5 mm in size (9.5 mm in the previous examination) is observed in the anterior lower lobe of the right lung (series 2 image 195).\n<mediastinum>: It does not differ significantly. Multiple lymph nodes are observed in the right axillary region, the largest of which is 23x18 mm (23x18 mm in the previous examination), and the largest in the mediastinum and carina, the largest of which is 24x17 mm (19x12.5 mm in the previous examination), which does not show significant dimensional and structural differences. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. It was measured as 14 mm in the previous examination. A 15 mm diameter lymph node is observed in the aorticopulmonary window.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: It is measured up to 57 mm in the right breast parenchyma, which can not be measured clearly, and it is measured as 51 mm in the previous PET-CT and shows a slight dimensional increase.\n<bone>: There are multiple metastatic findings that do not show significant differences in bone structures. There is a new pathological fracture in the right hemithorax, the right 7th rib, showing posterior separation.\n<abdomen>: It does not differ significantly. Thoracic aorta diameter is normal. A small amount of free air is observed in the abdomen. It was measured as 14 mm in the previous examination. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Small hiatal hernia is observed.\n\nImpression:\nSlight dimensional increase in the mass lesion observed in the right breast.  No significant dimensional difference was detected in the lymph nodes observed in the right axillary region.  Diffuse metastatic lesions in bone structures.  Air bronchogram signs accompanied by thick bands of atelectasis in the lower lobes of both lungs; Clinical laboratory correlation is recommended for the infectious process.  A smear-like effusion measuring up to 6 mm on the right on both sides.  A small amount of free air in the abdomen.  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16636/train_16636_a/train_16636_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Fibroatelectatic changes were observed in both lungs. It may also be compatible with an infectious process. Appearance is nonspecific. Several nonspecific parenchymal nodules measuring 5 mm in diameter were observed in both lungs, the largest of which was in the middle lobe of the right lung.\n<pleura>: Minimal pleural effusion is observed on the left. Focal infiltration areas were observed in the lower lobes of both lungs, in the peripheral subpleural area, and in the lower lobe of the left lung. Bilateral pleural thickening was not detected.\n<mediastinum>: The diameter of the main pulmonary artery was measured as 36 mm and it shows dilatation. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. There are lymph nodes in mediastinal, upper-lower paratracheal, prevascular, and subcarinal localizations measuring 10 mm on the short axis of the larger one. There are mild calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.\n<heart>: Heart size has increased (cardiomegaly). There are mild calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Postoperative changes were observed in the pericardium. As far as can be seen; Postoperative changes were observed in the tricuspid valve.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: There are metallic suture materials of sternotomy on the anterior thorax wall. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are mild calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nCardiomegaly, atherosclerotic changes. Dilatation of the pulmonary artery.  Mediastinal lymph nodes.  Peripheral subpleural focal infiltration areas (infectious process?) in the lower lobes of both lungs, clinical-laboratory correlation is recommended.  Minimal pleural effusion on the left.  Several nonspecific parenchymal nodules in both lungs.  Sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16641/train_16641_a/train_16641_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Confluent ground-glass densities are observed in the peripheral lung tissue. In the upper lobes, interlobular septal thickenings in ground glass density, more prominently, create a crazy paving appearance.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Right upper, bilateral lower paratracheal narrow lymph nodes smaller than 1 cm in diameter are observed. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In sections passing through the upper abdomen, bilateral adrenal glands and lateral ridges are slightly enlarged. A nodular structure with a diameter of 1-1.5 cm, which may be compatible with the accessory spleen, is observed in the vicinity of the spleen hilus.\n\nImpression:\nDiffuse, confluent ground-glass densities and crazy paving appearance in both lungs, typical findings for Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16647/train_16647_a/train_16647_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39262",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; Multilobar, multisegmental central-peripherally located nodular-patchy ground glass consolidations forming crazy paving pattern were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHighly suspicious findings in terms of Covid 19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16648/train_16648_a/train_16648_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is diffuse density reduction in bone structures. There are hypertrophic osteophytic taperings in the anteriors of the end plates of the vertebral corpuscles.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. In the liver parenchyma, which is in the cross-sectional area, there is a density change compatible with mild hepatosteatosis.\n\nImpression:\nDegenerative changes in bone structure.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16652/train_16652_a/train_16652_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39278",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: On the right, there is a bulla appearance with a diameter of approximately 20 mm within the sequelae changes. A superposed 6x4 mm nodule is observed on the minor fissure on the right. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level in both lungs. There is a 3x2 mm calcific nodule in the upper lobe of the left lung. In the left lung, a hyperaera area is observed in the anteromedial segment at the basal level. Focal scattered ground-glass-like density increases are present in the right lung lower lobe basal segments. No pathological size and configuration lymph nodes were detected at both hilar levels. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. There are lymph nodes in the mediastinum that do not reach pathological dimensions (short axis of the largest is 6 mm).\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: There are parenchymal coarse calcifications in the spleen. Upper abdominal organs included in the sections are normal. In the liver, parenchymal millimetric calcifications are observed.\n\nImpression:\nMore pronounced apical sequelae changes on the right in both lungs. The appearance of large bullae accompanying the appearance on this background on the right.  Two nodule formations of calcific subcentimetric dimensions on the left in both lungs. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16657/train_16657_a/train_16657_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39326",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are large areas of consolidation in the lower lobes of both lungs, in which air bronchogram signs are also observed in the current examination. When examined in the lung parenchyma window; Peripheral weighted diffuse ground glass densities, which tend to merge in both lungs in the previous examination, show a significant increase in the current examination.\n<mediastinum>: Multiple small lymph nodes measuring up to 10 mm are observed in the mediastinum. There are mild atherosclerotic changes in the aorta. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are mild atherosclerotic changes in the aorta. Cortical cysts of 24 mm in size in the left kidney and 16 mm in size in the right kidney are observed in the upper abdominal organs included in the sections.\n\nImpression:\nBilateral cortical cysts  Small lymph nodes measuring up to 10 mm in size and numerical increase in the mediastinum  In the patient followed up with Covid pneumonia, a significant increase is observed in the infectious findings described in both lungs, accompanied by pulmonary edema. In his current examination, there are large new consolidation areas in the bilateral lower lobes with air bronchogram signs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16672/train_16672_e/train_16672_e_1.npy"
        ]
    },
    {
        "id": "report_generation_39352",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is no mass or infiltrative lesion in both lungs. There are linear atelectasis in the middle lobe of the right lung, the lingular segment of the upper lobe of the left lung and the lower lobe. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nBoth lung atelectasis. Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16685/train_16685_a/train_16685_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. There are millimetric nonspecific nodules in both lungs. Minimal emphysematous changes are observed in both lungs. Minimal bronectasis is observed in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are millimetric atheroma plaques in the aorta and left coronary artery.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. There is no upper abdominal free fluid-collection within the sections. No pathologically enlarged lymph nodes were observed. There are millimetric atheroma plaques in the aorta and left coronary artery.\n\nImpression:\nMinimal bronchiectasis in the central segments of both lungs. Minimal emphysematous changes in both lungs. Stable nodules in both lungs. Minimal atherosclerotic changes in the aorta and left coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16685/train_16685_b/train_16685_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a finding that is observed at the beginning of cavitation extending from the perihilar area to the paravertebral area in the posterior of the lower lobe of the right lung, with a size of up to 33 mm accompanied by patchy ground glass densities. In terms of differential diagnosis of a mass lesion accompanied by infectious findings, clinical and laboratory correlation, close follow-up, further examination in case of doubt, and biopsy are recommended after excluding infection. When examined in the lung parenchyma window; Diffuse centrilobular emphysematous changes are observed in both lungs, mostly in the upper lobes.\n<mediastinum>: There are several small lymph nodes in the mediatinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDiffuse centrilobular emphysematous changes in both lungs, mostly in the upper lobes. There is a finding that is observed at the beginning of cavitation extending from the perihilar area to the paravertebral area in the lower lobe posterior of the right lung, and its size is measured up to 33 mm, accompanied by patchy ground glass densities. In terms of differential diagnosis of a mass lesion accompanied by infectious findings, clinical and laboratory correlation, close follow-up, further examination in case of doubt, and biopsy are recommended after exclusion of infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16694/train_16694_a/train_16694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Nodules up to 6 mm are observed in the bilateral lungs, the largest of which is in the posterior right upper lobe. When examined in the lung parenchyma window; There is a mild emphysematous appearance in the upper lobes of the lung. An air cyst of 15 mm in size is observed in the superior lower lobe on the right.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The ascending aorta is ectatic (37 mm). Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral emphysema.  Mild ectasia in the ascending aorta.  Millimetric nonspecific nodules in the lungs.  Air cyst in the superior lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16694/train_16694_b/train_16694_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Consolidation involving all common segments in both lungs and density increases in ground glass density are observed.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. In the mediastinum, there are lymph nodes with a fusiform configuration, the largest of which is at the right lower paratracheal level, with a short diameter of 11 mm, with a fatty hilus.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in the parenchyma of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16695/train_16695_a/train_16695_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39384",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Ground glass densities are observed in the posterobasal and medial segments of the lower lobe of the right lung, and pneumonic infiltration is considered in the etiology of the described appearance.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: An increase in pulmonary speech calibration is observed.\n<heart>: Pericardial effusion-thickening was not observed.\n<esophagus>: It should be evaluated together with clinical and laboratory findings, and post-treatment control is recommended i Slippery type mild enough is observed in the lower end of the esophagus. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n\nImpression:\nSlippery-type adequate hernia at the lower end of the esophagus, increased pulmonary tube calibration, and ground-glass densities evaluated in favor of pneumonic infiltration from the right lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16697/train_16697_a/train_16697_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39404",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Unlike the previous examination, newly developed ground glass densities are observed especially in the lower and upper lobes of the right lung. It is appropriate to evaluate it together with clinical and laboratory findings in terms of pneumonic infiltration. Other findings are similar to the previous one. The pneumothorax observed in the left lung in the previous examination has completely disappeared in the current examination.\n<pleura>: According to the previous examination, no significant difference was found in the amount of pleural effusion in anxes.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16706/train_16706_a/train_16706_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are subsegmental atelectasis in the middle lobe of the right lung. In the evaluation of both lung parenchyma; Ground glass density is observed in the left lung inferior lingular segment.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Millimetric sized calcific plaques are observed in the descending aorta, in the aortic arch, and in the coronary arteries. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed.\n<heart>: Millimetric sized calcific plaques are observed in the descending aorta, in the aortic arch, and in the coronary arteries.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the non-contrast sections passing through the upper part of the abdomen. Millimetric sized calcific plaques are observed in the descending aorta, in the aortic arch, and in the coronary arteries. Bilateral adrenal glands appear natural.\n\nImpression:\nGround-glass appearance in the lingular segment of the left lung is not typical for pneumonia. It resembles the appearance of subsegmental atelectasis. If clinical and laboratory evaluation is necessary, control CT is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16707/train_16707_a/train_16707_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39415",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16711/train_16711_a/train_16711_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are areas of increase in density consistent with diffuse ground glass consolidation in all segments, and there are more pneumonia and Covid-19 pneumonia in the etiology.\n<pleura>: Newly developed pleural effusion is observed in both lungs, more prominent on the right.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could be evaluated suboptimally because of the lack of contrast. Calcific atheroma plaques are observed in the aorta and coronary arteries. No lymphadenopathy was detected in the mediastinum in pathological size and appearance.\n<heart>: Mediastinal vascular structures and cardiac examination could be evaluated suboptimally because of the lack of contrast. Heart size increased. A pacemaker is observed on the anterior wall of the left chest and extends into the right cardiac cavity. Minimal pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteoporotic changes are observed in bone structures.\n<abdomen>: Calcific atheroma plaques are observed in the aorta and coronary arteries. The abdominal organs included in the examination have a natural appearance.\n\nImpression:\nDifferent from the previous examination, pleural effusion, which is more prominent on the right in both lungs in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16715/train_16715_a/train_16715_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The thyroid gland has a heterogeneous appearance.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are sequelae fibrotic changes in the lower lobes. When examined in the lung parenchyma window; emphysematous appearance is observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific atheroma plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are degenerative changes in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the aorta and coronary arteries. Hypodense lesions with a size of 19 mm are observed in the liver.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Emphysema, sequelae changes in bilateral lungs.  Hypodense lesions in the liver. Contrast-enhanced MRI of the upper abdomen is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16716/train_16716_a/train_16716_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Peribronchial thickness increases.\n<lung>: More prominent sequela fibrotic changes are observed in the lower lobes of both lungs. When examined in the lung parenchyma window; More prominently, diffuse emphysematous changes are observed in the upper lobes of both lungs. Minimal bronchiectasis is also observed in the lower lobe bronchi of the left lung.\n<mediastinum>: Aortic diameter is normal. Mediastinal main vascular structures were evaluated as suboptimal due to the lack of contrast of the examination. Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed, the dimensions of the pulmonary artery were measured as the main pulmonary artery diameter of 35 mm and the diameter of the right pulmonary artery as 27 mm.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Aortic diameter is normal. It is recommended to examine the patient with Upper Abdomen MRI. A few hypodense lesions are observed in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Gallstones are observed in the gallbladder.\n\nImpression:\nCalcific plaques in the aorta and coronary arteries  Emphysema and sequela changes in both lungs  Hypodense lesions in the liver. Contrast-enhanced Upper Abdomen MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16716/train_16716_b/train_16716_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39437",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral weighted ground glass densities are present in both lung parenchyma. No nodular lesions were detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Lymph nodes with a short axis of the larger ones reaching 10 mm are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. There are calcific millimetric plaques in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Anterior osteophytes are present in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Right adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. A 16 mm low-density nodular lesion is observed in the left adrenal gland genus.\n\nImpression:\nFindings consistent with Covid pneumonia in both lungs  Mediastinal lymph nodes  Coronary artery atherosclerosis  Nodular lesion (adenoma?) in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16720/train_16720_a/train_16720_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas.\n<lung>: Peribronchovascular axial interstitial and interlobular septal thickening consistent with advanced parenchymal fibrosis is observed in the lung parenchyma. Diffuse paraseptal emphysema areas are observed in both lungs. Infiltrations increased on follow-up. A 6 mm diameter nodular lesion persists in the right pararenal area. Consolidation area is increased in the right lung lung lower lobe superior segment. CT involvement score was evaluated as high. Traction bronchiectasis is present.\n<pleura>: Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. There is a pleural effusion with a thickness of 18 mm on the right and 16 mm on the left.\n<mediastinum>: Numerous paraaortic, paratracheal, paraesophageal, subcarinal and bilateral hilar lymph nodes are observed in the mediastinum.\n<heart>: Pericardial minimal effusion was observed.\n<breast>: There are metastatic mass lesions in the right breast measuring 2 cm on the long axis of the larger one.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n\nImpression:\nOperated parotid tumor (acinic cell carcinoma) Viral pneumonia? Outlooks include classic or probable findings for COVID. Bilateral pleural effusion, pericardial effusion Mediastinal lymph node, soft tissue metastases Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16724/train_16724_b/train_16724_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39480",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a nodule measuring 12x11 mm in the superior segment of the lower lobe of the right lung. Further investigation is recommended. No mass or pneumonic infiltration was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures could not be evaluated optimally because no contrast agent was given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights, alignments and densities within the sections are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved.\n<abdomen>: A mass measuring 15 mm in the left adrenal gland corpus and evaluated in favor of adenoma was observed. There are atheromatous plaques in the aorta and coronary arteries. There is minimal thickening of the right adrenal gland corpus and lateral leg. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nNodule in the lower lobe of the right lung (further investigation is recommended)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16735/train_16735_a/train_16735_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39482",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index slightly increased in favor of heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the vertebral corpus end plates. A decrease in density is observed in bone structures, and osteophytic tapering is present in the endplates of the veretbra corpuscles in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16736/train_16736_a/train_16736_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39490",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In both thyroid lobes, there are a few nodules with a diameter of 13 mm, the largest of which is in the right lobe, some of which have calcification.\n<trachea_and_bronchie>: The air-liquid level is observed in it and it is understood that it is related to the bronchus. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Evaluation of both lung parenchyma is not optimal. The size of the mass observed in the middle lobe of the right lung in the previous examination of the patient decreased, and it was measured as 50x95 mm in its widest part in the current examination (70x130 mm in the previous examination). Right lung lower lobe lateral and posterior segment; In the left lung upper lobe apicoposterior segment, lingular segment and lower lobe superior segment, there are bronchiectasis, interlobular septal thickness increases and consolidated areas accompanied by ground glass areas (radiation pneumonia?).\n<mediastinum>: The main pulmonary artery diameter was 30 mm and increased. The diameter of the ascending aorta was 44 mm, and the diameter of the descending aorta was 37 mm and increased.\n<heart>: There are widespread calcific atheroma plaques-stent formations in the coronary arteries. Minimal pericardial effusion is observed. There is cardiomegaly.\n<esophagus>: There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus.\n<bone>: T9 vertebral corpus has a corduroy appearance compatible with hemangioma. Cerclage suture materials are observed in the sternum of the patient with a history of bypass. Within the sections, millimetric osteophytes at the corners of the thoracic vertebral corpus and indentations of Schmorl's nodules are observed in the end plateaus. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: There is a sliding type hiatal hernia at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. The diameter of the ascending aorta was 44 mm, and the diameter of the descending aorta was 37 mm and increased.\n\nImpression:\nRight lung Ca on follow-up; There is regression in the size of the mass observed in the middle lobe paracardiac area of the right lung, and the air-fluid level has developed within it, suggesting that it is related to the bronchus.  Bilateral pleural effusion; amount has increased.  Consolidation-ground glass areas (radiation pneumonia?) accompanied by bronchiectasis, increased interlobular septal thickness and pleuroparenchymal recessions in both lungs, more prominent in the lower lobe of the right lung.  Mediastinal lymph nodes; regression is available.  Cardiomegaly, calcific atheroma plaques-stent formations in coronary arteries, enlargement of the ascending aorta.  Nodules containing calcifications in both thyroid glands.  Hiatal hernia.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16740/train_16740_a/train_16740_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is a calcified nodule in the anterior segment of the left lung upper lobe. Right upper-bilateral lower paratracheal lymph nodes with millimetric size are observed. In the evaluation of both lung parenchyma; Subsegmental atelectasis and accompanying minimal ground glass appearance are observed in the right lung middle lobe, left lung lingular segment and basal segments of both lungs lower lobes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No additional significant pathology was detected in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nBilateral subsegmental atelectasis and accompanying minimal ground-glass appearances are not typical for Covid pneumonia. However, viral pneumonia cannot be excluded. Clinical and laboratory examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16746/train_16746_a/train_16746_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A few millimetric nonspecific nodules are observed in the lung parenchyma. Its radiological pattern is compatible with Covid pneumonia. There are several bilateral peribronchial millimetrically sized nonspecific lymph nodes. A slight increase in parenchymal aeration is observed. In the lower lobe basal segment bronchi of the right lung, tubular or cylindrical bronchiectasis foci and secretions causing intraluminal filling defect with increased bronchial wall thickness are observed. Tubular bronchiectasis and atelectatic parenchyma are observed in the medial segment of the middle lobe. It is monitored in a single focus.\n<pleura>: There is an area of subpleural nodular consolidation in the upper lobe of the left lung.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nCylindrical bronchiectasis and filling defects caused by intraluminal secretions in the basal segment bronchi of the lower lobe of the right lung, tubular bronchiectasis and atelectatic parenchyma in the medial segment of the right lung middle lobe. Atypical pneumonic infiltration in the upper lobe of the left lung, the radiological pattern is consistent with Covid pneumonia.  Several millimetric non-specific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16748/train_16748_a/train_16748_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Subsegmental atelectasis is observed in the lingular segment of the right lung middle lobe. Joint infection cannot be ruled out. Diffuse interlobular septal thickening and alveolar ground glass densities are observed in both lungs. In the evaluation of both lung parenchyma; Centriacinar emphysemato areas are observed in the upper lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. The AP diameter of the ascending aorta is 4.1 mm, which is above normal. No pathological LAP was detected in the mediastinum. The diameter of the pulmonary trunk is 3.8 cm, the diameter of the right pulmonary artery is 2.3, and the diameter of the left pulmonary artery is 2.3 cm, and it is wider than normal. A large number of mediastinal lymph nodes are observed, the right upper-bilateral lower paratracheal aortopulmonary larger one with a narrow diameter of 9 mm.\n<heart>: Calcific plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. The cardiothoracic index increased in favor of the heart. It was mostly evaluated as secondary to cardiac stasis.\n<bone>: There is no lytic-destructive lesion in bone structures.\n<abdomen>: Calcific plaques are observed in the coronary arteries in the aortic arch, descending and ascending aorta. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The AP diameter of the ascending aorta is 4.1 mm, which is above normal. Clinical and laboratory evaluation is recommended. No significant pathology was detected in the non-contrast CT scans of the abdomen.\n\nImpression:\nCardiomegaly, ectasia in the ascending aorta, enlargement of the pulmonary trunk and both pulmonary arteries . More prominent centriacinar emphysematous areas in the upper lobes of both lungs and interlobular septal thickenings and alveolar ground glass densities in both lungs were evaluated mostly secondary to cardiac stasis. Joint infection cannot be ruled out."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16750/train_16750_a/train_16750_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39558",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described findings were evaluated in favor of Covid-19 pneumonia. Peripheral and centrally located diffuse ground glass appearances in both lungs and interlobular septal thickenings and consolidations accompanying ground glass appearances are accompanied. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16766/train_16766_a/train_16766_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39576",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are centriacinar emphysematous changes. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A few millimetric nodules are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere is no finding in favor of pneumonia, and centriacinar emphysematous changes, a few millimeter-sized nonspecific nodules are observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16773/train_16773_a/train_16773_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a nodule measuring approximately 5x6 mm in the anterior segment of the left lung upper lobe. It is recommended to evaluate the patient together with his previous examinations and, if there is an indication, close follow-up or tissue diagnosis is recommended. No mass or infiltrative lesion was detected in both lungs. The described nodule is slightly irregularly circumscribed.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSlightly irregularly circumscribed nodule in the upper lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16774/train_16774_a/train_16774_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39591",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; no mass-nodule-infiltration was detected in both lungs. Right upper-bilateral lower paratracheal lymph nodes with millimetric size are observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal vascular structures have a natural appearance.\n<heart>: The cardiothoracic index was slightly increased in favor of the heart.\n<bone>: Bridging osteophytes are observed in the mid-dorsal localization. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No obvious pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardiomegaly . No mass-nodule and infiltration were detected in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16781/train_16781_a/train_16781_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a minimal decrease in liver parenchyma density compatible with adiposity.\n\nImpression:\nMinimal emphysematous changes in both lungs. Millimetric nonspecific nodules in both lungs. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16783/train_16783_a/train_16783_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39600",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small airway disease? small airway disease?). No mass or infiltrative lesion was detected. Sequelae changes and nonspecific nodules in millimetric dimensions are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. There are calcified atheromatous plaques on the walls of the vascular structures.\n<heart>: Pericardial effusion-thickening was not observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal sections included in the sections, stones with a size of 5.5 mm are observed in both kidneys, the larger of which is in the left middle zone. There are calcified atheromatous plaques on the walls of the vascular structures.\n\nImpression:\nCalcified atheroma plaques on the wall of vascular structures . Mosaic attenuation pattern in both lungs (small vascular disease? small airway disease?), sequelae changes and millimetric nonspecific nodules . Bilateral nephrolithiasis and right kidney lower pole, parapelvic cyst local caliectasia distinction in left kidney hypodense appearances that cannot be made"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16785/train_16785_a/train_16785_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39617",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It has been evaluated in terms of early-stage Covid-19 pneumonia. When examined in the lung parenchyma window; At the posterobasal level of the lower lobe of the right lung, there are ground-glass densities that can hardly be distinguished from the small parenchyma in a mild patchy manner.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings described in lung parenchyma; Clinical laboratory correlation and close follow-up are recommended for early Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16792/train_16792_a/train_16792_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected. It may have a similar character in the initial phase of the lung parenchyma involvement of Covid infection.\n<pleura>: There are subpleural nodular ground-glass areas in several foci in both lungs.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is a hypodense lesion with a diameter of 11 mm in liver segment 7 localization, which cannot be characterized by this examination.\n\nImpression:\nGround glass density areas located subpleural in several foci in both lungs may belong to the early stage of lung parenchymal involvement of covid infection"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16800/train_16800_a/train_16800_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected. Diffuse mild ectasia and minimal peribronchial thickness increases are observed in bilateral bronchial structures that become prominent in the center.\n<lung>: No mass lesions were detected in both lungs.\n<pleura>: In the evaluation made in the lung parenchyma window: In both lung parenchyma, multilobar consolidations in millimeter sizes with mostly peripheral subpleural localization-increase in density in ground glass density are observed, and viral pneumonias are considered in the etiology of the diseases. Pericardial-pleural effusion was not detected.\n<mediastinum>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. In the mediastinum, lymph nodes with fusiform configuration are observed, the largest of which is 10 mm in size at the prevascular level. Calibration of mediastinal vascular structures is normal as far as can be observed. There are extensive calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.\n<heart>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. A slight increase in heart size is observed.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are surgical suture materials in the sternum.\n<abdomen>: Intraabdominal free liqu- ulated collection is not observed. No lymph node was detected in pathological size and appearance. Suture materials secondary to the operation are observed in the gallbladder lodge. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; no solid mass was detected. There are extensive calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.\n\nImpression:\nSlight increase in heart size.  Lymph nodes in the mediastinum that are not pathological in size and appearance.  Findings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16801/train_16801_a/train_16801_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open.\n<lung>: A millimetric non-specific solitary nodule with a diameter of 3 mm was observed in the middle lobe of the right lung. When the lung parenchyma window is examined; No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: No lymph node was observed in the axilla in pathological size and appearance. The lumens of the mediastinal main vascular structures are of normal width. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Findings of previous coronary bypass surgery are observed. Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is an adenoma of 21 mm in diameter in the left adrenal gland.\n\nImpression:\nFindings of previous coronary bypass surgery.  Left adrenal adenoma.  Solitary millimetric non-specific nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16808/train_16808_a/train_16808_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39663",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Sequelae were evaluated as a change. No nodular or infiltrative lesion was detected in both lung parenchyma. It is atypical in terms of Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; A subpleural linear atelectatic change is observed in the middle lobe of the right lung. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs were included in the study partially and were evaluated as suboptimal.\n\nImpression:\nSubpleural linear atelectatic change in the middle lobe of the right lung. It has a atypical appearance in terms of Covid-19 pneumonia. It was evaluated as a sequelae. Thorax CT findings within normal limits other than the described"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16810/train_16810_a/train_16810_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39665",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A millimetric calcific nodule is observed at the posterobasal level of the left lung lower lobe. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures in the examination area, hypertrophic osteophytic tapering in the anteriors of the vertebral corpus end platele are present.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetric calcific nodule at the posterobasal level of the lower lobe of the left lung.  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in the anterior of the vertebral corpus end platele."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16811/train_16811_a/train_16811_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39671",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Breast prosthesis is observed in both breasts included in the examination.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nHepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16814/train_16814_a/train_16814_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39673",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical-laboratory correlation is recommended. The described view may be compatible with ARDS. The advanced stage of Covid-19 pneumonia can be considered in the differential diagnosis. When both lungs are evaluated in the parenchyma window; Ground-glass density increases with diffuse interlobular septal thickening were observed in both lungs. Subsegmental atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. In both lungs, ground-glass density increases accompanied by diffuse interlobular septal thickening, bronchial dilatations and irregularities in the bronchial walls were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected. In the periphery, the subpleural areas are partially preserved.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; Aberrant right subclavian artery anomaly was observed. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal prevascular subcarinal area.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections included in the study area, hypodensities that may be compatible with multiple metastases in the liver were observed. Gastric chamber could not be evaluated because it did not completely enter the examination area. There is a catheter image in the intra-extrahepatic bile ducts. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. No dilatation was detected in the thoracic aorta.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16815/train_16815_a/train_16815_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Atelectasis is observed in the basal levels of the lower lobes of both lungs. Slight thickening of interlobular septa are observed in both lungs. In his current examination, there are patchy ground glass densities in crazy paving pattern, more prominent in the right lung middle lobe and left lung upper lobe anteriors. Bronchiectatic changes and peribronchial thickening are observed in both lungs, especially in the lower lobes. It has been evaluated as a continuation of the infectious process, and clinical laboratory correlation and follow-up are recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Small lymph nodes with a short axis measuring up to 7 mm are observed in the mediastinum, which do not show more than one significant dimensional difference. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are hypodense areas and suspicious metastases that cannot be clearly distinguished within the limits of the examination in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are millimetric nodular densities in the upper abdomen. There is a small amount of effusion in the perisplenic area.\n\nImpression:\nIt is considered as a continuation of infectious processes.  Small amount of new pleural effusions in both hemithorax  Atelectasis changes at basal levels in both lung lower lobes, bronchiectasis  Small lymph nodes measuring up to 7 mm in short axis without more than one significant dimensional difference in mediastinum  Small amount of effusion in perisplenic area  Liver parenchyma Hypodense areas that cannot be clearly distinguished within the examination limits, suspicious metastases?  Millimetric nodular densities in the upper abdomen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16815/train_16815_b/train_16815_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described appearances are consistent with Covid-19 pneumonia. In both lungs, there are ground-glass appearances and consolidations accompanied by ground-glass appearances, linear density increases and interlobular septal thickenings, which are more prominent in the lower lobes and peripheral regions. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16817/train_16817_a/train_16817_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribronchial thickening was observed at the level of segmental and subsegmental bronchi in both lungs. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; right lung upper lobe azygos fissure variation was observed. Subsegmentary atelectatic changes were observed in both lungs.\n<mediastinum>: As far as can be observed: mediastinal structures are natural. The mediastinum could not be evaluated optimally in the non-contrast examination. The diameter of the pulmonary trunk was 33 mm and was wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta calibration is natural.\n<heart>: The findings were evaluated in favor of cardiac stasis. Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A transpeduncularly placed screw-plate system was observed at T1-T6 level. Surgical suture materials were observed secondary to surgery in the sternum. Height losses were observed in T3 and T4 vertebra superior end plateaus, and corpus anterior-posterior diameters increased. At T3 and T4 levels, the screws are lateralized on the left and extend anteriorly to the paravertebral area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; A small amount of free fluid was observed in the abdomen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta calibration is natural. A millimetric calculus image was detected in the gallbladder lumen.\n\nImpression:\nIncreased pulmonary conus diameter, cardiomegaly. Bilateral pleural effusion, peribronchial cuffing; were evaluated in favor of pulmonary overload findings secondary to cardiac pathology. Linear subsegmental atelectatic changes in both lungs. Cholelithiasis.  A small amount of free fluid in the abdomen. Height losses in T3 and T4 vertebra superior end plateaus, transpeduncular screw and plate system placed at T1-T6 level, T3 and T4 screws on the left appear laterilized and extend to the anterior paravertebral distance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16819/train_16819_a/train_16819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidation and ground glass area are observed in the superior segment and posterobasal segment in the lower lobe of the left lung, and it was evaluated in favor of pneumonic infiltration. There are millimetric nonspecific nodules in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nAppearance compatible with pneumonic infiltration in the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16831/train_16831_a/train_16831_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The findings were evaluated in favor of viral pneumonia in the first plan (covid-19), and clinical laboratory correlation is recommended.\n<pleura>: When examined in the lung parenchyma window; Diffuse patchy nodular ground glass densities, mild pleural thickenings, and vasodilation are observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Lymph nodes with a short axis measuring up to 5 mm are observed in the mediastinum, especially in the aorticopulmonary window. There are atherosclerotic changes in the aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: When the upper abdominal sections in the examination area are evaluated; liver parenchyma density changes in favor of steatosis. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. There are atherosclerotic changes in the aorta.\n\nImpression:\nThe findings described above in the lung parenchyma were primarily evaluated in favor of covid-19 viral pneumonia. Clinical laboratory correlation follow-up is recommended.  Atherosclerosis. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16832/train_16832_a/train_16832_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16833/train_16833_a/train_16833_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes are observed in the upper lobes of both lungs and the lower lobe of the right lung. When examined in the lung parenchyma window; Traction bronchiectasis and atelectatic sequelae changes are observed in the right lung hilar region, in the peribronchial areas, and in the area extending to the superior apical level. There is enlargement of the vascular structures at the levels described, clinical laboratory correlation and follow-up are recommended. Emphysemetous changes are observed in the lower lobes of both lungs, more prominent on the right.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Pericardial thickening-effusion was not detected. Heart contour size is natural. There are calcific atheroma plaques and stent materials in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nTraction bronchiectatic changes extending from the right hilar region to the superior apical level, atelectasis sequelae. Increases in density in the peribronchial area in the right hilar region.  Findings were primarily evaluated in favor of sequelae of bronchiectatic changes, and follow-up is recommended by clinical laboratory. Atherosclerosis.  Emphysematous changes in both lungs, mostly on the right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16842/train_16842_a/train_16842_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Areas of ground glass density are observed in favor of active pneumonic infiltration in the upper lobes. No space-occupying lesion was detected in the lung parenchyma. Pleuroparenchymal linear density increases of the atelectatic parenchyma in the left lung upper lobe posterior segment and lingular segment and both lung lower lobe basal segments were thought to belong to the parenchymal findings during the recovery period after infection.\n<pleura>: In lung parenchyma evaluation; Peripheral subpleural localized ground glass density and intralobular septal thickenings are present in the upper lobes of both lungs.\n<mediastinum>: Calcified atherosclerotic plaques are observed in the aortic arch and thoracic aorta. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Calcified plaque is present in the proximal part of the LAD. Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Calcified atherosclerotic plaques are observed in the aortic arch and thoracic aorta. In the upper abdomen sections, a decrease in liver parenchyma density consistent with moderate hepatosteatosis is observed.\n\nImpression:\nThere are areas of atypical pneumonic infiltration in the upper lobes of both lungs, which are thought to be radiologically active. Findings of parenchyma are observed in the lower lobes during the recovery period."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16845/train_16845_a/train_16845_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Intense consolidation areas in both lungs, extending from the central to the periphery, forming a crazy paving pattern, with irregular borders, in which air bronchograms are observed, were observed. The outlook is suspicious for covid-19 pneumonia.\n<mediastinum>: Pulmonary artery diameters are normal. Anteroposterior diameter of the descending aorta was 32 mm, and it was observed wider than normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast. A calcific atheroma plaque was observed in the aortic arch.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. As far as can be seen; the diameter of the ascending aorta is normal. The mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteodegenerative changes are observed in the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen and pancreas are normal. Anteroposterior diameter of the descending aorta was 32 mm, and it was observed wider than normal. A calcific atheroma plaque was observed in the aortic arch. When the upper abdominal organs included in the sections were evaluated; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheroma plaque in the arcus aorta, fusiform dilatation in the descending aorta, cardiomegaly. High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Osteodegenerative changes in the thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16857/train_16857_a/train_16857_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39811",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: It is recommended to evaluate and follow-up together with previous examinations, if any. The findings described are highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segment paracardiac areas. Parenchymal nodules with a diameter of 5.4 mm were observed in both lungs, the largest of which was in the superior segment of the left lung lower lobe. It is recommended to evaluate with clinical and laboratory findings.\n<pleura>: When examined in the lung parenchyma window; Patchy ground-glass consolidations forming a crazy paving pattern accompanied by multilobar, multisegmental central-peripherally located subpleural striations and linear atelectasis were observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Thoracic aorta diameter is normal. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No stones were observed in both kidneys. No space occupying lesion was detected. Thoracic aorta diameter is normal. Dystrophic calcifications were observed in the right adrenal gland. Upper abdominal organs included in the sections are normal. Liver parenchyma density in the cross-sectional area has decreased diffusely, consistent with hepatosteatosis. Gall bladder, spleen, pancreas, left adrenal glands are normal and no space-occupying lesion was detected. Multiple hypodense nodular lesions in fluid density were observed in the left kidney pelvicalyceal system (parapelvic cyst?).\n\nImpression:\nCardiomegaly. It is recommended to evaluate high suspicious findings in terms of Covid pneumonia in the lung parenchyma, together with clinical and laboratory findings.  Millimetric parenchymal nodules in both lungs, if any, it is recommended to be evaluated and followed up together with previous examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16877/train_16877_a/train_16877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39840",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Tracheal diverticulum is observed on the right at the level of the thoracic inlet.\n<lung>: There are findings consistent with mild emphysema in both lungs. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: Two nodules with a diameter of 3 mm are observed at the laterobasal level in the subpleural area. Two 3 mm diameter nodules are observed in the subpleural area in the lingular segment of the left lung.\n<mediastinum>: Calibration of other mediastinal vascular structures is natural. Arch aortic calibration is 30 mm. There are lymph nodes at both axillary levels, the largest on the right, with hilar fat selected and approximately 45x15 mm in size. It is slightly above normal. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: Heart size is within normal limits. CTO is within the normal range. Mild degenerative changes are observed in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area. There are changes secondary to sternotomy.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Arch aortic calibration is 30 mm. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is slightly above normal. When the upper abdominal organs included in the sections were evaluated; The spleen is slightly enlarged.\n\nImpression:\nNo significant finding consistent with pneumonia was detected. Pleural effusion or pneumothorax was not observed.  Mild emphysematous changes in both lungs. Formation of several millimetric nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16888/train_16888_a/train_16888_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Subsegmental atelectasis areas are noted in the inferior lingular segment of the left lung and the lower middle lobe of the right lung. When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs. Significant peribronchial thickenings are observed in both lungs on the right. Several nonspecific pulmonary nodules are observed in both lungs, the largest of which is 3.5 mm in diameter in the anterior segment of the left lung upper lobe, and 4.1 mm in the right lung upper lobe anterior segment. No mass-infiltration was detected in both lungs. Variational azygos lobe and fissure are observed in the upper lobe of the right lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Lymph nodes with a short axis smaller than 5 mm are observed in the subcarinal area in prevascular localization in the mediastinal upper-lower paratracheal area. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nMediastinal millimetrically sized lymph nodes. Variational azygos lobe and fissure in the upper lobe of the right lung. Emphysematous changes in both lungs. Significant peribronchial thickenings on the bilateral right. Millimetric sized nonspecific pulmonary nodules in both lungs. Areas of subsegmental atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16889/train_16889_a/train_16889_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The bronchial walls are centrally thickened. Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes are observed in both lungs, more prominently in the upper lobes. Nonspecific millimetric nodules, larger than 5 mm in diameter, are observed in both lungs. Accessory azygos fissure and lobe are present in the right upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEmphysematous changes in bilateral lungs.  Peribronchial thickenings in bilateral lungs.  Millimetric nonspecific nodules in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16889/train_16889_b/train_16889_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39859",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Patchy ground glass densities, bronchiectasis and mild emphysematous changes are observed in the right lung upper lobe posterior and lower lobe superior, and left lung lower lobe superior segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nClinical laboratory correlation and close follow-up of the findings described above in the lung parenchyma in terms of viral pneumonia Covid-19? is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16898/train_16898_a/train_16898_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Evaluation with USG examination is recommended.\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Nonspecific nodules, some of which are calcified, are observed in both lungs, the largest of which is 5.5 mm in size in the apicoposterior segment of the left lung upper lobe. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. Occasionally, sequela parenchymal changes are observed in both lungs. There are centriacinar emphysematous changes in both lungs.\n<pleura>: Pericardial and bilateral pleural effusion or thickness increase is not observed.\n<mediastinum>: No lymph nodes were detected in mediastinal lymph node stations and in both axillary pathological dimensions and appearance. Due to the lack of IV.contrast, the mediastinal main vascular structures and the heart could not be evaluated optimally.\n<heart>: Due to the lack of IV.contrast, the mediastinal main vascular structures and the heart could not be evaluated optimally. Calibration of vascular structures and heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection was observed. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. There is ectasia in the pelvicalyceal system of both kidneys.\n\nImpression:\nActive infiltration or mass lesion is not detected in both lungs, and centriacinar emphysematous changes, sequela parenchymal changes, and millimetric nodules, some of which are calcified, are observed in both lungs. In the upper abdominal sections within the image, there is ectasia in the pelvicalyceal system of both kidneys."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16920/train_16920_a/train_16920_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It cannot be characterized in this examination. The lumens of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: No mass space-occupying lesion was detected in the lung parenchyma. In the evaluation of the lung parenchyma, bronchopneumonic infiltrates are observed in the basal segments of the lower lobes of both lungs, more prominent on the left and in the lingula inferior segment of the left lung lower lobe.\n<mediastinum>: No space-occupying lesion was detected in the mediastinal fat pad. Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n\nImpression:\nBronchopneumonic infiltration in the lower lobes of both lungs.  Nodular lesion in the left adrenal gland that cannot be characterized by this examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16924/train_16924_d/train_16924_d_1.npy"
        ]
    },
    {
        "id": "report_generation_39936",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; 12 mm in size, nodular contours, irregular fibrotic sequelae changes, pleural retraction, adjacent bronchiectasis and volume losses are observed in both lungs, more prominently on the right. More than one nodule in both lungs, the largest of which is located serially (2 image 163) in the left lower lobe posterior, subpleural location, and measuring up to 4 mm in the lateral and posterior segments of the lower lobe of the right lung (series 2 image 240) are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion – no thickening was observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a fusion appearance in the TH12 and L1 vertebral bodies.\n<abdomen>: In the upper abdominal organs, including sections; A decrease in liver parenchyma density is observed. Thoracic aorta diameter is normal. It was evaluated in favor of hepatosteatosis.\n\nImpression:\nThere are fibrotic sequelae changes and atelectasis observed at the right lung upper lobe apicoposterior level. The hyperdense observed at this level, measuring up to 12 mm, was evaluated in favor of a chronic sequelae in the first plan that spiculated the contours, and the differential diagnosis of a space-occupying nodular lesion cannot be made clearly on the described background. If available, it is recommended to compare with previous examinations, follow-up and further examination in case of doubt.  Multiple nonspecific nodules in both lungs.  Mild atherosclerosis.  Fused appearance in TH12 and L1 vertebral corpus; this level is slightly angled anteriorly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16929/train_16929_a/train_16929_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39960",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Minimal mucosal-submucosal thickening was observed in the distal esophageal lumen. Clinical evaluation and, if necessary, endoscopy examination is recommended.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Liver parenchyma density was diffusely decreased in the upper abdominal sections in the study area, consistent with adiposity. There are calculi in the gallbladder lumen.\n\nImpression:\nSlight increase in wall thickness in the distal esophagus, clinical evaluation and endoscopy examination is recommended if necessary.  Mosaic attenuation pattern in both lung parenchyma (small airway disease? small vessel disease?).  Hepatosteatosis. Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16941/train_16941_a/train_16941_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39969",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: However, these findings can be observed in Covid-19 pneumonia. It is recommended that the patient be evaluated together with laboratory findings in terms of Covid-19 pneumonia. There are millimetric nonspecific nodules in both lungs. This view is not specific. There are nodules with a ground glass area around the lower lobe of the right lung. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings in the lower lobe of the right lung that may be compatible with Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16946/train_16946_a/train_16946_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: During the pandemic process, appearances were evaluated in favor of Covid-19 pneumonia. Ground glass appearances and nodules in places within the ground glass appearance were observed in the peripheral and central regions of both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16946/train_16946_b/train_16946_b_1.npy"
        ]
    },
    {
        "id": "report_generation_39982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are sequela parenchymal changes in both lung apex. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In addition, there are pleuroparenchymal sequela fibrotic changes in the right lung lower lobe laterobasal and left lung upper lobe lingular segment.\n<pleura>: Parenchymal and subpleural localized nonspecific nodules are observed in both lung parenchyma, and their number, size and appearance are stable in the comparative evaluation made with the previous CT examination.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, diffuse hypodense appearance secondary to liver parenchymal density hpeatosteatosis is observed.\n\nImpression:\nStable sequela changes in both lungs.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16951/train_16951_a/train_16951_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: As far as it can be observed secondary to motion artifacts, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen, the thoracic aorta, mediastinal main vascular structures, heart contour and size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. As far as can be seen, the thoracic aorta, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. As far as can be seen, the thoracic aorta, mediastinal main vascular structures, heart contour and size are normal. Thickening was observed in both adrenal glands.\n\nImpression:\nCalcific atheromatous plaques in coronary arteries. Hiatal hernia.  Thickening of both adrenal glands."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16953/train_16953_a/train_16953_a_1.npy"
        ]
    },
    {
        "id": "report_generation_39997",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16957/train_16957_a/train_16957_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A soft tissue appearance, which may be compatible with mucus impaction, is observed on the left lateral wall at the proximal level of the trachea.\n<lung>: There is a 2 mm diameter nodule in the left lung lower lobe laterobasal segment. A 2 mm diameter nodule is observed at the posterobasal level of the lower lobe of the right lung. No pathological size and configuration lymph nodes were detected at both hilar levels. A mosaic attenuation pattern is observed in both lungs (small vessel disease? small airway disease?). When examined in the lung parenchyma window; Mild sequelae changes are observed at the apical level.\n<pleura>: There is a 2 mm diameter nodule in the upper lobe posterior segment lateral subpleural area.\n<mediastinum>: Calibration of other mediastinal major vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration. Pulmonary trunk calibration is 29 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: It is above normal memory. CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease? small airway disease?).  Degenerative changes in bone structure.  Several nonspecific nodules in both lungs, the largest of which is 2 mm in diameter."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16972/train_16972_a/train_16972_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40033",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; There are sequela parenchymal changes and emphysematous changes in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. A massive pleural effusion is observed in the left pleural space, measuring 12 cm in the deepest part of the right pleural space.\n<mediastinum>: Pulmonary trunk calibration increases by 34 mm. Although it cannot be evaluated optimally due to the beam hardening artefarction created by the mediastinal pacemaker catheter, no lymph nodes in pathological size and appearance were detected in the mediastinum and both axillary regions as far as can be observed. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. Other mediastinal major vascular structures Calibration of vascular structures is natural.\n<heart>: An increase in heart size was observed. A pacemaker is observed on the anterior left chest wall and there is a catheter extending to the right ventricle.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: Bilateral neural foramina are open. No lytic or destructive lesions were observed in the bone structures in the study area. Vertebra corpus height and alignment are natural.\n<abdomen>: There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nPacemaker and catheter extending to the right ventricle were observed on the anterior left chest wall.  There is an increase in pulmonary trunk calibration.  Bilateral pleural effusion, massive on the right.  Active infiltration-mass lesion in both lungs is not detected, and there are emphysematous changes and sequela parenchymal changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16973/train_16973_a/train_16973_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal bronchiectasis is observed in the central part of both lungs. There are minimal emphysematous changes in both lungs. Linear atelectasis was also observed in the left lung lower lobe laterobasal segment. There is linear atelectasis in the inferior subsegment in the left lung upper lobe lingular segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed.\n<heart>: It is understood that the patient underwent coronary by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density consistent with advanced adiposity.\n\nImpression:\nMinimal emphysematous changes in both lungs. Minimal bronchiectasis in the central part of both lungs. Linear atelectasis in the left lung. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16976/train_16976_a/train_16976_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40044",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Density increases and ground glass densities compatible with consolidation are observed in all other segments. Smooth interlobular thickness increases, which are more prominent in the lower lobes of both lungs, are observed and were primarily evaluated as secondary to cardiac pathology. Pneumonic infiltration is considered in the etiology of the findings. Apical segment, middle lobe on the right, lingular segments on the left are preserved in both lungs.\n<pleura>: There are sequelae changes in both lungs and bilateral minimal pleural effusion is observed.\n<mediastinum>: There are multiple lymph nodes in the mediastinum, the largest of which reaches 11 millimeters briefly at the lower paratracheal level.\n<heart>: There are calcified atheroma plaques on the wall of the coronary vascular structures. An increase in the cardiothoracic ratio in favor of the heart is observed. The ascending aorta is wider than normal with 42 millimeters and the pulmonary conus 35 millimeters.\n<abdomen>: In the upper abdomen sections within the image, a well-circumscribed mass lesion of 41 X 29 millimeters fat density is observed in the right adrenal gland, and it was first evaluated in favor of adenoma.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16978/train_16978_a/train_16978_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It is recommended that the patient be evaluated together with laboratory findings in terms of Covid-19 pneumonia. Minimal ground glass appearance, interlobular septal and interstitial thickenings, milimetric cysts and parenchymal bands are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung, especially in the peripheral areas. This appearance may be related to sequelae change or interstitial lung disease. Similar appearances can be observed in Covid-19 pneumonia, especially as sequelae changes. There are emphysematous changes and occasional millimetric nodules in both lungs. The views described are not specific. No mass was detected in both lungs.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: There is minimal pericardial effusion. As far as can be observed: The heart is larger than normal.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nSequelae changes in both lungs, especially in peripheral areas, and or findings that may be compatible with interstitial lung disease"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16980/train_16980_a/train_16980_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40051",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Subsegmentary ateketasis and nonspecific ground-glass appearance are observed in the posterobasal segments of the lower lobes of both lungs, the middle lobe of the right lung and the lingular segment of the left lung. In addition, minimal ground glass appearance secondary to esophageal compression is observed in the right lung lower lobe mediobasal segment. No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed in the ascending aorta and coronary arteries.\n<esophagus>: The esophagus has a wide appearance and fluid leveling is observed in it.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nSubsegmental atelectasis and accompanying nonspecific ground-glass appearances in the lower lobes of both lungs, right lung middle lobe and left lung lingular segment. No significant finding in terms of Covid-19 pneumonia was detected.  Dilatation in the esophagus and fluid leveling in it"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16982/train_16982_a/train_16982_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40053",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; Ground-glass density increases with diffuse septal thickening in the upper lobes and lower lobes of both lungs, consolidative areas with a tendency to coalesce in the lower lobes and atelectatic changes in the lower lobes of the right lung were observed. The findings described are consistent with typical-probable manifestations of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Lymph nodes with a short axis smaller than 7 mm in subcarinal localization were observed in the mediastinal upper-lower paratracheal area. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nTypical-probable findings of Covid-19 pneumonia in both lung parenchyma, other viral pneumonias can be considered in the differential diagnosis. Correlation with clinical and laboratory is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16983/train_16983_a/train_16983_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Millimetric nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16990/train_16990_a/train_16990_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Band-like fibrotic density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs, hepatosteatosis. No findings in favor of pneumonia (NOTE: CT may be negative in the early stage of Covid-19.)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16992/train_16992_a/train_16992_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules were observed in the upper lobes of both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density loss in the liver is seen in the upper abdominal sections, including the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_16992/train_16992_b/train_16992_b_1.npy"
        ]
    },
    {
        "id": "report_generation_40108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Nonspecific nodules, some of which are calcified, are observed, more prominently on the left. Active infiltration or mass lesion is not observed in both lung parenchyma. When examined in the lung parenchyma window; Nonspecific nodular structures are observed in both lung parenchyma, the largest of which is 5 mm in the anterior segment of the left lung upper lobe. There is a mosaic attenuation pattern in both lung parenchyma (small airway disease? Small vessel disease?).\n<pleura>: There is an effusion measuring 72 mm in the deepest part of the right pleural space and 16 mm in the left.\n<mediastinum>: Lymphadenopathies with a short diameter of 14 mm are observed in all mediastinal lymph node stations, the largest of which is localized to the aorticopulmonary window. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<heart>: A slight effusion measuring 14 mm is observed in the deepest part of the pericardium. There is an increase in the cardiothoracic ratio in favor of the heart. An increase in left heart dimensions is observed. Mediastinal main vascular structures and heart could not be evaluated optimally because of the lack of contrast.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Diffuse suspicious wall thickness increase is observed in the gastric fundus localization in the gastric wall, and lymphadenopathy with a short diameter of 13 mm in the perigastric area is noted. In the upper abdominal organs, including sections; There is a decrease in the size of the left kidney and focal cortical defects in places. No free fluid or loculated collection is observed within the limits of unenhanced CT. Evaluation with endoscopy examination is recommended.\n\nImpression:\nIncreased left heart dimensions, increased cardiothoracic ratio in favor of the heart, minimal pericardial effusion, bilateral pleural effusion.  Lymph nodes with fusiform configuration, with a short diameter over 1 cm, the largest in aorticopulmonary window localization in mediastinal lymph node stations. Mosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Suspicious increase in wall thickness in gastric fundus localization in the upper abdomen sections within the image, within the borders of non-contrast CT, and lymph node with a short diameter over 1 cm that lost its fusiform configuration in the perigastric area. Evaluation with endoscopy is recommended.  In the interaortocaval area, in the paraaortic area, inferior to the left renal vein short lymph nodes less than 1 cm in diameter that are not pathological in size and appearance. Reduction in left kidney size and focal cortical defects."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17008/train_17008_a/train_17008_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Peripheral ground-glass nodular density increases were observed in the middle and lower lobes of the right lung, and the appearance was consistent with Covid-19 pneumonia. Parenchymal nodules with a diameter of 4.5 mm were observed in both lungs, the largest of which was in the anterobasal segment of the lower lobe of the right lung. No mass lesion with delineated borders was detected in both lungs. It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment.\n<mediastinum>: In the mediastinum, lymph nodes, some of which had calcific short axes below 1 cm, did not reach pathological dimensions. Other mediastinal vascular structures, heart contour, size are normal. Calcific atheroma plaques were observed in the coronary arteries and descending aorta.\n<heart>: There is a stent applied to the LAD. Pericardial effusion-thickening was not observed. Other mediastinal vascular structures, heart contour, size are normal. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 39 mm. The examination was considered suboptimal since no contrast agent was given.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia was observed at the lower end.\n<bone>: At the mid-thoracic level, bridging spur formations were observed in the right lateral corner, and a secondary rotoscoliosis with left-facing opening was observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. A calculus with a diameter of 8.5 mm was observed in the middle part of the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques were observed in the coronary arteries and descending aorta. A nodular lesion area of 3.6 cm diameter fluid density was observed in the upper pole posterior of the left kidney (cyst?).\n\nImpression:\nCalcified atheroma plaques in the descending aorta and coronary arteries, stent placed in the LAD . Hiatal hernia . Findings consistent with Covid-19 pneumonia in the lower and middle lobes of the right lung; it is recommended to be evaluated together with clinic and laboratory.  Right lung middle lobe medial and left lung Increases in pleuroparenchymal sequelae in the upper lobe inferior lingular segment . Millimetric nonspecific parenchymal nodules in both lungs . Right nephrolithiasis . Nodular lesion (cyst?) in fluid density in the upper pole of the left kidney.  Spur formations bridging each other in the right lateral corner in the middle thoracic and rotoscocolosis opening with the opening facing left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17015/train_17015_a/train_17015_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40141",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; No pneumonic consolidation or infiltration area was detected in both lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is a decrease in liver parenchyma density consistent with moderate adiposity.\n\nImpression:\nExamination within normal limits. Moderate hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17026/train_17026_a/train_17026_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: No pathological size and configuration of lymph nodes were detected at both hilar levels. Densities compatible with pleuroparenchymal sequelae are observed in the inferior lingular segment of the left lung. No pneumonia or significant mass lesion was detected in both lungs. A calcific nodule with a diameter of 2 mm is observed in the middle lobe of the right lung. When examined in the lung parenchyma window; both hemithorax are symmetrical.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural. Pathologies considered in non-contrast examination cannot be evaluated clearly.\n<heart>: If cardiac pathology is considered in the case, it is recommended to evaluate with Coronary CT Angiography or Cardiac MRI.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. A slight decrease in density, consistent with steatosis, is observed in the liver.\n\nImpression:\nMild hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17031/train_17031_a/train_17031_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40168",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is an azygos fissure and lobe. When examined in the lung parenchyma window; Multiple cavitary lesions are observed in the upper lobe of the left lung. In the first plan, infectious processes were evaluated in favor of staph aureus pneumonia and it is in the differential diagnosis of septic embolism. There are atelectatic changes and mosaic attenuation patterns in both lungs, especially in the lower lobe on the right.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Pulmonary arteries diverge from the aortic arch, and there are appearances consistent with anomalies in the mediastinal main vascular structures1. The native pulmonary artery cannot be clearly distinguished. There are small lymph nodes measuring up to 13 mm in more than one short axis in the mediastinum. They are observed wider than normal. It was evaluated in favor of pulmonary artery agenesis or atresia. The aortic arch measures 43 mm and the descending aorta 44 mm. There is a dilated appearance in the pulmonary arterial structures observed in the left hemithorax.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is enlarged up to 58 mm. The heart size was markedly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Rotoscoliosis is observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Pulmonary arteries diverge from the aortic arch, and there are appearances consistent with anomalies in the mediastinal main vascular structures1. The native pulmonary artery cannot be clearly distinguished. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. They are observed wider than normal. The aortic arch measures 43 mm and the descending aorta 44 mm.\n\nImpression:\nFindings evaluated in favor of staph aureus pneumonia in the lung parenchyma, septic embolism? It is in the differential diagnosis and follow-up is recommended.  Findings that may be compatible with pulmonary arterial agenesis or atresia were evaluated as suboptimal in the non-contrast study within the examination limits.  Mild atelectasis and mosaic attenuation patterns are observed in the lower lobes of both lungs, more prominent on the right.  There are significant dilatations in the vascular structures observed in the left hemithorax.  There are aneurysmatic dilatations in the ascending, descending and aortic arch.  Cardiomegaly.  Small lymph nodes measuring up to 13 mm in multiple short axes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17039/train_17039_a/train_17039_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40192",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17051/train_17051_a/train_17051_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40195",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, atelectatic changes in the lower lobes, more prominent on the left, and a consolidation area with air bronchogram sign are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Millimetric air densities in the paraaortic area and postoperative changes in the mediastinum were observed. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: There is pericardial effusion with a thickness of 50 mm. Pericardial thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. The findings were evaluated in favor of an infectious process accompanied by cardiac stasis, and the differential diagnosis of a space-occupying lesion at the described levels cannot be made.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Millimetric air densities in the paraaortic area and postoperative changes in the mediastinum were observed.\n\nImpression:\nA small amount of pleural effusion, more prominent on the left bilaterally. Consolidation areas with air bronchogram sign, primarily in the left lung lower lobe and upper lobe inferior lingula, primarily Post-operative change?, Infectious process? The differential diagnosis of the space-occupying lesion cannot be made, due to the current pandemic, it is recommended to follow the correlation with clinical and laboratory.  Pericardial effusion is 50 mm thick.  Millimetric air densities in the paraaortic area.  Postoperative changes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17053/train_17053_a/train_17053_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40242",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: The described findings are the findings frequently observed in Covid-19 pneumonia. No mass or infiltrative lesion was detected in both lungs. There are sometimes linear atelectasis in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected. There are peripheral and centrally located ground glass areas in the lower lobe of both lungs and the upper lobe of the left lung, and linear density increases parallel to the pleura in these localizations.\n<mediastinum>: Mediastinal cannot be evaluated optimally because no contrast agent is given. No pathologically enlarged lymph nodes were detected in the mediastinal and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17074/train_17074_a/train_17074_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peribonchial thickening is present. Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Tubular bronchiectasis, which became prominent in the center of both lungs, was observed. Mass lesion with distinguishable borders in both lungs - no active infiltration was detected.\n<mediastinum>: Right upper-bilateral lower paratracheal subcarinal, aortopulmonary, bilateral hilar short axis of calcific lymph nodes that did not reach pathological dimensions below 1 cm were observed. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. The examination was considered suboptimal since no contrast agent was given.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. The examination was considered suboptimal since no contrast agent was given.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific lymph nodes that do not reach pathological dimensions in the mediastinum . There was no finding in favor of pneumonia-mass in the lung parenchyma.  Tubular bronchiectasis, peribonchial thickening that becomes prominent in the center of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17079/train_17079_a/train_17079_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Bilateral peribronchial thickenings were observed. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Interlobular septal thickening and concomitant patchy ground glass density increases were observed in both lungs. When examined in the lung parenchyma window; Fibroatelectatic changes were observed in the upper lobe-middle lobe of the right lung.\n<pleura>: Free pleural effusion measuring 42 mm in thickness on the right and 11 mm on the left was observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the coronary artery wall of the thoracoabdominal aorta.\n<heart>: Heart size increased. There is passive calcification in the aortic valve and the appearance of the operation material.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. There are metallic suture materials belonging to sternotomy in the sternum.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be observed: Diffuse calcified atherosclerotic changes were observed in the coronary artery wall of the thoracoabdominal aorta.\n\nImpression:\nDiffuse calcified atherosclerotic changes in the thoracoabdominal aorta and coronary arteries, operative material on the aortic valve.  Cardiomegaly. Bilateral pleural effusion. Bilateral smooth interlobular septal thickenings and patchy ground-glass density increases. It may be compatible with pulmonary edema. The outlook is atypical for viral pneumonia. However, it cannot be ruled out. Clinical and laboratory correlation is recommended. Bilateral peribronchial thickenings. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17089/train_17089_a/train_17089_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40276",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; no pericardial effusion was detected. Viral pneumonia is considered in the etiology of the described findings. No nodular lesions were detected in both lung parenchyma. Covid-19 pneumonia cannot be excluded. Sequela parenchymal changes are observed in both lungs, and newly developed ground glass densities are observed in the right lung upper lobe anterior, middle lobe medial segment and lower lobe posterobasal-mediobasal and superior segment.\n<pleura>: In the current examination, there is a newly developed effusion up to 13 mm in depth in the right pleural space.\n<mediastinum>: Mediastinal vascular structures and non-contrast heart examination could not be evaluated optimally and as far as can be observed; In the thoracic abdominal aorta, there are atherosclerotic changes in the wall of the coronary vascular structures. Although the bilateral hilus examination in the mediastinum without contrast cannot be evaluated optimally, lymph nodes with fusiform configuration, some of which are calcified in character and the larger one measures 9.5 mm in size, are observed in the mediastinum and bilateral hilar region.\n<heart>: An increase in heart size is observed. There are calcifications in the aortic valve and hyperdense appearances secondary to the operation. Mediastinal vascular structures and non-contrast heart examination could not be evaluated optimally and as far as can be observed; In the thoracic abdominal aorta, there are atherosclerotic changes in the wall of the coronary vascular structures.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Apart from this, no lymph nodes are observed in pathological size and appearance in both axillary regions and in the supraclavicular fossa. No lytic-destructive lesion is observed in the bone structures in the study area, and there are degenerative changes.\n<abdomen>: Mediastinal vascular structures and non-contrast heart examination could not be evaluated optimally and as far as can be observed; In the thoracic abdominal aorta, there are atherosclerotic changes in the wall of the coronary vascular structures. Although the intra-abdominal parenchymal organs could not be evaluated optimally within the borders of non-contrast CT in the upper abdominal organs included in the sections, no solid mass was detected.\n\nImpression:\nCovid-19 pneumonia cannot be excluded. Evaluation is recommended together with clinical and laboratory findings.  Diffuse calcific atheroma plaques on the wall of thoracic abdominal aorta and coronary vascular structures, increase in heart size . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17089/train_17089_c/train_17089_c_1.npy"
        ]
    },
    {
        "id": "report_generation_40314",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings are initially compatible with Covid-19 viral pneumonia, and close follow-up is recommended. When examined in the lung parenchyma window; Diffuse diffuse vascular structures with air bronchogram signs are observed in both lungs, and patchy ground glass densities are observed in which enlargements are also observed.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: It is observed partially and it was evaluated in favor of corticopelvic cyst in the first plan. In the upper abdominal organs included in the sections, the left kidney is partially observed, and there is evidence of fluid attenuation with a dimension of 57 mm in the upper zone.\n\nImpression:\nFindings are compatible with Covid-19 viral pneumonia in the first place, and close follow-up is recommended.  Corticopelvic cyst in the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17105/train_17105_a/train_17105_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Linear atelectatic changes are observed in the lower lobe of the left lung at the basal level, and in the inferior lingula of the upper lobe. A few millimetric, nonspecific nodules are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction and degenerative changes are present in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Examination of the upper abdominal organs is partial, and cortical cysts measuring 54 mm in the right and 50 mm in the left are observed in both kidneys. Millimetric accessory spleen is observed adjacent to the spleen.\n\nImpression:\nLinear atelectatic changes in the lower lobe basal level of the left lung and the inferior lingula in the upper lobe.  Several millimetric, nonspecific nodules in both lungs.  The left hemidiaphragm has an elevated appearance.  Cortical cysts in both kidneys.  Diffuse density reduction and degenerative changes are present in the bone structures in the study area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17109/train_17109_a/train_17109_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40331",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Peripheral and centrally located consolidations, ground glass areas, interlobular septal thickenings and parenchymal bands are observed in the right lung and in the aerated left lung. The lung adjacent to the effusion is almost completely atelectatic. It is understood that the effusion has just appeared. When the patient was evaluated together with his previous examinations, it was understood that the described appearances were related to Covid-19 pneumonia.\n<pleura>: There is no pleural effusion on the right. There is atelectasis in the lower lobe of the lung adjacent to the pleural effusion. Pleural effusion is observed on the left. The pleural effusion continues to the apex of the lung with the patient in the supine position and measured 90 mm at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. Atheroma plaques are observed in the coronary arteries. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<abdomen>: No upper abdominal free fluid-collection or enlarged lymph nodes in atological dimensions were detected in the sections.\n\nImpression:\nCovid-19 pneumonia in follow-up, peripheral and central consolidations in both lungs, ground glass areas, interlobular septal thickenings and parenchymal bands in places . Pleural effusion on the left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17113/train_17113_a/train_17113_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40335",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings are observed. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae increase in density, which causes structural distortion and volume loss, is observed in the upper lobes of both lungs. Clinical and laboratory correlation is recommended. In addition, consolidation areas are observed in the lower lobe of both lungs, in the upper lobe of the right lung, and in the lower lobe of the left lung. The outlook is primarily suggestive of an infectious process. When examined in the lung parenchyma window; Diffuse emphysematous changes are observed in both lungs.\n<pleura>: Peripheral subpleural focal consolidation area is observed in the left lung upper lobe lingular segment. Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta and coronary artery calcific atherosclerotic changes are observed. The diameter of the ascending aorta was 58 mm, the diameter of the aortic arch was 41 mm, and the diameter of the descending aorta was 35 mm, showing aneurysmatic dilatation. Lymph nodes measuring 24x16 mm in size are observed in the mediastinal upper-lower paratracheal subcarinal prevascular aorticopulmonary window. There is a diffuse elongated and tortuous appearance in the abdominal aorta. It is recommended to be evaluated together with non-contrast examination. Aortic dissection cannot be excluded because the examination is without contrast.\n<heart>: Heart size increased. Membrane structures are observed in the lumen of the ascending aorta. Density of aortic valve replacement is observed. The diameter of the ascending aorta was 58 mm, the diameter of the aortic arch was 41 mm, and the diameter of the descending aorta was 35 mm, showing aneurysmatic dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Mixed type hiatal hernia is observed.\n<bone>: Metallic suture materials of sternotomy are observed on the anterior thorax wall. Thoracic kyphosis has increased.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Thoracic aorta and coronary artery calcific atherosclerotic changes are observed. The diameter of the ascending aorta was 58 mm, the diameter of the aortic arch was 41 mm, and the diameter of the descending aorta was 35 mm, showing aneurysmatic dilatation. There is a diffuse elongated and tortuous appearance in the abdominal aorta. It is recommended to be evaluated together with non-contrast examination. In the upper abdominal sections in the study area; A 25 mm diameter cortical cyst is observed in the posterior cortex of the upper pole of the left kidney. Aortic dissection cannot be excluded because the examination is without contrast.\n\nImpression:\nAneurysmatic dilatation in the thoracic aorta, membranous structures at the level of the ascending aorta are observed. Dissection cannot be excluded because the examination is uncontrasted. It is recommended to be evaluated by contrast-enhanced CT angiography. Mediastinal lymph node.  Diffuse emphysematous changes in both lungs, sequelae changes. Diffuse areas of consolidation in both lungs. The outlook was primarily evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended.  Mixed hiatal hernia, left renal cyst. Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17115/train_17115_a/train_17115_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40361",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen. Diffuse mild ectasia and increased peribronchial thickness are also observed in bilateral bronchial structures.\n<lung>: No active infiltration or mass lesion was detected in both lung parenchyma. There are emphysematous changes in both lungs. There are pleuroparenchymal sequelae bands and fibroatelectatic changes in both lung parenchyma.\n<pleura>: Thick-walled pleural effusion is observed.\n<mediastinum>: It is observed in the mediastinum, with a short diameter of 11 mm at the precarinal level. In addition, widespread calcified atheroma plaques are observed on the walls of the abdominal aorta and the main vascular structures originating from the aorta. There are extensive calcified atheromatous plaques on the walls of the aorta and coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No litc-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, free fluid-collection is not observed within the borders of non-contrast CT. Lesions of stable hypodense fluid density in size and appearance are observed in both kidneys, and although they cannot be clearly characterized within the limits of non-contrast CT, they were primarily evaluated in favor of cysts. In addition, widespread calcified atheroma plaques are observed on the walls of the abdominal aorta and the main vascular structures originating from the aorta. There are extensive calcified atheromatous plaques on the walls of the aorta and coronary vascular structures.\n\nImpression:\nIn both lung parenchyma diffuse mild ectasia and peribronchial thickness increases in bronchial structures, fibroatelectatic changes with local sequelae; stable . Abdominal aorta and major vascular structures arising from the aorta, as well as diffuse calcified atheromatous plaques on the wall of the aortic arch and coronary vascular structures . Mediastinal lymph nodes; is stable. Nodular lesions of stable hypodense fluid density are observed in both kidneys in size and appearance. Although the borders of non-contrast CT cannot be clearly characterized, they were primarily evaluated in favor of cysts."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17124/train_17124_a/train_17124_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Left lung upper lobe volume was also decreased. Infection rule-out would be appropriate. Consolidation area compatible with round atelectasis is observed in the superior and basal segments of the left lung lower lobe. Tubular bronchiectasis are observed in the upper lobe of the right lung. It is accompanied by areas of linear subsegmentary atelectasis. This prominence may be due to increased secretions in the process. A similar finding is also observed in the basal segment of the lower lobe of the right lung. In the lung parenchyma, no newly developed mass or nodular space-occupying lesion and infiltrative involvement were detected. In both upper lobe apical segments of both lungs, sequelae increase in density causing pleuroparenchymal distortion is observed. Its dimensions are stable and no difference was detected in the process. It is stable.\n<pleura>: Between the leaves of the left pleura, a thick-walled chronic collection area with a diameter of 2 cm is observed.\n<mediastinum>: The findings are stable. Prevascular right upper paratracheal, bilateral lower paratracheal, paraaortic and subcarinal located prevascular lymph nodes in the mediastinum, most of which have a short axis below 1 cm, are observed. There are extensive calcified atheroma plaques in the abdominal aorta. The dimensions of the lymph node located in the right lower tracheal region, with a short axis measuring 14 mm, are stable.\n<heart>: There is short stent material in the ascending aorta. Suture materials are observed in the coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia.\n<bone>: In the supraclavicular fossa, no lymph node was observed in the axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures. There is a sternotomy of the sternum.\n<abdomen>: There is a stable hypodense lesion in the liver segment 2 localization that cannot be characterized due to its 6 mm diameter size. The findings are stable. No space-occupying lesion was observed in the adrenal glands in the upper abdominal sections. There are extensive calcified atheroma plaques in the abdominal aorta. There is a 27 mm diameter cortical cyst in the upper pole of the right kidney.\n\nImpression:\nFindings secondary to previous bypass operation . Short stent material in ascending aorta . Stable mediastinal lymph nodes . Tubular in right lung upper lobe and lower lobe areas of bronchiectasis and parenchymal confinement, endobronchial budding tree landscapes on the background of bronchiectasis . Sliding type hiatal hernia . Diffuse calcified plaques in the thoracic and abdominal aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17124/train_17124_b/train_17124_b_1.npy"
        ]
    },
    {
        "id": "report_generation_40379",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There was no significant difference in the number of nodules. The largest of the described metastatic lesions are observed in the right lung lower lobe posterobasal segment and left lung lower lobe posterobasal segment, and their longest diameters were measured as 9 mm and 7 mm, respectively. No mass or infiltrative lesion was detected in both lungs. There are atelectasis in the right lung middle lobe and left lung upper lobe lingular segment. There are multiple nodules in both lungs and were evaluated in favor of metastasis in the presence of primary disease.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Capsular-peritoneal cystic lesions are observed in the right lobe of the liver, and it was learned that they were implants when evaluated together with the patient's previous examinations. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nOn follow-up, operated endometrium ca, nodules thought to be metastases in the lung, stable cystic lesions on the liver surface."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17128/train_17128_a/train_17128_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: A 1.5 cm diameter hypodense nodule is observed in the right thyroid lobe.\n<lung>: There are air cysts in the anterior segment of the left lung upper lobe. No pneumonic infiltration or consolidation area was detected in the lung parenchyma. A mosaic attenuation pattern in the form of pleuroparenchymal linear density increases accompanied by parenchymal coarse calcification foci in both upper lobes and parenchymal aeration difference is observed (in favor of previous TB infection sequelae).\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. There are extensive calcified atheroma plaques in the aortic arch, thoracic aorta, and coronary arteries. Widespread calcified atheroma plaques are observed in the abdominal aorta and its branches.\n<heart>: Pericardial effusion was not detected. There are extensive calcified atheroma plaques in the aortic arch, thoracic aorta, and coronary arteries. Heart dimensions and compartments appear natural.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: Vertebra plan view is observed in L2 and L3 vertebrae. Severe height losses are observed due to the insufficiency fracture. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Caused focal kyphosis. The middle column is accompanied by retropulsion towards the spinal canal. There is significant osteoporosis in bone structures.\n<abdomen>: There is a cortical cyst of 4.8 cm in diameter in the left kidney. There are extensive calcified atheroma plaques in the aortic arch, thoracic aorta, and coronary arteries. Loculated or free fluid was not detected in the section. In the upper abdomen sections, parenchymal thinning areas and sequela changes are observed in both kidneys. Widespread calcified atheroma plaques are observed in the abdominal aorta and its branches.\n\nImpression:\nDiffuse calcified atheromatous plaques in the coronary arteries, thoracic and abdominal aorta. Calcified nodules and parenchymal changes in favor of the sequelae of previous granulomatous infection in the upper lobes of both lungs, no pneumonic infiltration in the lung parenchyma.  Vertebra plana view due to insufficiency fractures in L2 and L3 vertebrae, retropulsion of the middle column towards the canal"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17135/train_17135_a/train_17135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Focal ground-glass-like density increase is observed at the sinus level at the posterobasal level in the right lung, and it is also present in the previous examination. In the left lung lower lobe superior segment, faint ground-glass-like density increases are observed and were not detected in the previous examination. In other areas, faint focal ground-glass-like density increases observed in the previous examination were not detected in the current examination.\n<pleura>: No pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and in both hilar regions. There is thymic tissue in the anterior mediastinum with a conical configuration that does not cause a mass effect. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Surrounding soft tissue plans are natural. In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver.\n\nImpression:\nHowever, the right lung posterobasal ground glass density persists."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17139/train_17139_b/train_17139_b_1.npy"
        ]
    },
    {
        "id": "report_generation_40412",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are diffuse and diffuse peripherally located, focal ground-glass-like density increases in both lungs and intersiel scars are evident on this background. There were no pathologically sized and configured lymph nodes at both hilar levels. It is recommended to be evaluated together with the clinic in terms of Covid pneumonia.\n<pleura>: A subpleural 3 mm diameter nodule and another 4x3 mm nodule were observed in the left lung lower lobe superior segment. No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Calibration of other major mediastinal vascular structures is natural. CTO is normal. The aortic arch calibration is 32 mm. It is wider than normal. Multiple lymph nodes at the prevascular level are observed in the airticopulmonary window in the upper-lower paratracheal area in the mediastinum, and multiple lymph nodes are observed in the right upper paratracheal area, the shortest axis of which is approximately 10 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Findings compatible with DISH are observed. Mild degenerative changes are observed in the bone structure.\n<abdomen>: Hiatal hernia is observed. The aortic arch calibration is 32 mm. CTO is normal. It is wider than normal. The left adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs, including sections; No space occupying lesion was detected in the liver. Surrounding soft tissue plans are natural. In the upper superior pole of the right kidney, a density that may be compatible with a cortical cyst is observed in the anteromedial aspect. A nodular hypodense lesion with a diameter of approximately 7 mm is observed in the right adrenal lateral cusp end section. The gallbladder has a contracted appearance, and densities compatible with calculi, the largest of which is approximately 5.5 mm in diameter, are observed.\n\nImpression:\nFindings compatible with Covid pneumonia; clinical-laboratory correlation is recommended.  Lymph nodes in the mediastinum . Mild hiatal hernia. Mild degenerative changes in bone structure, findings compatible with DISH . Cholelithiasis . Nodular hypodense lesion in the tip of the right adrenal lateral pruritus . Cortical cyst in the right kidney hypodense appearance, which may be compatible with"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17142/train_17142_a/train_17142_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40441",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Minimal emphysematous changes were observed in both lungs. Pleuroparenchymal fibroatelectasis sequelae changes were observed in the right lung middle lobe medial segment.\n<pleura>: When examined in the lung parenchyma window; In the anterobasal segment of the lower lobe of the right lung, a pleural-based consolidation area of approximately 26x14 mm (42x20 mm in the previous examination) was observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nHiatal hernia.  Pneumonia in the resolution period with regression dimensions in the anterobasal segment of the lower lobe of the right lung.  Pleuroparenchymal sequelae change in right lung middle lobe medial segment.  Minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17154/train_17154_a/train_17154_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40449",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Thickening of the bronchovascular sheath in both lungs, nonspecific increases in density, and occasionally ground glass densities were observed.\n<lung>: A fibroatelectasis sequelae causing parenchymal distortion was observed in the posterior part of the right lung apical segment. When examined in the lung parenchyma window; Pleuroparenchymal atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: Pulmonary artery diameters are normal. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. Diffuse atherosclerotic wall calcifications were observed in the supraaortic branches of the aortic arch and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The examination was considered suboptimal since no contrast agent was given.\n<heart>: The outlook was evaluated in favor of cardiac stasis. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the supraaortic branches of the aortic arch and coronary arteries. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, hypodense nodular lesion areas of approximately 4 cm in diameter were observed in both lobes of the liver, the largest in the left lobe, and peripherally located subcapsular (cyst?). As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anterior-posterior diameter of the descending aorta was 30 mm. Diffuse atherosclerotic wall calcifications were observed in the supraaortic branches of the aortic arch and coronary arteries. The examination was considered suboptimal since no contrast agent was given.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, diffuse atherosclerotic wall calcification in the supraaortic branches of the aortic arch and coronary arteries, cardiomegaly . Findings consistent with cardiac stasis in the lung parenchyma, fibroatelectatic sequelae changes, . Pneumonia-nomass in the lung parenchyma, multiple findings in favor of both lobes of the liver were not detected. lesion (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17157/train_17157_a/train_17157_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40451",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17158/train_17158_a/train_17158_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Occasionally, linear atelectasis is observed in both lungs. However, it was thought that it might be a pneumonic infiltration. Dependent densities were observed in the posterior parts of the lower lobes of both lungs. There are millimetric nonspecific nodules in both lungs. The described appearance is non-specific. A ground-glass appearance is observed in the posterior segment of the right lung upper lobe. No mass was detected in both lungs. There are minimal pleuroparenchymal sequelae changes in both lung apexes.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: The heart is larger than normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections. There are surgical materials in the sternum.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries. There is a nasogastric tube that ends in the stomach.\n\nImpression:\nGround glass appearance in the posterior segment of the right lung upper lobe (evaluation for pneumonic infiltration is recommended)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17159/train_17159_a/train_17159_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Sequelae changes are observed in the lingular segment. Fine reticulonodularfocal density increases at posterobasal level in the right lung (sequelae changes?, infective processes?). Scattered and diffused ground-glass-like density increments are present in both lungs. No pathological size and configuration of lymph nodes were detected at both hilar levels. There is a 2 mm diameter nodule on the right posterobasal. When examined in the lung parenchyma window; both hemithorax are symmetrical. There is a 2 mm diameter nonspecific nodule in the upper lobe anterior segment cudal of the left lung.\n<pleura>: Density increases consistent with pleural parenchymal sequelae are observed in the middle lobe on the right. Bilateral pleural effusion-pneumothorax was not detected.\n<mediastinum>: Millimetric calcific atheroma plaques are observed at the level of the aortic arch. CTO is within the normal range. Calibration in the aortic arch is 34 mm and above normal. Calibration of other mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum.\n<esophagus>: Mild hiatal hernia is observed in the esophagus.\n<bone>: Fusion anomaly is observed in the posterior proximal of the 1st and 2nd ribs on the left. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric calcific atheroma plaques are observed at the level of the aortic arch. CTO is within the normal range. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is observed that the mesenteric fatty planes from the diaphragmatic defect posteriorly in the left half of the abdomen slightly protrude into the thorax. Upper abdominal organs included in the sections are normal. Calibration in the aortic arch is 34 mm and above normal. In the superior pole of the right kidney, a density compatible with a calculi with a diameter of approximately 2 mm is observed.\n\nImpression:\nDiffuse ground-glass-like density increases in both lungs (it is recommended to be evaluated together with the clinic and laboratory for covid pneumonia)  Fine reticulonodular focal density increases at the posterobasal level in the right lung (sequelae changes?, infective processes?).  Mild sequelae changes in both lungs  Calibration increase in the aortic arch, atherosclerotic changes  Millimetric nephrolithiasis in the right kidney  Mild hiatal hernia, bochdalek hernia in the left diaphragm"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17162/train_17162_a/train_17162_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40486",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance. The ascending aorta is dilated with a diameter of 4.7 cm.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative osteophytes were observed in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Dilatation in the ascending aorta Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17173/train_17173_a/train_17173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40498",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass, nodule or infiltration was detected in both lungs. There are bilateral millimetric non-specific nodules.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum. There are calcific atheromatous plaques in the main vascular structures.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative changes are observed in bone structures.\n<abdomen>: Stones are observed in the gallbladder. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. There are calcific atheromatous plaques in the main vascular structures.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Atherosclerosis Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17179/train_17179_a/train_17179_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: On this background, there are ground-glass-like density increases in the lower lobe segments of both lungs. When examined in the lung parenchyma window; there is a mosaic attenuation pattern in both lungs (small vessel disease? small airway disease?).\n<pleura>: Pleural effusion or pneumothorax is not observed.\n<mediastinum>: CTO is at the maximal physiological limit. There is a millimetric calcific atheroma plaque in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of other mediastinal major vascular structures is normal. The aortic arch is calibrated at 35 mm wider than normal.\n<heart>: Mild pericardial effusion is observed.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: The aortic arch is calibrated at 35 mm wider than normal. CTO is at the maximal physiological limit. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis is observed in the liver. There is a millimetric calcific atheroma plaque in the aortic arch.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Ground-glass-like density increases in the lower lobe segments of both lungs . The findings described are not typical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17184/train_17184_a/train_17184_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40521",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Slight increase in parenchymal density, parenchymal fibrosis and traction bronchiectasis are observed in the lower lobe basal segments, which are more prominent on the right in both lungs. Widespread centracinar nodules and bronchopneumonic infiltration areas in the upper lobe and lower lobe of the right lung, which were observed in the previous examination, and a 7 mm diameter nodular consolidated area with a faint border in the upper lobe of the right lung were not detected in the current examination. In the evaluation of the lung parenchyma, density increases are observed in the left lung lingulosuperior segment in favor of the sequelae of chronic radiation pneumonia in the radiotherapy locus. Right lung lower lobe basal segment pleuroparenchymal linear density increases are consistent with linear atelectasis.\n<pleura>: There is a pleural effusion measuring approximately 7 mm in diameter, decreasing in size between the leaves of the right pleura.\n<mediastinum>: A central venous catheter is observed.\n<heart>: Pericardial effusion was not detected. No space-occupying lesion was detected in the paracardiac fat pad. The heart size compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<breast>: Left radical mastoidectomy was performed.\n<bone>: No lytic-destructive lesion was detected in the bone structures. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: In the upper abdominal sections, there was a faintly circumscribed hypodense area adjacent to the portal vein in the liver in segment 4b localization, and there was no difference in the previous examination (focal adiposity?). These findings are also present in the previous examination and are stable.\n\nImpression:\nnan"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17189/train_17189_b/train_17189_b_1.npy"
        ]
    },
    {
        "id": "report_generation_40523",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are findings in the form of diffuse centriacinar nodules and budding tree view in the upper lobe of the right lung and in the lower lobe of both lungs, more prominently on the right. The described findings are also present in the previous examination, and in the current examination, they increase under the differential diagnosis of radiation pneumonia and bronchopneumonic infiltration.\n<pleura>: Pleural effusion, which is observed in a small amount in the right hemithorax, has slightly increased.\n<mediastinum>: Thoracic aorta diameter is normal. It is compatible with an oval-shaped hypodense lymph node of 11 mm in the paratracheal and subcarinal area. No enlarged lymph nodes in prevascular, bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. An increase in the size of the liver and spleen is observed in the upper abdominal organs included in the sections.\n\nImpression:\nParatracheal, subcarinal 10 mm lymph nodes in the mediastinum.  Hepatosplenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17189/train_17189_c/train_17189_c_1.npy"
        ]
    },
    {
        "id": "report_generation_40570",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are several nodules smaller than 5 mm in both lungs. There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. There are several nodules smaller than 5 mm in both lung major fissures (lymph node?). There is a 27x22 mm lesion in the apicoposterior segment of the upper lobe of the right lung, with irregular spiculated contours, with radial extensions to the surrounding pleuroparenchymal structures (tm ?). Histopathological examination is recommended. There is one LAP in the lower right paratracheal, 16x8.5 mm in size. When examined in the lung parenchyma window; The bilateral lung parenchyma is emphysematous.\n<pleura>: There are areas of ground glass density with subpleural localization in the posterior and lower lobes of the bilateral lung upper lobe. There is an oval-shaped nodule, 14.6x8.6 mm in size, located subpleural in the anterior upper lobe of the left lung. Right lung upper lobe anterior, subpleural localized, 19x3.5 mm in size, thickening is observed. No pleural effusion was detected.\n<mediastinum>: Thoracic aorta diameter is normal. There are wall calcifications in the aorta. Mediastinal main vascular structures, heart contour, size are normal. There are several lymph nodes in the upper, lower paratracheal, aortopulmonary, subcarinal, right hilar, paraesophageal, the largest 15x5.5 mm in size.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the bones in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are wall calcifications in the aorta. Right adrenal gland lateral crus, left adrenal gland corpus and medial crus are observed in diffusely thick appearance.\n\nImpression:\nWall calcifications in the aorta. Upper, lower paratracheal, aortopulmonary, subcarinal, right hilar, paraesophageal, several lymph nodes, the largest of which is 15x5.5 mm in size.  Right lower paratracheal, 16x8.5 mm, one LAP. Bilateral lung parenchyma emphysematous.  Bilateral lung upper lobe posterior and lower lobes located subpleural, areas of ground glass density.  In the apicoposterior segment of the right lung upper lobe, 27x22 mm lesion (tm?) with irregular spiculated contours, showing radial extensions to the surrounding pleuroparenchymal structures. Histopathological examination is recommended.  Left lung upper lobe anterior, subpleural located, oval shaped nodule measuring 14.6x8.6 mm.  Right lung upper lobe anterior, subpleural localized, 19x3.5 mm in size, thickening. Subsegmentary atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lung lower lobes. A few nodules smaller than 5 mm in both lungs.  Several nodules (lymph nodes?), smaller than 5 mm, in both lung major fissures. Right adrenal gland lateral crus, left adrenal gland corpus and medial crus, diffusely thick.  Locally degenerative changes in the bones in the study area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17204/train_17204_a/train_17204_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lungs, atypical pneumonic infiltrates are observed in the upper lobes, more prominent and in the form of ground glass opacity accompanied by septal thickenings. Radiological findings were evaluated as compatible with covid pneumonia.\n<pleura>: There are many millimetric nonspecific nodules measuring 5 mm in diameter, based on the pleura, in the right lung lower lobe posterobasal segment, in the right lung middle lobe, and in the left lung lower and upper lobe, the largest of which is in the left lung upper lobe posterior segment.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Siliding type mild hiatal hernia is present.\n<bone>: No lymph node was observed in the supraclavicular fossa in the cross-section and in the axilla in pathological size and appearance. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; gallbladder is operated.\n\nImpression:\nAreas of atypical pneumonic infiltration in both lungs. Radiological findings are consistent with Covid pneumonia. Nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17213/train_17213_a/train_17213_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass lesion was detected in both lungs. There is also minimal expansion of the vascular structures within the described ground glass areas. These findings can be observed in Covid-19 pneumonia. Peripheral and centrally located round shaped ground glass areas are observed in both lungs. Although the described manifestations are not specific, they were primarily evaluated in favor of viral pneumonia.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The diameters of the aortic arch and descending aorta are normal. No enlarged lymph nodes in pathological dimensions were detected. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: There are atheromatous plaques in the left anterior descending coronal artery. The anterior-posterior diameter of the ascending aorta is 41 mm and wider than normal. As far as can be observed: Heart contour and size are normal.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17217/train_17217_a/train_17217_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: In the lower pole of the thyroid gland, there are nodules extending towards the upper mediastinum and some with coarse calcification foci.\n<trachea_and_bronchie>: The air passages of the trachea, lobar and segmental bronchi of both main bronchi are open.\n<lung>: Radiological findings are compatible with Covid pneumonia and mild parenchymal involvement findings are present. No suspicious nodule or mass-occupying lesion was detected in the lung parenchyma. Subsegmental atelectasis and pleuroparenchymal linear density increases in lower lobe basal segments accompany parenchymal ground glass densities.\n<pleura>: There are subpleural infiltration areas of ground glass density in both lung parenchyma. No pleural effusion was detected.\n<mediastinum>: No space-occupying lesion was observed in the mediastinal fat pad. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Calcified atherosclerotic plaques are observed in LAD. Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings consistent with Covid pneumonia.  Extension of exophytic nodules to the upper mediastinum in the lower pole of the left thyroid lobe.  Calcified atherosclerotic plaques in LAD.  There are several nonspecific millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17237/train_17237_a/train_17237_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; diffuse patchy ground glass density increases in the lower lobe basal segments of both lungs and consolidative areas in the lower lobe of the left lung were observed.\n<pleura>: A free pleural effusion measuring 8.4 mm on the right and 4.8 mm on the left was observed between the bilateral pleural leaves.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: The ascending aorta measures 43 mm in diameter and shows fusiform dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. The gallbladder was not observed (cholecystectomized). A 5 mm diameter calculus was observed in the middle zone of the left kidney. Upper abdominal sections entering the examination area are natural. Minimal calcified atherosclerotic changes were observed in the wall of the abdominal aorta.\n\nImpression:\nDiffuse ground glass density increases in both lungs and concomitant areas of consolidation in the lower lobe basal segments, the findings described include frequently reported imaging features of Covid-19 pneumonia. The accompanying bilateral pleural effusion may be consistent with possible superinfection. Other viral pneumonias in the differential diagnosis , organizing pneumonia drug toxicity and connective tissue diseases. Clinical and laboratory correlation recommended.  Left nephrolithiasis.  Dilatation of the ascending aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17241/train_17241_a/train_17241_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40661",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are atelectasis in the left lung upper lobe lingular segment and right lung upper lobe medial segment. There are minimal emphysematous changes in both lungs. There are several millimetric nonspecific nodules in both lungs. There is minimal bronchiectasis and minimal peribronchial thickening in the central segments of both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: There is an appearance evaluated in favor of thymic residue in the anterior mediastinum. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Mediastinal main vascular structures are normal. There are no mediastinal and hilar pathologically enlarged lymph nodes.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are millimetric osteophytes in the vertebral corpus corners. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebra corpus height alignment and densities are normal. The neural foramen is open.\n<abdomen>: Both adrenal glands are normal. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nMinimal bronchiectasis in both lungs, especially in the central parts. Minimal emphysematous changes in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17245/train_17245_a/train_17245_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nodules, some of them calcific, were observed in both lungs. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\nAortic atherosclerosis.  Millimetric nonspecific nodules in the lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17248/train_17248_a/train_17248_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17254/train_17254_a/train_17254_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings were observed.\n<lung>: However, regressions are observed in the patchy consolidation areas observed in the previous examination in both lung parenchyma, and ground glass density increases were observed at these levels. Although the area of atelectasis observed in the previous examination in the lower lobes of both lungs decreased, it is observed that consolidative areas developed in the current examination.\n<pleura>: The amount of pleural effusion observed in the previous examination has decreased in the current examination.\n<mediastinum>: There is an external drainage catheter extending to the mediastinum and posterior esophagus in the right hemithorax. Although a clear mass lesion cannot be distinguished in the anastomosis line, mediastinum, and abdomen, there are increases in density due to edema in soft tissues.\n<esophagus>: There is an external drainage catheter extending to the mediastinum and posterior esophagus in the right hemithorax.\n<bone>: Multiple sclerotic bone metastases were observed in bone structures.\n<abdomen>: It was understood that distal gastrectomy and gastrojejunostomy anastomosis were performed in the case. There are hypodense lesions in both lobes of the liver that cannot be clearly characterized because millimeter-sized examination is unenhanced. No significant change was found in the amount of intra-abdominal free fluid observed in the previous examination in the upper abdominal sections that entered the examination area. Although a clear mass lesion cannot be distinguished in the anastomosis line, mediastinum, and abdomen, there are increases in density due to edema in soft tissues. It is also followed in the previous review. There are dilatations in the intrahepatic bile ducts.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17255/train_17255_a/train_17255_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40744",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is minimal atelectasis in the medial middle lobe on the right.\n<pleura>: When examined in the lung parenchyma window; Linear opacities in the form of bands and ground glass densities are observed in the subpleural area in the lower lobes of both lung parenchyma.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPosterobasal pleuroparenchymal linear opacities and ground glass densities in both lungs (pneumonic infiltrates at resolution stage?)  Minimal atelectasis in right middle lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17284/train_17284_a/train_17284_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window, the aeration of both lung parenchyma was normal and no nodular or infiltrative lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Slight degenerative changes were observed in the thoracic vertebrae. Vertebral corpus heights were preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits except mild degenerative changes in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17285/train_17285_a/train_17285_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window as far as it can be observed secondary to motion artifacts; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: It is recommended to be evaluated together with USG in terms of gynecomastia. Soft tissue densities were observed in the bilateral retroareolar area.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Gallbladder, spleen, pancreas, both kidneys and right adrenal gland are normal. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Diffuse thickening was observed in the medial crus of the left adrenal gland. As far as can be observed in the sections, the liver parenchyma density decreased in line with the fatty deposits.\n\nImpression:\nSoft tissue densities with lobulated contours in the bilateral retroareolar area; it is recommended to be evaluated together with USG for gynecomastia.  Diffuse thickening of the left adrenal gland medial crus. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17292/train_17292_a/train_17292_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are areas of paraseptal emphysema in the upper lobes of both lungs. There are a few millimetric nodules in both lungs and no mass or infiltrative lesion was detected. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: There are sequelae density increases accompanied by pleural retraction in the right lung lower lobe medial segment and both lung lower lobe lateral segments. No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: Heart contour and size are normal. The diameter of the ascending aorta was 39 mm and increased.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus.\n<bone>: Millimetric osteophytes are observed in the corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: In the omentum, several millimetric lymph nodes are observed in the perihepatic area, periaortic and paracaval. As far as can be evaluated within the limits of non-contrast CT; There is a low-density hypodense lesion with a diameter of 5 mm in the upper pole of the right kidney (cyst?).\n\nImpression:\nDilatation of the ascending aorta.  Emphysematous changes in both lungs.  Several millimetric nonspecific nodules in both lungs.  Millimetric hypodense nodule in the left lobe of the thyroid gland.  Millimetric hypodense lesion (cyst?) in the upper pole of the right kidney.  Intraabdominal several millimetric lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17293/train_17293_a/train_17293_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40818",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Sequelae fibrotic changes in the upper lobe apex of both lungs, millimetric calcific nodules and minimal parenchymal distortion in the left upper lobe. No pneumonic infiltration was detected in the parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSequelae changes in the upper lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17315/train_17315_a/train_17315_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40821",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. Interlobular septal thickness increases and sequelae changes are observed in the bilateral lower lobe posterobasal segment and the left lingula ainferior segment. Centriacinar emphysematous changes are observed. There are a few millimetric nodules in the lateral segment of the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Ascending aortic AP diameter increased by 48 mm, descending aortic AP diameter by 32 mm. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheroma plaques on the walls of the vascular structures.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and there are calcified atheroma plaques on the walls of the vascular structures.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: Degenerative changes are observed. No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Ascending aortic AP diameter increased by 48 mm, descending aortic AP diameter by 32 mm. There is a staghorn stone that has taken the shape of the middle and lower pole calyxal structures of the right kidney. In the sections passing through the upper part of the abdomen, there are lateral renal cortical localized exophytic lesions with exophytic extension within the borders of non-enhanced CT, which cannot be clearly characterized (cyst?).\n\nImpression:\nCalcified atheroma plaques on the wall of vascular structures, increase in ascending aorta and descending aorta calibrations . A few millimeter-sized non-specific nodules in the right lung middle lobe lateral segment . Interlobular septal thickness increases and sequelae changes in the bilateral lower lobe posterobasal segment and left lingula ainferior segment . Centriacinar emphysema . Lesions (cyst?) that cannot be clearly characterized within the borders of unenhanced CT in exophytic extending fluid density located in bilateral renal cortical and staghorn stones that have taken the form of right kidney middle and lower pole calyxal structures . Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17317/train_17317_a/train_17317_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40843",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are diffuse centracinar density increases in both lungs. There is linear atelectasis and accompanying nonspecific ground glass area in the left lung upper lobe lingular segment. In both lungs, a few nodules measuring 3.5x4 mm in size, the largest in the left lung lower lobe posterior segment, and a 4x4 mm fusiform shaped nodule located on the fissure in the right lung upper lobe anterior segment were observed (intraparenchymal lymph node?). No mass or infiltrative lesion was detected in both lungs. A few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm were observed in the mediastinum and bilateral hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the esophagogastric junction. No pathological increase in wall thickness was detected in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There are no discernible masses in the upper abdominal organs. As far as it can be evaluated within the limits of non-contrast CT; There is a hyperdense stone with a diameter of 2 mm in the gallbladder lumen. There is a sliding type hiatal hernia at the esophagogastric junction.\n\nImpression:\nDiffuse centracinar nodular density increases in both lungs  A few millimetric nonspecific nodules in both lungs, fusiform shaped millimetric nodule located on the fissure in the upper lobe of the right lung (intraparenchymal lymph node?)  Linear atelectasis area in the left lung upper lobe  Cholelithiasis  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17327/train_17327_a/train_17327_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Subsegmental atelectasis area is observed in the left lung lingula inferior segment. Emphysema is observed in the lung parenchyma. Round atelectasis is observed in the posterobasal segment of the lower lobe of the right lung. Sequelae parenchymal changes are present in both lung apex. In lung parenchyma evaluation; There is a subsegmental atelectasis area in the middle lobe of the right lung.\n<pleura>: Pleural effusion reaching 5 mm in diameter is observed between the left pleural leaves.\n<mediastinum>: No lymph node reaching pathological dimensions was observed in the supraclavicular fossa, axilla, and mediastinum within the limits of CT without contrast. Calibrations of mediastinal major vascular structures are natural. Calcified atherosclerotic plaques are observed in the ascending aorta and thoracic arch aorta and thoracic aorta. Right upper and lower paratracheal nonspecific milimetric mediastinal lymph nodes are present.\n<heart>: The heart size has increased, its compartments appear natural. Calcified atherosclerotic plaques are observed in the ascending aorta and thoracic arch aorta and thoracic aorta. Between the pericardial leaves, there is a thin plaster-like pericardial effusion.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The spleen is partially transected. There is lobulation in the liver contour. Widespread free fluid is observed in the abdomen. In the upper abdominal sections, air images are observed in the intrahepatic bile ducts and common bile duct (catheterization?). Calcified atherosclerotic plaques are observed in the ascending aorta and thoracic arch aorta and thoracic aorta.\n\nImpression:\nIncreased heart size, calcified atherosclerotic plaques in the coronary arteries.  Left pleural effusion. Widespread free fluid in the abdomen, air images in the intrahepatic biliary tract and common bile duct.  Subsegmental area of atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17345/train_17345_a/train_17345_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40892",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Mild bronchiectasis are observed in the area extending to the apical level in the upper lobe of the right lung. It is atypical for the onset of viral pneumonia.\n<pleura>: When examined in the lung parenchyma window; A few millimetric calcific foci are observed in the pleural areas of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. There are calcific atheroma plaques in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the aortic arch and coronary arteries.\n\nImpression:\nMild bronchiectasis are observed in the area extending to the apical level in the upper lobe of the right lung. It is atypical in terms of the onset of viral pneumonia.  Atherosclerosis . Millimetric sequelae calcific foci located in the subpleural and subdiaphragmatic regions of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17347/train_17347_a/train_17347_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40893",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: No mass - infiltration was detected in both lung parenchyma. When both lung parenchyma windows were evaluated, two nonspecific pulmonary nodules with a diameter of 2.5 mm in the middle lobe of the right lung and two nonspecific pulmonary nodules with a diameter of 2 mm in the upper lobe anterior segment of the left lung were observed.\n<pleura>: In the posterobasal segment of the lower lobe of the left lung, a subpleural pulmonary nodule with a diameter of 2.5 mm was observed.\n<mediastinum>: No dilatation was detected in the pulmonary arteries. Bening lymph nodes with ovoid configuration were observed in the bilateral axillary region, most of which could have a central fat hilus. Lymph nodes with a short axis smaller than 5 mm were observed in the subcarinal localization in the upper-lower paratracheal area, prevascular and aorticopulmonary areas. A millimetric calcified atherosclerotic change was observed in the wall of the abdominal aorta. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: The ascending aorta measures 39 mm in diameter and shows mild fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: Millimetric sized, well-defined sclerotic foci were observed in the left 8th rib lateral. Mild degenerative changes were observed in the bone structures in the study area. No lytic - destructive lesion was detected.\n<abdomen>: A millimetric calcified atherosclerotic change was observed in the wall of the abdominal aorta. Diffuse thickening was observed in the lateral crus of the left adrenal gland and it was evaluated in favor of hyperplasia. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area, in line with the lubrication.\n\nImpression:\nNonspecific pulmonary nodules of millimetric size reported in several reports in both lungs . Hepatic steatosis . Two well - circumscribed sclerotic foci on the lateral left 8th rib .  Diffuse thickening of the lateral crus of the left adrenal gland ; evaluated in favor of hyperplasia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17348/train_17348_a/train_17348_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<pleura>: In the evaluation of the lung parenchyma, alveolar involvement in the form of areas of patchy consolidation located in the subpleural and peribronchial areas, which are bilaterally asymmetrically scattered and prominent towards the basals, and ground glass density areas in the upper lobes are observed in both lungs.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings evaluated in favor of pneumonic infection in both lungs, radiological findings are compatible with lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17354/train_17354_a/train_17354_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40928",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17365/train_17365_a/train_17365_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40954",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.\n<pleura>: Pericardial, pleural effusion was not detected. When examined in the lung parenchyma window; Multilobar peripheral subpleural ground-glass densities and areas of increase in density consistent with consolidation are observed, and viral pneumonias are considered in the etiology of the findings.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures and heart contour, its size is natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection was observed. No solid mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nMultilobar, peripheral, subpleural ground-glass densities in both lungs and areas of increase in density consistent with consolidation; the findings were evaluated in favor of viral pneumonia and it is recommended to be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17377/train_17377_a/train_17377_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. When examined in the lung parenchyma window; Sequelae changes are observed in the inferior lingular segment of the left lung. In both lungs, peripherally distributed ground-glass-like densities, which have gained a consolidative character from place to place, are observed. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Findings compatible with DISH are observed. Degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Thoracic aorta diameter is normal. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. In the upper abdominal organs included in the sections, a slight decrease in density is observed with hepatosteatosis in the liver.\n\nImpression:\nIt is recommended to evaluate the case together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17382/train_17382_a/train_17382_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Nondeplaced linear fracture lines are seen in the posterolaterals of the 5-6 and 7th ribs on the right.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRight rib fractures and right pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17383/train_17383_a/train_17383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: When examined in the lung parenchyma window; Subsegmentary atelectatic changes were observed in the antero-laterobasal segments of the lower lobe of the right lung. The mass is lobulated on the right lateral side. No mass lesion-active infiltration with distinguishable borders was detected in the lung parnchyma.\n<mediastinum>: Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. Mediastinal main vascular structures, heart contour, size are normal. The mass is at the interface of the sternum, superior vena cava, aortic arch, and right heart. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Fatty planes between the described mass and mediastinal vascular structures could not be observed occasionally. As far as can be seen, there is a mass with necrosis and coarse calcification area in the anterior mediastinum, measuring 20x31 mm in its widest part (Apxtransvers) in the axial plane and measuring approximately 41 mm in the long axis.\n<heart>: Histopathology is recommended. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. The mass is at the interface of the sternum, superior vena cava, aortic arch, and right heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. The mass is at the interface of the sternum, superior vena cava, aortic arch, and right heart. Vertebral corpus heights are preserved.\n<abdomen>: The mass is at the interface of the sternum, superior vena cava, aortic arch, and right heart.\n\nImpression:\nSolid mass lesion with calcification and cystic-necrotic areas in the anterior mediastinum; histopathology is recommended.  Subpleural atelectatic changes in the right lung lower lobe basal."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17384/train_17384_a/train_17384_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40977",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is natural. There are a few nonspecific nodules in millimeter sizes.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal vascular structures and heart examination IV. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. The stent material applied to the LAD is monitored. Mediastinal vascular structures and heart examination IV. Pericardial effusion measuring 40 mm was observed in its deepest part.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: There are degenerative changes in bone structures. Vertebral corpus heights are preserved. No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: Low-density nodular lesions measuring 17x12 mm in size in the corpus of the left adrenal gland and 15x17 mm in the lateral crus were observed and were evaluated in favor of adenoma. In the upper abdominal sections within the image, hyperdense stones are observed in the gallbladder lumen. No intra-abdominal free fluid or loculated collection was detected. No lymph node was observed in intraabdominal pathological size and appearance. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nNo active infiltration or mass lesion was detected in both lungs. There are a few nonspecific nodules in millimetric sizes.  Calcified atheromatous plaques on the wall of thoracic aorta and coronary vascular structures, pericardial effusion.  Cholelithiasis.  Nodular lesions in the corpus and lateral crus of the left adrenal gland evaluated in favor of low-density adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17389/train_17389_a/train_17389_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40979",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are occasional mucus plugs in the lower lobe basal segment bronchi.\n<lung>: There are occasional mucus plugs in the lower lobe basal segment bronchi. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. aeration differences are observed in the upper lobes. Shooting was done in expiration. Parenchymal aeration differences are observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: No lymph node was observed in the axilla, supraclavicular fossa and mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural. There are nonspecific lymph nodes less than 1 cm in diameter located in the mediastinum, bilaterally in the lower pretracheal and subcarinal regions.\n<heart>: Pericardial effusion was not detected. Heart sizes are natural. Calcified atheroma plaques are present in LAD.\n<esophagus>: Esophageal wall thickness was normal.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: Significantly evaluated in favor of chronic liver parenchymal disease. It is recommended to evaluate for chronic liver parenchymal disease in elective conditions. In the upper abdominal sections, there is lobulation in the liver contour. No distinguishable space-occupying lesion was observed in the liver parenchyma within the non-contrast CT limits. No loculated or free fluid was detected in the abdomen in the section. Spleen sizes are natural.\n\nImpression:\nIncreased heart size. Calcified atheromatous plaques in LAD.  Nonspecific mediastinal lymph nodes, findings in favor of chronic liver parenchymal disease. Mucus plugs and parenchymal aeration differences in segmental bronchi."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17390/train_17390_a/train_17390_a_1.npy"
        ]
    },
    {
        "id": "report_generation_40989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; No pneumonic infiltration or consolidation area was detected in both lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological size and appearance was detected in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance.\n<abdomen>: There is a 3.5 cm diameter lesion in the right adrenal gland that cannot be characterized by this examination (adenoma-nonadenomatous lesion cannot be differentiated). Since no contrast agent was given, the wall thickness of the pouch could not be evaluated. There is a calculi image in the sac lumen. No suspicious mass or nodular space-occupying lesion was detected. In the upper abdomen sections, the gallbladder appears distended. Clinical evaluation of the case in terms of acute calculous cholecystitis is recommended. MRI of the upper abdomen is recommended.\n\nImpression:\nNodular lesion in the right adrenal gland that cannot be distinguished from adenoma-nonadenomatous lesion. Distandual appearance in the gallbladder and images of calculi within its lumen. Clinical evaluation of the case in terms of acute calculous cholecystitis is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17395/train_17395_a/train_17395_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41011",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No lymph node with pathological size and configuration was observed at the hilar level. When examined in the lung parenchyma window; Mild sequelae changes are observed at the apical level in both lungs.\n<pleura>: A subpleural nodule with a diameter of 2 mm is observed in the middle lobe. There is a 2 mm diameter subpleural nodule at the apical level on the right. There was no finding compatible with bilateral pleural effusion, pneumothorax or pneumonia.\n<mediastinum>: It is wider than normal. Both pulmonary artery calibrations are normal, and the calibration of other mediastinal major vascular structures is naturally followed. The aortic arch calibration was measured as 40 mm. The pulmonary conus is 35 mm. No lymph node with pathological size and configuration was detected in the mediastinum.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the sections passing through the upper abdomen, there is a decrease in density consistent with hepatosteatosis in the liver. The aortic arch calibration was measured as 40 mm. There is also another hypodense lesion with a diameter of about 5 mm in the superior pole anteriorly (cortical cyst?). A formation that may be compatible with a hypodense cortical cyst of 8 mm in diameter is observed in the posterior part of the left kidney in the middle part.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17404/train_17404_a/train_17404_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. In both lung parenchyma, parenchymal nodules measuring 7.5 mm in diameter in the right lung and 6.8 mm in the left lung were followed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery.\n\nImpression:\nMild emphysematous changes in both lungs  Atherosclerotic changes  Sequelae changes in both lungs  Parenchymal nodules in bilateral lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17410/train_17410_a/train_17410_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When evaluated together with the patient's previous examination, it is understood that the findings are compatible with Covid-19 pneumonia. There are diffuse consolidations located in both lungs, both peripherally and centrally. It is also understood that the prevalence of the findings has increased. No mass was detected in both lungs.\n<pleura>: No pleural effusion was detected.\n<heart>: There is minimal pericardial effusion.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17413/train_17413_c/train_17413_c_1.npy"
        ]
    },
    {
        "id": "report_generation_41039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a stone measuring approximately 15 mm in diameter in the middle part of the right kidney. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nRight nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17415/train_17415_a/train_17415_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41053",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. Parenchymal nodules with a diameter of 4 mm were observed in both lungs, the largest of which was in the anterior segment of the upper lobe of the right lung. No mass lesion with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; Patchy areas of consolidation accompanied by more extensive subsegmental atelectasis and subpleural streaks are observed in multilobar, multisegmental lower lobe basal segments in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Osteodegenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion in favor of metastasis was observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral gynecomastia. Mild cardiomegaly.  High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory. A few millimetric nonspecific parenchymal nodules in both lungs.  Osteodegenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17422/train_17422_a/train_17422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, and both main bronchi are in the midline and no obstructive pathology is detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Focal nodular ground glass opacities are observed in the right lung upper lobe posterior, lower lobe mediobasal, left lung lingular and lower lobe posterobasal segments, and the appearance is compatible with ultra-early covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lung parenchyma. Segmentary-subsegmental tubular bronchiectasis were observed in both lungs.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anteroposterior diameter of the aorta in the pattern was 26 mm. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibrations of pulmonary arteries are natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia is present.\n<bone>: Spur formations bridging each other were observed in the right anterior lateral corners of the vertebral column.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta was 40 mm, and the anteroposterior diameter of the aorta in the pattern was 26 mm. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta  Findings consistent with ultra-early Covid-19 pneumonia in the lung parenchyma  Segmental-subsegmentary tubular bronchiectasis in both lungs  Hepatosteatosis  Spur formations bridging each other in the right anterior lateral corner of the vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17424/train_17424_a/train_17424_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41085",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Ventilation of both lung parenchyma is normal, and no nodules are detected in the lung parenchyma. When examined in the lung parenchyma window; There are patches of ground glass densities in the upper lobes.\n<pleura>: In the lower lobes, pleuroparenchymal densities accompanied by peribronchial and subpleural consolidations are observed. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis reaching up to 1 cm are observed in the mediastinum and bilateral hilar region. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPatchy ground glass densities, consolidations, pleuroparenchymal densities, accompanying mediastinal lymph nodes in both lungs. The findings are likely in terms of Covid pneumonia. Clinical lab correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17438/train_17438_a/train_17438_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41094",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of the trachea and main bronchi is normal.\n<lung>: There is a stable nodule with a diameter of 3 mm at the level of the interlobar fissure on the right. A 3x2 mm nodule is observed in the middle lobe. There is band atelectasis at the posterobasal level in the left lung. There is another 3 mm diameter nodule superposed on the minor fissure. There are pleuroparenchymal sequelae changes and faint ground-glass-like density increases at basal levels in both lungs. Densities compatible with pleuroparenchymal sequelae are observed in the inferior lingular segment of the left lung. It was not detected in the previous review. On the right, azygos fissure variation is observed. A stable nodule with a diameter of 3 mm is observed in the anterior segment caudal of the right lung upper lobe. There are also sequelae changes in the middle lobe. The sequelae were evaluated as compatible with the changes. There is a stable nodule with a diameter of 2 mm in the superior segment of the left lung lower lobe.\n<mediastinum>: CTO is within the normal range. Calibration of other major vascular structures is natural. No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. The aortic arch calibration is 32 mm, larger than normal. Calibration of the main mediastinal vascular structures is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The surrounding soft tissue plans and bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. Upper abdominal organs included in the sections are normal. The aortic arch calibration is 32 mm, larger than normal.\n\nImpression:\nThere are sequelae changes and faint ground-glass-like density increases, especially in the basal levels of both lungs, which were not observed in the previous examination.  Stable-looking millimetric nonspecific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17441/train_17441_b/train_17441_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41097",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Subsegmental band atelectasis is observed in the left lung lingular segment.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSubsegmental band atelectasis in the lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17443/train_17443_a/train_17443_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41099",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. There are sequel changes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Hepatomegaly and hepatosteatosis are observed in the sections passing through the upper part of the abdomen.\n\nImpression:\nActive infiltration or mass lesion was not detected in both lung parenchyma. There are sequelae changes. Hepatomegaly and hepatosteatosis are observed in the sections passing through the upper part of the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17444/train_17444_a/train_17444_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41107",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the segmental-subsegmental bronchi of both lungs. No occlusive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Patchy-nodular ground glass consolidations with a multilobar, multisegmentary central-peripheral weighted crazy paving pattern were observed in both lungs. Consolidations in the lower lobe basal segments of both lungs are accompanied by subsegmental atelectatic changes. No mass lesion with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in the segmental-subsegmental bronchi of both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Lymph nodes measuring 7.3 mm were observed in the aortopulmonary, right lower paratracheal, and right hilar greater short axis. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHiatal hernia.  High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17448/train_17448_a/train_17448_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41116",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Stable minimal soft tissue density appearance and sequela parenchymal changes in the adjacent lung parenchyma were observed adjacent to the suture materials. There are several nodules of millimeter size in both lungs, the largest measuring approximately 4 mm in diameter in the posterobasal segment of the lower lobe of the left lung. Emphysematous changes are observed in both lungs. No mass lesions were detected in both lungs. These areas are occasionally accompanied by areas of increased density consistent with linear atelectasis and fibrotic bands with pleuroparenchymal sequelae.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. In addition, there is stable minimal fluid in the pericardial recess adjacent to the anterior mediastinum. In the patient who was operated for thymoma, there are surgical suture materials in the anterior mediastinum. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Minimal stable pericardial effusion was observed.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n<abdomen>: In the upper abdominal sections within the image, several millimeter-sized hyperdense stones were observed in the gallbladder lumen.\n\nImpression:\nSurgical suture materials in the anterior mediastinum and increase in soft tissue thickness, which was evaluated primarily in favor of postoperative change, in the patient who was learned to have been operated for thymoma, sequelae parenchymal changes in the adjacent lung parenchyma, and stable minimal fluid in the pericardial recess in the vicinity.  Stable minimal pericardial effusion.  Emphysematous changes in both lungs and a few millimeter-sized nonspecific nodules.  Cholelithiasis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17452/train_17452_b/train_17452_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Diffuse linear subsegmental atelectatic changes accompany the infiltrates. The prevalence of parenchymal infiltrations increased in the case followed up with Covid-19 pneumonia. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17453/train_17453_b/train_17453_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17456/train_17456_a/train_17456_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41133",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No obstructive pathology was detected.\n<lung>: Stable parenchymal nodules, the largest of which is approximately 8 mm in diameter, were observed in the medial segment of the right lung middle lobe. In addition, there are nonspecific millimetric parenchymal nodules in multiple numbers and diameters in both lung parenchyma. When examined in the lung parenchyma window; mosaic attenuation pattern in both lungs is remarkable. Sequelae fibrotic changes in the upper lobe of the left lung and pleuroparenchymal band formations consistent with linear atelectasis draw attention. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal major vascular structures and cardiac examination were evaluated as suboptimal because they were unenhanced. Stable lymph nodes with a short diameter of up to 5 mm were observed in the aorta, pulmonary window and paratracheal area in the mediastinal prevascular area.\n<heart>: Mediastinal major vascular structures and cardiac examination were evaluated as suboptimal because they were unenhanced. Calcified atheroma plaques are present in coronary arteries and major vascular structures. The ascending aorta is minimally dilated by 40 mm at this stage.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. No lytic or sclerotic lesions were detected in bone structures. There was no lymph node that reached pathological size in the bilateral axillary region and supraclavicular region. Bone structures in the study area are natural. An increase in thoracic kyphosis was observed in the evaluation of bone structures entering the imaging field.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThree adjacent stable parenchymal nodules in the medial segment of the middle lobe of the right lung. Nonspecific parenchymal nodules in both lungs. Mosaic attenuation pattern in both lungs. Lymph nodes not reaching mediastinal pathological size.  Osteodegenerative bone disease, increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17459/train_17459_a/train_17459_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41139",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?) There are sequela parenchymal changes and areas of increase in density consistent with linear atelectasis in both lungs. Active infiltration was not observed in both lungs. Changes of TB sequelae and calcific nodules are observed in both lung apexes. The findings are stable. No newly developed nodules were detected. Nodular lesions, some of which are of ground glass density, are observed in both lungs, and their number and size are stable.\n<mediastinum>: The ascending aorta is 42 mm in diameter and the descending aorta is larger than normal with a 34 mm diameter. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: An increase in heart size is observed.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. The ascending aorta is 42 mm in diameter and the descending aorta is larger than normal with a 34 mm diameter. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17459/train_17459_d/train_17459_d_1.npy"
        ]
    },
    {
        "id": "report_generation_41151",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. When examined in the lung parenchyma window; In both lungs, extensive patchy-nodular ground glass consolidation was observed, which showed more diffuse multisegmental, crazy paving pattern and vascular enlargement in the lower lobes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Right upper-bilateral lower paratracheal, subcarinal short axis lymph nodes that did not exceed 1 cm and did not reach pathological dimensions were observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: The right breast is larger than the left breast and is rich in glandular structure. A mass lesion with distinguishable borders in both breasts could not be detected in this examination.\n<bone>: Minimal degenerative changes are observed in the bone structure.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nAsymmetric size and increase in glandular tissue in the right breast. · Findings consistent with Covid-19 pneumonia in the lung parenchyma. Minimal degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17465/train_17465_a/train_17465_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41157",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Emphysematous changes were observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Bilateral peribronchial thickenings were observed. There are smooth interlobular septal thickenings in both lungs (secondary to cardiac pathology?). When evaluated in the parenchyma window of both lungs: Patchy ground-glass density increases were observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No dilatation was detected in the thoracic aorta. There are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent material in the coronary arteries. The diameter of the main pulmonary artery is 32 mm and it shows slight dilatation.\n<heart>: There are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent material in the coronary arteries. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. In the upper abdominal sections within the examination area, a 12 mm diameter hypodense lesion with a subcapsular location was observed in the lateral segment of the left lobe of the liver. No dilatation was detected in the thoracic aorta. There are calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of stent material in the coronary arteries. Gallbladder was not observed (cholecystectomized).\n\nImpression:\nMild dilatation, atherosclerotic changes in the main pulmonary artery.  Patchy ground glass density increases in both lungs.  Bilateral smooth interlobular septal thickenings (secondary to cardiac pathology?).  Atelectatic changes in both lungs.  Cholecystectomy.  Hypodense lesion in the left lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17468/train_17468_a/train_17468_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41159",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described findings are the findings frequently encountered in Covid-19 pneumonia. Consolidations and ground glass areas are observed in both lungs, especially in peripheral areas. When the described appearances were evaluated together with clinical information, they were evaluated in favor of viral pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17469/train_17469_a/train_17469_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<pleura>: No newly emerged infiltration area, pleural effusion or thickening was detected in the current examination.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal and bilateral hilar lymph nodes were not detected in pathological size and appearance.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<abdomen>: Thoracic aorta diameter is normal. Millimetric calculus was observed in the gallbladder lumen in the upper abdominal organs included in the sections. There was no significant change in other findings in the current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17469/train_17469_b/train_17469_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Patchy ground glass consolidations forming a multilobar, multisegmenter central-peripheral crazy paving pattern and accompanying linear subsegmental atelectatic changes were observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nCalcific atheroma plaques in the aortic arch and coronary arteries. High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17472/train_17472_a/train_17472_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41180",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; liver density decreased in favor of hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Gallstones are observed in the gallbladder.\n\nImpression:\nHepatosteatosis.  Gallstone."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17478/train_17478_a/train_17478_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41187",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. A small hiatal hernia is observed.\n<bone>: There are degenerative changes in the vertebral corpus end plates. There is a decrease in density in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall hiatal hernia. Osteopenic appearance of bone structures. Degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17481/train_17481_a/train_17481_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Clinic and lab. Density increase areas and ground glass densities consistent with peripheral consolidation were observed in multiple localizations in both lung parenchyma. Viral pneumonia is considered in the etiology of the described findings.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, hepatosteatosis and an increase in nodular thickness consistent with a 22x15 mm adenoma in the left adrenal gland were observed. verification is recommended.\n\nImpression:\nAreas of increase in density and ground glass densities consistent with peripheral consolidation were observed in multiple localizations in both lung parenchyma. Viral pneumonia is considered in the etiology of the described findings. Clinical and laboratory verification is recommended.  Hepatosteatosis in sections passing through the upper part of the abdomen, nodular compatible with adenoma in the left adrenal gland thickness increase was observed"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17484/train_17484_a/train_17484_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41203",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Mosaic attenuation is observed in both lung parenchyma (small airway disease?, small vessel disease?). Pleuroparenchymal sequelae densities are observed in both lung apex. In addition, unlike point centrilobular nodules, nodules with a diameter of 7.5 mm are observed in the right lung upper lobe anterior segment, middle lobe, lower lobe superior segment, and the larger one in the lower lobe superior segment. Nodules with a diameter of 4.5 mm are observed in the left lung apex, in the lower lobe superior segment, the largest in the left lung apex. There is band-shaped atelectasis in the paramediastinal area in the middle lobe of the right lung.\n<pleura>: Diffuse, punctuated, millimetric subpleural and centrilobular nodules are observed in both lungs. Apart from these nodules, subpleural consolidation areas extending towards the parenchyma are selected in the left lung upper lobe lingular segment and right lung lower lobe mediobasal segment. No pleural effusion was detected.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortic pulmonary, bilateral hilar and right paraesophageal narrow lymph nodes less than 1 cm in diameter are observed.\n<bone>: A sclerotic lesion with a diameter of 6 mm is observed in its immediate vicinity with a similar appearance. A nonspecific sclerotic lesion with a diameter of 9 mm is observed in the bones, just adjacent to the glenohumeral joint on the right humerus.\n<abdomen>: On CT sections passing through the upper abdomen without contrast; appears to be cholecystectomized. No pathology was detected in the bilateral adrenal gland. Accessory spleen with a diameter of 19 mm is observed adjacent to the lower pole of the spleen. On the anterior abdominal wall on the right, there is a loculated, approximately 4 cm long, 1.5 cm thick fluid extending towards the rectus abdominis muscle. In this localization, there are possible post-op density increases in the subcutaneous fatty tissue extending to the rectus abdominis muscle.\n\nImpression:\nDiffuse subpleural and centrilobular nodules in both lungs.  Apart from these nodules in both lungs, nodules with a diameter of 7.5 mm on the right and 4.5 mm on the left at the apex. Clinical evaluation is also recommended.  Focal consolidations in the left lung lingular segment and right lung lower lobe mediobasal segment; The patient has a history of Covid. Consolidations may be secondary to this."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17489/train_17489_b/train_17489_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are mild sequelae changes at the apical level in both lungs. There is a 2 mm diameter nodule in the anterior segment of the right lung upper lobe. There is a 2 mm diameter nodule on the interlobar fissure.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected. A subpleural nodule with a diameter of 2 mm is observed in the middle lobe.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of mediastinal major vascular structures is normal. There is thymic tissue in the anterior mediastinum with trigonal configuration that does not cause mass effect.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere was no finding compatible with pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17501/train_17501_a/train_17501_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41234",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17504/train_17504_a/train_17504_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41241",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The appearance suggests primarily opportunistic infections and viral pneumonias in the patient with neutropenia. Nodular ground glass densities are observed in the upper, middle and lower lobes of the right lung. Apart from this, minimal ground glass densities are also observed in the left lung inferior lingular segment. Especially in the lower lobe superior and lateral parts of the right lung, there are tre-inbud-like ground glass areas.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17507/train_17507_b/train_17507_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Minimal peribronchial thickness increase is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is an 11 mm diameter mostly calcific nodule in the medial segment of the left lung lower lobe. In the right lung upper lobe and lower lobe lateral segment, the nodular consolidation areas accompanied by the peripheral halo observed in the previous examination of the patient show significant regression. In the mediastinum and bilateral hilar regions, several lymph nodes with a short diameter of 7 mm are observed, the largest of which is in the right lower paratracheal area. Findings are consistent with opportunistic infections, especially fungal infections. There is a mosaic attenuation pattern in the lower lobes of both lungs (small airway disease?, small vessel disease?).\n<pleura>: No pleural-pericardial effusion or thickening was detected. There are interlobular septal thickness increases in both lungs and areas of linear-subsegmental atelectasis accompanied by pleural retraction from time to time.\n<mediastinum>: Millimetric calcific atheroma plaque is observed in the aortic arch. In the mediastinum and bilateral hilar regions, several lymph nodes with a short diameter of 7 mm are observed, the largest of which is in the right lower paratracheal area.\n<heart>: Heart contour and size are normal. The central venous catheter placed from the right ends at the right atrium junction.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<breast>: An increase in thickness is observed in the left breast skin. There are several millimetric calcific lesions in both breasts. It is stable (fibroadenoma?).\n<bone>: Thoracic kyphosis is increased. There is a hypodense lesion with trabebulations in the T7 vertebral corpus. Anterior bridging osteophytes are observed in the corners of the thoracic vertebra corpus.\n<abdomen>: Millimetric calcific atheroma plaque is observed in the aortic arch. Sliding type hiatal hernia is observed at the esophagogastric junction. Multiple calcifications are observed in the spleen parenchyma. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. It is stable.\n\nImpression:\nMultiple myeloma at follow-up.  Nodular consolidations in the right lung with peripheral halo; looks regressed. The outlook is compatible with opportunistic infections, especially fungal infections.  Mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  Increases in interlobular septal thickness in both lungs, areas of linear-subsegmental atelectasis in places.  Partial calcified nodule in the medial segment of the lower lobe of the left lung; is stable.  Mediastinal millimetric lymph nodes; is stable.  Hiatal hernia.  Thickening of the left breast skin, a few calcified lesions in both breasts; stable (fibroadenoma?).  Thoracic spondylosis, stable hypodense lesion (hemangioma?) in the T7 vertebral body."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17507/train_17507_c/train_17507_c_1.npy"
        ]
    },
    {
        "id": "report_generation_41282",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings were evaluated as compatible with lung parenchymal involvement of Covid infection.\n<pleura>: In the lung parenchyma, there are peribronchial and subpleural infiltration areas of ground-glass density that become prominent towards the bilateral bases.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings consistent with lung parenchymal involvement of Covid infection."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17522/train_17522_a/train_17522_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41284",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheomegaly is present.\n<lung>: Paraseptal emphysema areas and pleuroparenchymal irregularly circumscribed densities in the apical segment of the right lung upper lobe were considered in favor of sequelae. Cystic bronchiectasis foci are observed in the left lung upper lobe posterior segment and apical segment. Compatible with Covid pneumonia.\n<pleura>: In both lungs, there are subpleural and peribronchial ground-glass density and pneumonic infiltrates in the form of consolidation areas in places. A smear-like effusion is observed between the leaves of both pleura. Pleural parenchymal linear atelectesis is observed in the basals.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. In the mediastinum, millimetric nonspecific lymph nodes located in the upper-lower paratracheal and right peribronchial areas were observed.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings compatible with Covid pneumonia  Bilateral mild pleural fluid in the form of smearing  Cystic bronchiectasis foci in the upper lobe of the left lung, parenchymal sequelae changes in the apical segment of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17523/train_17523_a/train_17523_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41286",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheomegaly is present. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The appearance was primarily evaluated as compatible with the sequelae of pleurisy. No discernible mass-pneumonic infiltration was detected in the lung parenchyma. A 3.5 mm diameter calcified nodule was observed in the right lung lobe. Subsegmental atelectasis and fibrotic changes were observed in the lingular segment in the anterior upper lobe of the left lung, and in the middle lobe and lower lobe basal segments of the right lung. Apart from this, several millimetric nonspecific parenchymal nodules measuring 4.5 mm in diameter were observed in the laterobasal segment of the left lung lower lobe.\n<pleura>: A slightly more prominent smear-like effusion was observed on the right between the leaves of the pleura in both hemithorax. Both lungs are in the upper lobe; prominently in the apicoposterior segment; Changes including the pleura compatible with the sequela were observed, causing extensive parenchymal distortion in which traction bronchiectasis and bulla formations were observed.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. In the mediastinum, nonspecific lymph nodes of millimetric size, which do not reach pathological dimensions, are located in the upper-lower paratracheal and right peribronchial areas.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nSequelae accompanied by traction bronchiectasis and bulla formations causing parenchymal distortion in both upper lobe apicoposterior segments of both lungs; is stable.  Emphysematous changes in both lungs and prominent bulla formations on the left.  Diffuse areas of subsegmental atelectasis in both lungs.  Pleural effusion, more prominent on the right, in the form of bilateral smears.  Bilateral nonspecific pulmonary nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17523/train_17523_b/train_17523_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41297",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A 4 mm diverticulum was observed in the right posterolateral aspect of the trachea. The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, an area of hypodense well-circumscribed nodular lesion with a diameter of 24 mm was observed in the upper pole anteromedial of the left kidney (cyst?).\n\nImpression:\nDiverticulum 4 mm in diameter on the right posterolateral trachea . Hiatal hernia . Well circumscribed hypodense lesion (cyst?) in the upper pole anteromedial of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17528/train_17528_a/train_17528_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41322",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: In both lungs, nonspecific parenchymal nodules of 5.2 mm in diameter were observed, the largest of which was superposed on the major fissure in the anterobasal segment of the lower lobe of the right lung. When examined in the lung parenchyma window; Atelectasis changes that cause volume loss and structural distortion were observed in the left lung inferior lingular segment. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Nodular wide ground glass opacity with vascular enlargement is observed peripherally in the right lung lower lobe basal segment, and the appearance is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis. Gall bladder, spleen, pancreas, both kidneys, bilateral adrenal glands are normal and no space-occupying lesion was detected.\n\nImpression:\nNodular ground glass opacity with signs of vascular enlargement, located peripherally in the basal segment of the lower lobe of the right lung; the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Nonspecific millimetric parenchymal nodules in both lungs.  Atelectatic changes in the left lung upper lobe lingular segment causing minimal volume loss and structural distortion. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17536/train_17536_a/train_17536_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse, mostly peripherally located, patchy ground glass densities and consolidation areas are observed in both lungs. The findings were evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are mild hypertrophic osteophytic taperings in the vertebral corpus endplates.\n<abdomen>: The gallbladder was operated. adenoma? Right adrenal glands were normal and no space-occupying lesion was detected. There is a 42 mm oval-shaped finding in the left adrenal gland lodge. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. A change in favor of steatosis is observed in the liver parenchyma entering the cross-sectional area. It was evaluated as suboptimal within the limits of the study.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  Diffuse density reduction in bone structures, mild hypertrophic tapering of endplates.  There is a 42 mm oval-shaped finding in the left adrenal gland lodge. It was evaluated suboptimally within the limits of the examination. Adenoma? Clinical lab core, further examination is recommended.  Appearance compatible with hepatosteatosis in the liver parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17545/train_17545_a/train_17545_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Peripheral and centrally located ground glass areas are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. The ground glass areas are accompanied by minimal interlobular septal thickening in places. The views described during the pandemic process were primarily evaluated in favor of Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: The findings are accompanied by band-like linear density increases parallel to the pleura. There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. No upper abdominal free fluid-collection was detected in the sections. No upper abdominal mass was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17547/train_17547_a/train_17547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41354",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The appearance is not typical for Covid-19 pneumonia, but viral pneumonias are considered in the differential diagnosis. When examined in the lung parenchyma window; In both lungs, more common centriacinar ground glass nodular infiltrates in the upper lobes and centriacinar nodules with ground glass densities around the lower lobes and patchy consolidation areas are accompanied. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Subsegmentary atelectasis changes were observed in the anterior segment of the lower lobe of the right lung, and millimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nViral pneumonic infiltration in the lung parenchyma; It is not typical for Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Millimetric nonspecific parenchymal nodules in both lungs.  Passive atelectatic change in the anterior segment of the right lung upper lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17552/train_17552_a/train_17552_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41369",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 pneumonia. When examined in the lung parenchyma window; more peripherally located patchy ground glass densities are observed in both lungs. Clinical and laboratory correlation and close follow-up are recommended.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A 15 mm oval-shaped hypodense finding in the right adrenal gland was initially evaluated in favor of adenoma within the limits of the examination. The left adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings compatible with Covid-19 viral pneumonia, clinical and laboratory correlation and close follow-up are recommended for differential diagnosis of other infectious processes.  A 15 mm oval-shaped hypodense finding in the right adrenal gland was initially evaluated in favor of adenoma within the limits of the examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17560/train_17560_a/train_17560_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Two tracheal cysts are observed in the right posterolateral aspect of the upper paratracheal region. Their sizes reach 13 and 7 mm diameters, respectively, and are associated with the trachea. Trachea is minimally deviated to the right. These plugs do not completely close the trachea and both main bronchi. In the lower trachea, just before the carina, dense densities appearing to be impacted on the posterior wall are observed (mucus plug?).\n<lung>: It reaches a thickness of approximately 47 mm in the widest part of the left lung and approximately 3 cm in the widest part of the right lung. When these appearances are evaluated together with the patient's clinic, they may primarily be compatible with aspiration pneumonia. In the depandant zones of both lungs, consolidation areas are observed that are more prominent in the right lung and contain air bronchograms from place to place. Pneumonia is included in the differential diagnosis. Diffuse emphysematous changes are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Anxious pleural effusions are observed in both lungs.\n<mediastinum>: Their sizes reach 13 and 7 mm diameters, respectively, and are associated with the trachea. In the evaluation of mediastinal main vascular structures, the examination could not be performed due to the lack of contrast. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart size increased.\n<bone>: Vertebrae have degenerative osteophytes.\n<abdomen>: Atheroma plaques are observed in the aorta and coronary arteries. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Widespread ascites is observed in the abdomen.\n\nImpression:\nAreas of consolidation in both lungs that may primarily be compatible with aspiration pneumonia  Pleural effusion in both lungs, diffuse intra-abdominal ascites.  Calcific atheroma plaques in the aorta and coronary arteries, increased heart size.  Diffuse emphysema in both lungs.  Diffuse degenerative changes in bones."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17574/train_17574_a/train_17574_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41426",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are several nodular densities projecting into the lumen, the largest at the level of the right lateral wall (mucus secretion?) In the thoracic entrance, a 3 mm diameter nodule is observed at the level of the minor fissure on the right. A 2 mm diameter nodule is observed in the upper lobe anterior segment of the left lung. No finding compatible with pneumonia was observed. There are sequelae pleuroparenchymal linear densities in the middle lobe. In the evaluation of both lungs in the parenchyma window; there is an azygos fissure variation on the right.\n<pleura>: No significant pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of major vascular structures in the mediastinum is natural. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17590/train_17590_a/train_17590_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: The outlook is suggestive of Covid-19 pneumonia during the recovery period. There are paraseptal emphysematous changes in both lung apical segments. Viral pneumonias are considered in the etiology of the findings. The findings are accompanied by sequela parenchymal changes.\n<pleura>: Pericardial, pleural effusion was not detected. When examined in the lung parenchyma window; multilobar subpleural localized consolidation and density increases in ground glass density were observed in both lungs.\n<mediastinum>: Fusiform lymph nodes are observed in the mediastinum, the largest of which is at the lower paratracheal level and the fatty hilus measuring 14 mm in short diameter is observed. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Vertebral corpus heights are preserved.\n<abdomen>: There is a lesion measuring 26 mm in diameter in the corpus of the left adrenal gland, in which millimeter-sized fat densities are also observed (adenoma?). In the upper abdominal sections within the image, a diffuse decrease in liver parenchyma density secondary to hepatosteatosis was observed. There are millimetrically sized hyperdense stones in the gallbladder lumen. Calcific atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. It is natural. No mass lesion was detected.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Lymph nodes in the mediastinum with a short diameter exceeding 1 cm with a fusiform configuration and a fatty hilum.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Hepatosteatosis.  Cholelithiasis.  Nodular lesion (adenoma?) in the left adrenal gland corpus, in which fat densities in millimeters are observed within the nodular."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17592/train_17592_a/train_17592_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41439",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Widespread ground-glass areas and consolidations are observed, more prominently in both lungs, lower lobe, and peripheral areas. The manifestations described are of the type often observed in Covid-19 pneumonia. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. In liver parenchyma density, there is a decrease in density compatible with moderate-to-severe adiposity.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17596/train_17596_a/train_17596_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41447",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: The effusion measured approximately 40 mm at its thickest point, adjacent to the basal segments of the lower lobe of the right lung. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There are nonspecific nodules in both lungs measuring approximately 5 mm in diameter, the largest in the right lung.\n<pleura>: It is observed that the pleural effusion is loculated and sometimes extends to the fissures. Atelectasis is observed in the lung adjacent to the pleural effusion. Minimal reduction in the size of loculated pleural effusions observed in both hemithorax was observed. Pleural effusion was observed in both hemithorax. No significant pleural thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There are calcific atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Collections are also available in the perihepatic and perisplenic regions. No upper abdominal pathologically enlarged lymph nodes were observed in the sections. Larger ones of the described collections are observed in the perisplenic region and measure 40 mm at their thickest point. There are calcific atheromatous plaques in the aorta and coronary arteries. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT.\n\nImpression:\nOperated over ca on follow-up . Pleural effusions loculated in both hemithoraces, collections in the perihepatic and perisplenic region and adjacent to the inferior vena cava . Emphysematous changes in both lungs . Atelectasis in both lungs . Nodules in both lungs . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17599/train_17599_b/train_17599_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41453",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Since the examination of the mediastinal structures is uncontracted, it was evaluated suboptimally and as far as can be observed; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A 4.5 mm diameter parenchymal nodule is observed in the paracardiac localization in the medial segment of the middle lobe of the right lung. The outlook can be observed in covid-19 pneumonia, but it is not specific. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lungs (Small airway disease?, small vessel disease?).\n<pleura>: There are pleural parenchymal sequelae density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung. Subpleural focal ground-glass density increases are observed in the right lung middle lobe lateral segment and lower lobe mediobasal segment.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: The ascending aorta measures 40 mm in diameter and shows slight dilatation. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: Degenerative changes are observed in bone structures. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density has decreased diffusely in line with fatty deposits. In the upper abdominal sections in the examination area, a 17 mm diameter parenchymal calcification is observed at the level of the liver dome.\n\nImpression:\nSubpleural ground-glass density increases in the middle lobe and lower lobe of the right lung, the appearance can be observed in early covid-19 pneumonia, but is not specific. Clinical and laboratory correlation is recommended.  Sequelae changes in both lungs.  Slight dilatation of the ascending aorta.  Hiatal hernia.  Nonspecific parenchymal nodule in the right lung.  Fusiform dilatation of the ascending aorta.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17601/train_17601_a/train_17601_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: In both lung parenchyma adjacent to the effusion, there are areas of increased density consistent with consolidation in which air bronchograms are observed, which is primarily evaluated in favor of compressive atelectasis. Pneumonic infiltration is considered primarily in its etiology. However, pneumonic infiltration cannot be excluded. In addition, diffuse peribronchial thickness increase in the anterior upper lobe of the right lung, accompanied by diffuse peribronchial thickness increase, are observed in the peribronchial area, with an indistinctly limited ground glass density in the appearance of a tree with buds.\n<pleura>: In both pleural spaces, effusion up to 40 mm is observed on the right at its deepest point.\n<mediastinum>: In the mediastinum, lymph nodes with a fusiform configuration, measuring 11 mm in diameter, were observed in the prevascular, aorticopulmonary window, and in the paratracheal and subcarinal area, the largest of which was at the subcarinal level. Mediastinal vascular structures and heart examination IV.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV. Calcific atheroma plaques were observed on the walls of the coronary vascular structures. There is minimal pericardial effusion.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nCalcified atheromatous plaques in the wall of coronary vascular structures.  Pericardial and bilateral pleural effusion.  Areas of increase in density consistent with consolidation in which air bronchograms are observed in the lower lobes of both lungs adjacent to bilateral pleural effusion; Although the appearance may belong to compressive atelectasis, the underlying pneumonic infiltration cannot be excluded. In addition, peribronchial diffuse thickness increases in the anterior upper lobe of the right lung are accompanied by indistinct limited areas of density increase in ground glass density in the appearance of a tree with buds in places in the peribronchial area. Pneumonic infiltration is considered in its etiology.  Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17603/train_17603_a/train_17603_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Hiatal hernia is observed. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: No pathological size or configured lymph node was detected in the hilum. There are consolidative densities with air bronchograms in the left lung upper lobe apicoposterior segment in the right middle lobe and ground glass densities around it, it is recommended to be evaluated in terms of infective processes. There are emphysematous density reductions. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits. In the case, pericardial recess is observed between the pulmonary trunk and the ascending aorta.\n<esophagus>: There is a hiatal hernia.\n<bone>: Bone structures in the study area are natural. D 7 Vertebra has hemangioma.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. The gallbladder appears contracted. A decrease in density consistent with hepatosteatosis is observed in the liver entering the cross-sectional area.\n\nImpression:\nConsolidation with air bronchograms in the right middle lobe in the apicoposterior segment of the left lung upper lobe and surrounding ground-glass densities, it is recommended to be evaluated for infective processes. Hital hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17610/train_17610_a/train_17610_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. Emphysematous changes and occasional atelectasis are also observed in both lungs. No mass or infiltrative lesion was detected in both lungs. There are minimal pleuroparenchymal sequelae changes in both lung apexes.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Atelectasis in both lungs.  Pleuroparenchymal sequelae changes in both lung apex.  Millimetric nodules in both lungs.  Atheroma plaques are observed in the aorta and coronary arteries.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17613/train_17613_a/train_17613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41495",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the right lung upper lobe, middle lobe medial segment and lower lobe superior segment, there are widespread consolidations and interlobular septal thickness increases in which air bronchograms are observed, accompanied by peripheral ground glass areas from time to time.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<bone>: Peripheral sclerotic, lytic bone metastasis can be detected with difficulty in the T11 vertebral corpus observed in the previous examinations of the patient.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; 5.5 cm diameter hypodense cystic lesion in the upper pole of the left kidney is stable. No discernible mass was detected in other upper abdominal organs. Nodular thickness increase of 12 mm in the left adrenal gland is stable.\n\nImpression:\nMetastatic lung Ca in follow-up, consolidation areas in the right lung accompanied by peripheral ground glass in which air bronchograms are observed. Findings are consistent with radiation pneumonia.  Mediastinal lymph nodes; some increase in size.  Increased nodular thickness in the left adrenal gland; is stable.  Left renal hypodense cyst; is stable.  Lytic bone metastasis in T11 vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17619/train_17619_d/train_17619_d_1.npy"
        ]
    },
    {
        "id": "report_generation_41505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A few millimetric nonspecific parenchymal nodules were observed in both lung parenchyma. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. Pleuroparenchymal sequelae density increases were observed in both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not detected. Plaques were observed in both hemithorax and locally calcified pleura.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected. A hypodense nodular lesion with lobulated contours, approximately 16x11 mm in size, was observed in the pericardium, adjacent to the left ventricular roof.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequela changes in both lungs, bilateral peribronchial thickenings.  Calcified pleural plaques in both lungs.  Nodular soft tissue lesion in the pleura adjacent to the left ventricle.  Millimetrically sized nonspecific parenchymal nodules in both lungs.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17622/train_17622_a/train_17622_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41507",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There was no finding compatible with pneumonia in both lungs.\n<pleura>: No pleural effusion or pneumothorax was observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, a decrease in density consistent with hepatosteatosis was observed in the liver.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17623/train_17623_a/train_17623_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Calcific findings are observed in bronchial structures in hilar regions.\n<lung>: Clinical laboratory correlation is recommended for the atypical viral infectious process. When examined in the lung parenchyma window; Fibrotic sequelae changes at the apical levels in both lungs, a slightly speculated nodule in the upper lobe of the right lung, measuring 7x6 mm in size in series 2 image 32, is followed by contours. A few millimetric calcific nodules are observed in both lungs. Linear atelectasis and mild bronchiectasis are observed at the basal level of the lower lobe of the right lung. There are emphysematous changes in both lungs, which are more prominent at the apical levels, but also observed in the inferiors. Minimal budding tree images are observed in the middle lobe of the right lung, which can hardly be distinguished from the medial atelectasis changes. There are atelectatic changes in the left lung upper lobe inferior lingula.\n<pleura>: Pleural calcific changes are observed in the anterior and posterior parts of the right lung, mostly in the lower lobes. Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic changes are present.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are osteopenic appearance and degenerative changes in the bone structures in the study area.\n<abdomen>: Millimetric calcification is observed in the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Atherosclerotic changes are present.\n\nImpression:\nAtherosclerotic changes  Pleural calcifications  Osteopenic appearance, degenerative changes in bone structures  Fibrotic sequelae changes in both lungs, emphysematous changes  Slight budding tree appearances and mild bronchiectasis, which can hardly be distinguished from atelectasis changes observed medially in the middle lobe of the right lung and at the basal level of the lower lobe of the right lung. ; Clinical laboratory correlation and follow-up are recommended for the differential diagnosis of atypical viral pneumonias.  It is recommended to follow-up the nodule described in the upper lobe of the right lung, due to its known primary, after excluding infectious processes.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17634/train_17634_a/train_17634_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Recurrence could not be excluded in the primary case. The described appearance may be compatible with the infectious process. The described effusion was also observed in the previous examination, and no significant change was detected. (secondary to posttreatment?, infectious process?). In addition, there is a focally similar natural area at the level of the superior lingular segment. Post-treatment control is recommended. When both lungs are evaluated in the parenchyma window: A wide consolidation area extending along the peribronchovascular bundle surrounding the lower lobe-middle lobe bronchi is observed in the perihilar area on the right. Crazy paving appearance was observed in the left lung upper lobe apicoposterior segment. Emphysematous changes that became evident in the upper lobes of both lungs, and increases in pleuroparenchymal sequelae density in both lungs were observed.\n<pleura>: There is an effusion extending to the fissure level between the pleural leaves on the right. On the right, pleural thickenings were observed in the pleura.\n<mediastinum>: No newly emerged lymph node was detected in the current examination. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. According to the previous examination, stable lymph nodes, some of which show calcification, were observed in the mediastinal, prevascular, upper-lower paratracheal, right hilar and subcarinal areas.\n<heart>: Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. The ascending aorta measures 40 mm in diameter and shows mild fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures.\n<abdomen>: A millimetric coarse calcification area was observed in the left lobe of the liver. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Other upper abdominal sections within the examination area are normal.\n\nImpression:\nLung Ca in follow-up.  Widespread consolidative areas in the right perihilar area extending through the peribronchovascular area (infectious process?); The underlying malignancy could not be excluded in the patient with primary primary tumor. Post-treatment control is recommended.  Crazy paving appearance in the upper lobe of the left lung (postinfectious?, secondary to posttreatment?). Post-treatment control is recommended.  Calcified pleural plaques in the right hemithorax, stable.  Mediastinal stable lymph nodes.  Sequelae changes in both lungs, emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17634/train_17634_b/train_17634_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are infiltration areas accompanied by budding tree appearances and centriole acinar nodules in the lower lobes of both lungs. In addition, there are infiltration areas in which air bronchograms are observed in the right lung lower lobe superior segment, right lung middle lobe medial and lateral segments, and left lung lingular segments. It is sometimes accompanied by linear atelectasis.\n<mediastinum>: Evaluation of mediastinal structures is suboptimal since the examination is unenhanced. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is a short infracarinal lymph node measuring 1.5 cm in diameter. Pre-paratracheal lymph nodes with a short diameter of 7 mm are observed.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: An increase in thoracic kyphosis is observed, and right-weighted syndesmophytes are present in the thoracic vertebrae.\n<abdomen>: Multiple millimetric stones are observed in the bilateral kidneys. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic destructive lesion was detected in the kmeic structures in the study area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRight supraaortal short lymph nodes reaching 1 cm in diameter. Mediastinal millimetric lymph nodes. Areas of acute infiltration accompanied by budding trees and centriole acinar nodules in the lower lobes of both lungs. Subpleural infiltrative lesions in the right lung lower lobe superior segment. Areas of infiltration with air bronchograms in the medial and lateral segments of the right lung middle lobe and in the left lung lingular segments. It is recommended that the patient be evaluated comparatively with previous examinations, if any, and a short-term follow-up after treatment.  Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17645/train_17645_a/train_17645_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41555",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: It has been evaluated as compatible with the Covid process. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. In the case, which was learned to have had Covid, dispersed peripheral localized in both lungs, ground-glass-like faint density increments with a general tendency to coalesce and pleuroparenchymal irregular linear density increments are observed on this background.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the coronary arteries in the mediastinum. Calibration of major vascular structures in the mediastinum is natural. Pathological size and configuration of lymph nodes are not observed at either level. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. No lymph node with pathological size and configuration was detected in the mediastinum.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Peripheral sclerotic nonspecific hypodense lesions are observed laterally in the lower rib structures of both hemithorax. Mild degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. A fat-protected parenchyma area is observed adjacent to the gallbladder.\n\nImpression:\nFindings compatible with the process in the case learned to have Covid.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17646/train_17646_a/train_17646_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41569",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative sclerotic changes, which show pressure and indentation on the lung parenchyma in the third rib on the right side, extending to the thoracic cavity measuring 12 mm in the right scapula and more than one in the ribs on the left side, and millimetrically observed in the left scapula, were evaluated in favor of osteochondromas. Other bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with osteochondromatosis, more prominent in the ribs and scapulae, the third rib on the right side (indicating compression on the lung parenchyma), and the right scapula."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17652/train_17652_a/train_17652_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41575",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The right hemidiaphragm is elevated. Particularly on the right, focal consolidations in both lungs, areas of ground glass density in their neighborhood, and thickening of the right lung upper lobe posterior, middle lobe, and interstitial elements are observed. There are metallic sutures of the operation materials at the level of the posterobasal segment of the lower lobe of the right lung. Both lung parenchyma are emphysematous. There are extensive subsegmental atelectasis in both lungs. The lower lobe of the right lung was not observed (operated).\n<pleura>: There is pleural calcification at the level of the posterobasal segment of the left lung lower lobe. There is minimal pleural effusion in the left hemithorax and passive atelectasis in the adjacent lung parenchyma. In the right hemithorax, at the level of the lower lobe, prominent thickenings of the pleural surfaces are observed. When examined in the lung parenchyma window; There is a minimal pleural effusion in the right hemithorax, locally locating, with free air images at the lower lobe level.\n<mediastinum>: There are metallic sutures in the sternum and anterior mediastinum, possibly secondary to previous operation. The diameter of the pulmonary conus is 32 mm and it has a dilated appearance. There are several LAPs, the upper, lower paratracheal, aortopulmonary, the largest 23x13 mm in size. An image of a possible port catheter, with its distal end terminating in the superior vena cava, is observed. There are wall calcifications in the aorta and coronary arteries.\n<heart>: The diameter of the ascending aorta is 43.5 mm and it has an aneurysmatic appearance. Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: On the right, the 5th-6th ribs appear to be fused in a short segment in the lateral sections. There are metallic sutures in the sternum and anterior mediastinum, possibly secondary to previous operation. Bone structures in the study area have a porotic appearance and widespread degenerative changes are present.\n<abdomen>: There are metallic sutures secondary to a possible previous operation in the right lobe of the liver and a defect secondary to possible metastasectomy in the liver parenchyma. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nRight hemidiaphragm is elevated. Wall calcifications in the aorta and coronary arteries, ascending aorta diameter is 43.5 mm, aneurysmatic appearance, pulmonary conus diameter is 32 mm, dilated appearance, cardiothoracic index has increased in favor of the heart (cardiomegaly).  Upper, lower paratracheal, aortopulmonary, several LAPs, the largest being 23x13 mm in size. Right lung lower lobe was not observed (operated).  Significant thickening of the pleural surfaces at the level of the lower lobe in the right hemithorax. Minimal pleural effusion with localized localization in the right hemithorax, with free air images in the lower lobe.  Minimal pleural effusion in the left hemithorax and passive atelectasis in the adjacent lung parenchyma. Both lung parenchyma appear emphysematous.  Particularly on the right, focal consolidations in both lungs, areas of ground glass density in their neighborhoods, and thickenings in the right lung upper lobe posterior, middle lobe, and interstitial elements of the right lung. Diffuse subsegmental atelectasis in both lungs.  Metallic sutures of the operation materials at the level of the posterobasal segment of the lower lobe of the right lung. Pleural calcification at the level of the posterobasal segment of the lower lobe of the left lung.  Metallic sutures secondary to possible previous operation in the right lobe of the liver and a defect secondary to possible metastasectomy in the liver parenchyma. Bone structures in the examination area have a porotic appearance and widespread degenerative changes.  On the right, the 5th-6th ribs appear to be fused in a short segment in the lateral sections. There is an increase in the size of the mediastinal LAPs. The amount of pleural effusion in the right hemithorax, which is localized from place to place, has increased. The pleural effusion in the left hemithorax has just developed. Areas of diffuse ground glass density observed in both lung parenchyma, focal consolidations, thickenings in the interstitial elements observed in the right lung upper lobe and middle lobe are newly developed. Apart from these, no significant difference was found."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17656/train_17656_a/train_17656_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41581",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are normal.\n<lung>: In both lungs, there are frosted glass-style density increments in all areas, which are focal but scattered in a round appearance. There are parenchymal linear densities in both lungs in places.\n<pleura>: Bilateral pleural effusion pneumothorax was not detected.\n<mediastinum>: Mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the examination area are normal.\n<abdomen>: Surrounding soft tissue plans are natural.\n\nImpression:\no Findings consistent with Covid-19 pneumonia. Other viral pathologies are included in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17659/train_17659_a/train_17659_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41585",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications compatible with tracheabronchopathic osteochondroplastica are observed in both main bronchial walls of the trachea. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to evaluate and follow-up together with previous examinations, if any. Linear subsegmentary atelectic changes were observed in the middle lobe of the right lung and the lingular segments of the left lung. When examined in the lung parenchyma window; In both lungs, the most common crazy paving pattern and nodular-patchy ground-glass consolidations showing vascular enlargement were observed in the paramediastinal areas of the left lung lower lobe superior and basal segments, which are multilobar, multisegmentary, central-peripheral located, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Tubular-cylindrical bronchiectasis and peribronchial thickening were observed in the left lung upper lobe lingular and anterobasal subsegment of the lower lobe anteromediobasal segment.\n<pleura>: Left lung lower lobe laterobasal and lower lobe superior segment; 7x6.3 mm subpleural nodules were observed, the largest of which was in the laterobasal segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the thoracic-abdominal aorta and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic-abdominal aorta and coronary arteries.\n<esophagus>: Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: At the thoracic level, scoliosis with the opening facing left and bridging spur formations in the right anterior lateral corner of the vertebrae at the mid-thoracic level were observed.\n<abdomen>: Liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. Left adrenal gland locus is normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracic-abdominal aorta and coronary arteries. A 17x12.5 mm adenoma with macroscopic fat was observed in the lateral crus of the right adrenal gland.\n\nImpression:\nAtherosclerotic wall calcifications in the thoracic aorta, abdominal aorta and coronary arteries  Hiatal hernia  Findings consistent with Covid-19 pneumonia in the lung parenchyma  Cylindrical-tubular bronchiectasis changes in the upper and lower lobes of the left lung, peribronchial thickening, linear atelectasis  Subpleural nodules in the left lung lower lobe ; It is recommended to evaluate and follow-up together with previous examinations, if any.  Hepatosteatosis  Right adrenal gland adenoma in lateral crus  Vertebra at mid-thoracic level, spur formations bridging in the right anterolateral corner and scoliosis with opening facing left"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17661/train_17661_a/train_17661_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In addition, peripheral density increases in the upper and lower lobes of both lungs, and focal ground-glass-like density increases in the subleural area were observed. Other viral pneumonias can be considered in the differential diagnosis. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Consolidation area was observed in the peripheral subpelvral area in the anterior segment of the left lung upper lobe. Fibroatelectatic changes are observed in the upper lobe of the left lung and in the lower lobe of both lungs. Bilateral plveral thickening – no effusion was detected. It was evaluated in agreement with the frequently reported imaging features of Covid-19 pneumonia.\n<mediastinum>: The diameter of the main pulmonary artery was 37 mm and it shows dilatation. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. It was evaluated in favor of hyperplasia rather than adenoma. Millimetric lymph nodes were observed in the mediastinal, upper-lower paratracheal, prevaccular, aorticopulmonary window. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. A pacemaker appearance and electrodes extending to the floor of the ventricle were observed on the anterior left chest wall. As far as can be seen; The ascending aorta measures 43 mm in diameter and shows fusiform dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Tapering and osteophotic changes were observed in the vertebral corpus corners. Thoracic kyphosis is slightly increased. Left-facing scoliosis was observed in the thoracic vertebrae.\n<abdomen>: A hyperdense lesion with a diameter of 15 mm was observed in the upper pole of the left kidney (hemorrhagic cyst?). Diffuse thickening was observed in both adrenal glands. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. In the upper abdominal sections in the study area; gall bladder was not observed (cholecystectomized). It was evaluated in favor of hyperplasia rather than adenoma. This trigger cannot be characterized.\n\nImpression:\nCardiomegaly.  Dilatation of the ascending aorta and pulmonary artery.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  There are frequently reported imaging features of Covid-19 pneumonia in both lungs. Other viral pneumonias can be considered in the differential diagnosis. Clinical-laboratory correlation is recommended.  Cholecystectomy.  Hyperdense lesion (hemorrhagic cyst?) in the upper pole of the left kidney. This trigger cannot be characterized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17679/train_17679_a/train_17679_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41648",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. In the right upper lobe, there are minimal bronchiectasis anteriorly, slight thickening of the bronchial wall, and mosaic density differences.\n<lung>: When examined in the lung parenchyma window; central and peripheral ground glass densities are observed. Sequelae fibrotic changes are observed in the upper lobe on the right, the lingular segment on the left and the middle lobe on the right, and the mediobasal region of the left lower lobe. Several nodules, the largest of which is 3 mm superiorly, are observed in the lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions are detected. Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum. Calcific atheroma plaques are observed in the aorta and thoracic aorta.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae. Bone structures in the study area are natural.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and thoracic aorta.\n\nImpression:\nFindings compatible with bilateral Covid pneumonia  Sequelae fibrotic changes in both lungs, bronchiectasis in the right upper lobe anterior, bronchial wall thickening and mosaic density differences  Aortic atherosclerosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17689/train_17689_a/train_17689_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41658",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are minimal fibrotic densities in the upper lobes of the lung. There are nonspecific nodules in both lungs, larger than 5 mm in diameter. Subsegmental atelectasis are observed in the left lingula, right lower lobe posterobasal, right middle lobe, and left lower lobe anterior.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific plaques are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Minimal wall thickening is observed in the distal esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The portal vein is in wide view. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other organs are natural. Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, the left lobe of the liver is hypertrophied and the liver contours are irregular. The spleen is 200 mm and has increased in size. The gallbladder is operated. Perihepatic minimal fluid is present.\n\nImpression:\nCoronary atherosclerosis  Subsegmental atelectasis in both lungs  Millimetric nonspecific nodules in both lungs  Suspicious findings in terms of chronic liver parenchymal disease  Cholecystectomy  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17694/train_17694_a/train_17694_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41674",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Calcific nodules are observed in the lower lobe of the right lung.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs. Calcific nodules in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17702/train_17702_a/train_17702_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and main bronchi are open.\n<lung>: Mild emphysematous changes are observed in both lungs. In the evaluation of both lung parenchyma; Pleuroparenchymal sequelae density increases are observed in the left lung inferior lingular segment and right lung middle lobe. A nonspecific parenchymal nodule with a diameter of 3 mm was observed in the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nMild emphysematous changes in both lungs, sequelae in both lungs, millimetric nonspecific parenchymal nodule in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17708/train_17708_a/train_17708_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41713",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Alveolar patchy ground-glass densities are observed at the apical levels of the upper lobes and lower lobes of both lungs. Alveolar infiltration?, secondary to cardiac stasis? Clinical laboratory correlation is recommended for differential diagnosis. When examined in the lung parenchyma window; Diffuse mosaic attenuation patterns are observed in both lungs, more prominent in the lower lobes.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Multiple small lymph nodes measuring up to 17 mm in long axis and 11 mm in short axis were observed in the mediastinum. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion measuring up to 21 mm is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a decrease in density in the bone structures in the examination area, and there is a degenerative schmourl nodule in the TH9 inferior endplate. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Thoracic aorta diameter is normal. There are several stones measuring up to 23 mm in size in the gallbladder. There is a decrease in density in favor of steatosis in the liver parenchyma.\n\nImpression:\nCardiomegaly.  Alveolar infectious processes accompanied by cardiac stasis; clinical laboratory correlation and follow-up is recommended.  Mediastinal multiple lymph nodes.  Pericardial effusion measuring up to 21 mm.  Mosaic attenuation patterns in both lungs (small airway disease?, small vessel disease?).  Cholelithiasis.  Degeneration density reduction in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17721/train_17721_a/train_17721_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41728",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Endotracheal intubation is observed. Trachea and main bronchi are open.\n<lung>: In the current examination, it is seen that these infiltrations have decreased. Except for the focal lung parenchyma in the upper lobes of both lungs, most of the lung is diffusely infiltrated.\n<pleura>: Newly developed bronchiectasis and peribronchial wall thickenings in the upper lobes of both lungs, middle and lower lobes of the right lung, apex and lingular segment of the left lung and more prominent paraseptal emphysemato areas in the apex in both lung parenchyma, especially prominent on the right, pleuroparenchymal recessions and more prominent in the lower lobes of both lungs subpleural lines are observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. Right upper-bilateral lower paratracheal, aortapulmonary lymph nodes smaller than 1 cm with a narrow diameter of 9 mm are observed.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n\nImpression:\nPrevious diffuse ground-glass densities in the parenchyma of both lungs - regression in areas of diffuse infiltration, ."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17729/train_17729_a/train_17729_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected.\n<lung>: In some of the nodular lesions, an increase in size in millimeters was noted, most notably in the nodule observed in the posterobasal segment of the left lung lower lobe. No active infiltration or mass lesion was observed in both lungs. The size of the nodule, which was measured as 6.5 mm in diameter in the posterobasal segment of the left lung lower lobe in the current examination, was measured as approximately 3.5 mm in the previous CT examination. In the examination made in the lung parenchyma window; Multiple millimetric nodular lesions were observed in both lungs, the largest of which was approximately 9 mm in diameter in the medial segment of the right lung middle lobe. No newly developed nodules were detected.\n<pleura>: Pericardial, bilateral pleural effusion was not detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in the mediastinum, both supraclavicular fossae and both axillary regions. Mediastinal vascular structures and cardiac examination IV. The porta catheter extends to the level of the superior right atrium junction of the vena cava.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and cardiac examination IV.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: No intraabdominal free fluid or loculated collection was observed. As far as it can be observed within the borders of unenhanced CT in the upper abdominal sections within the image, no significant change was detected in the size and appearance of the hypodense metastatic lesions observed in both lobes of the liver parenchyma.\n\nImpression:\nThere are millimetric metastatic nodules in both lungs. A millimetric increase was observed in the size of some nodules (most notably in the posterobasal segment of the left lung lower lobe). No newly developed nodules were detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17735/train_17735_a/train_17735_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; In both lungs, nodular consolidation areas with more common central-peripheral weighted crazy paving pattern in the lower lobes and frosted glass areas were observed around them, and the appearance is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A 13x9.6 mm lymph node that did not reach pathological dimensions was observed in the mediastinum, the largest in the right upper paratracheal region. In the non-contrast examination, the mediastinal could not be evaluated optimally.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nHigh suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17737/train_17737_a/train_17737_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41762",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and close follow-up are recommended for the onset of viral pneumonia. When examined in the lung parenchyma window; In both lungs, especially in the lower lobe superior and upper lobe inferior segments, and in the left lung lower lobe basal part, patchy small sizes and mostly peripherally located ground glass densities are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. There is an appearance compatible with hepatosteatosis in the liver. Upper abdominal organs are partially included in the study.\n\nImpression:\nIn both lungs, especially in the lower lobe superior and upper lobe inferior segments, and in the left lung lower lobe basal part, patchy small sizes, mostly peripherally located, round, ground glass densities are observed. Clinical laboratory correlation and close follow-up in terms of the onset of viral pneumonia, better diagnosis and diagnosis. recommended in terms of hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17741/train_17741_a/train_17741_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41774",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peribronchial and diffusely localized minimal density increases are observed in both lungs, in a centeracinar style that can hardly be distinguished.\n<pleura>: Apart from this, ground glass opacities consistent with Covid-19 pneumonia are observed in the subpleural areas of both lungs.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A few hypodense nodular lesions in fluid density in both kidneys included in the examination were evaluated as compatible with cysts. In addition, millimetric calculi in the left kidney were noted. Calcific atheroma plaques are observed in the coronary arteries and aorta.\n\nImpression:\nTypical-probable Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17746/train_17746_a/train_17746_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41786",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Both lung parenchymal aeration is normal. Coarse sequela calcification is observed in the fatty tissue adjacent to the pericardium left lung. No infiltrative lesion was observed in both lungs.\n<pleura>: Sequelae bronchiectatic changes in the lower lobe anterior and lateral segment bronchi in the right lung, fibrotic band formation extending from this area to the pleural surface and areas of atelectasis are observed. Sequelae of calcific pleural plaques are observed on the pleural surfaces. No pleural effusion was observed.\n<mediastinum>: Millimetric calcific atheroma plaque is observed in the aortic wall. Mediastinal main vascular structures, heart contour, size are normal. No lymph nodes in pathological size and appearance were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary regions.\n<heart>: Pericardial effusion was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the vertebral column included in the examination, osteophytic tapering is observed at the vertebral corpus corners.\n<abdomen>: Millimetric calcific atheroma plaque is observed in the aortic wall. When the upper abdominal organs included in the examination are evaluated, several hypodense well-defined nodular appearances are observed, the largest of which is 20 mm in diameter at the level of the liver right lobe segment 8. It was interpreted in favor of the cyst.\n\nImpression:\nTraction bronchiectasis interpreted in favor of sequelae, sequela fibrotic bands and atelectasis areas are observed in the anterior and lateral segment bronchi of the lower lobe of the right lung.  Sequelae calcific plaques are observed on the pleural surfaces."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17750/train_17750_a/train_17750_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41788",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The findings described are consistent with Covid-19 pneumonia. No mass lesion with delineated borders was detected in both lungs. Tubular bronchiectasis, which became prominent in the central part of both lungs, was observed. Pleuroparenchymal fibroatelectasis sequelae were observed in the medial segments of the right lung middle lobe, left lung upper lobe inferior lingular and left lung lower lobe basal segments. When examined in the lung parenchyma window; Focal small consolidation areas, peripherally located in the posterior segments of the lower lobe of both lungs and the upper lobe of the right lung, with crazy paving pattern and ground glass areas around it showing signs of vascular enlargement, were observed. Millimetric nonspecific pulmonary nodules were observed in both lungs.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nHiatal hernia.  Findings consistent with Covid-19 pneumonia in the lung parenchyma.  Millimetric nonspecific parenchymal nodules in both lungs.  Pelvropaenchymal fibroatelectatic changes in both lungs.  Tubular bronchiectasis prominent in the central part of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17751/train_17751_a/train_17751_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Respiratory artifacts and linear opacities of edema were observed in the aerated lung parenchyma. When examined in the lung parenchyma window; Effusions of 46 mm on the right and 33 mm on the left were observed in the bilateral hemithorax. There is minimal fluid in the right major fissure. Widespread compressive atelectasis is seen adjacent to the effusion.\n<mediastinum>: The main pulmonary artery is 34 mm and is ectatic. Diffuse calcific plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinum with short axes reaching 12 mm.\n<heart>: Heart size slightly increased. Pericardial effusion-thickening was not observed. The ascending aorta is 42 mm and is ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae.\n<abdomen>: Diffuse calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Cardiomegaly.  Ectasia in the ascending aorta and pulmonary arteries.  Mediastinal lymph nodes.  Bilateral pleural effusion and atelectasis.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17758/train_17758_a/train_17758_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Clinic and lab. .The etiology of the described findings may be viral pneumonia.\n<pleura>: In the evaluation of both lung parenchyma; Patchy ground glass density areas were noted in all segments of the right lung and in the lower lobe on the left, and subpleural area in the inferior lingular segments. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Verification is recommended. No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; Patchy ground glass density areas were noted in all segments of the right lung and in the lower lobe on the left, and subpleural area in the inferior lingular segments. . Viral pneumonia is considered in the etiology of the described findings.. Clinic and lab. verification is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17761/train_17761_a/train_17761_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41817",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: The CT uptake index was evaluated as 42%.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are appearances of degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17763/train_17763_a/train_17763_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41819",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Appearance is nonspecific. When examined in the lung parenchyma window; A nodular ground glass density increase was observed in the left lung inferior lingular segment and lower lobe superior segment. In the left lung inferior lingular segment, band-like sequela fibrotic density increases were observed. Early viral pneumonia should be considered in the differential diagnosis.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was detected in pathological size and appearance. Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Millimetric lymph nodes were observed in the mediastinal upper-lower paratracheal area.\n<heart>: Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Minimal calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Calculus was observed in the left kidney in the upper abdominal sections that entered the examination area.\n\nImpression:\nNodular ground-glass density increases in the upper lobe and lower lobe of the left lung; the appearance may be compatible with early viral pneumonias. Clinical and laboratory correlation is recommended.  Sequelae changes in the left lung.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17764/train_17764_a/train_17764_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41823",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The described findings are consistent with Covid-19 pneumonia in the late-resolution period. Diffuse atelectatic changes were observed in the right lung middle lobe medial, left lung upper lobe inferior lingular and both lung lower lobe basal segments.\n<pleura>: When examined in the lung parenchyma window; A smear-like pleural effusion was observed in the left hemithorax. Sequelae thickening was observed in the posterior costal pleura in the right hemithorax. In addition, there are subpleural striations in the basal segments of the lower lobes of both lungs. In both lungs, crazy paving pattern in which the more common peripheral subpleural areas are preserved in the upper lobes, and extensive ground-glass consolidations accompanied by interlobular septal thickening with signs of vascular enlargement were observed.\n<mediastinum>: Other mediastinal vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion was observed in the form of thin smears. Other mediastinal vascular structures, heart contour, size are normal. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 44 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a 6 mm diameter nonspecific hypodense lesion area was observed in the liver segment 6 (cyst?).\n\nImpression:\nFusiform aneurysmatic dilatation in the ascending aorta  Fluid-like effusion  Hiatal hernia  Late-term-resolution period in the lung parenchyma Findings compatible with Covid-19 pneumonia  Widespread in the right lung middle lobe medial, left lung upper lobe inferior lingular, and both lungs lower lobe basal segments atelectatic changes  Millimetric nonspecific hypodense lesion (cyst?) in liver segment 6"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17766/train_17766_a/train_17766_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: There are also areas of frosted glass around the described consolidation areas. There are emphysematous changes in both lungs. When these two findings were evaluated together, this appearance was thought to be primarily pneumonic infiltration. In both ventilated lungs, especially in the peripheral areas, there are ground glass areas, minimal interlobial septal thickening and cystic appearance in these localizations. There is an appearance evaluated in favor of atelectasis in the lung adjacent to the pleral effusion on the left. There is consolidation with air bronchograms in the lower lobe of the right lung, especially in the basal segments. Emphysematous changes are more prominent in the upper lobe of the lung. The distributions and appearances of the described appearances are not specific. However, a diagnosis of viral pneumonia could not be completely excluded. Masses in both lungs were not observed in this examination. These manifestations were thought to be primarily immunotherapy-induced pneumonitis. It was learned from the patient's history that he had received immunotherapy.\n<pleura>: Bilateral minimal pleural effusion is observed.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Height loss is also observed in the vertebral corpuscles at the mid-thoracic level. The height loss is most prominent in the T8 vertebra and is around 75%. The described metastatic masses are occasionally accompanied by soft tissue components.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.\n\nImpression:\nRCC, bone metastases in the follow-up . Findings evaluated primarily in favor of pneumonic infiltration in the lower lobe of the right lung . Bilateral pleural effusion, atelectasis adjacent to the oleural effusion on the left . Ground glass areas in both lungs, especially in the peripheral areas, interlobial septal thickenings and cystic appearances in places (immunotherapy-induced pneumonitis?, viral pneumonia??) . Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17775/train_17775_a/train_17775_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Evaluation with previous examinations and histopathological verification, if any, are recommended. When examined in the lung parenchyma window; In the middle lobe of the right lung, an irregularly circumscribed nodular mass lesion of 18x18 mm in size with millimetric satellite nodules was observed adjacent to the anterior. Mild emphysematous changes are present in both lungs. Millimetric sized, some calcified non-specific parenchymal nodules were observed in both lungs. There are atelectic changes in the lower lobes of both lungs.\n<pleura>: Minimal pleural effusion is observed on the right. There is a pleural effusion extending to the fissure reaching 48 mm in thickness between the left pleural leaves.\n<mediastinum>: The diameter of the main pulmonary artery was 34 mm and showed fusiform dilatation. There are lymph nodes with a central fatty hilum with a mediastinal short axis smaller than 1 cm. In the anterior mediastinal area, there is a hemorrhagic collection measuring 42 mm in its thickest part.\n<heart>: It was understood that left ventricular assist divais material was implanted in the case. On the left chest wall, there is an image of a catheter extending to the base of the pacemaker ventricle. Pericardial mild effusion is present. There are densities of the stent pattern in the coronary arteries. The evaluation of thrombosis cannot be made in this examination, since the examination is non-contracted. Heart size increased. The diameter of the ascending aorta was 38 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is an appearance of sternotomy on the anterior thorax wall. There is separation in the inferior of the sternum. Clinical evaluation for sternal dehiscence is recommended.\n<abdomen>: Upper abdominal organs as far as can be seen in the sections; The gallbladder appears distended. Suspicious hyperdensities in terms of calculus are observed in the lumen. USG control is recommended. There are linear style post-opp collections on subcutaneous fat planes at the level of the incision line in the midline of the abdomen.\n\nImpression:\nLeft ventricular assist device material was observed. Since the examination is not contracted, it cannot be evaluated for thrombosis.  Sternal dehiscent? clinical evaluation is recommended.  Cardiomegaly.  Pericardial fusion.  Haemorrhagic collection in the anterior mediastinal area. Clinical evaluation and histopathological verification are recommended.  Significant bilateral pleural effusion on the left and extension into the fissure on the left.  Emphysematous changes in both lungs.  Millimetric sized non-specific parenchymal nodules in both lungs.  Mediastinal millimetric lymph nodes.  Cholelithiasis?. USG control is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17776/train_17776_b/train_17776_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41852",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It is recommended to be evaluated in terms of infective processes. Centriacinar nodules and reticulonodular density increases are observed in the lower lobe and lower lobe basal level and partially in the lingular segment in the superior segment of the left lung. It is also available in the old review. This level cannot be evaluated in the non-contrast examination. There are findings consistent with emphysema in both lungs. There are thickenings of the peribronchial sheath and tractional bronchiectasis in the left lung. At the left hilar level, there are several millimetric-sized, some calcific, lymph nodes. The lesion described in his previous examination was not detected. It is observed especially at the apical level of the left lung upper lobe. Ground glass style density increments are available. It is recommended to evaluate for possible lymphangitis carcinomatosis. The right hilum is markedly full. When examined in the lung parenchyma window; In the right lung, starting from the hilar level and extending towards the upper lobe anterior segment, there is a consolidative parenchyma area that cannot be distinguished from the vascular structures in the non-contrast examination, which has an air bronchogram in place, which largely obliterates the parenchyma at the apical level. There is thickening of the interlobular septa around the lesion and a reticulonodular appearance. According to his previous review, there is significant progression.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: Multiple lymph nodes are observed in the subcarinal area in the aorticopulmonary window at the prevascular level in the upper-lower paratracheal area in the mediastinum, the largest of which is in the right upper paratracheal area and measures approximately 17x9 mm. It is wider than normal. There is approximately 50% progression in the short axis of the largest lymph node. Widespread atherosclerotic changes are observed in vascular structures in the mediastinum. According to his previous examination, progression in lymph nodes is observed in size. The aortic arch calibration is 30 mm. Pulmonary trunk calibration is natural. The defined parenchyma area cannot be distinguished from mediastinal vascular structures.\n<heart>: The left atrium is prominent. CTO increased in favor of the heart.\n<esophagus>: Hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The aortic arch calibration is 30 mm. When the upper abdominal organs included in the sections were evaluated; gall bladder could not be observed in the lodge.\n\nImpression:\nThe review was evaluated together with the old CT.  Increases in reticulonodular density around the consolidative parenchyma area, which showed marked progression according to the previous examination, in the area extending from the hilar level to the apex of the right lung. It is recommended to evaluate the case in terms of mass lesions that can be located at this level.  There are mostly new nodular lesions in both lungs, the largest in the left lung (met ?).  Centriacinar nodules and reticulonodular density increases are observed in the lower lobe and lower lobe basal level and partially in the lingular segment in the superior segment of the left lung. It is recommended to be evaluated in terms of infective processes.  Findings consistent with emphysema.  At the apical level of the left lung, thickening of the peribronchial sheath extending to the hilum, consolidative parenchyma area and tractional bronchiectasis appearance. Also available in old review."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17777/train_17777_a/train_17777_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41924",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There are consolidated areas containing air brocograms in both lungs, most prominently in the posterobasal right lung lower lobe. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: CTO is within the normal range. It is slightly above normal. Lymph nodes are observed in the aorticopulmonary window at the prevascular level and in the subcarinal area in the upper-lower paratracheal area in the mediastinum. Calibration of other mediastinal major vascular structures is natural. The aortic arch calibration is 31 mm.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a compression fracture in the L1 vertebra, which causes a height loss of approximately 25%. There are changes secondary to sternotomy. Mild degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within the normal range. Slight thickening is observed in the left adrenal. It is slightly above normal. The right adrenal gland locus is normal, and no space-occupying lesion was detected. In the upper abdominal organs, including sections; not observed in the gallbladder lodge. There are operative clip appearances at this level (cholecystectomized). Perinephric oily planes are lightly soiled. The aortic arch calibration is 31 mm.\n\nImpression:\nConsolidated areas containing air brocograms are present in both lungs, most prominently in the posterobasal right lung lower lobe. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia.  Compression fracture in L1 vertebra causing approximately 25% loss of height."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17803/train_17803_a/train_17803_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Except for the nodules, no obvious pathology was distinguished in the parenchyma. No mass nodule infiltration was detected in both lungs. In the evaluation of both lung parenchyma; There are several nodules, the largest of which is 5.5 in diameter, in the anterior segment of the upper lobe of the right lung and in the middle lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper-bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Atherosclerotic calcific plaques are observed in the ascending, descending and abdominal aorta walls.\n<heart>: Calcifications are observed in the coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: There are degenerative changes in bone structures. Suture materials secondary to bypass surgery are observed in the sternium.\n<abdomen>: In sections passing through the upper abdomen, liver parenchyma density decreased in line with hepatosteatosis. Atherosclerotic calcific plaques are observed in the ascending, descending and abdominal aorta walls. It is recommended to be evaluated together with sonography and CT. There is a mass appearance of approximately 5.5 cm in diameter in the posterior cortex of the right kidney, which partially enters the examination area, which can be selected in non-contrast examination.\n\nImpression:\nNodules in the anterior segment of the right lung upper lobe and middle lobe . Additional pathology that can be distinguished from obvious artifacts in the parenchyma was not distinguished.  The appearance of a mass in the right kidney that can be considered as belonging to a renal mass in the right kidney that partially enters the examination area."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17807/train_17807_a/train_17807_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a wide tracheal diverticulum appearance on the right posterolateral at the level of the thoracic inlet.\n<lung>: A mild atelectatic lung segment is observed adjacent to the effusion. In the evaluation of both lungs in the parenchyma window; The left hemithorax is hypovolemic, especially in the lower zones. There are sequelae changes in the anterior segment of the right lung upper lobe. On the left, consolidative parenchyma areas are observed starting from the hilus and continuing along the bronchovascular sheath. No pathologically sized and configured lymph nodes were detected at the right hilar level. In general, no significant difference was found in the consolidative parenchyma area observed in the lower lobe. There are bulla-bleb formations in the upper lobe of the left lung and it is stable according to the previous examination. In the posterobasal segment of the lower lobe of the right lung, there are two adjacent nonspecific nodules with a calcific stable appearance, the largest of which is 4x3 mm in size. There is a decrease in density consistent with emphysema in both lungs. In the left lung, thickening and consolidative parenchyma areas are observed along the peribronchial sheath at the lingular segment and lower lobe level. A bulla appearance is observed at the anterobasal level of the lower lobe of the right lung. It is also observed in the old review. Small air cysts are observed in places. Sequelae change is observed at the left apical level.\n<pleura>: A pleural effusion extending from the basal to the middle zone is observed in the left lung and is approximately 17 mm thick at its widest point. It was measured as 10 mm in the previous examination and there is a slight increase in pleural effusion.\n<mediastinum>: There is a hypodense appearance compatible with necrosis in the central part of this lymph node. According to the previous examination, no significant difference was found in the size of the lymph node. The largest dimension is at the prevascular level and is approximately 33x23 mm in size. Arch aortic calibration is 30 mm, slightly above normal. Multiple lymph nodes at the upper paratracheal, lower paratracheal, aorticopulmonary, prevascular, and subcarinal levels are observed in the case. Calibration of other mediastinal major vascular structures is normal. However, in general, there are new lymph nodes compatible with the progression in mediastinal lymph nodes and an increase in size in other lymph nodes according to the previous examination.\n<heart>: CTO is within normal limits. At the ventricular level, its calibration reaches 10 mm at its widest point. Pericardial effusion is observed in the case.\n<esophagus>: Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Surrounding soft tissue planes are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Arch aortic calibration is 30 mm, slightly above normal.\n\nImpression:\nEmphysema, bulla-bleb formations in both lungs.  Mediastinal lymphadenopathy, progression according to previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17822/train_17822_a/train_17822_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41963",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. In the evaluation of both lung parenchyma; Ground-glass densities that are common in both lung parenchyma, causing crazy paving appearance formed by interlobular septal thickenings, and subpleural lines are observed in the upper lobe of the left lung and the laterobasal segment of the lower lobe of the right lung.\n<mediastinum>: Metallic densities secondary to bypass surgery are observed in the sternum and mediastinum. Right upper paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum.\n<heart>: Calcifications are present in the coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: Metallic densities secondary to bypass surgery are observed in the sternum and mediastinum. No lytic destructive lesion was observed in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCrazy paving appearances evaluated in favor of Covid-19 pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17824/train_17824_a/train_17824_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41973",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the case followed up with Covid 19 pneumonia; In the previous examination, intense patchy consolidation areas surrounding the entire lung parenchyma and ARDS findings showed regression in the current examination. Close monitoring is recommended. Other findings are stable. The described findings may be compatible with early interstitial lung disease.\n<pleura>: However, although the signs of infection in the lung parenchyma continued, linear atelectasis and subpleural streaks occurred.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17829/train_17829_a/train_17829_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41975",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The air passages of the trachea, both main bronchi, lobar and segmental bronchi are open.\n<lung>: There was no finding in favor of active infection. Diffuse slight increase in both lung parenchyma densities and accompanying traction bronchiectasis are observed in places. In the case with a history of Covid pneumonia, radiological findings are in favor of recovery of Covifd pneumonia with sequelae. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. Mild signs of parenchymal fibrosis are present. Parenchymal fibrosis findings, mild traction bronchiectasis and pleuroparenchymal linear density increases are sequela parenchymal findings.\n<pleura>: When examined in the lung parenchyma window; Pleuroparenchymal and subpleural linear density increases are observed in favor of a more prominent sequelae of previous pneumonic infection in the upper lobes of both lungs.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nIn the case with a previous Covid infection history; Mild parenchymal fibrosis and accompanying traction bronchiectasis in both lungs, pleuroparenchymal and subpleural linear density increases, sequelae are in favor of change. There was no finding in favor of active infection. It was thought that the lung parenchyma healed with sequelae. Follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17829/train_17829_b/train_17829_b_1.npy"
        ]
    },
    {
        "id": "report_generation_41983",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17833/train_17833_a/train_17833_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Several lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and they are stable. Several nodules with a diameter of 3.5 mm are observed in both lungs, the largest of which is in the posterior segment of the lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. There are minimal emphysematous changes and areas of linear atelectasis in both lungs.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Several lymph nodes with a diameter of 6 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the right lower paratracheal area, and they are stable. The widths of the mediastinal main vascular structures are normal. No enlarged lymph node was detected in pathological size and appearance.\n<heart>: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be evaluated within the non-contrast CT limits; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nAreas of atelectasis in both lungs, millimetric nonspecific nodules; is stable.  Minimal emphysematous changes in both lungs.  Millimetric hypodense nodule in the right lobe of the thyroid gland; is stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17837/train_17837_a/train_17837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41992",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: The trachea and both main bronchial air passages are open.\n<lung>: Radiological findings are compatible with early lung parenchymal involvement of Covid infection. In the basal segments, areas of depandant atelectasis are also accompanied. It is observed in several foci in the lung parenchyma. There are slight septal thickenings in places. No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma.\n<pleura>: Peribronchial and subpleural nodular ground glass density areas are observed in the superior and basal segments of the lower lobes of both lungs.\n<mediastinum>: There are millimetric nonspecific lymph nodes located in the subcarinal and bilateral lower paratracheal mediastinum. Calibrations of mediastinal main vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lymph node was observed in the supraclavicular fossa, axilla in size and appearance. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nNodular ground glass density areas are observed in several foci in both lung lower lobes. There are findings compatible with early period of Covid infection or mild lung parenchyma involvement. Clinical and laboratory correlation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17838/train_17838_a/train_17838_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Lung parenchymal aeration is normal, and no infiltrative lesion is detected in the lung parenchyma. In addition, there are millimetric nonspecific nodules in the right lung.\n<pleura>: When examined in the lung parenchyma window; Subpleural striations are observed in the posterobasal areas of both lungs and a 5 mm nodule at this level on the right. Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 39 mm and slightly ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis, mild ectasia in the ascending aorta.  Subpleural striations in the posterobasal areas of the lower lobes of both lungs, millimetric nodules in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17840/train_17840_a/train_17840_a_1.npy"
        ]
    },
    {
        "id": "report_generation_41998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as it can be evaluated; Trachea, both main bronchi are open.\n<lung>: A few nonspecific nodules are observed in both lung parenchyma. There was no finding in favor of active infiltration in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; There are linear atelectasis and pleuroparenchymal sequelae changes extending to the pleura in both lung lower lobe posterobasal segments.\n<mediastinum>: Thoracic aorta diameter is normal. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed.\n<bone>: Thoracic scoliosis with its left opening is observed. When the bone is examined in the window, an increase in thoracic kyphosis is observed. No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Gallbladder, spleen and pancreas are normal. Upper abdominal organs in the study area are natural.\n\nImpression:\nPleuroparenchymal sequelae changes in posterobasal segments of both lower lobes of both lungs. Several millimetric nonspecific nodules in both lungs.  Sliding hiatal hernia . Increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17841/train_17841_a/train_17841_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Mass lesion-active infiltration with selectable borders in both lungs was not detected. When examined in the lung parenchyma window; A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be observed within the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nSeveral millimetric nonspecific parenchymal nodules in both lungs.  There was no finding in favor of pneumonia-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17843/train_17843_a/train_17843_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42010",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: In addition, calcific nodules up to 2 mm in diameter were observed in both lungs. No mass lesion with distinguishable borders was detected in both lungs. The outlook is suspicious for Covid-19 pneumonia. When examined in the lung parenchyma window; Peripheral nodular consolidation areas are observed in the right lung upper lobe posterior and adjacent to the middle lobe major fissure, and there are ground glass densities around the consolidation areas. A 5 mm diameter pranchymal nodule was observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Right upper, lower and subcarinal, aortopulmonary, short axis of the largest lymph nodes with a diameter of 8 mm that did not reach pathological diameters were observed.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Two accessory spleens were observed in the upper pole anterior and middle segment posterior spleen. In the evaluation of the upper abdominal organs included in the sections, liver, gall bladder, both kidneys, both adrenal glands, pancreas, and spleen are normal.\n\nImpression:\nHiatal hernia . Right lung upper lobe posterior and middle lobe major fissure adjacent to nodular consolidation areas around which ground glass densities are observed, appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Well-circumscribed, millimetric parenchymal nodule in the anterior segment of the upper lobe of the right lung, millimetric subcentimetric nonspecific calcific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17847/train_17847_a/train_17847_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42014",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is an effusion reaching 3 cm in its widest part on the right, its amount is slightly decreased. There are effusions extending to the anx and fissure in both lungs, and pleuroparenchymal linear density increases are observed in the vicinity of the effusion. There is an 8 mm diameter nodule in the lingular segment of the left lung upper lobe. There is a 20 mm diameter nodular lesion with irregular borders in the superior segment of the lower lobe of the right lung. A sequela of primary tbc is observed in the apical segment of the upper lobe of the right lung.\n<pleura>: In the left pleura, the amount of pleural effusion is slightly decreased in some anxes.\n<mediastinum>: No lymph node in pathological size and appearance was observed in both axillae, in the supraclavicular fossa, in the internal mammary chain and in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<breast>: Right axillary sentinel lymph node dissection was performed. In the right mastectomy site, the skin thickness increase with mild nodularity is stable.\n<bone>: There was no significant difference in CT imaging findings of bone metastases. There are extensive lytic bone metastases in bone structures.\n<abdomen>: In the upper abdominal sections, there is an expanded, hypodense lesion measuring approximately 42 mm in diameter, which causes mild lobulation in the liver contour, adjacent to the falciform ligament in the left lobe of the liver, and it is highly suspicious in favor of metastasis. No space-occupying lesion that can be distinguished by CT was detected in the subcutaneous soft tissue. Evaluation with MRI would be appropriate. There are calculi in the gallbladder lumen.\n\nImpression:\nOperated breast Ca.  Slight regression in the amount of pleural effusion in both lung pleura, locally anxed.  Stable nodule in the upper lobe of the left lung.  There was no significant difference in the size of the irregularly circumscribed nodular consolidation area in the superior segment of the lower lobe of the right lung.  There was no difference in the CT imaging findings of lytic bone metastases.  Highly suspicious hypodense lesion in favor of liver metastasis, further examination with MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17849/train_17849_a/train_17849_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42020",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Several nonspecific nodules measuring 4 mm in diameter are observed in both lungs, the largest of which is in the posterior segment of the right lung upper lobe. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are sequela parenchymal changes in the bilateral apex.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No free fluid or loculated collection is observed. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nThere is no finding in favor of pneumonic infiltration in both lungs.  There are sequelae parenchymal changes in the bilateral apexes and a few millimeter-sized nonspecific nodules in both lungs.  Sliding type hiatal hernia was observed at the lower end of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17851/train_17851_b/train_17851_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42026",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the right lung, 1-2 nodules with 2 mm diameter are observed in the upper lobe anterior segment caudal and in the middle lobe. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; In both lungs, there are consolidated areas-ground-glass-like appearances in which air bronchograms are observed in common round-oval configuration. There are parenchymal band appearances in the middle lobe.\n<pleura>: No pleural effusion or pneumothorax was detected in both lungs.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Hiatal hernia is observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure in the examination area.\n<abdomen>: Hiatal hernia is observed. The spleen is natural. There is an area protected from fat near the gallbladder. In sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. The adrenal glands are natural.\n\nImpression:\nThe findings were initially evaluated as Covid19 pneumonia. Other viral pneumonias are present in the differential diagnosis. Evaluation together with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17854/train_17854_a/train_17854_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42031",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Linear atelectasis was observed in both lungs. There are pleuroparenchymal sequelae changes in both lung apex. There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?).\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are lymph nodes in the mediastinum and hilar regions, some of which are calcific. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs . Atelectasis in both lungs . Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17856/train_17856_a/train_17856_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42035",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In addition, parenchymal fibrosis areas that cause structural distortion in the right lung lower lobe laterobasal segment and left lung lower lobe anterobasal segment attract attention. No mass nodule-infiltration was detected in both lung parenchyma. Atelectatic changes were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. When examined in the lung parenchyma window; Bilateral peribonchial thickenings were observed.\n<mediastinum>: Mediastinal main vascular structures were evaluated as suboptimal since the examination was unenhanced. The aortic pulmonary artery diameter was measured as 26 mm and was within normal limits. In the upper-lower paratrecheal, subcarinal, and aorticopulmonary window, millimetric lymph nodes with a short axis smaller than 1 cm were observed. No lymph node was detected in pathological size and appearance. As far as can be observed, the diameter of the aorta was 38 mm. When the upper abdominal sections in the examination area were evaluated, calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic artery and coronary artery.\n<heart>: Pericardial thickening-effusion was not detected. Heart contour size is natural. Calcified atherosclerotic changes were observed in the wall of the thoracic artery and coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: S-shaped scoliosis was observed in the thoracic lumbar vertebra. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. The aortic pulmonary artery diameter was measured as 26 mm and was within normal limits. As far as can be observed, the diameter of the aorta was 38 mm. When the upper abdominal sections in the examination area were evaluated, calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic artery and coronary artery.\n\nImpression:\nCalcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery . Atelectasis changes and sequelae changes in both lungs . Bilateral peribronchial thickenings, mucosal thickening- secretion areas in the left main bronchus lumen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17858/train_17858_a/train_17858_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42076",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. During the pandemic process, these findings were evaluated in favor of Covid-19 pneumonia. Atelectasis and minimal emphysematous changes were observed in both lungs. Ground-glass appearances are observed in both lungs, being more prominent in the peripheral regions. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The diameters of the aortic arch and descending aorta are normal. Mediastinal structures are not evaluated since no contrast material is given. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. As far as can be seen; Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: Bridged syndesmophytes were observed at the vertebral corpus corners. Vertebral corpus heights, alignments and densities within the sections are normal. It is recommended that the patient be evaluated for ankylosing spondylitis.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. The diameters of the aortic arch and descending aorta are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17874/train_17874_a/train_17874_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42098",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild thickening of the peribronchovascular sheath is observed at the central level. When examined in the lung parenchyma window; Calibration of trachea and main bronchus is natural.\n<lung>: In the posterior segment of the upper lobe of the right lung, a branch with bud appearance, which may be compatible with the pneumonic infiltration area, is observed, and it is also present in the previous examination. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<mediastinum>: CTO is normal. Millimetric-sized multiple lymph nodes are observed in the mediastinum, the largest of which is 7 mm in the aorticopulmonary window and carina. The aortic arch calibration was measured as 31 mm. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. Calibration of other mediastinal major vascular structures is natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. There is right-facing scoliosis at the dorsal level.\n<abdomen>: In the evaluation of upper abdominal organs including sections; In the spleen hilum, 16x12 mm in size, the same density as the spleen is observed. CTO is normal. The aortic arch calibration was measured as 31 mm. Surrounding soft tissues are natural. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. splenule Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nMild sequelae changes in both lungs that did not differ from the previous examination . Evaluation together with the findings is recommended.  Degenerative changes in bone structure . Scoliosis with right-facing dorsal opening"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17884/train_17884_a/train_17884_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42102",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<pleura>: When examined in the lung parenchyma window; diffuse peripheral subpleural ground-glass density increases in the basal segments of the lower lobes and accompanying consolidative changes in the lower lobes were observed in both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nPeripheral subpleural icy density increases and accompanying consolidative changes that become evident in the lower lobes of both lung parenchyma. There are frequently observed radiological imaging findings of Covid-19 disease. Other viral pneumonias can be considered in the differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17885/train_17885_b/train_17885_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42108",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Mosaic attenuation pattern is observed in both lungs. There are sequelae changes in both lungs and nonspecific nodules in millimetric sizes.\n<pleura>: In addition, there is an effusion up to 20 meters on the left in the deepest part of the bilateral pleural space.\n<mediastinum>: There are no lymph nodes in the mediastinum in pathological size and appearance, and there are calcified atheroma plaques on the wall of mediastinal vascular structures. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: An increase in the cardiothoracic ratio in favor of the heart and an effusion up to 60 millimeters in the deepest part of the pericardial space are observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: In the upper abdomen sections within the image, a significant decrease in the dimensions of both kidneys is observed, and there are hypodense lesions with exophytic extension in cortical location measured in the upper pole and 25 millimeters on the left in both kidneys ( cyst? ) Degenerative changes in the bone structures within the image, increase in thoracic kyphosis and Left-facing scoliosis is observed in the thoracic vertebral column.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17887/train_17887_a/train_17887_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42115",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Clinical and laboratory correlation is recommended. Consolidation including air bronchogram was observed in the posterior-anterior of the right lung upper lobe (infectious process?). Peribronchial thickenings were observed on the right. Subsegmental etelectasis changes were observed in the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in pathological size and appearance. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratrecheal subcarinal prevascular aorticopulmonary window. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; Calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No significant collection was detected on the section surface. In the upper abdominal sections included in the study area, it was understood that the patient underwent right lobe liver transplantation. No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; Calcified atherosclerotic changes were observed in the wall of the thoracic aorta.\n\nImpression:\nAreas of consolidation in the upper lobe of the right lung (infectious process?). Clinical and laboratory correlation is recommended.  Atherosclerotic changes.  Liver right lobe transplantation.  Mild peribronchial thickenings on the right.  Emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17890/train_17890_a/train_17890_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42121",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In addition, interlobular septal thickenings are accompanied by ground-glass appearances. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17892/train_17892_b/train_17892_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42123",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No mass lesion was detected. When examined in the lung parenchyma window; Density increase areas consistent with multilobar irregular limited consolidation are observed in both lungs, and viral pneumonias (Covid-19 pneumonia) are considered in its etiology.\n<pleura>: No pericardial or pleural effusion was observed.\n<mediastinum>: In the mediastinum, lymph nodes, some of them in round configuration, are observed, the largest of which is in the right hilar region, with a short diameter of 13 mm. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. The ascending aortic diameter is 41 mm, the descending aortic diameter is 31 mm, and the pulmonary trunk diameter is 32 mm, which is larger than normal.\n<heart>: An increase in heart size is observed. Mediastinal main vascular structures were not evaluated optimally due to the lack of contrast of the heart examination.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: The ascending aortic diameter is 41 mm, the descending aortic diameter is 31 mm, and the pulmonary trunk diameter is 32 mm, which is larger than normal. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs  Calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures  Ascending aorta, descending aorta, increased caliber of the pulmonary trunk and increased heart size  Multiple in the mediastinum, some with a short diameter over 1 cm and some in a round configuration number of lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17893/train_17893_a/train_17893_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42154",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Ground-glass density increases are observed in all segments of both lungs, mostly peripherally located, and viral pneumonias are considered in the etiology of the findings. In terms of Covid-19 pneumonia, evaluation together with clinical and laboratory findings is recommended. Sequela parenchymal changes are observed in both lung lower lobe posterobasal segments. When examined in the lung parenchyma window; no mass lesion is observed in both lungs. Ventilation of both lung parenchyma is natural.\n<pleura>: No bilateral pleural effusion or thickness increase was observed.\n<mediastinum>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. A minimal pericardial effusion measuring 7 mm was observed in the deepest part of the pericardial area.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the examination area, and the height of the vertebral corpus was preserved.\n<abdomen>: A diffuse hypodense appearance secondary to hepatosteatosis is observed in liver parenchyma density. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings compatible with viral pneumonia in both lungs . Sequela parenchymal changes in the posterobasal segments of the lower lobes of both lungs . Minimal pericardial effusion . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17907/train_17907_a/train_17907_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42169",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: In the lower lobes of both lungs, right lung middle lobe and left lung upper lobe lingular segment, there are areas of linear density increase, more prominent in peripheral areas, and volume loss in places, and structural distortion. The findings described are nonspecific. The sequelae are thought to be related to changes or interstitial lung disease. When examined in the lung parenchyma window; No mass or infiltrative lesion was observed in both lungs. Uniform interlobular septal thickness increases are observed in both lungs, especially in the lower lobes.\n<pleura>: Pericardial, bilateral pleural effusion was not observed.\n<mediastinum>: The main pulmonary artery, right and left pulmonary artery diameters are larger than normal. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: Heart size increased. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area.\n<abdomen>: No lymph node was observed in pathological dimensions and appearance. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. There is no free fluid, loculated collection in the upper abdominal sections within the image.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries  Increased pulmonary artery caliber, sequela parenchymal changes in both lungs, or findings that may be related to interstitial lung disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17914/train_17914_a/train_17914_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42175",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Subsegmental atelectasis areas were observed in the right lung middle lobe and lower lobe superior segment.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. There is stent material in the wall of the coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.\n<abdomen>: Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. It cannot be characterized in this examination. In the upper abdominal sections included in the examination area, a 22 mm diameter hypodense lesion with an average HU value of 18 was observed in the left adrenal gland.\n\nImpression:\nCardiomegaly, mild calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery. Atelectatic changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Hypodense lesion in the left adrenal gland that cannot be characterized on this examination. Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17917/train_17917_a/train_17917_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are a few nonspecific nodules. Active infiltration or mass lesion was not detected in the evaluation of both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nActive infiltration or mass lesion was not detected in the evaluation of both lung parenchyma, and there are several nonspecific nodules."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17922/train_17922_a/train_17922_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42193",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is an increase in the density of the ground glass density areas and a progression towards consolidation. Its radiological pattern was evaluated as compatible with Covid pneumonia.\n<pleura>: There are bilateral asymmetrical and predominantly subpleural ground-glass opacity and pneumonic infiltration areas in both lungs in the form of intralobular septal thickening.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: It was thought that it may be related to perfusion defect and lubrication. There is patchy heterogeneity in liver parenchyma density in upper abdominal sections.\n\nImpression:\nPatchy areas of pneumonic infiltration in both lungs are consistent with the radiological pattern of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17923/train_17923_a/train_17923_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42196",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; In both lungs, there are patchy ground glass densities located in the peripheral subpleural, more prominent in the lateral and posterior parts of the lower lobes.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the evaluation of the upper abdominal organs included in the sections, there was no finding that calcifications were also observed in the capsular wall of the liver, measuring 40 mm posterolaterally in the right lobe (calcific hydatid cyst?).\n\nImpression:\nPatchy ground glass densities with peripheral subpleural localization, more prominent in the lateral and posterior parts of the lower lobes in both lungs. Hydatid cyst with calcifications on the suspicious wall of the liver in the right lobe? cyst?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17925/train_17925_a/train_17925_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42217",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. It is recommended to evaluate the patient together with his previous examinations, and further examination if necessary. A dense nodular appearance with subcapsular location of approximately 8 mm is observed at the level of segment 7 in the liver. Gallstones with a diameter of 14 mm are observed in the gallbladder lumin included in the examination.\n\nImpression:\nStone in the gallbladder and hyperdense nodular appearance in the liver. Characterization could not be made because the examination was not contrasted. Further examination is recommended if necessary."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17934/train_17934_a/train_17934_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42219",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mosaic density differences in both lung parenchyma.\n<pleura>: In some places, minimal reticular densities are observed in the subpleural area. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aortic arch. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There are millimetric calcific plaques in LAD. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Anterior osteophytes are present in the thoracic vertebrae. Degenerative changes are seen in both shoulder joints, more prominently on the right. Millimetric air grains are observed in the adipose tissue in the supraclavicular region and scapular region on the right.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal organs, including sections; There are cortical cysts in both kidneys and a 25 mm hyperdense nodular lesion is observed in the upper pole of the left kidney (hemorrhagic cyst?). Calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Mosaic density differences in both lungs (small airway disease?, perfusion defect?).  Locally minimal subpleural reticular and fibrotic densities in both lungs.  Cysts in both kidneys and hyperdense lesion in the upper pole of the left kidney (hemorrhagic cyst?).  Nodule in the right lobe of the thyroid gland.  Degenerative changes in thoracic vertebrae.  Millimetric air grains in the adipose tissue in the supraclavicular region and scapular region on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17935/train_17935_a/train_17935_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42228",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. There are several millimetric non-specific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are several millimetric non-specific nodules in both lungs. Thoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17940/train_17940_a/train_17940_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Ground glass densities are observed in the peripheral lung parenchyma in both lung parenchyma. In addition, peribronchial involvement is observed in both lungs (typical findings for Covid-19 pneumonia). There are interlobular septal thickenings in the middle lobe and in the superior segment of the lower lobe, forming a crazy paving pattern in ground glass densities.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No obvious pathology was detected in non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nGround glass densities in the peripheral lung parenchyma in both lung parenchyma, interlobular septal thickenings forming crazy paving pattern in ground glass densities in the middle lobe and lower lobe superior segment, and peribronchial involvement in both lungs (typical findings for Covid-19 pneumonia)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17943/train_17943_a/train_17943_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42243",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There are sequela parenchymal changes in the left lung. Apart from this, there are a few millimeter-sized nonspecific nodules, some of them purely calcified, in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Ventilation of both lungs is normal.\n<pleura>: A subpleural nodule measuring approximately 8.5x4.5 mm in size was observed in the anterior upper lobe of the right lung. No right pleural effusion was observed. It was evaluated in favor of subpleural lymph node. There is subcentrimetric minimal effusion in the left pleural space and there is a linear, thin, calcified benign-appearing thickness increase in the left pleura.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the bilateral supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: There are calcific atheromatous plaques on the wall of the LAD. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area. There are degenerative changes.\n<abdomen>: There are surgical suture materials secondary to the operation in the gallbladder lodge. The contour of the liver has decreased sharpness and has an irregular irregular appearance. In the upper abdomen sections within the image; A diffuse decrease in liver parenchyma density secondary to hepatosteatosis was observed. In the upper abdominal sections within the image, free fluid, loculated collection, pathological size and no lymph node were observed.\n\nImpression:\nCalcific atheroma plaques in the wall of the LAD.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Minimal left pleural effusion and linear calcified benign-appearing thickness increases in the left pleura.  Sequelae of atelectatic changes in the left lung.  A millimetric nodule in the upper lobe anterior of the right lung evaluated in favor of a pleural-based subpleural lymph node, and a few nonspecific millimetric nodules, some of which are pure calcified, in both lungs.  Findings consistent with liver parenchymal disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17945/train_17945_a/train_17945_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42270",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion or thickening. Bilateral pleural effusion, more prominent on the left, was observed. Atelectasis is observed in the lower lobes of both lungs adjacent to the pleural effusion. The pleural effusion measured 40 mm at its thickest point on the left.\n<mediastinum>: A central venous catheter inserted from the left is observed and terminates in the superior distal part of the vena cava. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: Enlargement is observed in both kidney collecting systems. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. However, no occlusive pathology was detected in the sections. Intraabdominal diffuse free fluid is observed.\n\nImpression:\nBilateral minimal pleural effusion and atelectasis in adjacent lung. Intraabdominal diffuse free fluid.  Enlargement of both kidney collecting systems."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17956/train_17956_d/train_17956_d_1.npy"
        ]
    },
    {
        "id": "report_generation_42273",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Lymphadenopathies are observed in the paratracheal region.\n<lung>: There are emphysematous changes in both lungs. In the upper lobe of the right lung, a malignant mass that appears to invade the mediastinal structures is observed. Occasional atelectasis and pleuroparenchymal sequelae changes are observed in both lungs. Interlobular septal thickening is observed in the anterior segment of the upper lobe of the right lung. Apart from this, no mass was detected in both lungs. The described appearances were evaluated in favor of lymphangitis carcinomatosa. There are also nodules in this localization, the largest measuring approximately 12 mm in diameter.\n<pleura>: Atelectasis is observed in both lung lower lobes adjacent to bilateral pleural effusion and pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. The anterior-posterior and transverse diameter of the mass was 72x74 mm at its widest point (series 2, section 184).\n<heart>: There is minimal pericardial effusion. Atheroma plaques are observed in the coronary arteries. As far as can be seen; Heart contour and size are normal. Pericardial thickening was not detected.\n<esophagus>: The shortest diameter of the largest of the described lenadenopathies (series 2 cross-section 125) measured 25 mm. There is a sliding type hiatal hernia at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are also rib fractures in both hemithorax. Lytic bone lesions are observed in almost all bone structures within the sections and were evaluated in favor of metastases.\n<abdomen>: Hypodense lesions are observed in the right lobe of the liver. The diameters of the largest of the described metastatic lesions were measured as 15 mm as far as can be observed in this examination. Upper abdominal organs within the sections cannot be evaluated because the examination is without contrast. When evaluated together with the patient's previous examinations, it was understood that these appearances were metastases. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLung Ca, malignant mass in the upper lobe of the right lung, findings evaluated in favor of lymphangitis carcinomatosis in the upper lobe of the right lung, liver metastases, bone metastases in the follow-up. Minimal pericardial effusion. Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17958/train_17958_a/train_17958_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42277",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma.\n<pleura>: There are several subpleural nonspecific millimetric nodules in both lungs. Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen cannot be observed. In the spleen localization, a 15 mm oval-shaped finding was evaluated in the direction of the accessory spleen.\n\nImpression:\nThe spleen cannot be observed. An accessory spleen of 15 mm in size is observed in the spleen lodge. Millimetric nonspecific nodules in the bilateral lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17960/train_17960_a/train_17960_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42287",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is a 9x9.5 mm calcified nodule located in the isthmus in the thyroid gland.\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In the prevascular, para-paratracheal and subcarinal areas and bilateral hilar region, calcified especially multiple millimetric lymph nodes are observed in the left hilum, the largest of which is the lower right paratracheal 6.5 mm in diameter. A nodule measuring 4x7.5x8. Short-term follow-up or histopathological diagnosis of the patient is recommended.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: In the prevascular, para-paratracheal and subcarinal areas and bilateral hilar region, calcified especially multiple millimetric lymph nodes are observed in the left hilum, the largest of which is the lower right paratracheal 6.5 mm in diameter. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta.\n<heart>: The left atrium is dilated. Metallic valvular prosthesis is observed at the level of the mitral valve.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. Sliding type minimal hiatal hernia is present.\n<bone>: In the sections, osteophytes in the corners of the thoracic vertebrae corpus, and air densities in the intervertebral disc distances are observed in places, and no lytic-destructive lesions are detected in the bone structures within the sections.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT; gall bladder is not observed (operated). There is metallic clip material in the operation lodge. There is a 10x22 mm nodular hypodense lesion with fat density in the lateral crus of the right adrenal gland (adenoma?). No upper abdominal free fluid-collection was detected in the sections. Millimetric calcific atheroma plaques are observed in the aortic arch and descending aorta.\n\nImpression:\nShort-term follow-up or histopathological diagnosis of the patient is recommended.  Stable nodule in the anterior segment of the lower lobe of the right lung.  Calcified nodule in the isthmus of the thyroid gland.  Hypodense lesion (adenoma?) with fat density in the lateral crus of the right adrenal gland.  Cholecystectomy.  Minimal hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17965/train_17965_a/train_17965_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is a slight increase in density in both lung parenchyma consistent with viral pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures are normal. Diffuse calcific atheroma plaques were observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The heart is larger than normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Widespread degeneration and osteophytes that tend to merge anteriorly are observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. There are cortical millimetric hypodense lesions in both kidneys. Diffuse calcific atheroma plaques were observed in the aorta and coronary arteries. In the upper abdominal sections, the gallbladder was operated.\n\nImpression:\nSlight increase in intensity of infiltrates in both lungs in a patient followed up with viral pneumonia.  Aortic and coronary artery atherosclerosis.  Cardiomegaly.  Cholecystectomy.  Bilateral renal hypodense lesions (cyst?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17974/train_17974_a/train_17974_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42311",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Viral pneumonia? There are vascular enlargements in the affected areas.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Atherosclerosis Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17975/train_17975_a/train_17975_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42313",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. There are emphysematous changes and local atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions, the largest measuring 10 mm in short diameter.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs. Atelectasis in both lungs.  Atherosclerotic changes in the aorta and coronary arteries. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17976/train_17976_a/train_17976_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42315",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripheral localized patchy icy densities are observed in both lungs. Clinical laboratory correlation and close follow-up are recommended for viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes measuring up to 2 mm in more than one short axis in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures and osteophytic tapering in the endplates of the vertebral corpuscles are present.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the study. Linear calcification is observed in the gallbladder wall.\n\nImpression:\nLymph nodes with a short axis measuring up to 2 mm in the mediastinum . Patchy peripheral ground-glass densities in both lungs, which may be compatible with viral pneumonia, clinical laboratory correlation and close follow-up are recommended.  Diffuse density reduction in bone structures . Linear calcification in the gallbladder wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17977/train_17977_a/train_17977_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42325",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: There are mild atelectasis in the medial and lateral parts of the right lung middle lobe. Clinical laboratory correlation and close follow-up of the findings are recommended for the onset of early viral pneumonia (Covid-19?). When examined in the lung parenchyma window; Minimal nodular ground glass densities are observed in the posterobasal segments of the lower lobe of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; There is an appearance with hepatosteatosis in the liver. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nClinical and laboratory correlation and follow-up of mild nodular ground glass densities described above especially in the left lung lower lobe basal segment in terms of the onset of Covid 19 early viral pneumonia is recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17983/train_17983_a/train_17983_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42328",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings were observed. Anteroposterior diameter of the trachea has increased. Nodular calcifications were observed in the trachea and both main bronchial walls (tracheobronkopatia osteochondroplastica). No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Density increases were observed around it in the style of frosted glass. No significant changes were detected in the nodules described from the previous review. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Diffuse emphysematous changes were observed in the upper lobes of both lungs. Tubular bronchiectasis areas that are prominent in the center were observed in both lungs. Branch with buds and centriacinar opacities were observed in the posterobasal segment of the lower lobe of both lungs.\n<pleura>: In the anterior and posterior segments of the upper lobe of the right lung, nodules causing pleural retraction and parenchymal distortion were observed. However, in the upper lobe anterior segment of the left lung, approximately 21 mm in diameter, and in the lower lobe mediobasal and posterobasal segments, 4-5 large ones with spicule contours measuring 13 mm in diameter were observed, and irregularly circumscribed pulmonary nodules with pleural tag sign were observed in the current examination. Pleuroparenchymal sequel density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung, and contour irregularities in the mediastinal pleura were observed.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The diameter of both pulmonary arteries increased. According to the previous examination, stable size and number of lymph nodes with short axis smaller than 1 cm were observed in the mediastinal and both axillary regions.\n<heart>: Heart contour, size is natural.5 mm in its thickest part.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: Degenerative changes were observed in bone structures. Minimal scoliosis with left opening was observed in the thoracic vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Left lobe/right lobe ratio increased. The bilateral adrenal gland is normal. Spleen size increased. It is recommended to evaluate for possible liver parenchymal disease. A 2 cm diameter calculus was observed in the gallbladder lumen. In the upper abdominal sections entering the examination area, the left lobe of the liver has a hypertrophic appearance.\n\nImpression:\nAn increase in the anteroposterior diameter of the trachea and nodular calcifications in its wall were evaluated as compatible with tracheabronkopatia osteochondroplastica. Diffuse emphysematous changes in both lungs, peribronchial thickenings, bronchiectatic changes.  Two stable nodules in the right lung upper lobe.  Nodular lesions in the left lung upper lobe anterior segment and lower lobe, with multiple irregular spicule contours, the larger ones showing pleural tag sign, have recently emerged in the current examination.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17985/train_17985_a/train_17985_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Bilateral peribronchial thickenings were observed. Anteroposterior diameter of the trachea has increased. Nodular calcifications were observed in the trachea and both main bronchial walls (tracheobronkopatia osteochondroplastica). No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Tubular bronchiectasis areas that are prominent in the center were observed in both lungs. Diffuse emphysematous changes were observed in the upper lobes of both lungs. Branch bud appearance and centriacinar opacities defined in the posterobasal segment of the left lung lower lobe in the previous examination are fully regressed in the current examination.\n<pleura>: In the left lung upper lobe apicoposterior segment, an increase in density causing structural distortion and shrinkage in the pleura, which does not show a clear nodular form, was observed. Pleuroparenchymal sequel density increases in the middle lobe of the right lung and the inferior lingular segment of the left lung, and contour irregularities in the mediastinal pleura were observed.\n<mediastinum>: In addition, a large number of lymph nodes with short axes measuring less than 1 cm and not reaching pathological dimensions were observed in the mediastinum and in both axillae. 1-2 pathologically sized lymph nodes were observed in the right lower paratracheal and subcarinal size, the largest of which was 22x13 mm. The diameter of both pulmonary arteries increased.\n<heart>: Heart contour, size is natural.5 mm in its thickest part.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins.\n<bone>: Degenerative changes were observed in bone structures. Minimal scoliosis with left opening was observed in the thoracic vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Left lobe/right lobe ratio increased. In the upper abdominal sections within the study area, the left lobe of the liver has a hypertrophic appearance. Bilateral adrenal gland is normal. Spleen size increased. It is recommended to evaluate for possible liver parenchymal disease. A 2 cm diameter calculus was observed in the gallbladder lumen.\n\nImpression:\nIncreased anterior-posterior diameter of the trachea, appearance compatible with tracheabronkopatia osteochondroplastica. Emphysematous changes, peribronchial thickenings, bronchiectatic changes in both lungs.  Stable nodules in the basal segments of the right lung upper lobe and left lung lower lobe, the density and size of the nodule in the left lung upper lobe apicoposterior segment decreased significantly.  Cholelithiasis. Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17985/train_17985_b/train_17985_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42334",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17986/train_17986_a/train_17986_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42344",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: It did not show a significant mass effect. Both lobes of the thyroid gland are slightly engorged and parenchymal calcifications-calcific nodules are observed in it. If necessary, US examination is recommended.\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of trachea and main bronchi is natural. Lumens are clear.\n<lung>: There are focal ground-glass-like density increases in both lungs with a peripheral distribution at the basal level. It is recommended to be evaluated together with clinical and laboratory findings in terms of Corona virus pneumonia during the pandemic process.\n<pleura>: Two subpleural nodules with 2 mm diameter are observed in the anterior segment caudal of the middle lobe of the right lung. There is a subpleural nodule with a diameter of 3 mm at the laterobasal level. There is a 6x3 mm nodule in the dorsal subpleural area in the superior segment of the lower lobe. No bilateral pleural effusion or pneumothorax was detected. A subpleural 3 mm diameter nodule is observed at the posterobasal level of the lower lobe of the left lung. There is a subpleural 4 mm diameter nodule in the right lung lower lobe superior segment.\n<mediastinum>: Thymic tissue is observed in the anterior mediastinum. CTO is normal. Calibration of other major vascular structures is natural. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. There is a lymph node with a short axis not exceeding 1 cm in the aorticopulmonary window. The aortic arch was calibrated at 31 mm, slightly wider than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. Extrarenal pelvis variation is observed in the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. The aortic arch was calibrated at 31 mm, slightly wider than normal.\n\nImpression:\nFocal ground-glass-like density increments with basal peripheral distribution in both lungs; It is recommended to be evaluated together with clinical and laboratory findings in terms of Corona virus pneumonia during the pandemic process.  Non-specific millimetric nodule formations in both lungs.  Extrarenal pelvis variation in the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_17991/train_17991_a/train_17991_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings are atypical for Covid 19 viral pneumonia. When examined in the lung parenchyma window; Linear atelectatic changes are observed in the areas extending to the periphery in the left lung superior and inferior lingula and in the right lung middle lobe. When in doubt, clinical and laboratory correlation is recommended for early onset of viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the study and were evaluated as subopotimal. Liver parenchymal density was evaluated in favor of steatosis.\n\nImpression:\nThe linear atelectasis changes described above in the lung parenchyma were primarily evaluated in favor of sequelae changes and are atypical in terms of Covid 19 viral pneumonia. In case of doubt, clinical and laboratory correlation and follow-up are recommended.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18001/train_18001_a/train_18001_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42386",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. A few millimetric nonspecific nodules are observed in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; more than one subpleural localized patchy ground glass densities are observed in both lungs. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, the liver parenchyma changes in favor of steatosis.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in both lungs, clinical lab. Cor. Recommended. Millimetric non-specific nodules in both lungs. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18001/train_18001_c/train_18001_c_1.npy"
        ]
    },
    {
        "id": "report_generation_42398",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance. Mitral valve calcifications were observed.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are appearances of degenerative osteophytes in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18005/train_18005_a/train_18005_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42427",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal bronchiectasis is observed in both lungs. There are minimal emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. The views described are not specific. However, it was learned that the patient had Covid-19 pneumonia and the described findings were thought to be sequelae changes. Diffuse ground glass areas and ground glass areas accompanying minimal structural distortion, minimal volume loss and linear density increases were observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was observed.\n<mediastinum>: The diameters of the aortic arch and descending aorta are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques were observed in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: It was understood that the patient had undergone coronary bypass surgery. The anterior-posterior diameter of the ascending aorta was 45 mm and it was wider than normal. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. The diameters of the aortic arch and descending aorta are normal. Atheroma plaques were observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18019/train_18019_a/train_18019_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Centrilobular emphysematous changes are observed at the apical levels of both lungs.\n<pleura>: When examined in the lung parenchyma window; Halo marks around nodular and subpleural ground-glass densities, especially in the right lower lobe superior, are observed in both lungs, and faintly neutral ground-glass densities, which can hardly be distinguished from the parenchyma, are observed more prominently in the lower lobe posteriors of both lungs.\n<mediastinum>: There are multiple lymph nodes measuring 8 mm in size in the mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved and mild S-shaped scoliosis is present.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nImaging can be seen especially in Covid-19 pneumonia, but it is not specific and can also be seen in other infectious-to-infectious diseases. Clinical and laboratory correlation and close follow-up are recommended for further differential diagnosis.  Mild S-shaped scoliosis is present in the dorsal vertebral corpuscles."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18022/train_18022_a/train_18022_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42446",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The cannula is observed in the tracheal lumen.\n<lung>: Right lung volume decreased. In addition, ground glass appearances are observed in both lungs. Segmentary tubular bronchiectasis and increased peribronchovascular thickness are observed in both lungs. Diffuse emphysema was detected in the apical segments of both lungs. The appearance was evaluated as secondary to infective processes. When examined in the lung parenchyma window; In the bilateral hemithorax, effusion reaching a depth of 39 mm on the right and 42 mm on the left was observed. Both lungs are emphysematous.\n<pleura>: In the middle and lower lobes of the right lung, interlobular septal thickening in prominent subpleural areas and fibroatelectatic sequelae changes that cause micro-retraction in the pleura are observed.\n<mediastinum>: Pulmonary trunk diameter 37, right and left pulmonary artery diameters increased by 24 and 25 mm, respectively. Aneurysm and secondary endovascular stent are observed in the abdominal aorta. In the mediastinum, lymph nodes with a short axis measuring less than 1 cm and not reaching pathological dimensions are observed. A catheter extending from the left internal jugular vein to the superior vena cava is observed. Although the mediastinal cannot be evaluated optimally in the examination without contrast agent, the calibration of the mediastinal main vascular structures is natural. Diffuse atheroma plaques are observed in the thoracic aorta and coronary arteries. The ascending aorta is ectatic with a diameter of 40 mm and a diameter of 32 mm from the descending aorta.\n<heart>: Pericardial effusion-thickening was not observed. KTO has increased. Verification with contrast examination is recommended.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a probe extending from the esophagus to the stomach.\n<breast>: Bilateral gynecomastia is observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Aneurysm and secondary endovascular stent are observed in the abdominal aorta. Liver, spleen, pancreas is normal as far as can be seen in the sections. Correlation with USG is recommended. Increases in reticular density are observed in plans with both kidneys perinephritic (infection?). As far as can be observed in the sections, a heterogeneous hypodense lesion area measuring approximately 5x2.9 cm in the widest part of the psoas muscle locus at the level of the left kidney renal hilus is observed (intramuscular hemorrhage? Endoleak?). Also, a hyperdense nodular lesion area of 1 cm in diameter is observed in the upper pole anterior part of the right kidney (hemorrhagic cyst?). There is a probe extending from the esophagus to the stomach. Correlation with clinical and laboratory is recommended. Both adrenal glands are normal. In both kidneys, cortical hypodense nodular lesion areas measuring 4.5x3.7 cm in size, the largest on the left, were observed (cyst?). Diffuse atheroma plaques are observed in the thoracic aorta and coronary arteries. The ascending aorta is ectatic with a diameter of 40 mm and a diameter of 32 mm from the descending aorta.\n\nImpression:\nCardiomegaly . Abdominal aortic aneurysm and endovascular stenting . Bilateral pleural effusion volume loss in the right lung Segmental-subsegmentary tubular bronchiectasis in both lungs . Emphysematous changes and ground glass areas in both lungs (infection?), clinic and lab. correlation is recommended.  Areas of hypodense lesions in both kidneys (cyst?). Hyperdense nodular lesion at the level of the middle pole of the right kidney (hemorrhagic cyst?).  Hypodense heterogeneous appearance in the left psoas muscle site (psoas hematoma ?endoleak?). Verification with contrast examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18026/train_18026_a/train_18026_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42460",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; diffuse in both lungs, especially at the upper lobe apical levels and patchy ground glass densities in the lower lobe superior, mild consolidation onsets are observed. Close clinical and laboratory correlation is recommended. The findings were evaluated in the direction of covid-19 viral pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings in the lung parenchyma consistent with Covid-19 viral pneumonia. Clinical and laboratory correlation follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18032/train_18032_a/train_18032_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: An increase in reticular density, traction bronchiectasis, parenchymal distortion and chronic fibrotic lesion appearance were observed in the apex of the right lung. In bilateral fissures, thickening was observed in the lateral part. In the bilateral lung, there are many mostly millimetric nodules, the largest of which is a 5 mm diameter nodule in the lateral basal segment of the left lung lower lobe. In the evaluation of both lung parenchyma; Diffuse panlobular and centrilobular emphysema are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum. There are calcific atheromatous plaques in the main vascular structures.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: There are degenerative changes in bone structures.\n<abdomen>: Cortical cysts were observed in the right kidney. In the sections passing through the upper part of the abdomen, millimetric low-density nodular thickenings were observed in the bilateral adrenal glands. adenoma? It is recommended to evaluate with MRI under elective conditions after infection. There are calcific atheromatous plaques in the main vascular structures.\n\nImpression:\nEmphysema Clonic fibrotic lesion in right lung Bilateral pulmonary nodules Atherosclerosis Bilateral adrenal adenoma? It is recommended to evaluate with MRI under elective conditions after infection. Cortical cysts in the right kidney Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18037/train_18037_a/train_18037_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42487",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath is observed. Calibration of the trachea and main bronchi is normal. Lumens are clear.\n<lung>: In the right lung, there are consolidative density increases in the area starting from the upper lobe anterior segment and extending to the hilum in the middle lobe. There is a stable nonspecific nodule with a size of 2 mm in the anterobasal. A stable nodule of 5 mm in size is observed in the middle lobe. There are pleuroparenchymal densities in the inferior lingular segment. The right lung has a hypovolemic appearance due to right upper lobectomy. There is a stable nodule with a diameter of 4 mm in the anterior at the level of the anterior segment of the right lung upper lobe. Sequelae changes are observed at both apical levels. There is a decrease in density consistent with emphysema in both lungs. In the lower lobe, pleuroparenchymal sequelae increase in dacite is observed.\n<mediastinum>: CTO is normal. It is wider than normal. Calcific atheroma plaques are observed in the abdominal aorta. Calibration of other major vascular structures is natural. No pathologically sized and configured lymph nodes were detected at mediastinal and both hilar levels. Thoracic aorta diameter is normal. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta and coronary arteries. It is observed as slightly displaced from the mediastinum to the right. The aortic arch calibration is 31 mm.\n<heart>: Pericardial effusion-thickening was not observed. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: A nonspecific hypodense lesion with a diameter of 7 mm is observed in the left lobe of the liver. CTO is normal. It is wider than normal. Calibration of other major vascular structures is natural. Calcific atheroma plaques are observed in the abdominal aorta. Thoracic aorta diameter is normal. In the right kidney, a density that may be compatible with a calculi with a diameter of 3 mm is observed. Apart from this, there are nodular densities evaluated in favor of vascular calcification. Surrounding soft tissue plans are natural. There is a stable hypodense lesion with a diameter of 5 mm in the posterior segment caudal of the right lobe. At the level of the aortic arch, calcific atheroma plaques are observed in the descending aorta and coronary arteries. Perinephric fatty planes are dirty bilaterally. Apart from these, other upper abdominal organs included in the sections are natural. The aortic arch calibration is 31 mm.\n\nImpression:\nIn the follow-up, operated lung Ca, right upper lobectomized, postoperative changes at this level, consolidation areas extending to the hilum  Formation of several millimetric nonspecific nodules stable in both lungs.  Findings consistent with emphysema in both lungs.  Atherosclerotic changes and degeneration of bone structure.  Stable nonspecific hypodense lesions in the liver.  Suspicious density of calculi in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18042/train_18042_a/train_18042_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42489",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are linear atelectasis. Stable soft tissue densities are observed in the lobectomy area, consistent with the postoperative change in the suture material and in the vicinity of the suture material. Apart from this, mosaic lung pattern is observed in both lungs. The largest of these nodules are observed in the medial and lateral segments of the right lung middle lobe, and their dimensions are stable. When examined in the lung parenchyma window; It was understood that right lung upper lobectomy was performed. Several pulmonary nodules of stable size and appearance are observed in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Since the examination is without contrast, the evaluation of solid organs and vascular structures and mediastinum is suboptimal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nOperated lung Ca in follow-up  Pulmonary nodules in stable number and size when evaluated together with old films  Calcific plaques in aorta, coronary arteries  Minimal emphysematous changes, sequelae changes, postoperative changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18042/train_18042_b/train_18042_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Linear atelectatic changes are observed in the anterobasal part of the left lung upper lobe. It has been primarily evaluated for infiltration, and clinical laboratory correlation and close follow-up are recommended. When examined in the lung parenchyma window; There are ground glass densities with light air bronchogram signs in the upper lobe anterobasal part of the right lung and a few posterobasal contours of the lower lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround glass densities measuring up to 8 mm, including two air bronchogram signs, are observed in the anterobasal part of the right lung upper lobe and posterobasal part of the right lung lower lobe. Clinical and laboratory correlation and close follow-up are recommended for better differential diagnosis in terms of infiltration?, nodule? There are linear atelectatic changes in the left upper lobe anterobasal part of the left lung.  There is an appearance compatible with a small amount of pleural effusion in the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18044/train_18044_a/train_18044_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42505",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. These findings are not typical for covid-19 pneumonia. In addition, centriacinar nodules, some of which have the appearance of budding trees, and areas of ground glass are observed in both lungs. Occasional atelectasis was observed in both lungs. Bronchiectasis and peribronchial thickening are observed in both lungs, most prominently in the right lung upper lobe anterior segment, left lung lower lobe anteromediobasal segment, and left lung upper lobe lingular segment. the described appearances were evaluated in favor of infective pathology.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is observed that the pacemaker materials terminate in the right atrium and ventricle. There is thinning of the left ventricular apex and calcification in this localization, and the described appearance was evaluated in favor of sequelae change. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Periosteal reaction was not observed. There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nBronchiectasis and peribronchial thickening in both lungs and centriacinar nodules in both lungs, some of which have the appearance of budding trees, and surrounding areas of ground glass. Emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18048/train_18048_a/train_18048_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes increased. It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: No occlusive pathology was observed in the trachea and lumen of both main bronchi.\n<lung>: The outlook was evaluated in favor of viral pneumonias, especially Covid-19 pneumonia. There is compressive atelectasis in the area adjacent to the effusion in the basal segment of the left lung lower lobe. Mosaic attenuation pattern was observed in both lungs. There are interlobular septal thickenings and peribronchial cuffing in the right lung middle and lower lobe basal segments. More extensive areas of nodular-patchy consolidation were observed in the right lung, multilobar, multisegmentary peribronchial weighted lower lobe superior segment. It was evaluated as secondary to small airway stenosis.\n<pleura>: A pleural effusion measuring 22 mm at its deepest point in the right hemithorax and 29 mm at its deepest point in the left hemithorax was observed. Pleural thickening was not observed.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal major vascular structures is natural. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed.\n<heart>: Defined findings were evaluated in favor of cardiac overload findings. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the coronary arteries. Heart size increased. As far as can be seen, cardiac pacemaker on the anterior chest wall on the left and electrodes extending to the floor of the right ventricle and to the epicardial fat pad on the left were observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. It is recommended to be evaluated together with clinical and laboratory. As far as can be seen, cardiac pacemaker on the anterior chest wall on the left and electrodes extending to the floor of the right ventricle and to the epicardial fat pad on the left were observed. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\n· An increase in thyroid gland size is recommended to be evaluated together with US. Cardiomegaly, calcific atheroma plaques in the coronary arteries. Cardiac stasis with bilateral pleural effusion in the lung parenchyma. · Mosaic attenuation pattern secondary to narrowing of segmental bronchial lumens in both lungs. · Findings that may be compatible with viral pneumonias, especially Covid-19 pneumonia in the right lung; It is recommended to be evaluated together with the clinic and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18051/train_18051_a/train_18051_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42512",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: A few millimeter-sized nonspecific nodules were observed in both lungs. When examined in the lung parenchyma window; Multilobar mostly peripherally located ground glass and density increase areas consistent with consolidation were observed in both lungs, and viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings. Ventilation of both lungs is natural. No mass was detected in both lungs.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: Calcified atheroma plaques in millimetric sizes were observed in the wall of the aortic arch. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n<abdomen>: Calcified atheroma plaques in millimetric sizes were observed in the wall of the aortic arch. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18052/train_18052_a/train_18052_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42540",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; One or two millimetric nonspecific nodules are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the coronary arteries and aortic arch.\n\nImpression:\nOne or two millimetric nonspecific nodules in each lung.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18062/train_18062_b/train_18062_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42561",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The bronchial walls are thickened in places. Central bronchovascular structures are prominent.\n<lung>: Minimal emphysema is seen in both lungs. A millimetric nonspecific nodule was observed in the lower lobe of the right lung. There are sequelae changes in the upper lobe apex.\n<pleura>: Pleural effusion is seen in the form of a smear on the left and a diameter of 17 mm on the right. When examined in the lung parenchyma window; interlobular septal thickening and subpleural reticular densities are seen in both lungs.\n<mediastinum>: The proximal section of the descending aorta is 34 mm and is ectaic. Other major mediastinal vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are surgical changes in the sternum and anterior mediastinum. Diffuse calcific plaques were observed in the coronary arteries and aorta.\n<heart>: The heart is larger than normal. Diffuse calcific plaques were observed in the coronary arteries and aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There are surgical changes in the sternum and anterior mediastinum. There are minimal height losses in the vertebral corpuscles.\n<abdomen>: Diffuse calcific plaques were observed in the coronary arteries and aorta. In the upper abdominal organs included in the sections, the gallbladder is operated. The proximal section of the descending aorta is 34 mm and is ectaic.\n\nImpression:\nChanges of bypass surgery  Severe coronary atherosclerosis  Ectasia in the descending aorta  Right pleural effusion  Interlobular septal thickening and reticular densities (interstitial lung disease?), more prominent in the subpleural area in the lower parts of both lungs.  Sequelae changes in both lungs, minimal emphysema and nonspecific nodule in the lower lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18069/train_18069_b/train_18069_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42563",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: There are appearances compatible with pleural nodular metastatic lesions measuring up to 21 mm in size, more prominent at the posterobasal level of the left lung lower lobe, and appearances compatible with suspicious metastatic lesions evaluated as suboptimal within the examination limits. No pleural effusion was detected.\n<mediastinum>: Multiple millimetric small lymph nodes are observed in the mediastinum.\n<heart>: Heart contour size is natural.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a fracture with calluses that do not show separation in the left 6th rib posterior. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Anasarka is followed. There are millimetric nodular densities in the abdomen. There is free fluid in the upper abdomen, more prominently in the perihepatic and perisplenic areas. Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nIn the follow-up, breast Ca.  Nodular pleural lesions measuring up to 22 mm, more prominent at the posterobasal level of the left lung lower lobe in both lungs, are suspicious metastases.  A small amount of effusion increasing in the right hemithorax, new pleural lesion in the right lung secondary to the effusion cannot be distinguished. bilateral nephrostomy.  Anasarka is being followed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18070/train_18070_a/train_18070_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are mild atelectasis changes in the basal levels of the lower lobes of both lungs, thickening of the interlobular septa, minimal bronchiectasis in the right lung middle lobe and inferior lingula. Mosaic attenuation pattern is observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the aortic arch and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are calcific atheroma plaques in the aortic arch and coronary arteries.\n\nImpression:\nBilateral peribronchial thickenings, mosaic attenuation pattern, mild atelectasis in both lower lobes, minimal thickening of interlobular septa and bronchiectasis (small airway disease?, small vessel disease?).  Small lymph nodes are observed in the mediastinum.  Atherosclerotic changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18074/train_18074_a/train_18074_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42586",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Peripheral bronchiectasis in both lungs, patchy ground glass densities, slight recessions in the pleura are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are widely reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity and connective tissue disease may cause a similar appearance."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18078/train_18078_e/train_18078_e_1.npy"
        ]
    },
    {
        "id": "report_generation_42610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: A peripherally located low-density parenchymal nodule of approximately 7.5 mm in diameter was observed in the superior segment of the lower lobe of the right lung. When examined in the lung parenchyma window; Paraseptal emphysema findings are observed, more prominently in the upper lobes of both lungs, and peripherally located bulla-bleb formations are present. There was no evidence of active infiltration in the lung parenchyma. Minimal peribronchial thickenings starting from the perihilar areas and fibroatelectatic changes in the bases were observed in both lungs.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. In the mediastinal prevascular area, in the paratracheal area, oval and rounded lymph nodes with a short diameter reaching 8 mm were observed. In the bilateral axillary region, lymph nodes with slightly thickened cortices and fatty hiluses, the largest of which is 13x12 mm in the right axillary region, were observed. No pathological wall thickening was detected.\n<heart>: No pericardial effusion or thickening was detected. No obvious pathology was detected. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced.\n<esophagus>: The thoracic esophagus is in normal calibration.\n<bone>: In the evaluation of the bone structures in the study area, changes consistent with spondylosis and osteophyte formations in the vertebral corpus corners were observed. No lymph node reaching pathological size was detected in the bilateral supraclavicular region.\n<abdomen>: No significant pathology was detected in the evaluation of the upper abdominal organs included in the sections.\n\nImpression:\nLow-density parenchymal nodule in the superior segment of the lower lobe of the right lung. Mediastinal and bilateral axillary lymph nodes that have lost their oval shape in places . Fibroatelectatic changes in bilateral lung basals and peribronchial thickening in perihilar areas . Minimal spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18088/train_18088_a/train_18088_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42619",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal millimetric lymph node is observed. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in the lower lobes of both lungs. No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax. Calcified nodular pleural thickening is observed in the upper hemithorax of both lungs, which is more prominent on the right.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Partial fusion is observed in T11 and T12 vertebrae. No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCalcified nodular pleural thickenings in the upper hemithorax of both lungs, more prominent on the right. Mosaic attenuation in the lower lobe of both lungs (small airway disease? small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18092/train_18092_a/train_18092_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42625",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It is recommended that the patient be evaluated together with previous examinations, if any, and tissue diagnosis or close follow-up if there is an indication. There is an irregularly circumscribed nodule measuring approximately 7x7 mm in the peripheral area in the posterobasal segment of the lower lobe of the left lung. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are millimetric atheroma plaques in the left anterior descending coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nIrregularly circumscribed nodule in the lower lobe of the left lung (if any, it is recommended to be evaluated together with previous examinations and tissue diagnosis or close follow-up if indicated)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18095/train_18095_a/train_18095_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described views were evaluated primarily in favor of Covid-19 pneumonia during the pandemic process. In the upper and lower lobes of both lungs and in the middle lobe of the right lung, there are peripheral and centrally located ground glass areas and consolidations accompanying the ground glass areas from time to time. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There is a decrease in liver parenchyma density consistent with adiposity. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18097/train_18097_a/train_18097_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Calcific sequelae and fibrotic changes are present in the upper lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: A calcific lymph node with a short axis of 9 mm located in the right paratracheal mediastinum was observed. Calcific plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Calcific plaques are observed in the aortic arch and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in the vertebrae in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques are observed in the aortic arch and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodular asymmetry on the right at the level of the vocal cords  Aortic and coronary arterosclerosis  Calcific sequela lymph node in the mediastinum  Sequelae calcifications and fibrotic densities in both lungs, especially in the upper lobes,  Degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18101/train_18101_a/train_18101_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42640",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: In the bone structures within the image, a lesion located in the epiphysis and metaphysis in the right humeral head localization was observed, which could not be characterized in the current examination.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the bone structures within the image, a lesion located in the epiphysis and metaphysis in the right humeral head localization was observed, which could not be characterized in the current examination. Clinical examination and evaluation with CT / MRI for this area are recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18103/train_18103_a/train_18103_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42641",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Ventilation of both lungs is normal. Linear atelectasis is observed in both lungs, especially in the middle lobe. No active infiltration, consolidation or space-occupying lesion was observed in both lungs.\n<pleura>: Pericardial, pleural effusion was not observed.\n<mediastinum>: No pathological lymphadenopathy was observed in the mediastinal area. The aorta emerging from the aortic root has a dilated appearance and reaches 58 mm in diameter at its widest point. Calcific atheroma plaques are observed in the aortic walls.\n<heart>: No pathology was observed in the precardiac fat pad. Heart contour, size is normal.\n<bone>: Degenerative changes in bones follow.\n<abdomen>: The aorta emerging from the aortic root has a dilated appearance and reaches 58 mm in diameter at its widest point. Calcific atheroma plaques are observed in the aortic walls.\n\nImpression:\nAneurysmatic dilatation of the ascending aorta.  Calcific atheroma plaques in the aortic wall.  Linear atelectasis in both lungs.  Degenerative changes in bones."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18104/train_18104_a/train_18104_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42643",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A malignant mass is observed in the central part of the upper lobe of the left lung. There are emphysematous changes in both lungs. The described manifestations were primarily evaluated in favor of infective pathology. The described appearance was also present in the previous examination of the patient and no difference was detected. There are also centriacinar nodules in the left lung, more prominent in the lower lobe. Apart from this, no mass was detected in both lungs. There is minimal uniform interlobular septal thickening in the upper lobe of the left lung. Minimal bronchiectasis and minimal peribronchial thickening were observed in both lungs, more prominently on the left.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. Apart from this, no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The longest diameter of the mass was 73 mm at its widest point. There is lymphadenopathy measuring 20 mm in short diameter in the paratracheal region. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nLung ca, malignant mass in the central part of the left lung upper lobe, paratracheal lymphadenopathy in the follow-up."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18105/train_18105_a/train_18105_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42647",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A malignant mass is observed in the central parts of the left lung upper lobe. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are emphysematous changes in both lungs. The boundaries of the described mass cannot be distinguished from the consolidation observed in the left lung. However, as far as can be observed, this mass measured approximately 52 mm in its most posterior part. Therefore, the exact size was not given. Apart from this, no mass was detected in both lungs. There are centracinar nodular ground-glass appearances in the lower lobe of the left lung. Occasional atelectasis was observed in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in the right lung. The described appearances were considered to be compatible with infective pathology. In the upper lobe of the left lung, especially in the anterior segment and apicoposterior segment apical subsegment, consolidation and ground glass appearances and bronchiectasis are observed in these localizations. It is understood that these appearances are new.\n<pleura>: There is pleural effusion on the left. It is understood that the pleural effusion has just appeared.\n<mediastinum>: The widths of the mediastinal main vascular structures are normal. There is a lymphadenopathy measuring 12 mm in short diameter in the paratracheal region. In addition, lymph nodes were observed in the mediastinum and hilar regions, which could also be observed in the previous examination of the patient and whose number and size did not differ. The patient's examination was evaluated together with other examinations dated 2022. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. There is also minimal pericardial effusion and it appears that the effusion has just appeared.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nLung ca, malignant mass in the central part of the left lung upper lobe, lymphadenopathy in the left paratracheal region in the follow-up  Findings evaluated in favor of pneumonia in the left lung  Emphysematous changes in both lungs  Pleural effusion and minimal pericardial effusion in the left  Atherosclerotic changes in the aorta and coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18105/train_18105_c/train_18105_c_1.npy"
        ]
    },
    {
        "id": "report_generation_42659",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There are ground-glass-like density increases in both lungs, which are widely located and confluent, and there are thickenings in the interstitial scars on this background. At the level of the right hilum, there are 1-2 lymph nodes, the largest of which is 10x14 mm. Mild emphysematous changes are present. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<mediastinum>: CTO is at the maximal physiological limit. Calibration of the aortic arch is at the maximal physiological limit. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. Calibration of other mediastinal major vascular structures is natural. In the case, there are several lymph nodes in the mediastinum, the largest in the aorticopulmonary window and measuring 15x10 mm.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries in the aortic arch.\n<esophagus>: Hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structures in the study area. There are findings compatible with DISH. There are changes secondary to sternotomy.\n<abdomen>: Hiatal hernia is observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is at the maximal physiological limit. Calibration of the aortic arch is at the maximal physiological limit. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. In the upper abdominal organs, including sections; There is a decrease in density consistent with steatosis in the liver.\n\nImpression:\nFindings suggest Covid pneumonia. However, clinical-laboratory correlation is recommended since other viral pneumonias can also cause this appearance.  Hepatosteatosis, nodular lesion with coarse-amrof calcifications in the posterior segment of the liver right lobe. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18110/train_18110_a/train_18110_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42661",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental bronchi, air passages are open.\n<lung>: No pneumonic infiltration or consolidation area was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. Most of the lower lobe of the left lung is not ventilated.\n<pleura>: When the lung parenchyma window is examined; Pleural effusion reaching a diameter of 2.5 cm between the left pleural leaves and compression atelectasis in the lower lobe of the left lung adjacent to the effusion are observed.\n<mediastinum>: Aortic and mitral valve replacements were performed. Millimetric air images and post-operative changes are observed in the mediastinum. There is mild periaortic contamination and a smear-like effusion around the graft. Both pulmonary arteries, ascending aorta, aortic arch, and thoracic aorta are of normal width.\n<heart>: Biventricular diameter increase is evident. Pericardial effusion was not detected. L A graft was placed in the ascending aorta. Heart size increased. Calcified atherosclerotic plaques are observed in LAD.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: No lytic-destructive space-occupying lesion was detected in bone structures. Suture materials of the previous sternotomy are observed.\n<abdomen>: Aortic and mitral valve replacements were performed. No loculated or free fluid was observed in the upper abdomen sections. There is mild periaortic contamination and a smear-like effusion around the graft. Both pulmonary arteries, ascending aorta, aortic arch, and thoracic aorta are of normal width.\n\nImpression:\nMitral and aortic valve replacement, biventricular diameter increase, mediastinal findings compatible with the early post-operative period, mild pneumothorax on the left  Graft in the ascending aorta, mild periaortic smear-like effusion in the vicinity of the aortic graft  Left pelvic effusion, atelectasis in the left lower lobe of the lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18111/train_18111_a/train_18111_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42667",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: The nodular and patchy ground glass densities were observed and turned into consolidation areas containing air bronchograms in the lower lobes of both lungs.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18113/train_18113_b/train_18113_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42669",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Crayz paving pattern and patchy consolidation areas showing vascular enlargement were observed in the superior-basal segments of the left lung lower lobe. The same appearance is present in a focal area in the posterior segment of the right lung upper lobe. No mass lesion with distinguishable borders was detected in both lungs. The described findings are consistent with Covid-19 pneumonia. Millimetric nonspecific pulmonary nodules were observed in both lungs.\n<mediastinum>: In the non-contrast examination, the mediastinum was not evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pulmonary trunk, right and left pulmonary artery calibration increased. As far as can be seen; thoracic aorta calibration is natural.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are at the upper limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There is nodular thickening in the left adrenal gland corpus. A millimetric cortical cyst was observed in the middle part anterior of the left kidney. As far as can be seen; thoracic aorta calibration is natural.\n\nImpression:\nIncrease in pulmonary artery calibrations, heart dimensions at the upper border  Findings consistent with Covid-19 pneumonia in left lung lower lobe and right lung upper lobe posterior segment  Millimetric nonspecific pulmonary nodules in both lungs  Nodular thickening in left adrenal gland corpus"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18114/train_18114_a/train_18114_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: There is a mosaic attenuation pattern (small airway disease?, small vessel disease?). Bronchiectatic changes in the left lung upper lobe inferior lingular segment and minimal thickness increase in the bronchial wall are observed. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. There are millimetric nonspecific nodules in both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed. There are occasional pleural parenchymal sequelae bands in both lungs and areas of increased density consistent with linear atelectesis.\n<mediastinum>: Calibration of other mediastinal vascular structures is natural. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The descending aorta diameter is 30 mm wider than normal. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Heart size increased. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The descending aorta diameter is 30 mm wider than normal.\n<esophagus>: There is a slippery mild hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: (cyst?) No lytic or destructive lesion is observed in the bone structures within the image, and vertebral corpus heights are preserved. Bliateral neural foramina are open.\n<abdomen>: In the upper abdominal sections within the image; Lesions of hypodense fluid density are observed in the right kidney. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; The descending aorta diameter is 30 mm wider than normal. There are calcific atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. It is not clearly characterized within the limits of unenhanced CT.\n\nImpression:\nIncrease in heart size, increase in descending aorta calibration, calcific atheroma plaques on the wall of coronary vascular structures in the thoracic aorta  Mosaic attenuation pattern in both lungs, nonspecific nodules in millimeter sizes, parenchymal changes in places with sequelae, bronchiectatic changes in the left lung upper lobe inferior lingular segment and peribronchial thickness increase  Lesions (cyst?) of hypodense fluid density in the right kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18119/train_18119_a/train_18119_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18121/train_18121_a/train_18121_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42687",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nThorax CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18123/train_18123_a/train_18123_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are natural. There are no lymph nodes in pathological size and appearance in the mediastinum and in the fossa in both axillary regions.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18125/train_18125_a/train_18125_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42698",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be seen; Trachea, lumen of both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; No mass nodule infiltration was detected in both lung parenchyma.\n<pleura>: Pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in pathological size and appearance. In the anterior mediastinum, soft tissue density in a triangular fashion without significant mass effect was observed (Remnant thymus?). Lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal prevascular precarinal subcarinal localization. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSoft tissue density (Remnant thymus?) in the anterior mediastinum without significant mass effect."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18129/train_18129_a/train_18129_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42708",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Consolidations and ground-glass appearances are observed in both lungs. These findings can also be observed in the previous examinations of the patient and it is understood that they have increased. Findings were more prominent in the peripheral area. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18130/train_18130_e/train_18130_e_1.npy"
        ]
    },
    {
        "id": "report_generation_42710",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When both lungs are evaluated in the parenchyma window; Consolidation and ground glass appearances were observed in both lungs. Mild regression was observed in the findings described according to the previous examination.\n<pleura>: The described areas of consolidation are more clearly observed in the subpleural area. Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<abdomen>: No intraabdominal free fluid-collection was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18130/train_18130_f/train_18130_f_1.npy"
        ]
    },
    {
        "id": "report_generation_42728",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Mosaic attenuation pattern was observed in both lungs.\n<pleura>: No pleural effusion-thickening was detected on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. The mediastinal and hilar pathological size and appearance of the lymph node were not detected within the non-contrast examination limits.\n<heart>: Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart sizes are natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. It was also observed in the previous examination and no significant change was detected. As far as the upper abdominal sections in the examination area can be observed, no significant pathology was detected.\n\nImpression:\nLesions with stable, irregularly circumscribed cavitation in both lungs.  Minimal hiatal hernia.  Stable loculated pleural effusion on the right.  No new findings were detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18135/train_18135_a/train_18135_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42730",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Multiple lesions with irregular contours, mostly cavitating, and primarily compatible with metastasis are observed in both lung parenchyma. Mosaic attenuation observed in the lung parenchyma in the previous examination regressed in the current examination. Air image is available in this localization. The lower lobe of the right lung is near-total atelectasis.\n<pleura>: A pleurocan was inserted into the pleural effusion observed in the previous examination in the right hemithorax.\n<mediastinum>: Calcifications are observed in the walls of the aortic arch, ascending and descending aorta, and coronary artery.\n<heart>: Calcifications are observed in the walls of the aortic arch, ascending and descending aorta, and coronary artery.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. The adrenal glands appear natural. Calcifications are observed in the walls of the aortic arch, ascending and descending aorta, and coronary artery. In sections passing through the upper part of the west; gallbladder is operated.\n\nImpression:\nMultiple stable lesions in both lungs with irregular contours, some cavitary, primarily consistent with metastasis; Regression in mosaic attenuation observed in the previous examination, pleurocan in the right hemithorax, decrease in the amount of secondary effusion, near-total atelectasis in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18135/train_18135_b/train_18135_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42742",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. The appearance is suggestive of viral pneumonia in the first place.\n<pleura>: When examined in the lung parenchyma window; Density increases in the form of ground glass were observed in different localizations in both lungs, in the peripheral subpleural area, prominent in the lower lobes, and reverse halo finding was observed in some lesions. Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Lymph nodes with a short axis smaller than 5 mm were observed in the right upper-lower paratracheal and subcarinal area. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18141/train_18141_a/train_18141_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42747",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: One millimetric hyperdense finding in the gallbladder was evaluated in favor of a suspicious stone.\n\nImpression:\nOne suspicious stone in the gallbladder"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18144/train_18144_a/train_18144_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Effusion is observed in both fissures. When examined in the lung parenchyma window; Focal ground glass density is observed in the anterior segment of the right lung upper lobe.\n<pleura>: Pleural effusion is observed, reaching a thickness of 2 cm in the left pleural space and approximately 1.5 cm in the right pleura.\n<mediastinum>: No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nEffusion is observed in both pleural spaces and fissures. Focal ground-glass opacities in the anterior segment of the right lung upper lobe; First of all, it was thought that it might be compatible with pulmonary edema, it is recommended to evaluate the patient together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18144/train_18144_b/train_18144_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: The findings described in the case with hemoptysis in the anamnesis may be compatible with hemorrhage. There are many infectious-non-infectious pathologies in the differential diagnosis of cavitary lesions. However, in the differential diagnosis, it is recommended to evaluate infective processes together with clinical and laboratory findings. In places, densities that may be compatible with pleuroparenchymal sequelae are observed. When examined in the lung parenchyma window; Both hemithorax are symmetrical. In both lungs, centriacinar nodular appearances are observed in almost all zones, more prominent in the right lung, with ground-glass-like density increases that go into consolidation from place to place. The largest was measured in the right lower paratracheal area and measuring 14x10 mm. However, Wegener's disease, which is considered in the preliminary diagnosis, is one of them.\n<pleura>: In the left lung lower lobe superior segment, there is a 10 mm diameter cavitation with a slightly thick wall, adjacent to sequelae changes in the dorsal subpleural area. A smear-like pleural effusion is observed in both lungs.\n<mediastinum>: Calibration of the aortic arch is at the maximal physiological limit. It is wider than normal. A catheter is observed at the level of the brachiocephalic vein on the left. Pulmonary conus calibration is 33 mm. Millimetric lymph nodes in the upper mediastinum and contamination in the fatty planes are observed. Contamination is observed mainly in the milimetric lymph nodes and fatty planes in the mediastinum.\n<heart>: It extends from the neighborhood of the ventricle to the level of the aorticopulmonary window and reaches approximately 34 mm in thickness at the base. CTO increased in favor of the heart. It is observed to be wider than normal in four chambers. Pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Nodular density, which may be compatible with the accessory spleen, is observed in the anterior-inferior neighborhood of the spleen. Calibration of the aortic arch is at the maximal physiological limit. It is wider than normal. In the upper abdominal organs, including sections; No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nCentriacinar nodular appearances with ground glass-like density increments that consolidate from place to place, more prominently in the right lung, in almost all zones in both lungs. The findings described in the case with hemoptysis in the anamnesis may be compatible with hemorrhage. However, in the differential diagnosis, it is recommended to evaluate infective processes together with clinical and laboratory findings.  10 mm diameter cavitation with slightly thick wall, adjacent to sequelae changes in the dorsal subpleural area in the superior segment of the left lung lower lobe. There are many infectious-non-infectious pathologies in the differential diagnosis of cavitary lesions. Wegener's disease, which is considered in the preliminary diagnosis, is one of them.  Cardiomegaly, prominent pericardial effusion.  A smear-like pleural effusion in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18149/train_18149_a/train_18149_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Accessory fissure is observed in the upper lobe of the right lung. A few millimeter-sized non-specific nodules were observed in both lungs. Ventilation of both lungs is normal. No active infiltrative or mass lesion was detected in both lungs.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures, the heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nPneumonic infiltration is not detected in both lungs, there are a few non-specific nodules in millimetric sizes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18153/train_18153_a/train_18153_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42775",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion with distinguishable borders was detected in both lungs. The outlook is highly suspicious for Covid-19 pneumonia. When examined in the lung parenchyma window; In both lungs, nodular consolidation areas with crazy paving and reverse halo signs with interlobular septal thickenings tending to be multilobar peripheral were observed.\n<mediastinum>: The anterior-posterior diameter of the ascending aorta is 43.5 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. It is recommended to be evaluated together with USG. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pulmonary artery diameters are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Syndesmophytes bridging each other at the mid-thoracic level and an increase in thoracic kyphosis were observed.\n<abdomen>: The anterior-posterior diameter of the ascending aorta is 43.5 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is larger than normal. Hypodense well-circumscribed nodular lesion areas of 33 mm in diameter were observed in both kidneys, the largest of which was adjacent to the lower pole anterior of the left kidney (cyst?). It is recommended to be evaluated together with USG. As far as can be observed in the sections, a stone density of 1.5 cm in diameter was observed in the gallbladder lumen. Density increases were observed in the perinephric fatty planes of both kidneys (infection? reactive?).\n\nImpression:\nIncreased left thyroid lobe size, hypodense nodule with peripheral amorphous calcifications in the parenchyma; it is recommended to be evaluated together with USG.  Aneurysmatic dilatation in the ascending and descending aorta, cardiomegaly . In both lungs, multilobar, tending to be peripheral, crazy paving pattern with interlobular septal thickenings and nodular consolidations with signs of inverted halo, the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Cholelithiasis . Hypodense well-circumscribed nodular lesions (cyst?) in bilateral renal parenchyma.  Increase in reticular density in bilateral perinephrtic fatty planes ( infection? reactive?) . Syndesmophytes bridging each other at the mid-thoracic level, increased thoracic kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18155/train_18155_a/train_18155_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42781",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: However, consolidations continue in the posterobasal segment of the lower lobe. A few millimetric nonspecific parenchymal nodules, some of them calcific, were observed in both lungs, the largest of which was in the left lung upper lobe apicoposteiror segment and measured 2 mm in diameter.\n<pleura>: In addition, pleural thickening is observed. When examined in the lung parenchyma window; the left pleural effusion is resorbed and the consolidations in the left lung lower lobe show a marked reduction.\n<mediastinum>: Stable reactive lymph nodes with a short diameter of 6 mm were observed in the mediastinal prevascular area, in the aortopulmonary window, and in the paratracheal area. Calcified atheroma plaques were observed in the mediastinal main vascular structures.\n<heart>: Calcified atheroma plaques were observed in the coronary arteries. No pericardial effusion or thickening was detected. The ascending aorta measures approximately 41 mm and is wider than normal. The heart is normal.\n<esophagus>: The thoracic esophagus is in normal calibration. No pathological wall thickening was detected.\n<bone>: Rotoscoliotic changes in the thoracic region and an increase in thoracic kyphosis were observed in the bone structures included in the study area. There was no lymph node that reached pathological size in the bilateral supraclavicular region and axillary region. Hyperosteosis and osteophyte formations are observed in the vertebrae in the thoracic region (DISH disease).\n<abdomen>: Apart from this, the upper abdominal organs are normal. In the evaluation of the upper abdominal organs that entered the imaging area, there was a millimetric stone in the left kidney and a parapelvic cyst was observed in its vicinity. A stable nodule of approximately 13 mm in diameter was observed in the lateral crus of the left adrenal gland (adenoma?).\n\nImpression:\nSignificant resorption of pneumonia and fluid in the left lung, but consolidations continue and pleural thickening is accompanied.  A few millimetric nonspecific nodules in both lungs . Left nephrolithiasis and left parapelvic cyst . Left adrenal adenoma?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18158/train_18158_a/train_18158_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42783",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are some calcific lymph nodes in the mediastinum and bilateral hilar region. There are millimetric nonspecific nodules in the lungs. When examined in the lung parenchyma window; There are thickening of the interlobular septs in both lungs and minimal ground glass densities in the lower lobes.\n<pleura>: Bilateral pleural effusion is 23 mm on the right and 12 mm on the left.\n<mediastinum>: Calcific plaques are present in the coronary artery and aorta. The main pulmonary artery is ectatic (31 mm). Mediastinal main vascular structures are normal. There are some calcific lymph nodes in the mediastinum and bilateral hilar region. Calcific plaques are observed in the abdominal aorta and its branches.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. The ascending aorta is ectatic (38 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are osteophytes that tend to bridge anteriorly in the vertebrae.\n<abdomen>: There is minimal pericholecystic edema on upper abdominal sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific plaques are present in the coronary artery and aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific plaques are observed in the abdominal aorta and its branches.\n\nImpression:\nCardiomegaly.  Aortic atherosclerosis, ascending aorta and pulmonary artery ectasia.  Densities of bilateral pleural effusion and pulmonary edema in the lungs.  Millimetric nonspecific nodules in the lungs.  Mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18159/train_18159_a/train_18159_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42792",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric non-specific calcific nodules are observed in both lungs. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few millimetric non-specific calcific nodules are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18162/train_18162_a/train_18162_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma, and there are nonspecific nodules measuring 4.6 mm in size in both lungs, the largest of which is in the posterobasal segment of the left lung lower lobe.\n<pleura>: Pericardial, pleural effusion-thickening was not observed.\n<mediastinum>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal. No lymph nodes were detected in the mediastinum, in both axillary regions and at the supraclavicular level in pathological size and appearance.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of contrast, and the calibration of the vascular structures, heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures in the study area, and the height of the vertebral corpus was preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMillimetrically nonspecific nodules in both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18168/train_18168_a/train_18168_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42806",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: 1The thoracic aorta diameter is normal. Other mediastinal major vascular structures, heart contour are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Other mediastinal major vascular structures, heart contour are normal. Calcific atheroma plaques are observed in the coronal arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the vertebral corpus end plates. Vertebral corpus heights are preserved. Diffuse density reduction of bone structures was observed. Hypertrophic-ostephoitic taperings are observed in the anterior end plates of the vertebral corpus. Bone structures in the study area are natural.\n<abdomen>: 1The thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCalcific atheromatous plaques in the coronal arteries.  Increase in heart size, atherosclerotic changes.  Degenerative changes in the vertebral corpus end plates. Decreased diffuse density of bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18169/train_18169_a/train_18169_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42808",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Consolidation areas are observed in the inferior lingular segment on the left, lower lobe posterobasal segment and upper lobe posterior segment in almost all segments on the right in both lungs, and infective pathologies are considered in etiology. Evaluation in terms of viral and bacterial pneumonias is recommended after treatment.\n<pleura>: There is an effusion reaching 25 millimeters in the deepest part of the right pleural space.\n<mediastinum>: Calcified atheroma plaques are observed on the wall of mediastinal vascular structures. In the mediastinum, lymph nodes with a short diameter of 14 mm are observed.\n<esophagus>: No pathological increase in wall thickness is observed in the esophagus.\n<bone>: Osteopenia, osteophytic degenerative changes in bone structures, and left-facing scoliosis in the thoracic vertebral column are observed.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nRight pleural effusion, areas of consolidation in the lung, evaluation and post-treatment control for viral and bacterial pneumonias are recommended, calcified atheroma plaques on the wall of mediastinal vascular structures and mediastinal lymph nodes point osteopenia osteophytic degenerative changes left-facing scoliosis in the thoracic vertebral column"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18170/train_18170_a/train_18170_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42812",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Atelectasis changes were observed in the left lung inferior lingular segment and the left lung lower lobe basal segment. Minimal passive atelectatic changes were observed in the lung areas adjacent to the effusion in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; A smear-like effusion was observed in the bilateral pleural space.\n<mediastinum>: Central venous catheter is seen on the right. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Diffuse hyperplasia was observed in the right adrenal gland. As far as can be observed in the non-contrast examination; liver, spleen, left adrenal gland, pancreas, both kidneys within sections are normal.\n\nImpression:\nBilateral smearing effusion, passive atelectatic changes adjacent to the effusion in both lung lower lobe basal segments . Linear atelectatic changes in left lung inferior lingular segment and right lung lower lobe basal segment . Diffuse hyperplasia in right adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18171/train_18171_a/train_18171_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; There are more prominent pleuroparenchymal reticulonodular fibrotic density increases, concomitant calcification and parenchymal distortion in the parenchyma, in both upper lobe and lower lobe superior segments of both lungs, posterior. The outlook was evaluated in favor of primary TB sequelae. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: In both lungs, nonspecific subpleural nodules with a diameter of 3.7 mm were observed in the lower lobe anterobasal segment on the right, and 4.2 mm and 3.8 mm in diameter in the left lower lobe laterobasal segment and the superior lingular segment, respectively. Irregular thickening and sequela calcifications were observed in the posterior pleura in both lung apical segments.\n<mediastinum>: Mediastinal and vascular structures could not be evaluated optimally in the non-contrast examination. Millimetric calcified atheroma plaques were observed in the coronary arteries and thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. However, no accompanying lymph node was observed. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Millimetric calcified atheroma plaques were observed in the coronary arteries and thoracic aorta.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Rotoscoliosis is observed at the thoracic level and vertebral corpus heights are normal.\n<abdomen>: It is recommended to be evaluated together with the clinic. Millimetric calcified atheroma plaques were observed in the coronary arteries and thoracic aorta. The central mesentery is hazy. Accessory spleen reaching 1 cm in diameter was observed in the vicinity of the lower pole of the spleen. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nDiffuse reticulonodular pleuroparenchymal fibrotic recessions, pleural thickening, parenchymal calcifications consistent with primary TB sequelae in both upper lobe-lower lobe superior segments of both lungs . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?) . Millimetric in both lungs nonspecific subpleural nodules Mild thoracic rotoscoliosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18173/train_18173_a/train_18173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42824",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; The lower lobe of the left lung is close to the total and collapsed.\n<pleura>: In the middle lobe of the right lung (series: 2, image: 190), a 3 mm nonspecific nodule is observed in the subpleural previous oncological PET-CT.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes that do not show significant numerical and dimensional differences in both axillary regions are observed, and no enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. Left kidney is partially observed and atrophic appearance is observed. The right kidney is partially observed, and the DJ catheter is observed to be in the proximal renal pelvis. Subtotal gastrectomy is observed.\n\nImpression:\natrophic appearance  Lymph nodes in both axillary regions that do not show significant numerical and dimensional differences."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18176/train_18176_a/train_18176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42826",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. Calcifications were observed in the walls of the trachea and both main bronchi.\n<lung>: Clinical laboratory correlation is recommended for the infectious process. In the evaluation of both lung parenchyma; Focal consolidation area was observed in the right lung upper lobe posterior and lower lobe superior segment, and it was newly revealed in the current examination. Atelectatic changes were observed in the lower lobes of the right lung.\n<pleura>: In the middle lobe of the right lung, a subpleural 3.5 mm diameter non-specific parenchymal nodule was observed. Minimal pleural effusion and atelectatic changes were also observed on the right.\n<mediastinum>: Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Port chamber and carerer image extending to superior vena cava were observed on the right anterior chest wall.\n<heart>: Heart contour size is natural. Pericardial minimal effusion was observed. The diameter of the ascending aorta is 44 mm and shows dilatation.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the upper abdominal sections in the study area; Post-operative changes in the stomach were observed.\n\nImpression:\nLarge pleural effusion on the left,  Millimetric non-specific stable parenchymal nodule in the right lung.  Right lung upper lobe posterior – lower lobe superior, newly revealed focal consolidation areas in the current examination; Clinical-laboratory correlation is recommended in terms of infectious process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18176/train_18176_b/train_18176_b_1.npy"
        ]
    },
    {
        "id": "report_generation_42838",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Both thyroid parenchyma have a heterogeneous appearance and hypodense areas are observed in places. Correlation with thyroid USG is recommended.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Millimetric calcific nodules were observed in both lungs. Segmentary bronchiectasis were observed in both lungs. correlation is recommended. When examined in the lung parenchyma window; Focal consolidation extending to the major fissure in the lateral segment of the right lung middle lobe and ground glass and accompanying acinonodular infiltrates were observed around it. Clinic and lab. Findings may be compatible with pneumonic infiltration.\n<mediastinum>: Although the mediastinum cannot be evaluated optimally in the patient who is not given contrast material; Mediastinal main vascular structures, heart contour, size are normal. Endovascularly placed stents were observed in the left superior and inferior pulmonary veins. Lymph nodes with a size of 21x15 mm, some reaching pathological dimensions, were observed at the prevascular, right upper, bilateral lower precarinal, subcarinal, aortopulmonary and bilateral hilar levels. Metallic sutures secondary to the operation were observed in the sternum and anterior mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Although the mediastinum cannot be evaluated optimally in the patient who is not given contrast material; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-metastatic mass lesions were observed in the vertebrae. There is minimal left-facing scoliosis at the level of the thoracic vertebrae. Vertebral corpus heights are preserved. Metallic sutures secondary to the operation were observed in the sternum and anterior mediastinum. Bone structures in the study area are natural.\n<abdomen>: As far as can be seen in non-contrast sections; liver, gall bladder, spleen, pancreas are normal. At the level of the lateral crus of the left adrenal gland, a hypodense mass lesion compatible with an adenoma was observed, measuring 13x11 mm in size with a density of 6 HU. The right adrenal gland locus is normal, and no space-occupying lesion was detected. Nodular hypodense areas with a diameter of 2 cm were observed in both kidneys, the largest on the right (cyst?).\n\nImpression:\nLymph nodes in the mediastinum, some pathological in size. Focal consolidation extending to the major fissure in the lateral segment of the right lung middle lobe and acinonodular infiltration and ground-glass appearance around it; clinic and lab in favor of pneumonic infiltration. correlation is recommended.  Millimetric calcific nodules in both lungs . Endovascularly placed stent in the left superior and inferior pulmonary veins . Hypodense cortical lesion areas (cysts?) in both kidneys are recommended to be correlated with USG."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18182/train_18182_a/train_18182_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42842",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibration of the trachea and main bronchi is normal. A slight irregularity is also observed in the posterior trachea wall at the level of the nodule. The consolidated lesion obliterates the segmental bronchi proximally.\n<lung>: No prominent lymph node is observed at the left hilar level. However, the invasion effect of the nodule or the intraluminal mucus secretion cannot be differentiated. Significant pneumonia appearance is not observed in both lungs. It measured 9x8 mm in its previous review. However, in terms of numbers, a significant progression is observed according to the previous review. There is a 9x6 mm nodule in the paramediastinal area, approximately 2-2.5 cm proximal from the carina at the apical level of the upper lobe of the right lung. Although progression is observed in the lesion, it cannot be evaluated how much of it is compatible with the lesion and how much is compatible with postobstructive atelectasis. Size increase is available.\n<pleura>: The largest is approximately 20x18 mm in size at the right lung upper lobe anterolateral subpleural level. In addition, in the previous examination, a lobulated contoured subpleural nodule with a diameter of approximately 17 mm is observed in the area extending towards the middle lobe in the anterior segment of the right lung. Subpleural-intraparenchymal multiple nodule-mass lesion with randomized distribution is observed in both lungs. Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: A venous port is observed at the right pectoral level and its catheter is observed in the superior vena cava. CTO is normal. The aortic arch calibration is 32 mm. It is wider than normal. Calcific atheroma plaques are observed in the main branches of the aortic arch, descending aorta and coronary arteries. Calibration of other mediastinal major vascular structures is normal.\n<heart>: Calcific atheroma plaques are observed in the main branches of the aortic arch, descending aorta and coronary arteries.\n<esophagus>: Irregularly circumscribed hypodense appearances are observed in the vicinity of the esophagus, between the esophagus and the liver, and in the vicinity of the greater curvature of the stomach. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: CTO is normal. The aortic arch calibration is 32 mm. It is wider than normal. Identified areas were not detected in his previous review. Left adrenal medial crus is full. Calcific atheroma plaques are observed in the main branches of the aortic arch, descending aorta and coronary arteries. There is a demarcation line in the anterior right lobe of the liver. It is also observed in his previous review. The mesenteric fatty planes in the caudal neighborhood of the left lobe of the liver have a dirty appearance. In the upper abdominal organs included in the sections, the liver and spleen appear hypertrophied. A hypodense lesion, which is considered compatible with multiple metastases in the liver, is observed and there is a progression according to the previous examination. Irregularly circumscribed hypodense appearances are observed in the vicinity of the esophagus, between the esophagus and the liver, and in the vicinity of the greater curvature of the stomach.\n\nImpression:\nLesions compatible with metastases that have progressed in both lungs  Right lung upper lobe apical level, approximately 2-2.5 cm proximal from the carina, approximately 9x6 mm nodule in the paramediastinal area, slight irregularity in the trachea posterior wall at the nodule level, but the invasion effect of the nodule or intralumen Mucus secretion cannot be differentiated.  Lesions consistent with metastasis that have progressed in the liver  A hypodense lesion with irregular borders, adjacent to the stomach greater curvature, at the upper abdomen level in the examination area, was not detected in the previous examination. The surrounding mesenteric planes are dirty.  Lymphadenomegaly is observed in the right hilar and mediastinum and it has progressed according to the previous examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18184/train_18184_a/train_18184_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42844",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The left thyroid lobe is heterogeneous.\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Appropriate treatment and follow-up is recommended. In the evaluation of both lung parenchyma; Appearances suggestive of fibroatelectasis were observed in the paracardiac area in the medial segment of the right lung middle lobe. An air cyst with a diameter of 9 mm was observed in the posterobasal segment of the lower lobe of the left lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance. Calcific atheroma plaques were observed in major vascular structures and coronary arteries.\n<esophagus>: The esophagus is within normal limits.\n<bone>: Degenerative osteophytes were observed in the vertebral corpus corners. Sternal foramen variation was observed.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nLeft thyroid lobe heterogeneity, US is recommended. Fibroatelectasis in the right lung? Appropriate treatment and follow-up is recommended. Air cyst in left lung Atherosclerosis Degenerative bone changes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18185/train_18185_a/train_18185_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. In both lungs, nonspecific millimetric nodules with a size of 4.5 mm in the lower anterior segment on the right and 5 mm in the upper lobe apicoposterior segment on the left, and sequelae pleuroparenchymal bands in the bilateral lower lobe posterobasal segment were observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nMillimetric nodules in both lungs and sequelae of pleuroparenchymal bands in the posterobasal segment of the bilateral lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18190/train_18190_a/train_18190_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42881",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score is around 40%.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Views include classic findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18201/train_18201_a/train_18201_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42885",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheostomy is observed. When examined in the lung parenchyma window; There are thickenings of the central bronchial walls in both lungs.\n<lung>: Consolidations are observed in the lower lobes of both lungs, more prominently on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific plaques are present in the coronary arteries. Other mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion reaching 7 mm in diameter is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae. Surgical densities are observed in the proximal humerus on the left.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. There are dilatations in the proximal small bowel loops. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. The stomach is distended and gastrostomy is observed. In the upper abdominal sections, stone densities are observed in the gallbladder.\n\nImpression:\nTracheostomy.  Consolidations in the lower lobes of the lung, more prominent on the left, suggestive of aspiration pneumonia.  Atherosclerosis of the aorta and coronary artery.  Cholelithiasis.  Gastrostomy.  Distention in the stomach and small intestines."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18203/train_18203_a/train_18203_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42899",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: There are degenerative changes. No lytic or destructive lesions were detected in bone structures.\n<abdomen>: In the sections passing through the upper part of the abdomen, a 24x17 mm lesion compatible with an adenoma is observed in the left adrenal gland.\n\nImpression:\nLesion compatible with adenoma in left adrenal gland. Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18209/train_18209_a/train_18209_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; A calcified nonspecific parenchymal nodule with a diameter of 6 mm was observed in the upper lobe of the left lung. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Bilateral hilar millimetric sized calcified lymph nodes were observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity.\n\nImpression:\nSequelae changes in both lungs. Bilateral hilar calcified lymph nodes, calcified nonspecific parenchymal nodule in upper lobe of left lung. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18227/train_18227_a/train_18227_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42946",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18230/train_18230_a/train_18230_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42953",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peribronchovascular structures were prominent in the central part of both lungs. There are minimal fibrotic densities in the lower lobes of both lungs. Pneumonic infiltration was not detected in the lung parenchyma.\n<mediastinum>: Other mediastinal main vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: The heart size has increased. Coronary stent is observed in the left LAD. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. In the upper abdominal sections, the craniocaudal size of the spleen was 149 mm and increased.\n\nImpression:\nPacemaker, cardiomegaly, coronary stent.  Fibrotic changes in both lungs, thickening of central bronchial walls.  Splenomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18234/train_18234_a/train_18234_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In addition, there are areas of linear atelectasis in both lungs. The outlook may be compatible with Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Focal ground glass densities are observed especially in the lower lobes and subpleural areas of both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved.\n<abdomen>: It is recommended to control the patient with clinical and laboratory findings. In the upper abdominal organs, including the sections, several hypodense lesions were observed in the liver, the largest of which was 6 cm in diameter in segment 2. Bone structures in the study area are natural.\n\nImpression:\nScattered ground-glass opacities and linear atelectasis areas located subpleural are observed in both lungs. It is recommended that the patient be evaluated together with clinical and laboratory findings in terms of Covid-19 pneumonia.  In the upper abdominal organs included in the sections, several hypodense lesions were observed in the liver, the largest of which was 6 cm in diameter in segment 2 (cyst?). Us correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18237/train_18237_a/train_18237_a_1.npy"
        ]
    },
    {
        "id": "report_generation_42985",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are areas of linear atelectasis in the anterior segments of the upper lobes of both lungs. Parenchymal calcification focus in the left lung lower lobe anterobasal segment favors the sequelae of previous granulomatous infection. When examined in the lung parenchyma window; assessment of lung parenchyma is suboptimal because of motion artifact. Ground-glass opacity and interlobular septal thickenings in the posterior segments and lower lobes of both lungs are consistent with pulmonary congestion. No space-occupying mass lesion or infiltrative appearance was detected in the lung parenchyma structures.\n<pleura>: There is a pleural effusion reaching 14 mm in the widest part on the right and 12 mm in the widest part on the left between the two pleural leaves.\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. No lymph nodes were detected in pathological size and appearance in both axillae and supraclavicular regions. The diameters of the abdominal aorta and pulmonary arteries were normal. Diffuse wall calcifications are present in the aortic arch, thoracic aorta, and the abdominal aorta within the section.\n<heart>: Widespread calcified atheroma plaques are present in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was followed naturally.\n<bone>: There are osteophyte formations leading to bridging in the anterolateral corners of the vertebrae in the study area. At the level of C6-C7, the disc space is significantly narrowed and osteophyte formations leading to bridging are observed in the posterior.\n<abdomen>: In the evaluation of the upper abdominal organs included in the sections, contour irregularity and focal parenchymal thinning in both kidneys are consistent with sequelae changes. The wall diameter at its widest point was 6 mm. The pouch wall thickness increased diffusely. The diameters of the abdominal aorta and pulmonary arteries were normal. It measures 43 mm in diameter. In the section, the gallbladder appears distended. Diffuse wall calcifications are present in the aortic arch, thoracic aorta, and the abdominal aorta within the section. Sonography is recommended. Reticular density increases are observed in fatty planes around the sac. No calculi image was detected within the lumen of CT.\n\nImpression:\nDiffuse wall calcifications in aortic arch, descending aorta and abdominal aorta . Diffuse calcific atheroma plaques in coronary arteries . Bilateral pleural effusion and ground glass opacities in upper lobe posterior segments and lower lobes in both lungs interlobular septal thickenings are consistent with pulmonary congestion.  Linear in both lungs Areas of atelectasis and parenchymal coarse calcification focus in the left lung anterobasal segment are consistent with sequelae change.  Lobulation and focal parenchymal examinations in the contours of both kidneys are compatible with sequelae changes. There are distension in the gallbladder, increase in the wall thickness of the sac, increase in density in the pericholecystic fatty planes, and the image of calculus in the sac lumen was not detected within the borders of CT. Findings are radiologically compatible with acute cholecystitis. Correlation with sonography would be appropriate.  Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18248/train_18248_a/train_18248_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43015",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There is minimal peribronchial thickening in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: The described appearance could not be characterized because no contrast medium was given. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The diameters of the aortic arch and descending aorta are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. The diameters of the pulmonary artery are normal.\n<heart>: The ascending aorta is measured 40 mm in anterior-posterior diameter and is minimally wider than normal. It is recommended that the patient be evaluated together with previous examinations, if any, and contrast-enhanced examination if indicated. As far as can be observed: Heart contour and size are normal. There is a nodular appearance measuring approximately 1 cm in diameter at the level of the right ventricular apex.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. The diameters of the aortic arch and descending aorta are normal. There is a decrease in liver parenchyma density consistent with adiposity.\n\nImpression:\nSolid-looking nodular lesion at the apex of the right ventricle.  Minimal peribronchial thickening in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18260/train_18260_a/train_18260_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43043",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: On this ground, consolidation areas are observed in the form of a patch. In the evaluation of both lung parenchyma; In the peripheral lung tissue of both lungs, more prominent interstitial pattern, interlobular septal thickening and honeycomb lung appearance are observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper, bilateral lower paratracheal, prevascular aortopulmonary, mediastinal lymphadenomegaly over 1 cm and millimetric lymph nodes are observed. Millimetric sized calcific plaque is observed in the aortic arch.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: Bilateral adrenal glands appear natural. Millimetric sized calcific plaque is observed in the aortic arch. In sections passing through the upper part of the west; The liver density was diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nMore prominent interstitial pattern in peripheral lung parenchyma in both lung parenchyma, honeycomb lung appearance, patchy consolidation areas on this background suggest viral pneumonia in chronic background."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18274/train_18274_a/train_18274_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These nodules were first evaluated in favor of metastases. The largest of these nodules is observed in the right lung and measured 10 mm in diameter. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. There are sometimes linear atelectasis in both lungs. There are nodules in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Mediastinal and abdominal solid structures and vascular structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: There is minimal pericardial effusion. Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Intervertebral disc distances were minimally narrowed. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: A mass measuring 110 mm is observed in the widest part of the left kidney in the upper pole. There are nodular lesions, the largest measuring 17 mm in diameter, in the perirenal area and were evaluated in favor of metastases. Mediastinal and abdominal solid structures and vascular structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nMass in the upper pole of the left kidney, nodular lesions evaluated in favor of metastases in the perirenal area, appearance that may be compatible with tumoral thrombus in the left renal vein, lung metastases."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18278/train_18278_a/train_18278_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43052",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?). When examined in the lung parenchyma window; Bilateral peribronchial thickenings are observed.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. In the mediastinal upper-lower paratracheal, subcarinal and precarinal localization, there are lymph nodes measuring 12 mm on the short axis of the larger one.\n<heart>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. As far as can be seen; Heart size has increased (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Bilateral adrenal glands were normal and no space-occupying lesion was detected. A 1 cm diameter parenchymal calcification was observed at the level of the liver dome. In the upper abdominal organs, including sections; The size of the liver and spleen increased.\n\nImpression:\nCardiomegaly.  Mediastinal lymph nodes.  Sequelae changes in both lungs, bilateral peribronchial thickenings.  Hepatosplenomegaly.  A mosaic attenuation pattern is observed in both lungs (small airway disease? Small vessel disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18279/train_18279_a/train_18279_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The appearance was evaluated as compatible with chronic bronchitis-bronchiolitis. There are mucus plaque formations in the bronchial lumens and widespread centriacinar nodular infiltrations-budding tree view in the peribronchial area. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: It is recommended to be evaluated together with the clinic and laboratory. No mass lesion with distinguishable borders was detected in both lungs. In addition, central-peripheral nodular ground glass opacities were observed in the basal segments of the lower lobe of the left lung and may be compatible with Covid-19 pneumonia or other viral pneumonias due to the pandemic. Multiple parenchymal nodules, some of them calcific, were observed in both lungs. Fibroatelectasis parenchymal changes causing recession and parenchymal distortion were observed in the fissures in which air bronchograms were observed in the upper lobe of the left lung and middle lobe of the right lung. Segmentary-subsegmeter peribronchial thickening and accompanying diffuse pleuroparenchymal fibroatelectasis changes were observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch. No enlarged lymph nodes in prevascular, bilateral axillary pathological dimensions were detected. Left lower paratracheal, subcarinal and left hilar millimetric calcific lymph nodes were observed. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. A 26x14 mm adenoma was observed in the lateral crus of the left adrenal gland. Calcific atheroma plaques were observed in the aortic arch.\n\nImpression:\nCalcific atheromatous plaques in the aortic arch.  Fibroatelectatic parenchymal changes causing structural distortion and volume loss, including air bronchograms in the left upper lobe of the left lung and middle lobe of the right lung, multiple parenchymal nodules, some of which are calcified.  Appearance evaluated in favor of chronic bronchial-bronchiolitis in both lungs; it is recommended to be evaluated together with clinical and laboratory. Appearance in the left lung lower lobe basal segment, which may be compatible with Covid-19 pneumonia or other viral pneumonias; It is recommended to be evaluated together with the clinic and laboratory.  Left adrenal adenoma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18280/train_18280_a/train_18280_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation for an early infectious process is recommended due to the current pandemic. Interstitial signs are prominent and dependent atelectatic changes in both lungs are present with a mild mosaic attenuation pattern.\n<pleura>: When examined in the lung parenchyma window; In the lower lobe of the left lung, subpleural slightly patchy ground glass densities are observed at the level of the anteromedial lateral segments.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Diffuse density reduction is observed in bone structures entering the study area. No height loss was found in the vertebral corpuscles.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nSubpleural slightly patchy ground-glass densities are observed at the level of the anteromedial lateral segments in the lower lobe of the left lung. Clinical laboratory correlation follow-up is recommended for an early infectious process due to the current pandemic.  Degenerative changes in bone structures, decrease in density."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18281/train_18281_a/train_18281_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43060",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There was no finding in favor of pneumonia. Sequelae changes are observed in the middle lobe of the right lung. When examined in the lung parenchyma window; there is an appearance compatible with mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?). At the hilar level, pathological size and configuration of lymph nodes are not observed. No nodular or infiltrative lesion was detected in both lung parenchyma. There is prominence in the interlobar fissure on both sides.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: There are millimetric lymph nodes in the mediastinum. The pulmonary trunk is 29 mm wider than normal. The aortic arch calibration is 38 mm, wider than normal. The descending aorta is 37 mm wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch.\n<heart>: Calibrated 43 mm in the ascending aorta and is wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. Pericardial effusion-thickening was not observed. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. The aortic arch calibration is 38 mm, wider than normal. The descending aorta is 37 mm wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the aortic arch. There is a decrease in density consistent with hepatosteatosis in the liver entering the cross-sectional area.\n\nImpression:\nNo findings consistent with pneumonia were detected.  Cardiomegaly . Increased calibration of mediastinal main vascular structures, . Mosaic attenuation pattern in the liver (small vessel disease?, small airways disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18283/train_18283_a/train_18283_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43062",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. The linear density increase in the upper lobe of the right lung is nonspecific. It may belong to the atelectasis parenchyma. In lung parenchyma evaluation; No pneumonic infiltration or consolidation area was detected in both lung parenchyma.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Calcified atheroma plaques are observed in LAD. Heart sizes are natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nCalcified atheromatous plaques in the coronary arteries . Nonspecific increase in linear density in the upper lobe of the right lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18284/train_18284_a/train_18284_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. There is a nodule measuring 5x5 mm in the anterior segment of the upper lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected. Both hemithorax have millimetric-thickness calcified pleural plaques.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. There is a calcific atheroma plaque in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. The neural foramina are open. There are millimetric osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: There is a calcific atheroma plaque in the aorta. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMinimal emphysematous changes in both lungs . Nodule in upper lobe of right lung . Calcified pleural plaques in both hemithorax"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18288/train_18288_a/train_18288_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Viral pneumonia? Your appearances may reflect a relatively chronic process. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: In the evaluation of both lung parenchyma; In both lungs, the patient's lower lobe posterobasal segment, subpleural, reticular configuration, faint ground glass densities were observed. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Views include possible findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18289/train_18289_a/train_18289_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43092",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected. There is diffuse mild ectasia in the bronchial structures.\n<lung>: In the examination made in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. There are smooth interlobular-interstitial septal thickness increases in both lungs, more prominent in the lower lobes. The outlook is primarily thought of as interstitial lung diseases. In this background, no active infiltration or mass lesion was detected in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected. Nodular lesions are observed in both lungs, the largest of which is 16x8 mm in size with a pleural base in the apical segment of the upper lobe of the right lung.\n<mediastinum>: It could not be evaluated optimally due to lack of contrast. Calibration of other mediastinal vascular structures is natural. No lymph nodes were observed in both axillary regions and mediastinum in pathological size and appearance. As far as can be seen; The pulmonary trunk is larger than normal with a diameter of 33 mm. There is a central venous catheter. Mediastinal vascular structures and heart examination IV.\n<heart>: Mediastinal vascular structures and heart examination IV. Heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no free fluid or loculated collection was detected as far as can be observed within the borders of non-contrast CT. No lymph node was observed in pathological size and appearance.\n\nImpression:\nMosaic attenuation pattern in both lungs, diffuse ectasia in bronchial structures, smooth interlobular-interstitial septal thickness increases in both lungs, more prominent on the right. The findings were primarily evaluated as secondary to interstitial lung disease. There are well-circumscribed nodular lesions in both lungs, the largest of which is pleural-based in the right lung apical segment. If available, it is recommended to be evaluated together with a previous CT examination or to follow up closely.  Elevation in the right diaphragm."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18299/train_18299_a/train_18299_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43098",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The dimensions of the thyroid gland have increased slightly, and there is a 24 mm diameter nodule with incomplete rim-like calcification in the isthmus.\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThoracic CT examination within normal limits. Nodule in the thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18302/train_18302_a/train_18302_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is slightly deviated to the right. Both main bronchi are open.\n<lung>: A few nodules showing ground glass densities are observed in the left lung, the largest of which is approximately 4 mm in diameter with faint borders in the apicoposterior of the upper lobe. When the lung parenchyma window is examined, honeycomb-like paraseptal thickness increases are observed in both lungs, especially in the posterobasal segments of the lower lobes, extending from the hilus to the periphery, which includes the upper lobe of the right lung, being more dominant in the right lung. These nodules were primarily interpreted in favor of sequelae. Findings seem primarily compatible with pulmonary fibrosis.\n<pleura>: In the anterior segment of the upper lobe of the right lung, a subpleural-based nodule of 5mm in diameter with irregular borders is observed.\n<mediastinum>: Sequela lymph nodes with coarse calcifications are observed in the mediastinal area, with short axes not reaching 1 cm. Since the examination is unenhanced, the evaluation of mediastinal vascular structures is suboptimal, and as far as can be observed, calcific atheroma plaques are observed in the walls of the aorta and in the coronary arteries. No pathologically enlarged lymph nodes were observed in the mediastinal area and in both axillae.\n<heart>: No effusion or increase in pericardial thickness was observed in the pericardial area. Heart sizes slightly increased in favor of the heart. Since the examination is unenhanced, the evaluation of mediastinal vascular structures is suboptimal, and as far as can be observed, calcific atheroma plaques are observed in the walls of the aorta and in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophytic taperings are observed in the anterior vertebra corpus anteriors in the bone structures in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Since the examination is unenhanced, the evaluation of mediastinal vascular structures is suboptimal, and as far as can be observed, calcific atheroma plaques are observed in the walls of the aorta and in the coronary arteries. Upper abdominal organs included in the study area have a natural appearance.\n\nImpression:\nCalcific atheromatous plaques are observed in the aorta, branches and coronary arteries included in the study area. Honeycomb appearances in the form of diffuse paraseptal thickness increases in both lungs were primarily interpreted in favor of pulmonary fibrosis. It is appropriate to evaluate the patient with clinical and previous examinations.  Several pulmonary nodules, the larger of which do not exceed 5 mm in diameter, are observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18316/train_18316_a/train_18316_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43136",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Minimal central bronchiectasis, accompanying peribronchial thickening, centriacinar density increases, and bleb formations in the apical segment of the right lung upper lobe are observed in both lungs. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 14 mm in diameter in the lower right hilar region. There are several millimetric lymph nodes with a diameter of 2 mm in both lungs, the largest of which is in the left lung lower lobe posterior segment. There are linear atelectasis areas in the left lung upper lobe lingular segment, inferior subsegment, and lower lobe lateral segment. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: Pleural effusion of 7 mm thickness in the right hemithorax and 2 cm in the left hemithorax is observed.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. The diameter of the pulmonary trunk was 34 mm, and the diameter of both pulmonary arteries was 28 mm and increased. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 14 mm in diameter in the lower right hilar region.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. Calcific atheroma plaques-stent formations are observed in the coronary arteries.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections. The patient with a history of bypass has sternotomy.\n<abdomen>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nDilatation in pulmonary artery, stent-calcific atheroma plaques in coronary arteries, bypass graft.  Minimal central bronchiectasis in both lungs, accompanying peribronchial thickening, increased centriacinar density, sequela atelectatic changes, a few millimetric nonspecific nodules  Lymph nodes in the mediastinum and hilar regions.  Significant bilateral pleural effusion on the left.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18317/train_18317_a/train_18317_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43146",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Thickening of the bronchial walls in the central and sequela fibrotic changes in both lungs are observed.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. There are lymph nodes with a short axis not exceeding 1 cm in the mediastinum.\n<heart>: Calcifications in the coronary arteries and appearances that may be compatible with the stent are observed. Mediastinal main vascular structures, heart contour, size are normal. At the level of the left ventricular apex, calcifications in the form of layers are observed in the myocardium (sequence of MI?). Pericardial effusion-thickening was not observed. The ascending aorta is slightly ectatic (38 mm).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved. Changes related to sternotomy are observed.\n<abdomen>: Within the sections, there is a millimetric stone density in the middle part of the right kidney.\n\nImpression:\nSternotomy . Coronary atherosclerosis and stents, calcification in the left ventricular wall ( previous MI?) . Sequela fibrotic changes in the lung . Right nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18322/train_18322_a/train_18322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43160",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: There is a siliding type hiatal hernia.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Both kidneys are smaller than normal in size and their parenchyma is thin (CRF). When the sections passing through the upper part of the abdomen are evaluated; the left adrenal lateral crus is thick and nodular in appearance (NFA?).\n\nImpression:\nPneumonia imaging findings are not observed in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18328/train_18328_a/train_18328_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43167",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. Millimetric nodules are observed in both lungs. There is no mass or infiltrative lesion in both lungs. There are atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in both lungs.  Millimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18332/train_18332_a/train_18332_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43172",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: It was primarily evaluated in terms of sequelae changes. When examined in the lung parenchyma window; Mild atelectasis changes are observed in the left lung lower lobe superior segment and posterolateral basal parts.\n<pleura>: In the middle lobe of the right lung, there is a 5 mm pleural nonspecific nodule in the anterior serial 201 image 59. Upper abdominal organs included in the sections are normal. There are mild pleural irregularities and thickening at the described level.\n<mediastinum>: Thoracic aorta diameter is normal. There are calcific atheroma plaques in the coronary arteries and aortic arch. The mediastinum could not be evaluated optimally in the non-contrast examination. Postoperative clips are observed in the mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. There are calcific atheroma plaques in the coronary arteries and aortic arch.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction in bone structures, hypertrophic osteophytic taperings and degenerative changes are present in the end plates of the vertebral corpuscles.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are calcific atheroma plaques in the coronary arteries and aortic arch.\n\nImpression:\nMild atelectasis changes, more prominent in the lower lobe of the left lung, minimal irregularities in the pleura, subpleural nonspecific nodule anteriorly in the middle lobe of the right lung. Atherosclerosis. Osteopenic appearance in bone structures. Degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18335/train_18335_a/train_18335_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43194",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Fibroatelectatic changes were observed in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). Calcified parenchymal nodules and preparenchymal sequelae density increases were observed in the left lung upper lobe apicoposterior segment, causing shrinkage in the fissure.\n<mediastinum>: Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal prevascular subcarinal area.\n<heart>: Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed. Increased heart size (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bridging spur formations were observed in the right anetrolateral of the thoracic vertebrae. Degenerative changes were observed in the bone structures. It is recommended to be evaluated together with the physical examination findings in terms of DISH disease. No lytic-destructive lesion was detected.\n<abdomen>: A hypodense lesion with a diameter of 21 mm was observed in the left adrenal gland (adenoma?). Right adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural. Calcific atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary arteries were observed.\n\nImpression:\nCardiomegaly.  Atherosclerotic changes.  Mediastinal millimetric lymph nodes.  Sequelae changes in both lungs.  Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Calcified parenchymal nodules and sequelae changes in the left lung upper lobe apicoposterior segment.  Hypodense lesion (adenoma?) in the left adrenal gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18344/train_18344_a/train_18344_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A calcific nodule of approximately 11x8 mm is observed in the paramediastinal area in the superior segment of the lower lobe of the right lung. There is a branch view with buds in the upper lobe of the right lung. It is recommended to be evaluated in terms of infective processes. There is volume loss in the upper lobe of the right lung and the interlobar fissure is displaced superiorly. There are sequelae changes in the lingular segment. When examined in the lung parenchyma window; Sequelae changes are observed at the apical level. Significant thickening is observed in the upper lobe peribronchial sheath. There are findings compatible with emphysema. Accordingly, paracicatricial bronchiectasis and honeycomb appearance in the lower lobe are observed. There is also thickening of the peribronchial sheath at the lower lobe level.\n<pleura>: No pleural effusion or pneumothorax was detected. Nodules with a diameter of 2 mm are observed in the anterior segment of the left lung upper lobe, in the lateral subpleural area and anteriorly.\n<mediastinum>: CTO is normal. The pulmonary trunk caliber is 31 mm wider than normal. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Calibration of other mediastinal major vascular structures is normal. The aortic arch calibration is wider than normal at 34 mm.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. CTO is normal. The aortic arch calibration is wider than normal at 34 mm. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nSequelae changes in the levels of the upper lobe in the right upper lobe at the apical level of both lungs, paracicatricial bronchiectasis and honeycomb appearance in the lower lobe. In the anterior segment of the upper lobe of the right lung, a branch bud view in the anterior segment is recommended together with clinical and laboratory findings in terms of infective processes.  A few nodules, some of them calcific, in the right lung, the largest in both lungs. Degenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18356/train_18356_a/train_18356_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43225",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Atelectasis changes were observed in both lower lobe posterobasal segments of both lungs. The outlook was evaluated in accordance with the frequently reported imaging features of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical laboratory correlation is recommended. When examined in the lung parenchyma window; Nodular consolidation areas-ground glass density increases were observed, common in the upper and lower lobes of both lungs, and tending to coalesce in the lower lobes.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are frequently reported imaging features of Covid-19 pneumonia in both lung parenchyma. Other viral pneumonias can be considered in the differential diagnosis. Clinical laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18357/train_18357_a/train_18357_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43227",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There is minimal bronchiectasis in the central parts of both lungs. No mass or infiltrative lesion was detected in both lungs. Ventilation of both lungs is normal.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are no pathologically enlarged lymph nodes. No pathologically enlarged lymph nodes were observed. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. Sliding type hiatal hernia is observed at the lower end of the esophagus.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nMinimal bronchiectasis in the central segments of both lungs. Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18358/train_18358_a/train_18358_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43232",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild sequelae changes are observed in the middle lobe. In the evaluation of both lungs in the parenchyma window; In the middle lobe of the right lung, two adjacent nodular densities are observed, the largest of which is 3 mm in diameter. A little more superiorly, a 3 mm diameter nodule superposed on the fissure is observed. Focal consolidation area is observed in the inferior lingular segment on the left. There is a 6x5 mm nodule superposed on the interlobar fissure on the left.\n<pleura>: Pleural effusion-pneumothorax was not detected. A 6 mm diameter subpleural nodule is observed at the posterobasal level of the lower lobe of the left lung.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum or hilar level. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Millimetric hyperdense nodularities are observed in the D3 vertebral corpus (compact islet of bone?). Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The right kidney is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. In the superior pole of the left kidney, a density compatible with a 2 mm calculus is observed.\n\nImpression:\nFocal consolidative density with air bronchograms at the level of the inferior lingular segment in the left lung. The appearance is atypical for Covid pneumonia. Millimetric-sized nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18361/train_18361_a/train_18361_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43244",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Radiological findings strongly support Covid pneumonia.\n<pleura>: When the lung parenchyma is examined in the window; In the upper, middle and lower lobes of both lungs, bilateral asymmetrical nodular ground glass density areas, mild septal thickening and subpleural band formations with accompanying nodular consolidations in the lower lobe basal segments are observed.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdominal sections.\n\nImpression:\nAtypical infectious involvement in lung parenchyma. Radiological finding strongly supports Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18367/train_18367_a/train_18367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea is in the midline of both main bronchi and no obstructive parotology is observed in the lumen.\n<lung>: Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Linear atelectasis, which also causes slight volume loss, were observed in the left lung lingular segment and in the lower lobe basal segments of both lungs on the right. When examined in the lung parenchyma window; Nodular patchy ground-glass densities with vascular enlargement and crazy paving pattern were observed, more common in the upper lobes, peripherally located in the upper lobes of both lungs in the upper lobe and lower lobe superior segments.\n<mediastinum>: An appearance compatible with the intravascular graft was observed in the wall of the abdominal aorta at the infrarenal level. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 48 mm, and the anterior-posterior diameter of the descending aorta was 38 mm, larger than normal. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. The pulmonary trunk is larger than normal with a diameter of 33 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Surgical suture materials secondary to previous bypass surgery in the sternum were observed. Vertebral corpus heights are preserved.\n<abdomen>: An appearance compatible with the intravascular graft was observed in the wall of the abdominal aorta at the infrarenal level. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 48 mm, and the anterior-posterior diameter of the descending aorta was 38 mm, larger than normal. It is recommended to evaluate with USG in terms of mud. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. A 14 mm diameter hypodense nodular lesion was observed in the left kidney mid-section lateral (cyst?). There is a suspicious hyperdense appearance that gives leveling in the gallbladder lumen. Liver, spleen, pancreas, both adrenal glands and both kidneys are normal.\n\nImpression:\nFusiform aneurysmatic dilatation in the thoracic aorta, calcific atheromatous plaques in the thoracic aorta and coronary arteries. Nodular-patchy ground-glass consolidations showing crazy paving pattern and vascular enlargement in the upper lobes of both lungs; The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Atelectatic changes in the left lung lingular segment and both lung lower lobe basal segments, causing slight volume loss on the right . Suspicious hyperdense appearance in the gallbladder lumen; It is recommended to evaluate sludge together with clinical and laboratory.  Hypodense nodular lesion (cyst?) in the lateral side of the middle part of the left kidney. Metallic densities compatible with intraluminal angioplasty in the wall of the abdominal aorta at the infrarenal level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18369/train_18369_a/train_18369_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43254",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the lung parenchyma, interlobular smooth septal thickenings and mild fissural thickening, which are more prominent in the upper lobes and in the basals, were evaluated in favor of interstitial edema. There is a slight increase in metastatic nodule size in the right lung lower lobe superior segment. It measures 11 mm in diameter. There is no significant difference in the dimensions of this lesion. It was 8 mm in the previous examination. No pneumonic consolidation was detected. A millimetric nodule in the upper lobe of the right lung is stable. There is a primary mass lesion showing infiltration into the hilum and mediastinum in the superior segment of the left lung lower lobe. Cavitation and necrosis areas observed in the central part of the lesion with treatment are stable. In the left lung, the primary mass lesion extends into the upper lobe bronchus lumen, and the area of subsegmental atelectasis in the posterior segment of the upper lobe is accompanied by the narrowing of the air passage. The presence of infection in the necrosis area in the central part of the primary lesion, in which air images were observed, could not be excluded with this imaging.\n<mediastinum>: Mild size increases are observed in bilateral upper paratracheal, lower paratracheal paraaortic, subcarinal pathological lymph nodes in the mediastinum. The largest of these lymph nodes was 28 mm in diameter in the lower right paratracheal localization. It was 22 mm in the previous examination.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: The left kidney is atrophic. Nodular lesion dimensions consistent with adenoma in the right adrenal gland are stable. Findings secondary to a previous bypass operation are observed.\n\nImpression:\nNo significant difference was found in the primary lesion sizes in the lung. There is an area of necrosis within the lesion. Infected necrosis could not be differentiated in non-contrast examination. There was no significant difference between PET-CT and previous imaging.  The segmental atelectasis area in the left upper lobe of the left lung has just developed because the primary lesion has created stenosis due to malignant infiltration in the bronchial calibration of the left lung upper lobe. Millimetric nodule sizes are stable in the upper lobe of the right lung.  Millimetric increase in the size of metastatic nodule and mediastinal metastatic lymph nodes in the superior segment of the right lung lower lobe.  Findings consistent with interstitial pulmonary edema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18371/train_18371_a/train_18371_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43260",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Secretory densities are observed at the level of the tracheal carina.\n<lung>: When examined in the lung parenchyma window; emphysematous appearance is present in both lung parenchyma. There are mosaic density differences in both lungs.\n<pleura>: Pleural effusion-thickening was not detected. In the posterior parts, especially in the lower lobe, thickening of the bronchial wall, subpleural minimal ground glass densities, increases in subpleural reticular density and thickening of the interlobular septa are observed.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques and stents are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: A 40x31 mm subcutaneous lesion with a density close to fat was observed in the posterior part of the neck. There are degenerative changes in the vertebrae.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques and stents are observed in the aorta and coronary arteries.\n\nImpression:\nDifferences in mosaic density in both lungs, findings that may be compatible with chronic bronchitis, bronchial thickening in the lower lobes and more specifically posteriors, peribronchial pleuroparenchymal densities (may be due to minimal aspiration or insufficient inspiration).  Aortic and coronary artery atherosclerosis. Coronary stents  Subcutaneous lipoma in the posterior part of the neck?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18373/train_18373_b/train_18373_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43280",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric lymph nodes were detected in the lower paratracheal region. A nonspecific nodule with a diameter of 3 mm was observed in the superior lower lobe of the left lung. When examined in the lung parenchyma window; Active infiltration area-infiltrative mass lesion was not observed in both lung parenchyma.\n<mediastinum>: No lymph node was detected in the mediastinum and hilar pathological size and appearance. There are millimetric calcific atheroma plaques in the aortic arch. Calibration of the aortic arch and descending aorta are within normal limits.\n<heart>: Pericardial effusion-thickness increase was not detected. Heart size increased. The ascending aorta is 51 mm in diameter and the aneurysm is dilated.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was observed. Diffuse osteophytic degenerative changes were observed in the bone structures within the sections.\n<abdomen>: Abdominal solid organs are normal in sections passing through the upper abdomen. There are millimetric calcific atheroma plaques in the aortic arch. Calibration of the aortic arch and descending aorta are within normal limits.\n\nImpression:\nCardiomegaly, ascending aortic aneurysm . Atherosclerotic changes in the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18374/train_18374_a/train_18374_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43288",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peribronchial fibrotic densities are observed at the apex of the left lung upper lobe and at the level of the left lung inferior lingular segment, and apart from this level, sequelae calcific foci, the larger of which reach approximately 10 mm in diameter, are scattered in both lung parenchyma.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal sections included in the sections, the spleen size was slightly increased (131 mm).\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18378/train_18378_a/train_18378_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43298",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Tracheaostomy cannula is observed. No occlusive pathology was detected in the lumen. Diffuse ectasia and peribronchial thickness increases are observed in bilateral bronchial structures.\n<lung>: Active infiltration was not detected in both lungs. There are centracinar-paraseptal emphysematous changes in both lungs. When examined in the lung parenchyma window; Sequelae fibrotic bands and sequela fibroatelectatic changes are observed in both lung apexes. There are occasional sequelae fibrotic bands in both lungs and interlobular septal thickness increases in the peripheral area. In both lung parenchyma, there are millimetrically sized nonspecific nodules, the largest of which is measured in the lower lobe superior segment in the lower lobe superior segment on the right. A few thin-walled air cysts, 32x25 mm in size, are observed in the apical segment of the upper lobe of the right lung.\n<mediastinum>: Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. In mediastinal lymph node stations, no lymph nodes in pathological size and appearance are observed, and fusiform lymph nodes with a short diameter of 9 mm are observed at the prevascular level. There are calcified atheroma plaques in the wall of the aortic arch.\n<heart>: No pericardial effusion or thickening was detected. Due to the lack of contrast, mediastinal vascular structures and heart could not be evaluated optimally. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is a slight hiatal hernia at the lower end.\n<bone>: No lytic-destructive lesion is observed in the bone structures in the study area, and osteodegenerative changes are present.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. There are calcified atheroma plaques in the wall of the aortic arch.\n\nImpression:\nCentriacinar and paraseptal emphysematous changes in both lungs, . Fibroatelectatic changes, more prominent in bilateral apexes, . Nonspecific nodules in millimeter sizes in bilateral lung parenchyma, diffuse ectasia and peribronchial thickness increases in bronchial structures, more prominent in lower lobes.  Degenerative changes in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18381/train_18381_a/train_18381_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43311",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is 6.5 mm diameter nodular consolidation in the left lung upper lobe lingula. There are several nodules smaller than 5 mm in the left lung major fissure (lymph node?). In the bilateral lower lobes of the lung, the bronchi are seen as dilated. There are subsegmental atelectasis in the right lung middle lobe, left lung upper lobe lingula and bilateral lower lung lobes. There are three nodules smaller than 5 mm in the right lung upper lobe anterior, upper lobe posterior and middle lobe.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; There are areas of ground glass density located subpleural in the right lung upper lobe posterior and bilateral lung lower lobe posterobasal segments.\n<mediastinum>: Thoracic aorta diameter is normal. There are multiple lymph nodes, including upper, lower paratracheal, aorrtopulmonary, subcarinal, bilateral hilar, paraesophageal, 19x6 mm in size. Mediastinal main vascular structures are normal. There are two lymph nodes, the left parasternal one with a diameter of 4 mm. There are wall calcifications in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The bone structure in the examination area has a slightly porotic appearance and there are degenerative changes in places. Vertebral corpus heights are preserved. There is a millimetric sclerotic focus in the anterior part of the 5th rib on the left.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. There are wall calcifications in the aorta and coronary arteries.\n\nImpression:\nWall calcifications in the aorta and coronary arteries, cardiothoracic index increased in favor of the heart (cardiomegaly).  Multiple lymph nodes, including the upper, lower paratracheal, aorrtopulmonary, subcarinal, bilateral hilar, paraesophageal larger 19x6 mm.  Two lymph nodes, of which the left parasternal largest is 4 mm in diameter . Areas of ground glass density located subpleural in the right lung upper lobe posterior and bilateral lung lower lobe posterobasal segments. Subsegmentary atelectasis in right lung middle lobe, left lung upper lobe lingula and bilateral lung lower lobes. Bronchi in bilateral lung lower lobes are dilated. Three nodules smaller than 5 mm in the right lung upper lobe anterior, upper lobe posterior and middle lobe. Several nodules smaller than 5 mm in the left lung major fissure (lymph node?).  Nodular consolidation with a diameter of 6.5 mm in the lingula of the upper lobe of the left lung. The bone structure in the examination area has a slightly porotic appearance and there are degenerative changes in places, millimetric sclerotic focus in the anterior part of the 5th rib on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18386/train_18386_a/train_18386_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18396/train_18396_a/train_18396_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43356",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Reticulonodular sequela fibrotic density increases were observed in both lung apexes. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe inferior lingular segment, and left lung lower lobe basal.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\n· Linear subsegmental atelectatic changes in both lungs. · Reticulonodular sequelae of fibrotic density increases in the apex of both lungs. · There was no finding in favor of pneumonia-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18408/train_18408_a/train_18408_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43377",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; In both lungs, diffuse crazy paving pattern, patchy ground glass densities, enlargement of vascular structures, Halo signs are observed. Clinical laboratory correlation and close follow-up are recommended.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\n??? In both lungs, diffuse crazy paving pattern, patchy ground glass densities, enlargement of vascular structures, Halo signs are observed. The findings were evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and close follow-up are recommended. ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18416/train_18416_a/train_18416_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43391",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule or infiltration was observed in the lung parenchyma. Dependent density increases are observed in the bilateral lower lobes.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: A triangular density secondary to the thymic remnant is observed in the anterior mediastinum. Mediastinal vascular structures have a natural appearance. Right upper lower, aortopulmonary millimetric lymph node is observed. No pathological LAP was detected in the mediastinum.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No additional significant pathology was detected in the non-contrast abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo mass, nodule, infiltration was observed in the evaluation of both lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18420/train_18420_a/train_18420_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43393",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. There is no mass or infiltrative lesion in both lungs. The described findings are in the style frequently observed in Covid-19 pneumonia. These findings are more prominent in the peripheral parts and lower lobes. Peripheral and centrally located ground glass areas and linear density increases are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. In the liver parenchyma, there is a decrease in density consistent with moderate adiposity.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs. Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18421/train_18421_a/train_18421_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Both lung parenchyma aeration is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; A few millimetric non-specific nodules are observed in the right lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nA few millimetric non-specific nodules are observed in the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18421/train_18421_b/train_18421_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43409",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There are bilateral bronchiectataic changes and accompanying minimal peribronchial thickness increase. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are several nonspecific nodules with a diameter of 4.5 mm in both lungs, the largest of which is in the medial segment of the right lung middle lobe.\n<pleura>: Pleural–pericardial effusion was not detected.\n<mediastinum>: The diameters of the mediastinal main vascular structures are normal. A few lymph nodes with a short diameter of 5 mm are observed in the right paratracheal area, the largest of which is 5 mm in the pre-paratracheal and prevascular areas, and no pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: Heart contour and size are normal. Stent–calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: There is a sliding type hiatal hernia at the esophagogastric junction. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal fluid-collection was detected in the sections. Within the limits of non-contrast BT; In the upper pole of the right kidney, there is a hypodense lesion with a diameter of approximately 2 cm (18 HU), which is partially included in the sections (cyst?). In elective conditions, abdominal US evaluation is recommended. There is a sliding type hiatal hernia at the esophagogastric junction.\n\nImpression:\nStent–calcific atheroma plaques in coronary arteries.  Bilateral bronchiectataic changes and accompanying minimal peribronchial thickness increase  Millimetric nonspecific nodules in both lungs  Sliding hiatal hernia.  Hypodense lesion in the upper pole of the right kidney; It is recommended to evaluate with US under elective conditions."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18428/train_18428_a/train_18428_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43417",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). In the previous CT examination, the density and prevalence of multilobar, multisegmental, central-peripheral weighted, ground-glass infiltration areas in both lungs extending along the peribronchial area have decreased in the current examination. Parenchymal nodules with a diameter of 7.3 mm in the right middle lobe and 5.5 mm in diameter in the left lower lobe laterobasal segment were observed in both lungs. Other findings are stable. The results were evaluated in favor of regression.\n<pleura>: Ground-glass infiltrations in subpleural areas are accompanied by interlobular-intralobar septal thickening.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18428/train_18428_e/train_18428_e_1.npy"
        ]
    },
    {
        "id": "report_generation_43419",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; The primary mass with irregular borders in the anterior upper lobe of the left lung is stable in size and appearance. Millimetric nonspecific nodules are observed in both lungs.\n<pleura>: An irregularly circumscribed millimetric nodule located in the subpleural superior of the left lung lower lobe is stable.\n<mediastinum>: Calcific atheroma plaques are present in the aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are signs of widespread degeneration in the vertebrae. No lytic-destructive lesion was detected in the bone structures included in the study area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are present in the aorta and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLung Ca, stable primary mass in the left lung upper lobe, stable irregular bordered nodule in the superior lower lobe of the left lung, millimetric nonspecific nodules in both lungs in follow-up.  Aortic and coronary artery atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18429/train_18429_a/train_18429_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43421",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In the superior anterior of the left lung upper lobe, a consolidated area with irregular contours, measuring up to 28x25 mm in size (29x23 mm in the previous examination), does not differ significantly. A few millimetric nodules, which were also observed in previous examinations, are observed in both lungs.\n<pleura>: In the lower lobe of the left lung, there is a nodule in the subpleural area (serial 2 image 134) with a spiculo contour, measuring 5 mm in size, not significantly different, and with a faint nature.\n<mediastinum>: Diffuse calcific atheroma plaques are present in the aortic arch, descending aorta and coronary arteries. Thoracic aorta diameter is normal. Calibration of other mediastinal major vascular structures is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Diffuse calcific atheroma plaques are present in the aortic arch, descending aorta and coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction, hypertrophic osteophytic tapering and degenerative changes in the anterior end plate of the vertebral corpuscles are observed in the bone structures in the examination area. Thoracic kyphosis is observed to be increased.\n<abdomen>: Diffuse calcific atheroma plaques are present in the aortic arch, descending aorta and coronary arteries. Upper abdominal organs included in the sections are partially included in the examination. The gallbladder is operated. Thoracic aorta diameter is normal.\n\nImpression:\nMass lesion that does not differ significantly in the anterior upper lobe of the left lung.  Stable, irregularly circumscribed nodule in the superior lower lobe of the left lung.  Several millimetric nonspecific nodules in both lungs.  Atherosclerotic changes.  Degenerative changes in bone structures. Thoracic kyphosis has increased."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18429/train_18429_b/train_18429_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43423",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. No mass lesion with limited discernibility was detected in both lungs. When examined in the lung parenchyma window; Intense patchy ground glass consolidations forming a crazy paving pattern accompanied by central-peripheral, linear subsegmentary atelectatic changes in both lungs were observed, and the appearance is compatible with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the mediastinum, lymph nodes with short axes less than 1 cm that did not reach pathological dimensions were observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Staghorn calculi, measuring 22x20 mm, was observed in the lower pole of the left kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Microlithiasis with a diameter of 2 mm was observed in the lower pole of the right kidney. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nHiatal hernia. Findings consistent with Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with the clinic and laboratory.  Microlithiasis in the lower pole of the left kidney, staghorn calculus in the lower pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18430/train_18430_a/train_18430_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43427",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Mosaic attenuation pattern was observed in both lungs. (Small airway disease?, small vessel disease?) No mass-infiltration was detected in both lungs. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: When examined in the lung parenchyma window; Several parenchymal nodules in different localizations, measuring 6 mm in diameter, were observed in both lungs, the largest of which was located subpleural in the middle lobe of the right lung. No pleural effusion was detected.\n<mediastinum>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Lymph nodes with a short axis smaller than 7 m are observed at the mediastinal upper-lower paratracheal and aorticopulmonary level.\n<heart>: Heart contour size is normal. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nSequelae changes in both lungs, mediastinal millimetric size lymph nodes. Millimetric size parenchymal nodules in both lungs. Mosaic attenuation pattern in both lungs. .(Small airway disease?, small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18432/train_18432_a/train_18432_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43440",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: However, it was thought that the areas especially in the right lung upper lobe posterior segment and left lung upper lung lower lobe superior segment may be compatible with pneumonic infiltration. There are consolidations adjacent to the effusion in the lower lobe of both lungs. There are millimetric nodules in both lungs. In addition, there are consolidations in the right lung upper lobe posterior segment, left lung upper lobe apicoposterior segment posterior subsegment and lower lobe superior segment. A clear distinction between atelectasis and pneumonic infiltration cannot be made. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected. Bilateral minimal pleural effusion is observed. Calcified pleural plaques of millimetric thickness are observed in the costal pleura on the right. The pleural effusion measured approximately 53 mm on the right at its thickest point.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The catheter terminates at the superior distal portion of the vena cava. The diameters of the aortic arch and descending aorta are normal. There are no enlarged lymph nodes in pathological dimensions. Central venous catheter is seen on the right. There are atheromatous plaques in the aorta and coronary arteries. No enlarged lymph nodes in pathological dimensions were detected. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The main pulmonary artery diameter was 39 mm and wider than normal.\n<heart>: The ascending aorta measures 42 mm in anterior-posterior diameter and is wider than normal. Pericardial effusion was not detected. It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: The diameters of the aortic arch and descending aorta are normal. There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries, coronary bypass surgery. Increase in pulmonary artery diameters.  Bilateral pleural effusion. Appearances evaluated primarily in favor of atelectasis in the vicinity of pleural effusion in the lower lobes of both lungs.  Consolidations (pneumonic infiltration? atelectasis??) in the right lung upper lobe posterior segment and left lung lower lobe superior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18438/train_18438_a/train_18438_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The left thyroid lobe has increased in size. In the inferior pole, parenchymal calcification focus is observed.\n<lung>: When examined in the lung parenchyma window; The shooting was done in expiration. No pneumonic consolidation or space-occupying mass lesion was detected in the lung parenchyma. There are linear subsegmental atelectasis areas in the lower lobe basal segments of both lungs and in the right lung middle lobe. There are a few millimetric nonspecific lymph nodes located in the right upper paratracheal and lower paratracheal region. Interlobular septal thickenings and mild ground-glass opacities in the lower lobe basal segments of both lungs were evaluated in favor of mild parenchymal edema. There is a mosaic attenuation pattern in both lungs. It shows loculation on the left. It is also present in the previous review, and has a slightly regressed appearance in the current review. Nodular fissure edema and fissuritis appearance are observed in the left major fissure.\n<pleura>: Compression atelectasis is observed in the basal segments of the lower lobes of both lungs, adjacent to the pleural effusion. There is a pleural effusion with a diameter of 3 cm between the leaves of the right pleura and 2 cm between the leaves of the left pleura.\n<mediastinum>: A central venous catheter is observed. Diffuse intimal thickenings are observed in the aortic arch and thoracic aorta. No lymph node in pathological size and appearance was observed in both axillae.\n<heart>: There are suture materials in the coronary arteries. Heart sizes were significantly increased.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteoporotic appearance and degenerative changes are observed in the bone structures in the study area. The sternotomy line is observed in the sternum. In both supraclavicular fossas, no lymph node was observed in the cross-section in pathological size and appearance.\n<abdomen>: Diffuse intimal thickenings are observed in the aortic arch and thoracic aorta.\n\nImpression:\nIncreased heart size, previous bypass surgery . Bilateral pleural effusion shows loculation on the left. Fissuritis in the left major fissure .Slight interlobular septal thickening in the lower lobe basal segments of both lungs is consistent with ground glass opacities, mild pulmonary edema, and no pneumonic consolidation or space-occupying lesion in the lung parenchyma is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18438/train_18438_b/train_18438_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lungs, especially in the posterior and lower segments, prominent, widespread, confluent, predominantly consolidation and crazy paving appearances were observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Calcific atheroma plaques are observed in the anavascular structures, this esophagus is within normal limits.\n<bone>: Significant degenerative changes were observed in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Viral pneumonia? In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18439/train_18439_a/train_18439_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43448",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A change in favor of steatosis is observed in liver parenchyma density. In the right kidney, milimetric hyperdense finding in moderate pelvicalyceal structure was evaluated in the direction of calculus.\n\nImpression:\nMild hepatosteatosis. Suspected right millimetric nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18441/train_18441_a/train_18441_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43455",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Mass lesion with distinguishable borders in both lungs – no active infiltration was detected. A suspicious ground glass density was observed in a focal area in the posterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Tubular bronchiectasis, which became prominent in the center of both lungs, was observed. It is suspicious, albeit low, in terms of ultra-early Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Liver parenchymal density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripheral suspicious ground glass area in the posterobasal segment of the lower lobe of the left lung; It is suspect, albeit low, in terms of Covid-19 pneumonia; It is recommended to be evaluated together with clinical and laboratory.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18445/train_18445_a/train_18445_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43461",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: It measured 40 mm at its thickest point on the right and approximately 50 mm at its thickest point on the left. Apart from this, atelectatic consolidation areas in the upper and lower lobes of the left lung continue in the medial part of the middle lobe of the right lung.\n<pleura>: Pleural effusions in both lungs decreased.\n<heart>: When evaluated together with the previous examination of the patient, the effusion in the pericardial area almost completely disappeared.\n\nImpression:\nThe amount of pleural effusion in both lungs has decreased.  Other findings are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18447/train_18447_b/train_18447_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are increases in density consistent with ground glass and consolidation, with a common tendency to coalesce in all lobes. Findings are among the frequently reported findings in Covid-19 pneumonia.\n<pleura>: In the current examination, there is an effusion with a depth of approximately 15 mm, which was observed to have newly developed in the right pleural space. Pericardial and left pleural effusion were not detected.\n<mediastinum>: Calibration of mediastinal vascular structures is natural. There is no lymph node in the mediastinum in pathological size and appearance. The examination is suboptimal because of motion artifact.\n<heart>: Heart contour and size are natural.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickness increase was observed. No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: No pathology is observed in the upper abdominal sections within the image.\n\nImpression:\nThere is a newly developed minimal effusion in the right pleural space on current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18448/train_18448_b/train_18448_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43471",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: It has just appeared (pneumonic infiltration?). A few nodules with a diameter of 2.5 mm are observed in both lungs, the largest of which is in the lateral segment of the left lung lower lobe, and no significant difference was found between their number and size. There is bilateral central weighted increase in peribronchial thickness and accompanying interlobular septal thickness increases (lymphangitic carcinomatosis?). Multiple lymphadenopathies with a diameter of 12 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area, and no difference was found between the examinations in terms of number and size. There is bulla formation in the lateral segment of the lower lobe of the left lung.\n<pleura>: Pleural effusion with a thickness of 8. There is a consolidative area in the right lobe middle lobe medial segment, in the paramediastinal area, in the periphery of which air bronchograms are observed, accompanied by minimal ground glass areas.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Multiple lymphadenopathies with a diameter of 12 mm are observed in the mediastinum and bilateral hilar regions, the largest in the right lower paratracheal area, and no difference was found between the examinations in terms of number and size. The widths of the mediastinal main vascular structures are normal. The porta chamber is observed on the left anterior chest wall, and the catheter tip ends in the superior vena cava.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n<bone>: Sclerotic foci are observed in the manibrium sterni, T3, T4, T7, L1 vertebrae and are stable.\n<abdomen>: As far as it can be evaluated within the limits of non-contrast CT; A hypodense lesion measuring 9x12 mm is observed in the subcapsular area in segment 7 of the liver and it is stable. Widespread nodular density increase in the omentum is consistent with peritoneal carcinomatosis. Calcific atheroma plaques are observed in the aorta and coronary arteries. A few lymph nodes are observed in the perigastric area, and no significant difference was found between their number and size. There is an increase in the amount of free fluid observed in the perihepatic and perisplenic areas.\n\nImpression:\nStomach Ca in follow-up.  Consolidative area in the middle lobe of the right lung, in the paramediastinal area, in which air bronchograms and ground glass areas are observed in the periphery. It has just emerged. It was evaluated in favor of pneumonic infiltration when evaluated in the knowledge with the clinical findings of the patient.  Central weighted increase in peribronchial thickness and accompanying increase in interlobular septal thickness in both lungs. Considering the primary malignancy of the patient, it is compatible with lymphangitic carcinomatosis.  Bilateral pleural effusion, intra-abdominal free fluid; increase is observed.  Several millimetric nodules in both lungs; is stable.  Mediastinal lymphadenopathies; No significant difference was found between the numbers and sizes.  Pericardial effusion; is stable.  Subcapsular hypodense lesion in the right lobe of the liver; is stable.  Diffuse nodular density increase in peritoneal fatty tissue; It is compatible with peritoneal carcinomatosis.  Sclerotic metastatic lesions in the sternum and thoracic vertebrae are stable."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18449/train_18449_a/train_18449_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected in the lumen.\n<lung>: Aeration is observed in a part of the anterobasal-mediobasal segment of the left lung lower lobe, and in other areas, an area in which air bronchograms can not be clearly differentiated between consolidation and atelectasis is observed, and evaluation together with clinical and physical examination findings is recommended in terms of infective pathologies. In the posterobasal segment of the lower lobe of the right lung, there is an area of increased density adjacent to the effusion, which is evaluated in favor of compressive atelectasis. When examined in the lung parenchyma window; There are a few nonspecific nodules in millimetric sizes in both lung parenchyma.\n<pleura>: A free effusion measuring 7 mm in the deepest part in the right pleural space and 34 mm in the deepest part in the left pleural space is observed.\n<mediastinum>: There are no lymph nodes in pathological size and appearance at mediastinal lymph node stations, bilateral axillary region and subraclavicular level. Mediastinal main vascular structures and heart were not evaluated optimally because of the lack of contrast.\n<heart>: Mediastinal main vascular structures and heart were not evaluated optimally because of the lack of contrast. Calibration of vascular structures, heart contour and size are natural. Minimal effusion is observed in the pericardial area and measured approximately 12 mm at its deepest point.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n\nImpression:\nMinimal pericardial, right and bilateral pleural effusion . A few millimetrically sized non-specific nodules in both lung parenchyma . Aeration is observed in the anterobasal, mediobasal segment of the left lung lower lobe, and in other areas, consolidation - atelectasis in which air bronchograms can not be clearly differentiated, and infective pathologies are observed. In terms of clinical and physical examination findings, evaluation together with the findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18450/train_18450_a/train_18450_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; There are density increases in ground glass density in both lung lower lobe basal segments. Minimal emphysematous changes were observed in both lungs. No active infiltration or mass lesion was detected in both lungs. There are nonspecific nodules, some of them pure calcified, in millimetric sizes in both lungs. First of all, the dependent ground glass density was evaluated in favor of the increase in density areas.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph nodes in pathological size and appearance were observed in the mediastinum, in both axillary regions and in the supraclavicular fossa. As far as can be observed, mediastinal main vascular structures, heart contour and size are normal. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast.\n<heart>: Pericardial effusion-thickening was not observed. It could not be evaluated optimally because of mediastinal vascular structures and cardiac examination without IV contrast. As far as can be observed, mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: In the upper abdominal organs included in the sections, no pathology was detected as far as can be observed within the limits of non-contrast CT.\n\nImpression:\nNo active infiltration or mass lesion was detected in both lungs. There are a few nodules, some of them pure calcified, nonspecific, in millimeters, and minimal emphysematous changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18452/train_18452_a/train_18452_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A few millimetric and some calcific nonspecific nodules are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe nodule in the upper lobe of the left lung, which had a ground-glass halo around it, which had just appeared in the previous examination, shows total resolution in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18452/train_18452_d/train_18452_d_1.npy"
        ]
    },
    {
        "id": "report_generation_43491",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. When evaluated together with the patient's primary disease, these appearances may be compatible with lymphoma involvement, or may be due to a specific infection (fungus?) when evaluated together with the clinical preliminary diagnosis. The manifestations of the described lesions are non-specific. Apart from these, nodule-nodular consolidations, some of which have irregular borders, are observed in both lungs, being more prominent on the right. There are local atelectasis and minimal pleuroparenchymal sequelae changes in both lungs. The largest of the described lesions is observed in the posterior segment of the right lung upper lobe and its longest diameter is 22 mm. This outlook was evaluated primarily in favor of sequelae change. Linear density increases and volume loss are observed in the lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. This distinction was not made in this study. The widths of the mediastinal main vascular structures are normal. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: In addition, millimetric lymph nodes were observed in the upper abdomen. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLymphoma on follow-up . Stable nodule-nodular consolidations, some with irregular borders, in both lungs (described findings are nonspecific. Emphysematous changes and sequelae changes in both lungs . Millimetric lymph nodes in mediastinum and hilar regions and upper abdomen"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18456/train_18456_a/train_18456_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43493",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections. The gallbladder is operated.\n\nImpression:\n? Inspection within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18457/train_18457_a/train_18457_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43496",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mosaic perfusion is observed in both lungs. A few millimeter-sized nonspecific nodules are observed in both lungs. There was no finding in favor of active infiltration in both lungs.\n<pleura>: Sequelae band-like changes extending towards the pleura are observed in the superior and inferior lingular segments and lower lobe anteromedial basal segment on the left. In addition, in the right lobe, there are sequelae changes in the mediobasal segment extending to the band-like pleura. No pericardial or pleural thickening or effusion was detected.\n<mediastinum>: Significant calcific lymph formations are observed in the wall of the coronary artery, in the aortic arch, in the aortic valve and in the wall of the descending aorta. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. In the aortopulmonary window, bilateral hilar lymph nodes, some of which are calcific, are observed in millimetric sizes.\n<heart>: Heart size increased. Significant calcific lymph formations are observed in the wall of the coronary artery, in the aortic arch, in the aortic valve and in the wall of the descending aorta. The anterior-posterior diameter of the ascending aorta has increased by 42 mm.\n<esophagus>: No significant wall thickening was observed in the thoracic esophagus.\n<bone>: Vacuum phenomenon accompanies in places intervertebral disc spaces. When the bone is examined in the window, an increase in thoracic kyphosis and syndesmophytes in the right-weighted middle and distal parts of the thoracic vertebrae are observed.\n<abdomen>: Significant calcific lymph formations are observed in the wall of the coronary artery, in the aortic arch, in the aortic valve and in the wall of the descending aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the study area; liver, spleen and pancreas are normal. There is an accessory spleen with a diameter of 1 cm in the spleen hilum.\n\nImpression:\nCardiomegaly, elongation of the aorta and enlargement of the ascending aorta. Atherosclerotic changes in the aortic arch, descending aorta, aortic valve and coronary artery walls . Mosaic perfusion in both lungs (small vessel disease? Small airway disease?) Active infiltration was not observed in both lungs. A few nonspecific millimetric nodules in both lungs Band-like sequelae extending to the pleura in the basals of both lungs . Increase in thoracic kyphosis, signs of thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18459/train_18459_a/train_18459_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: A nodular lesion of 10 mm in size, observed in the previous examination, observed in the superior segment of the right lung lower lobe, adjacent to the fissure in image 183 in series 2, was measured as 6.5 mm in the current study, and there is a dimensional reduction. The 7 mm nodule observed in series 2 image 146 in the anterior upper lobe of the right lung was measured as 10 mm in the previous study, and a slight decrease is observed in its dimensions.\n<pleura>: There are findings consistent with pleural effusion, which is observed in a small to moderate amount on the right in both lungs.\n<mediastinum>: A space-occupying mediastinal lesion measuring 40x43 mm in the current study, in the anterior of the ascending aorta, in the posterior of the sternum, in the anterior mediastinum in the previous examination, shows a dimensional reduction in the current study.\n<heart>: Stents and millimetric calcific atheroma plaques are observed in the coronary arteries. The cardiothoracic index increased in favor of the heart. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures. A space-occupying mediastinal lesion measuring 40x43 mm in the current study, in the anterior of the ascending aorta, in the posterior of the sternum, in the anterior mediastinum in the previous examination, shows a dimensional reduction in the current study.\n<abdomen>: A space-occupying mediastinal lesion measuring 40x43 mm in the current study, in the anterior of the ascending aorta, in the posterior of the sternum, in the anterior mediastinum in the previous examination, shows a dimensional reduction in the current study.\n\nImpression:\nThere are dimensional reductions in the nodules described in the upper and lower lobe superior anteriors of the right lung, and in the space-occupying mass lesions described in the anterior mediastinum. Small-to-moderate pleural effusion, more prominent in the bilateral new right."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18465/train_18465_a/train_18465_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43517",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Atelectesis is observed in the vicinity of the effusion. Findings are thought to be compatible with pulmonary edema in the foreground. There are newly developed interlobular septal thickenings and peribronchial diffuse ground glass densities in both lung parenchyma.\n<pleura>: When examined in the lung parenchyma window; Bilateral pleural effusion has increased and is 56 mm on the right and 55 mm on the left.\n<mediastinum>: No significant difference was found in the irregularly circumscribed mass consistent with thymic carcinoma in the anterior mediastinum. Mediastinal main vascular structures, heart contour, size are normal. There are also millimetric lymph nodes in the upper paratracheal region.\n<heart>: Pericardial effusion-thickening was not observed. There is atherosclerosis and stent in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There are widespread metastatic lesions in the liver that enters the section area. Perihepatic minimal free fluid is present. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThymic mass in anterior mediastinum.  Increased pleural effusion and atelectasis.  Newly developed diffuse interlobular septal thickenings in the lungs, peribronchial ground glass densities (Pulmonary overload?).  Diffuse metastatic lesions in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18465/train_18465_f/train_18465_f_1.npy"
        ]
    },
    {
        "id": "report_generation_43519",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: When examined in the lung parenchyma window; There was no significant metastasis or finding consistent with pneumonia in both lungs. In these conditions, an appearance compatible with a mosaic attenuation pattern was considered (small airway disease?, small vessel disease?). No prominent lymph node with pathological size and configuration was detected at the hilar level. The appearance was evaluated as suboptimal because of respiratory artifacts in both lungs.\n<pleura>: No significant pleural effusion or pneumothorax was detected.\n<mediastinum>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch, coronary arteries, and descending aorta. It is above normal. It is slightly above normal. In the case, multiple lymph nodes were observed in the upper-lower paratracheal area, at the prevascular level, in the aorticopulmonary window, and the largest one was measured on the right in the aorticopulmonary window, measuring approximately 47x30 mm. Pulmonary trunk calibration is 29 mm. Both pulmonary artery calibrations are normal. The aortic arch calibration is 30 mm.\n<heart>: CTO slightly increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Hemangiomatous focus is observed in the D7 vertebral corpus.\n<abdomen>: Left adrenal is normal. The right surrenal and right kidney segments are normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, coronary arteries, and descending aorta. At the level of the renal hilum, there are lymph nodes that partially enter the image, but in size and configuration. It is above normal. There is a density compatible with calculus in the gallbladder. The spleen is slightly enlarged. In the upper abdominal organs included in the sections, a decrease in density consistent with steatosis in the liver is observed. There are also pathological lymph nodes in the retrocrural area. The aortic arch calibration is 30 mm. It contains amorphous densities that may be compatible with catheter appearances and calculus. Thickening is observed in the gerato fascia and other peritoneal leaves around the left kidney. Left kidney dimensions are increased and heterogeneous.\n\nImpression:\nThere was no significant metastasis or finding compatible with pneumonia in the case.  Mediastinal lymphadenomegaly . Cholelithiasis . Increased left kidney size, heterogeneity in parenchyma, lymphadenomegaly at the level of the renal hilum, thickening of gerato fascia and other peritoneal reflections, retrocrural lymph nodes"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18466/train_18466_a/train_18466_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43528",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: One or two calcific and non-calcific nodules up to 3 mm in size are observed in the lower lobe of the left lung. When examined in the lung parenchyma window; Atelectatic changes are observed in the anterior middle lobe of the right lung.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMild atelectatic changes anteriorly in the middle lobe of the right lung  One or two calcific and noncalcific nodules up to 3 mm in size in the lower lobe of the left lung"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18471/train_18471_a/train_18471_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43554",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground-glass densities and enlargements in vascular structures are observed in both lungs. Follow-up is recommended. It was evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18483/train_18483_b/train_18483_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43556",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A slight increase in bronchial calibration and thickening of the peribronchovascular sheath are observed in the mid-lower zones, more prominent in the center. In the evaluation of the parenchymal window of both lungs; Trachea calibration is natural.\n<lung>: Branches with buds, which may be compatible with pneumonic infiltration, are observed in the posterobasal segment of the lower lobe of the left lung. There are sequelae changes at both apical levels. On the basis of sequelae changes in the middle lobe on the right, millimetric nodularities are observed. There are sequelae changes in the posterobasal segment of the lower lobe of the right lung. In the evaluation of the parenchymal window of both lungs; Trachea calibration is natural. Pathological size and configuration of lymph nodes are not observed at both hilar levels. A milder degree of interstitial thickening is observed in the lingular segment on the left, more prominently in the middle lobe on the right. A central air cyst is observed in the upper lobe of the right lung.\n<pleura>: In the right lung, thickening of the subpleural interstitial septa in the mid-lower zone and ground-glass-like density increases are observed. Pleural effusion or pneumothorax appearance is not observed in both lungs. In the left lung, there is prominence in the subpleural interstitial tissue in the lingular segment and laterobasal segment, and there is a faint ground-glass-like density increase.\n<mediastinum>: Arch aortic calibration is 32 mm. It is wider than normal. It is within normal limits. Millimetric sized calcific atheroma plaques are observed at the level of the aortic arch and ascending aorta. No lymph node with pathological size and configuration was detected in the mediastinum. Pulmonary trunk calibration was measured as 26 mm, right pulmonary artery 22 mm, left pulmonary artery 19 mm.\n<heart>: CTO increased in favor of the heart. The ascending aorta calibration is 38 mm.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected.\n<breast>: A nodular density of approximately 10x8 mm is observed laterally at the level of the areola in the left breast.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: There is an accessory spleen view with a diameter of approximately 15 mm in the spleen hilum. Right adrenal is normal. It is wider than normal. Arch aortic calibration is 32 mm. It is within normal limits. The spleen is full. In the sections passing through the upper abdomen, there is a decrease in density consistent with mild hepatosteatosis in the liver. Millimetric sized calcific atheroma plaques are observed at the level of the aortic arch and ascending aorta. At the level of the left adrenal genu, there is a nodular hypodense lesion with a diameter of approximately 15 mm and a density of 3-10 HU (adenoma ?).\n\nImpression:\nSubpleural interstitial septal thickening in the mid-basal segments of both lungs, accompanying faint ground-glass-like density increases and mild bronchiectasis appearance, clinical and laboratory findings in terms of pulmonary fibrosis are recommended. suggestive densities are observed.  Cardiomegaly .  Left adrenal adenoma ?"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18484/train_18484_a/train_18484_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43560",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground glass areas are observed in the lower lobes of both lungs. There are millimetric nodules in both lungs. In addition, linear atelectasis were also observed in other parts of the lung. However, it is recommended that the patient be evaluated for viral-atypical pneumonia. The views described are not specific. In addition, focal ground-glass areas with barely distinguishable borders were observed in the upper lobes of both lungs. There are atelectasis adjacent to the effusion in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural thickening was detected. Pleural effusion is locally loculated. No pleural or pericardial effusion was detected. Bilateral pleural effusion was observed.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections.\n\nImpression:\nBilateral pleural effusion.  Nonspecific ground-glass appearances in both lungs (it is recommended that the patient be evaluated for viral-atypical pneumonia).  Atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18486/train_18486_a/train_18486_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43584",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In this localization, linear subsegmental atelectasis are observed in the subsegment lower lobe superior segment and the lingular segment. Significant mass, nodule and infiltration were not distinguished.\n<pleura>: Pleural effusion reaching 5 cm in its thickest part is observed in the left hemithorax. In the evaluation of both lung parenchyma; There is minimal passive atelectasis in the lung parenchyma adjacent to the pleural effusion in the left lung.\n<mediastinum>: Right upper-bilateral lower paratracheal, aortopulmonary, subcarinal narrow mediastinal lymph node with diameters less than 5mm is observed. Numerous calcific atherosclerotic plaques are observed in the aortic arch, descending and ascending aorta, and abdominal aorta. No pathological LAP was detected in the mediastinum.\n<heart>: The diameter of the ascending aorta is 4.3 mm and it is ectatic. Calcific atherosclerotic plaques are observed on the walls of the coronary artery. The cardiothoracic index increased in favor of the heart. There is pericardial effusion in the form of thin smears.\n<bone>: Degenerative changes are observed in bone structures.\n<abdomen>: No significant pathology was detected in the sections passing through the upper part of the abdomen. Numerous calcific atherosclerotic plaques are observed in the aortic arch, descending and ascending aorta, and abdominal aorta.\n\nImpression:\nEctasia, cardiomegaly in the ascending aorta. Left pleural effusion.  Degenerative changes in bone structures. Calcified nodule is observed in the upper lobe of the left lung.  Pleural effusion in the left hemithorax, passive atelectasis in the lung adjacent to the effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18492/train_18492_a/train_18492_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43614",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: When both lung parenchyma windows are evaluated; Atelectatic changes causing volume loss were observed in the middle lobe and lower lobe of the right lung. According to the previous examination, stable nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: There is a free pleural effusion on the right, measuring 15 mm in thickness, which does not differ significantly from the previous examination. No pleural effusion was detected on the left.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Port chamber and catheter image extending to the superior vena cava were observed on the left chest anterior wall. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Portal, peripancreatic, aortokaval, right retrocrural lymphadenopathies are observed in the current examination.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Portal, peripancreatic, aortokaval, right retrocrural lymphadenopathies are observed in the current examination. The mass observed in the pancreatic body part could not be evaluated because it did not enter the examination area. In the upper abdominal sections in the study area; Liver sizes increased, parenchymal density slightly decreased in line with fattening.\n\nImpression:\nPancreatic Ca on follow-up. Millimetric-sized nonspecific parenchymal nodules in both lungs.  Atelectatic changes in the right lung, stable pleural effusion in the right, multiple metastases in the liver. Intraabdominal lymphadenopathies."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18501/train_18501_b/train_18501_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43635",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18509/train_18509_b/train_18509_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43639",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: No mass-nodule-infiltration was detected in both lung parenchyma. When both lung parenchyma windows are evaluated; Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung and the inferior lingular segment of the left lung.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Mediastinal upper-lower paratracheal lymph nodes measuring 5 mm in the short axis of the subcarinal larger were observed. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Pericardial effusion - no thickening was detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, a hypodense lesion with a diameter of 6 mm, which could not be characterized in this examination, was observed at the level of the liver segment 4B.\n\nImpression:\n- No sign of pneumonia was detected. - Sequelae changes in both lungs. - Millimetric sized hypodense lesion in the left lobe of the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18511/train_18511_a/train_18511_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43679",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: When both lung parenchyma windows are evaluated; The long axis narrowing the middle lobe bronchus, which obliterates the upper lobe bronchi extending to the upper lobe in the right hilar region, is 62 mm in the current examination, 61 mm in the previous examination, and the long axis narrowing the upper lobe bronchi in the left hilar region is 57 mm (52 mm in the previous examination) in the current examination. Apart from the defined mass lesions, there are large areas of consolidation in the lower lobe basal segments of both lungs, and they have recently emerged in the current examination. It was evaluated in favor of the infectious process in the first plan. Apart from this, there are multiple nodular lesions in different localizations in both lung parenchyma, the largest of which is evaluated in favor of metastasis with a long axis of 17 mm in the left inferior lingular segment. Mass lesions with irregular borders that did not increase in size were observed.\n<pleura>: Between the bilateral pleural leaves, a newly emerged free pleural effusion measuring 17 mm on the right and 23 mm on the left was observed in the current examination.\n<mediastinum>: The main pulmonary artery diameter was 30 mm and was at the upper limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall.\n<heart>: There is a mild effusion measuring 5 mm in the thickest part of the pericardium. Heart contour and size are normal. Calibration of the ascending aorta is natural. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits.\n<breast>: The left breast was not observed secondary to the operation. No lesion with a clear border was detected in the left breast lodge in the examination borders.\n<bone>: Sclerotic lesions, which were evaluated in favor of metastasis in the previous examination, are observed in different localizations, especially in the T1 vertebra, in the bone structures included in the examination area.\n<abdomen>: In the upper abdominal sections entering the examination area, the gallbladder has a hydropic appearance. There is a mass lesion in the left adrenal gland locus, which extends from the kidney hilum and whose borders cannot be distinguished from the kidney parenchyma, with dimensions of approximately 39x25 mm (39x24 mm in the previous examination) in the current examination, and no significant change in dimensions was found, which was initially evaluated in favor of metastasis. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall.\n\nImpression:\nBreast Ca.  Atherosclerotic changes.  Pericardial minimal effusion.  Multiple metastatic mass lesions in both lungs, metastatic nodules in both lungs.  Bilateral pleural effusion.  Recent examination of the lower lobes of both lungs suggests large areas of new consolidation, infectious process, clinical laboratory correlation, and post-treatment control.  Stable mass lesion in the left adrenal gland initially evaluated in favor of metastasis.  Stable sclerotic lesions in bone structure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18529/train_18529_a/train_18529_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43683",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: At the right upper paratracheal level, 1-2 millimetric calcific lymph nodes are observed. Focal consolidation appearance is observed along the bronchovascular sheath in the right lung lower lobe laterobasal segment. Mild sequelae changes are observed in the middle lobe of the right lung. Pleuroparenchymal sequelae changes are observed at the level of the lower lobe of the left lung. Focal consolidations are observed in the linguistic segment. Density decreases in both lungs compatible with emphysema. Sequelae changes are observed in the lower lobe superior segment. No evaluable pathological size and configuration lymph nodes were detected in both hilar-level non-contrast examinations. There are densities compatible with pleuroparenchymal sequelae in the lower lobe of the right lung.\n<mediastinum>: The aortic arch calibration is 33 mm. No pathologically sized and configured lymph nodes were detected in other mediastinal compartments. It is wider than normal.\n<heart>: Calibration of other major vascular structures is normal. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. It is wider than normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. The aortic arch calibration is 33 mm.\n\nImpression:\nFindings consistent with emphysema in both lungs.  Sequelae changes in both lungs.  Cardiomegaly.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18531/train_18531_a/train_18531_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43691",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Findings were primarily evaluated for viral pneumonia, and clinical laboratory correlation follow-up is recommended for Covid-19. Mild paraseptal amdisematous changes are observed at both apical levels. No nodular lesion was detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; Patchy ground-glass densities are observed in both lungs, which are more prominent on the right and are mostly diffuse peripheral and subpleural.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is a slight decrease in density in the bone structures in the study area. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs are partially included in the study and gall bladder is not observed.\n\nImpression:\nCardiomegaly . Cholecystectomized . Patchy ground-glass densities, which are more prominent on the right in both lungs, mostly diffuse peripheral and subpleural. Findings were primarily evaluated in the direction of viral pneumonia, and clinical laboratory correlation follow-up is recommended for Covid-19."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18535/train_18535_a/train_18535_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18547/train_18547_a/train_18547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43722",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Calibrations of trachea and main bronchi are normal. Lumens are clear.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. There are scattered ground-glass-style densities and occasionally consolidative areas in both lungs. There were no pathologically sized and configured lymph nodes at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: Millimetric sized lymph nodes are observed in the mediastinum. CTO is normal. The aortic arch is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is normal. A decrease in density consistent with steatosis is observed in the liver. Upper abdominal organs included in the sections are normal. The aortic arch is at the maximal physiological limit. Surrounding soft tissue plans are natural. No space occupying lesion was detected.\n\nImpression:\nScattered ground-glass-like densities and consolidative areas in both lungs; It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18547/train_18547_b/train_18547_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43753",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: A pure calcified millimetric nonspecific nodule was observed in the superior segment of the left lung lower lobe. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are minimal emphysematous changes in both lungs. There are several millimeter-sized nonspecific nodules in the right lung.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<heart>: Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nA few millimeter-sized nonspecific nodules, some purely calcified, in both lungs, minimal emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18563/train_18563_a/train_18563_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43761",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: A millimetric nonspecific parenchymal nodule was observed in the middle lobe of the right lung. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. A 10x6.2 mm calcific nodule with irregular borders was observed in the superior segment of the left lung lower lobe. When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. Tubular bronchiectasis, which became prominent in the center, was observed in both lungs.\n<mediastinum>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pulmonary artery diameters are normal. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 32 mm, which is larger than normal.\n<heart>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: The neural foramina are open. Surgical suture materials secondary to previous bypass surgery were observed in the sternum and anterior mediastinum. Transpeduncular screws placed in the L2 vertebral corpus were observed as far as they could be seen in the sections. The screws terminate in the corpus. L2 vertebral posterior elements are defective.\n<abdomen>: Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Both kidneys are within normal limits. The gallbladder was not observed (operated). The spleen, pancreas, and right adrenal gland are normal in the abdominal organs that can be seen on non-contrast sections. As far as can be observed in the sections, the liver parenchyma density decreased in line with hepatosteatosis. Diffuse thickening was observed in the left adrenal gland. As far as can be observed, the anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 32 mm, which is larger than normal.\n\nImpression:\nSurgical suture materials secondary to bypass surgery in the sternum and anterior mediastinum, fusiform aneurysmatic dilation in the thoracic aorta, calcific atheromatous plaques in the thoracic aorta and coronary arteries. Linear subsegmentary atelectasis changes in both lungs.  Millimetric nonspecific parenchymal nodule in the middle lobe of the right lung. Nonspecific calcific nodule in the superior segment of the lower lobe of the left lung.  Tubular bronchiectasis with prominent central in both lungs.  Hepatosteatosis.  Transpeduncular screw placed in L2 vertebral corpus, left screw slightly medialized, both neural foramen are open."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18567/train_18567_a/train_18567_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43763",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: At the lower lobe level, thickening of the peribronchial sheath, thickening of the interlobar septa and mucus impactions are observed in both lungs. There is a calcific lymph node, approximately 17x8 mm in size, at the right hilar level. Mild effusion is observed in the left interlobar fissure and band atelectasis is observed adjacent to the interlobar fissure. There is a 5x3 mm calcific nodule in the left lung laterobasal segment. There are 6 mm diameter calcific nodules and sequelae changes in the middle lobe on the right. A mosaic attenuation pattern is observed in both lungs (small vessel disease? small airway disease?). Emphysetic changes are present in both lungs. There are consolidative areas on this ground.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion extending from the basal to the upper lobe is observed in both lungs, reaching 16 mm in the thickest part on the right and is observed in the form of smearing on the left.\n<mediastinum>: The pulmonary trunk caliber is 33 mm wider than normal. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. The aortic arch calibration is 32 mm wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the main branches of the aortic arch. Both pulmonary artery calibrations are at the maximal physiological limit on the left.\n<heart>: CTO increased in favor of the heart. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the main branches of the aortic arch.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: There are degenerative changes in the bone structures in the examination area and findings compatible with DISH.\n<abdomen>: In the upper abdominal organs included in the sections, mild hepatosteatosis is present in the liver. Surrounding soft tissue plans are natural. There is hypodensity in the left kidney, which may be compatible with a 14 mm diameter cortical cyst in the middle part medial. The aortic arch calibration is 32 mm wider than normal. Calcific atheroma plaques are observed in the coronary arteries in the descending aorta in the main branches of the aortic arch.\n\nImpression:\nMild pleural effusion in both lungs . More pronounced sequelae changes on the right in both lungs basal, thickening of interlobular septa and peribronchial sheath, mucus impactions and mild consolidative changes . Cardiomegaly, calibration increases in mediastinal main vascular structures . Mosaic attenuation pattern in both lungs (small vascular disease? small airway disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18568/train_18568_a/train_18568_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; There is a 3 mm subpleural nodule in the posterior right lung upper lobe; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSubpleural nonspecific nodule in right lung upper lobe posterior"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18569/train_18569_a/train_18569_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43770",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are millimetric nonspecific nodules in the lung.\n<pleura>: When examined in the lung parenchyma window; mosaic densities and subpleural nonspecific dependent densities are present in the lower lobes of both lungs. Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. There are lymph nodes in the mediastinum that do not reach pathological size and appearance. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebrae are degenerative.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal sections, including the sections; There is a transplanted liver and diffuse density loss is observed as far as it is cut into the section. The spleen is larger than normal (160 mm).\n\nImpression:\nAortic and coronary artery atherosclerosis.  Bilateral millimetric nonspecific nodules.  Transplanted liver, hepatosteatosis.  Splenomegaly.  Vertebral degenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18572/train_18572_a/train_18572_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43776",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: When evaluated together with the patient's clinical knowledge, it was primarily thought that these appearances were compatible with pneumonia. The appearances are more suggestive of viral or atypical pneumonia. There are also focal consolidations in small areas in both lungs, especially in the lower lobe. Patchy ground glass areas are observed in the lower lobe of both lungs, right lung middle lobe lateral segment, right lung upper anterior segment and left lung upper lobe. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were observed. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Millimetric atheroma plaque is observed in the aorta.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. There are osteophytes in the vertebral corpus corners. No lytic-destructive lesion was detected in the bone structures within the sections, and no periosteal reaction was observed.\n<abdomen>: Millimetric atheroma plaque is observed in the aorta.\n\nImpression:\nFindings evaluated primarily in favor of pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18574/train_18574_a/train_18574_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be seen; Calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: As far as can be seen; Calcific atherosclerotic changes are observed in the wall of the thoracic aorta. Liver parenchyma density decreased (Hepatosteatosis) Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Upper abdominal sections entering the examination area are natural.\n\nImpression:\nHepatosteatosis. No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18574/train_18574_b/train_18574_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43787",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Covid infection is suspicious in terms of early lung parenchymal involvement. Although the mosaic attenuation pattern in the lower lobes is thought to be related to small airway involvement, it was thought that the ground glass densities in the upper lobes may be pathological. Clinical follow-up will be appropriate. In the evaluation of the lung parenchyma, parenchymal aeration differences are observed in the basal segments of the lower lobes of both lungs. There is one nonspecific nodule with a diameter of 5 mm in the upper lobe of the left lung.\n<pleura>: In the upper lobes of both lungs, peribronchial and subpleural areas with very faint borders and low density ground glass are observed.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and contours appear natural.\n<esophagus>: There is a slightly slippery hiatal hernia.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is a decrease in liver parenchyma density consistent with mild hepatosteatosis. No gallbladder was observed in the upper abdominal sections, it was operated.\n\nImpression:\nMosaic attenuation in the basal segments of both lungs in the lower lobes was thought to be related to small airway involvement.  In the upper lobes of both lungs, a few very low-density ground-glass parenchyma areas were considered suspicious in favor of early parenchymal involvement of Covid infection. Clinical follow-up is recommended.  Cholecystectomized . Mild hepatosteatosis . Sliding type mild hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18579/train_18579_a/train_18579_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43789",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild sequelae changes are observed at the apical level in both lungs. There are mild sequelae changes in the middle lobe of the right lung and the lingular segment of the left lung. Appearance is nonspecific. There are faint ground-glass-like density increases at basal level in the lower lobe of both lungs. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?).\n<pleura>: Pleural effusion, pneumothorax were not observed.\n<mediastinum>: Pulmonary trunk calibration is natural. No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Calibration of the aortic arch is at the maximal physiological limit.\n<heart>: CTO is at the maximal physiological limit.\n<esophagus>: Hiatal hernia is observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen and both kidneys are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calibration of the aortic arch is at the maximal physiological limit. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Nonspecific ground-glass-like density increments at basal levels in the lower lobe of both lungs . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18580/train_18580_a/train_18580_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Since the patient does not breathe properly during the examination, the lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. There are linear atelectasis in the middle lobe of the right lung and the lingular segment of the left lung upper lobe. As far as can be observed, no mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. There is a stone in the gallbladder. No upper abdominal free fluid-collection was observed within the sections.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries . Atelectasis in both lungs . Millimetric nodules in both lungs . Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18582/train_18582_a/train_18582_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43804",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; azygos fissure variation was observed in the right upper lobe. Apart from this, both lung parenchyma aeration is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Central tubular bronchiectasis was observed in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No stones were observed in both kidneys within the sections. As far as can be observed in the non-contrast examination; liver, spleen, pancreas and both adrenal glands are normal.\n\nImpression:\nCentral tubular bronchiectasis in the lower lobes of both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18588/train_18588_a/train_18588_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43837",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the borders of non-enhanced CT. In the liver parenchyma, there is a low density compatible with advanced adiposity. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAdvanced hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18602/train_18602_a/train_18602_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43845",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: In the evaluation made in the lung parenchyma window: Diffuse consolidation involving all segments in both lungs and areas of ground glass density were noted, and viral ppneumonia (Covid-19 pneumonia) was considered in the etiology of the findings.\n<pleura>: Pericardial-pleural effusion was not detected.\n<mediastinum>: In the mediastinum, there are lymph nodes with a short, fusiform configuration exceeding 1 cm in diameter at the pretracheal, prevascular, precarinal, and subcarinal levels.\n<heart>: Calibration of vascular structures, heart contour, size are natural. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Degenerative changes were observed.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nFindings evaluated in favor of diffuse viral pneumonia in both lungs and mediastinal lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18605/train_18605_a/train_18605_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43858",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Peripheral consolidations are observed in the upper and lower lobes of both lungs and the middle lobe of the right lung. Some of the consolidations are in the form of nodules. There are millimetric nonspecific nodules in both lungs. The appearances and distributions of the described lesions are in the style frequently observed in Covid-19 pneumonia, and these appearances were primarily evaluated in favor of Covid-19 pneumonia during the pandemic process. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nFindings evaluated primarily in favor of viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18611/train_18611_a/train_18611_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43864",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Subsegmental atelectasis is observed in the lingular segment of the left lung upper lobe. When examined in the lung parenchyma window; Minimal emphysematous changes are observed in both lungs.\n<pleura>: Pulmonary nodules with a diameter of 6 mm in the lateral subpleural region of the right lung lower lobe superior segment and 4 mm in diameter in the laterobasal part of the left lung lower lobe are observed.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Millimetric calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Osteophytic taperings are observed in the anterior parts of the vertebral corpus that are included in the examination.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal. Millimetric calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nCalcific atheroma plaques in the aorta and coronary arteries.  Pulmonary nodules described in both lungs should be evaluated together with previous examinations, if any."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18614/train_18614_a/train_18614_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43867",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Patchy consolidation areas showing an inverted halo with ground glass areas around the apicoposterior segment and lingular segment of the left lung upper lobe are observed. In addition, peripherally located nodular consolidation areas with air bronchograms and signs of vascular enlargement were observed in all lobes of the right lung. The outlook is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of other mediastinal vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: The ascending aorta is aneurysmatic with an anterior-posterior diameter of 41 mm. Diffuse calcified atheroma plaques were observed in the coronary arteries. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Minimal degenerative changes were observed in the bone structures in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nAneurysmatic dilation of the ascending aorta . Diffuse calcified atheromatous plaques in the coronary arteries . Patchy consolidation areas with ground glass areas in the left upper lobe apicoposterior segment and lingular segment, and peripherally located nodular consolidations in all lobes of the right lung, including air bronchogram and vascular enlargement; It is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinic and laboratory.  Minimal degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18616/train_18616_a/train_18616_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43897",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the left lung, only a portion of the superior and inferior lingular segment is ventilated. Left lung aeration is almost completely reduced. There was no evidence of active infiltration in the aerated left lung parenchyma and right lung parenchyma.\n<pleura>: An effusion of approximately 45 mm was observed in the deepest part of the right pleural space, and there was an increase in density in the adjacent lung parenchyma, which was evaluated in favor of compressive atelectasis.\n<mediastinum>: A collection of hemorrhagic character was observed extending to the subxiphoid area in the anterior mediastinum. No lymph node was detected in the mediastinum in pathological size and appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18627/train_18627_a/train_18627_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43901",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; Diffuse mild ectasia is observed in bilateral bronchial structures. Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Sequela parenchymal changes are observed in the right lung middle lobe medial segment, left lung upper lobe inferior lingular segment and both lung lower lobe posterobasal segments. No nodular or infiltrative lesion was detected in both lung parenchyma. A pure calcified nonspecific nodule in millimetric dimensions is observed in the lateral segment of the right lung middle lobe.\n<pleura>: No pericardial, pleural effusion or thickness increase was observed.\n<mediastinum>: No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance. The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<heart>: The mediastinal main vascular structures are not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the heart contour size are natural.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: Hyperdense stones in millimetric sizes are observed in the gallbladder lumen. In the upper abdominal sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT.\n\nImpression:\nThere was no finding in favor of pneumonic infiltration in both lungs.  There is diffuse mild ectasia in bilateral bronchial structures.  Locally, sequela parenchymal changes are observed in both lungs.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18628/train_18628_a/train_18628_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43914",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Millimetric nonspecific stable nodules are observed in both lung parenchyma. In the posterobasal region of the lower lobe of the left lung, there is an indistinct focal ground-glass density without clear boundaries.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes were observed in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. A large hernia with intestinal loop is observed on the right side wall of the abdomen. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. In the upper abdominal sections, the right kidney is operated.\n\nImpression:\nOperated right renal mass.  Coronary atherosclerosis.  Millimetric nonspecific stable nodules in the lungs.  Indistinct focal ground-glass density in the posterobasal region of the lower lobe of the left lung (Pneumonia onset?). clinical laboratory correlation is recommended.  Hernia in the right abdominal lateral wall."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18634/train_18634_b/train_18634_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43932",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There is minimal uniform interlobular septal thickening in both lungs. There are emphysematous changes in both lungs. Almost complete loss of aeration is observed in the lower lobe of the right lung, except for the superior segment. No discernible mass was detected in both lungs. The described appearance may be of passive atelectasis or pneumonic infiltration. The effusion measured approximately 50 mm on the right at its thickest point. In this localization, there is consolidation with air bronchograms. Loss of aeration is observed in the lower lobes of the lung adjacent to the effusion. Except for this area, no appearance that can be evaluated in favor of an infiltrative lesion was detected in both lungs.\n<pleura>: There is bilateral pleural effusion, more prominent on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position.\n<mediastinum>: The main pulmonary artery diameter was 33 mm and was wider than normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Aorta diameter is normal. There are millimetric atheroma plaques in the aorta. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: The described appearance was thought to belong to cardiac pathology. There is no pericardial effusion. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Upper abdominal diffuse free fluid is observed in the sections. Aorta diameter is normal. The collection has not been tracked. There are millimetric atheroma plaques in the aorta.\n\nImpression:\nBilateral pleural effusion, more prominent on the right. Consolidation with air bronchogram in the lower lobe of the right lung (passive atelectasis? pneumonic infiltration? It is recommended to evaluate the patient together with clinical and laboratory findings).  Smooth interlobular septal thickening in both lungs (secondary to cardiac pathology?) . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta, increased pulmonary artery diameters . Intraabdominal diffuse free fluid"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18642/train_18642_a/train_18642_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43938",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; active infiltration or mass lesion is detected and there are a few millimeter-sized nonspecific nodules and sequelae changes in the left inferior lingular segment. Mosaic attenuation pattern is observed in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: (small airway disease?) No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nIn the evaluation of both lung parenchyma; active infiltration or mass lesion is detected and a few millimeter-sized nonspecific nodules and sequelae changes in the left inferior lingular segment and mosaic attenuation pattern in the lower lobes of both lungs are observed (small airway disease?)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18645/train_18645_a/train_18645_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43940",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. As far as can be observed: Trachea, both main bronchial lumens are open.\n<lung>: Parenchymal nodules with a diameter of 7 mm at the fissure level in the superior segment of the left lung lower lobe and 3.2 mm in diameter at the level of the lower lobe superior segment were observed. Histopathological verification is recommended.\n<pleura>: When both lung parenchyma windows are evaluated; A mass-configured lesion of approximately 19x18 mm in size with irregular borders and ground glass density increases is observed in the peripheral subpleural area in the superior left lung lower lobe. Bilateral pleural effusion was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. A few lymph nodes with a short axis smaller than 1 cm were observed in the mediastinal upper-lower paratracheal area.\n<heart>: Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination margins.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPeripheral subpleural localized irregularly circumscribed mass lesion in the superior segment of the lower lobe of the left lung, histopathological verification recommended, two parenchymal nodules in the superior segment of the lower lobe of the left lung.  Mediastinal millimetric lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18646/train_18646_a/train_18646_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43941",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, no new findings were detected in the current examination in both lung parenchyma. Atelectatic changes were also observed in the lower lobe of the right lung.\n<pleura>: At this level, a newly developed free pleural effusion measuring 24 mm in thickness was observed in the current examination. Nodular lesion observed in the previous examination in the left lung lower lobe superior segment, in the peripheral subpleural area, cannot be differentiated in the current examination since there are large areas of consolidation in this localization. Peripheral subpleural focal ground glass density increases were also observed in the left lung lingular segment.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18646/train_18646_b/train_18646_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43943",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Apart from this, no new findings were detected in the current examination in both lung parenchyma.\n<pleura>: The nodular lesion, which could not be detected in the superior segment of the lower lobe of the left lung, in the peripheral subpleural area due to the large consolidation area in the previous examination, cannot be visualized in the current examination due to the lack of significant regression in the consolidation-atelectasis areas. At this level, a slight increase in the amount of pleural effusion was observed in the current examination. Peripheral subpleural focal ground glass density increase observed in the previous examination in the left lung lingular segment is not detected in the current examination.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18646/train_18646_c/train_18646_c_1.npy"
        ]
    },
    {
        "id": "report_generation_43945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No newly developed pathology was detected. Linear atelectasis are seen instead on the left. There are mosaic density differences in both lungs. No bordering mass lesion was observed.\n<mediastinum>: Mediastinum and main Vascular structures are natural.\n<abdomen>: Upper abdominal organs are normal.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18646/train_18646_d/train_18646_d_1.npy"
        ]
    },
    {
        "id": "report_generation_43965",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are linear atelectasis in the right lung middle lobe medial segment, left lung upper lobe lingular segment and left lung lower lobe. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as can be observed within the borders of non-enhanced CT.\n\nImpression:\nLinear atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18656/train_18656_a/train_18656_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43967",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. When examined in the lung parenchyma window; Linear atelectasis were observed in the medial segments of the right lung middle lobe, left lung upper lobe inferior lingular and both lung lower lobe basal segments. Nonspecific density increases were observed in both lungs dependent.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be seen in the sections, the upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. An accessory spleen with a diameter of 2.5 cm was observed in the anterior lower pole of the spleen.\n\nImpression:\nLinear atelectasis in both lungs. There was no finding in favor of pneumonia-mass in the lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18656/train_18656_b/train_18656_b_1.npy"
        ]
    },
    {
        "id": "report_generation_43971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No intraluminal occlusive pathology was detected in the bronchi. Trachea is in the midline, both main bronchi are open.\n<lung>: No lymphadenopathy was observed in the upper-lower paratracheal region, at the aortopulmonary level, in the subcarinal area, at the level of both lung hiluses and in the axillae in pathological size and appearance. Mosaic lung pattern is observed in both lungs. Interlobar and interlobular septal thickness increases are observed. A few millimetric nonspecific pulmonary nodules are observed in both lungs. Linear sequelae densities are observed in the upper lobe apical section of the left lung. It is observed in the lower lobes of both lungs and in the middle lobe of the right lung, with increases in peribronchial thickness and prominence in bronchovascular structures. It was evaluated in favor of pneumonic infiltration.\n<pleura>: When examined in the lung parenchyma window; In the right lung, millimetric pulmonary nodules in the form of a budding tree view are observed in the subpleural area in the upper lobe posterior segment.\n<mediastinum>: Other mediastinal main vascular structures are normal. No lymphadenopathy was observed in the upper-lower paratracheal region, at the aortopulmonary level, in the subcarinal area, at the level of both lung hiluses and in the axillae in pathological size and appearance. Calcific atheroma plaques are observed in the aorta and coronary arteries. The main pulmonary artery and its branches are prominent.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The skin and subcutaneous fats appear normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nIn the upper lobe posterior segment of the right lung, pulmonary nodules in the form of a budding tree are observed in the subpleural area. It was evaluated in favor of pneumonic infiltration.  Heart sizes have increased. Pulmonary arteries are clearly observed. Peribronchial thickness increases, vascular structures become prominent, and interlobar and interlobular septal thickness increases are observed in the lower lobes of both lungs (secondary to heart failure?)  A mosaic pattern is observed in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18658/train_18658_a/train_18658_a_1.npy"
        ]
    },
    {
        "id": "report_generation_43982",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; Peribronchial thickening and luminal narrowing were observed in the segmental-subsegmental bronchi of both lungs.\n<lung>: Linear pleuroparenchymal fibroatelectasis changes were observed in the middle lobe of the right lung and the anterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Peribronchial thickening and luminal narrowing were observed in the segmental-subsegmental bronchi of both lungs. Passive atelectatic changes were observed in the paracardiac areas of the right lung middle lobe medial and left lung upper lobe inferior lingular segment. Mosaic attenuation pattern was observed in both lungs. Mosaic attenuation was found to be secondary to small airway stenosis. Several nonspecific parenchymal nodules with a diameter of 6.6 mm were observed in the left lingular segment of both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<pleura>: A 17 mm diameter bleb formation was observed in the subpleural area of the right lung lower lobe mediobasal segment.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the abdominal aorta. Atherosclerotic wall calcifications were observed in the supraaortic branches of the thoracic aorta. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Metallic sutures secondary to mitral valvulaplasty were observed in the sternum and anterior mediastinum. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. Metallic artifacts secondary to valvulaplasty were observed in the mitral valve. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Osteodegenerative changes were observed in the bone structures in the study area. Metallic sutures secondary to mitral valvulaplasty were observed in the sternum and anterior mediastinum.\n<abdomen>: Atherosclerotic wall calcifications were observed in the abdominal aorta. Atherosclerotic wall calcifications were observed in the supraaortic branches of the thoracic aorta. It is recommended to be evaluated for possible parenchymal disease. The spleen is full. Liver contours are irregular. The caudate lobe is prominent. As far as can be observed in the sections, intraperitoneal acid reaching 2.1 cm in its most prominent and thickest part was observed in the subdiaphragmatic region.\n\nImpression:\nMetallic sutures secondary to mitral valvulaplasty in the sternum and anterior mediastinum, cardiomegaly, localized calcification of the aortic valve  Sequential atelectatic changes in both lungs  Mosaic attenuation pattern secondary to small airway stenosis in both lungs  Right lung lower lobe mediobasal segment subpleural  Both lungs millimeter-sized nonspecific parenchymal nodules in the lung  Prominence in the liver caudate lobe and irregularity in its contours; It is recommended to be evaluated together with clinical and laboratory in terms of possible parenchymal disease. Appearance of fullness in the spleen  Intraperitoneal acid  Osteodegenerative changes in bone structure"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18663/train_18663_a/train_18663_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Viral pneumonia? There are cylindrical bronchiectasis and vascular enlargement in the affected areas. Trachea and main bronchi are open.\n<lung>: CT involvement score was evaluated as moderate.\n<pleura>: In the evaluation of both lung parenchyma; Patchy, peripheral-subpleural, ground glass density, crazy paving appearances and consolidations were observed in both lungs. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atheroma plaques were observed in the main vascular structures. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart is in natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: Degenerative osteophytes were observed in the vertebral corpus corners.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific atheroma plaques were observed in the main vascular structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18672/train_18672_a/train_18672_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44016",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Fibroatelectatic changes were observed in bilateral lung basals. Post-treatment control is recommended. Atelectasis with prominent air bronchograms and reticulonodular consolidations at this level were observed in the basal segment of the left lung lower lobe (infective?). When examined in the lung parenchyma window; Panlobular emphysema findings and peripherally located air cysts are observed in both lungs.\n<mediastinum>: Lymph nodes with a short diameter of 11 mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and subcarinal area. Calcified atheroma plaques were observed in the mediastinal main vascular structures.\n<heart>: Calcifications were observed in the coronary arteries. Pericardial effusion-thickening was not observed. There is cardiomegaly.\n<esophagus>: Thoracic esophagus is in normal calibration. Type 1 hiatal hernia is observed in the distal esophagus. No pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A hypodense appearance with a diameter of 1.5 cm is observed in the middle zone of the left kidney (cyst?). US correlation is recommended.\n\nImpression:\nFibroatelectatic changes in both lungs and reticulonodular consolidations in the left lung lower lobe anterior basal segment with prominent fibroatelectatic background, infective?. Panlobular emphysema findings and peripherally located air cysts in both lungs. Mediastinal lymph nodes. Cardiomegaly.  Type 1 hiatal hernia.  Left renal cortical cyst? . Osteodegenerative bone disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18677/train_18677_a/train_18677_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: When examined in the lung parenchyma window; In the lower lobes of both lungs, there is an increase in density in the vicinity of the effusion, which is primarily evaluated in favor of atelectesis, which is consistent with the consolidation observed in the airbronchograms. In the anterior segment of the left lung upper lobe, there is a mass of irregularly circumscribed soft tissue density measuring approximately 52x45 mm in the axial plane, obliterating the left upper lobe bronchus, whose borders cannot be clearly distinguished from the aortic arch, the right pulmonary artery, and the paramediastinal area.\n<pleura>: A plaque-like increase in calcified thickness was observed in the left pleura. In the bilateral pleural space, free effusion is observed in the deepest part of 6 cm on the left and up to 12 cm on the right.\n<mediastinum>: As far as can be observed in the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. In the anterior segment of the left lung upper lobe, there is a mass of irregularly circumscribed soft tissue density measuring approximately 52x45 mm in the axial plane, obliterating the left upper lobe bronchus, whose borders cannot be clearly distinguished from the aortic arch, the right pulmonary artery, and the paramediastinal area. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary artery vascular structures.\n<heart>: There is minimal pericardial effusion. It is understood that the patient underwent aortic valve replacement. Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures and heart contour size are natural. A pacemaker is observed on the anterior left chest wall and there is a catheter extending to the right ventricle.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions are observed in the bone structures within the image, and there are widespread degenerative changes.\n<abdomen>: In the anterior segment of the left lung upper lobe, there is a mass of irregularly circumscribed soft tissue density measuring approximately 52x45 mm in the axial plane, obliterating the left upper lobe bronchus, whose borders cannot be clearly distinguished from the aortic arch, the right pulmonary artery, and the paramediastinal area. There is minimal free fluid between the intestinal loops in the perihepatic area and the right quadrant, as far as can be seen within the limits of unenhanced CT in the upper abdominal sections within the image. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary artery vascular structures.\n\nImpression:\nThere is a mass in the paramediastinal area of the upper lobe anterior segment of the left lung, with an irregular margin of soft tissue density, with a spiculated contour whose borders cannot be clearly distinguished from the aortic arch and right pulmonary; tissue diagnosis is recommended.  Bilateral pleural and pericardial effusion  Areas of increased density in the lung parenchyma adjacent to the effusion in both lung lower lobes, which are primarily evaluated in favor of atelectasis and observed in airbronchograms  Calcified atheroma plaques on the walls of the thoracic aorta and coronary vascular structures  Intraabdominal minimal free fluid  Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18679/train_18679_a/train_18679_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44055",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of the parenchymal window of both lungs; Calibration of trachea and main bronchi is natural. Lumens are clear.\n<lung>: There are millimetric calcific nodules in the upper lobe apicoposterior segment. There are possible post-operative changes in the right lung upper lobe posterior segment adjacent to the interlobar fissure. Parenchymal sequelae bands are observed in the lower lobe posterobasal latarobasal segment. Sequelae changes are observed at the apical level. There is a 2 mm diameter nodule in the anterior segment of the right lung upper lobe. There is a nodule with a diameter of approximately 4 mm in the anterior segment caudal of the left lung upper lobe. There are ground-glass-like density increases in the lower lobe of the right lung. Sequelae changes are observed in the middle lobe. A ground-glass nodule with a diameter of approximately 6 mm is observed in the apicoposterior segment of the upper lobe of the left lung. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: No significant pleural effusion or pneumothorax was detected in both lungs. At this level, mild irregularity and nodular thickening are observed in the pleura.\n<mediastinum>: No lymph node in pathological size and configuration was detected in the mediastinum. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no pathological wall thickness increase was detected.\n<bone>: There are degenerative changes in bone structures. Sequelae changes are observed in the posterolateral part of the 5th rib on the right.\n<abdomen>: Both adrenal glands are normal. A millimetric-sized calcific atheroma plaque is observed in the aortic arch. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver. An area protected from fat is observed in the vicinity of the gallbladder.\n\nImpression:\nA few nonspecific millimetric nodules formation in both lungs . Ground-glass nodules in the apicoposterior segment of the left lung upper lobe . Possible postoperative sequelae changes in the right lung upper lobe posterior segment, adjacent to the fissure and in the adjacent rib structure, . Pleuroparenchymal sequelae changes in both lungs . Hepatosteatosis, liver two nonspecific hypodense lesions"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18691/train_18691_a/train_18691_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44059",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Pleuroparenchymal sequelae atelectatic changes were observed in the apex of both lungs. It is recommended to evaluate and follow-up together with previous examinations, if any.\n<pleura>: Millimetric pleural-subpleural nodules were observed in both lungs. Sequelae thickening was observed in the costal pleura of the middle lobe of the right lung, the upper and lower lobes of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Pain and swelling in the medial right clavicle were described in the patient, and no pathological finding was found in this examination. In the presence of suspected osteochondritis, it is recommended to be evaluated together with MRI examination. Vertebral corpus heights are preserved.\n<abdomen>: The gallbladder was not observed (operated). Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nMillimetric subpleural-pleural nodules in both lungs; It is recommended to evaluate and follow-up together with previous examinations, if any.  Sequela thickening in the middle lobe of the right lung and the costal pleura of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18692/train_18692_a/train_18692_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44064",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: A mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?). No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The described appearance is benign, although it cannot be evaluated clearly since no contrast material is given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There are atheromatous plaques in the aorta. The widths of the mediastinal main vascular structures are normal. There is a hypodense lesion measuring approximately 45x70 mm in anteroposterior and transverse diameter in the posterior mediastinum adjacent to the distal esophagus.\n<heart>: Contrast-enhanced examination is recommended if indicated. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus. When evaluated together with its density, this lesion was initially thought to be a cyst.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta.\n\nImpression:\nAtelectasis in both lungs . Mosaic attenuation pattern in both lungs . Atherosclerotic changes in the aorta . Benign-appearing hypodense lesion in the posterior mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18695/train_18695_a/train_18695_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44068",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few nodules with a diameter of 6 mm were observed in the parenchyma of both lungs, the largest of which was in the right middle lobe laterally.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. A cortical hypodense lesion of 24x26 mm is observed in the upper pole of the left kidney. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNonspecific nodules in bilateral lungs.  Cortical hypodense lesion (cyst?) in the upper pole of the left kidney."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18697/train_18697_a/train_18697_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Several nodules, the largest of which reached 6 mm in diameter, were observed in the right middle lobe lateral segment in both lungs. It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; In both lungs, multilobar-multisegmental, central-peripheral crazy paving pattern and nodular ground glass consolidations showing signs of vascular enlargement were observed, and the appearance is compatible with Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, a cortical cyst with fine nodular calcifications was observed on the wall of the upper pole of the left kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma  Nonspecific nodules in both lungs  Cortical cyst with thin nodular calcifications on the wall of the left kidney upper pole"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18697/train_18697_b/train_18697_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44078",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation and follow-up is recommended. Bridging trends are also observed. No nodular lesions were detected in both lungs. When examined in the lung parenchyma window; Patchy ground glass densities with bilateral nodular halo sign are observed. The findings were evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the bony structures and vertebral corpus endplates in the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings in lung parenchyma compatible with Covid-19 viral pneumonia, clinical laboratory correlation and follow-up are recommended.  Hypertrophic osteophytic spikes in bone structures and vertebral corpus endplates, bridging tendencies . Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18701/train_18701_a/train_18701_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Mosaic attenuation pattern is observed in both lungs (small airway disease ? small vessel disease?). There are millimetric nonspecific nodules in both lungs. There are sometimes linear atelectasis in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological dimensions were observed.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs. Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18706/train_18706_a/train_18706_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44110",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Clinical and laboratory correlation is recommended. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Subpleural nonspecific ground glass density increases were observed in the right lung lower lobe mediobasal segment (secondary to spur compression?).\n<mediastinum>: No lymph node was detected in mediastinal pathological size and appearance. The thoracic aorta shows an elongated course. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Calcified atherosclerotic changes were observed in the coronary artery wall. As far as can be observed: The diameter of the ascending aorta is 38 mm and it shows slight dilatation. Pericardial minimal effusion was observed. There is an appearance of stent material in the coronary artery.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: A nonspecific hypodense lesion of 8 mm in diameter was observed at the level of the liver segment 8 in the upper abdominal sections within the examination area. The thoracic aorta shows an elongated course. Since the examination is uncontrasted, it cannot be characterized clearly (cyst?).\n\nImpression:\nEmphysematous changes, sequelae changes in both lungs . Nonspecific pleural ground glass density increase in the lower lobe of the right lung (secondary to spur compression?), clinical and laboratory correlation is recommended.  Millimetrically sized hypodense lesion in the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18715/train_18715_a/train_18715_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44120",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: At this level, thickening of the peribronchial sheath is observed. When examined in the lung parenchyma window; Calibration of trachea and main bronchi is normal. Lumens are clear.\n<lung>: Focal consolidation area is observed at the laterobasal level of the lower lobe of the left lung. There is a focal consolidation area at the paramediastinal level of the anterior segment of the left lung upper lobe. Again in the lower lobe of the right lung, there are peripherally located density increases that partially consolidate at the laterobasal level. Sequelae changes are observed in the inferior lingular segment. It was not detected in the previous review. Densities compatible with pleuroparenchymal sequelae are observed in the middle lobe on the right. There is focal consolidation in the right lung at the posterobasal-mediobasal level, in which air bronchograms are also partially observed. There are also reticulonodular density increases in a little more superiorly.\n<pleura>: There are densities evaluated as compatible with sequelae accompanied by subpleural density increases in the left lung lower lobe laterobasal level. Bilateral pleural effusion, pneumothorax were not detected.\n<mediastinum>: In the case, a catheter extending up to the right atrium appendage is observed in the superior vena cava. In the mediastinum, almost all stations have lymph nodes, the largest of which is in the aorticopulmonary window, and the hilar fat of oval configuration is partially selected and is approximately 16x8 mm in size. Arch aortic calibration is normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. Ascending aorta and descending aorta calibrations are natural. Pathological size and configuration of lymph nodes are not observed at both axillary levels. Pulmonary trunk and both pulmonary artery calibrations are normal.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There is a hiatal hernia.\n<bone>: Mild degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Again, the gallbladder is observed slightly prominently at the levels that partially enter the image. In the spleen hilum, nodular density, which is considered to be compatible with the accessory spleen, is observed with the spleen in isodense appearance, measuring approximately 20x15 mm. Right kidney, left kidney and both adrenal glands are normal as far as can be seen. Arch aortic calibration is normal. Millimetric-sized calcific atheroma plaques are observed in the aortic arch and descending aorta. Ascending aorta and descending aorta calibrations are natural. In the upper abdominal organs included in the sections, the liver and the left lobe of the intrahepatic bile ducts are slightly prominent. Capsular calcifications are observed on the back of the spleen.\n\nImpression:\nScattered ground-glass-like density increments and areas of focal consolidation in both lungs. It is recommended to be evaluated together with the clinic in terms of viral-bacterial pneumonias, including Covid.  Prominence in the gallbladder, slight prominence in the intrahepatic bile ducts in the left lobe of the liver  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18717/train_18717_e/train_18717_e_1.npy"
        ]
    },
    {
        "id": "report_generation_44126",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are several millimetric nonspecific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. Density compatible with the residual thymus tissue is observed in the anterior mediastinum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: There is a finding evaluated in favor of the accessory spleen, whose size is 18 mm, at the same density as the spleen in its vicinity. In the upper abdominal organs included in the sections, the spleen is larger than normal, measuring up to 124 mm in the craniocaudal axis.\n\nImpression:\nThere are several millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18719/train_18719_a/train_18719_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44128",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is one or two diverticula appearance on the right posterolateral at the trachea thoracic inlet level.\n<lung>: There is a 3 mm diameter nonspecific nodule in the middle lobe of the right lung. Sequelae changes are observed at the apical level. No pathological size and configuration of lymph nodes were detected at both hilar levels. When examined in the lung parenchyma window; Both hemithorax are symmetrical. There is a decrease in density consistent with mild emphysema in both lungs.\n<pleura>: A subpleural 9x4 mm nonspecific nodule is observed at the laterobasal level of the lower lobe of the right lung. There is a subpleural nodule with a diameter of 2 mm at the laterobasal level and 5 mm at the posterolateral level of the right lung. No finding compatible with bilateral pleural effusion-pneumothorax, pneumonia was detected.\n<mediastinum>: Calibration of other mediastinal major vascular structures is natural. No lymph node with pathological size and configuration was detected in the mediastinum. CTO is within the normal range. The aortic arch is at the maximal physiological limit.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Upper abdominal organs included in sections; There is a decrease in density consistent with steatosis in the liver. The AP size of the spleen measured 150 mm and is larger than normal. CTO is within the normal range. The aortic arch is at the maximal physiological limit. There is nodular density in the spleen hilum that may be compatible with the accessory spleen.\n\nImpression:\nFindings consistent with mild emphysema in both lungs  Nonspecific millimetric nodules in both lungs, the largest at the right laterobasal level and subpleural 9x4 mm  Hepatostetosis  Splenomegaly"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18720/train_18720_a/train_18720_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44142",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. When examined in the lung parenchyma window; Thickening of the bronchial walls, more prominent in the lower parts, and sequela fibrotic changes in the lower lobes are observed in both lungs.\n<lung>: When examined in the lung parenchyma window; Thickening of the bronchial walls, more prominent in the lower parts, and sequela fibrotic changes in the lower lobes are observed in both lungs. No obvious pneumonic infiltration was detected. Bilateral mosaic density differences, calcific nodules with millimetric sequelae are observed.\n<mediastinum>: Calcific atheroma plaques are observed in the thoracic aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. The ascending aorta is ectatic (37 mm). A slight increase in heart size is observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are widespread degenerative changes in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the thoracic aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly  Aortic atherosclerosis, Ascending aorta ectasia, Right pulmonary artery ectasia  Emphysema, sequelae changes, mosaic density differences in lungs, findings in favor of chronic bronchitis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18726/train_18726_b/train_18726_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: In the evaluation of the lung parenchyma, mild emphysematous changes are observed in the upper lobes of both lungs. There are several millimeter-sized low-density nonspecific nodules in both lungs. Radiological findings were primarily evaluated in favor of the infectious process and are considered compatible with lung parenchymal involvement of Covid infection. In places, there are septal thickening and density increases in the form of consolidation.\n<pleura>: Subpleural and peribronchial ground-glass density areas are observed in both lungs, which become prominent towards the basals.\n<mediastinum>: One nonspecific lymph node with slightly increased diameter (short axis 10 mm) located retropectorally (in level 2 localization) was observed in the right axilla. In the mediastinum, paraaortic, bilateral lower paratracheal and peribronchial mediastinal lymph nodes are observed.\n<heart>: Pericardial effusion was not detected. Left ventricular diameter is slightly prominent. Heart sizes are slightly increased.\n<bone>: Fracture line is not observed. There is a diffuse decrease in the density of bone structures consistent with osteoporosis. Hemangiomas are present in the vertebrae. In the supraclavicular fossa, no lymph node in pathological size and appearance was observed in the cross-section.\n<abdomen>: No features were found in the upper abdominal sections and there was an angiomyolipoma of 6 mm in diameter in the upper pole of the right kidney.\n\nImpression:\nMild emphysematous changes in the upper lobes of both lungs, increase in the diameter of the left ventricle . Mediastinal reactive lymph nodes . Atypical pneumonic infiltration areas in both lungs were evaluated in accordance with the findings of parenchymal involvement of Covid infection.  Millimetric angiomyolipoma in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18728/train_18728_a/train_18728_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44171",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Peribronchial sheath thickening is observed.\n<lung>: There is a nodule of approximately 3 mm in diameter at the level of the right lung minor fissure. A superposed 10x5 mm nodule is observed on the fissure. At the apical level, there are more prominent sequelae changes and bleb appearances on the right. There is an 8x5 mm nodule at the laterobasal level in the left lung. No distinctive appearance suggestive of pneumonia was detected in both lungs. There is a nodule of approximately 10x8 mm in size at the laterobasal level. There is an increase in density in both lungs, which may be consistent with the dependent vascular density at posterobasal levels, which is more pronounced on the right. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?, small airway disease?).\n<pleura>: Plaque-like pleural thickening is observed in the lingular segment of the left lung. There is thickening and slight irregularity in the subpleural interstitial tissue in the upper lobe.\n<mediastinum>: Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta, and left descending coronary artery. The left pulmonary artery, pulmonary conus, and other mediastinal major major vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta, and left descending coronary artery.\n<esophagus>: In the case, hiatal hernia is observed and there is a prominent esophageal calibration.\n<bone>: In the D12 vertebra, approximately 50% loss of height in the anterior and middle parts of the corpus and adjacent vacuum phenomena are observed. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Its density decreased slightly in line with steatosis. Millimetric-sized calcific atheroma plaques are observed in the aortic arch, descending aorta, and left descending coronary artery. In the upper abdominal organs included in the sections, the liver is observed to be larger than normal.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Nonspecific nodule formations in both lungs . Significant bilateral ground-glass-like density increments at the baseline on the right (depending vascular density?).  Hepatomegaly, hepatosteatosis . Approximately 50% loss of height in the anterior and middle parts of the corpus of the D12 vertebra.  Hiatal hernia and mild dilatation of the esophagus."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18737/train_18737_a/train_18737_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was observed in the lumen of the trachea and both main bronchi.\n<lung>: Passive atelectatic changes were observed in the lung planes adjacent to the effusion. The described findings may be compatible with opportunistic infection (viral pneumonia). Bronchial lumens narrowed secondary to peribronchial thickness increases-consolidations in both lungs. In both lungs, consolidation areas extending along the peribronchial area, ground glass densities accompanied by interlobular septal thickenings were observed especially in the lower lobe basal segments. It is recommended to be evaluated together with clinical and laboratory. Mosaic attenuation was found to be secondary to the small airway. Mosaic attenuation pattern was observed in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; Between the bilateral pleural leaves, an effusion measuring 19 mm in the thickest part on the right and 18 mm in the thickest part on the left was observed.\n<mediastinum>: A catheter extending from the right internal jugular vein to the vena right atrium was observed. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lymph node was observed in supraclavicular and axillary pathological size and appearance. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Contamination-hazy appearance and enlarged lymph nodes, the largest of which is 20x12 mm, were observed in the central mesenteric fatty planes (mesenteric panniculitis?). Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral pleural effusion-passive atelectatic changes in adjacent lung planes  Pneumonic infiltration areas consistent with opportunistic infection (viral) in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Mosaic attenuation pattern secondary to small airway stenosis in both lungs, millimetric nonspecific parenchymal nodules  Mesenteric panniculitis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18748/train_18748_b/train_18748_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Interlobular septal and interstitial thickenings and a honeycomb appearance were observed in both lungs, more prominently in the lower lobes and peripheral regions. However, interstitial lung diseases mentioned in the clinical preliminary diagnosis may cause a similar appearance. There are millimetric nodules in both lungs. Minimal structural distortion and minimal ground glass appearances are also observed in the described localizations. The views described are not specific. No mass or infiltrative lesion was detected in both lungs.\n<mediastinum>: The largest of these lymph nodes is observed in the upper paratracheal region and its short diameter is 14 mm. There are lymph nodes in the mediastinum. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. There are paratracheal cysts in the upper mediastinum.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are hypodense lesions in the liver. No upper abdominal free fluid-collection was observed in the sections. These lesions cannot be characterized as no contrast agent is given.\n\nImpression:\nInterstitial lung disease, interlobular septal and interstitial thickenings in both lungs, honeycomb appearance and ground glass appearance in places in the follow-up.  Millimetric nodules in both lungs.  Lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18749/train_18749_a/train_18749_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44201",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. The largest measures up to 15 mm in short diameter in the upper paratracheal region.\n<lung>: A few millimetric nodules are observed in both lungs and there is no significant difference. Interstitial thickenings, honeycomb appearances and frosted glass images are observed in places. When examined in the lung parenchyma window; Diffuse centrilobular paraseptal emphysematous changes in both lungs, especially in the right lung middle lobe and lower lobe, fibrotic sequelae changes, band-like atelectasis are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Multiple bilateral nodular lesions measuring up to 13 mm are observed in fatty planes at the level of the costosternal junctions anteriorly in the subdiaphragmatic area. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in other organs. Upper abdominal organs included in the sections are normal.\n\nImpression:\nInterstitial lung disease at follow-up.  There is no significant dimensional and structural difference in mediastinal lymph nodes.  No significant difference was found in the findings described in both lungs.  There was no significant difference in the interstitial thickenings described in both lungs, the appearance of honeycomb in places and the ground glass images.  A few millimetric nodules in both lungs, with no significant difference.  Nodular lesions in the subdiaphragmatic area, adjacent to the bilateral costosternal junctions, which were also observed in the previous examination.  An increase in spleen size is observed.  Lesions in the liver parenchyma, which are evaluated as suboptimal in non-contrast examination and show significant dimensional and numerical differences."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18749/train_18749_b/train_18749_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No active infiltration or mass lesion was detected in both lungs. When examined in the lung parenchyma window; A thin-walled air cyst with a stable smooth border was observed in the apical segment of the upper lobe of the right lung. There are minimal emphysematous changes.\n<pleura>: Bilateral pleural effusion was not detected.\n<mediastinum>: The mediastinal main vascular structures were not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the cardiac contour size are normal as far as can be observed. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: The mediastinal main vascular structures were not optimally evaluated due to the lack of contrast in the heart examination, and the calibration of the vascular structures and the cardiac contour size are normal as far as can be observed. Minimal stable pericardial effusion was observed.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures in the study area. There are degenerative changes.\n<abdomen>: A few stable nodules in millimetric dimensions were observed. In the upper abdominal sections within the image, there are several millimetric stones in the gallbladder lumen.\n\nImpression:\nMinimal emphysematous changes in both lungs, a few millimetric stable nodules  Sliding hiatal hernia at the lower end of the esophagus  Cholelithiasis  Thoracic spondylosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18765/train_18765_b/train_18765_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Nonspecific nodular and reticular density increases are observed in the lower lobes of both lungs at posterior subpleural levels, more prominently on the left.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density loss in the liver.\n\nImpression:\n• Nonspecific nodules and reticular density increases in both lung lower lobes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18771/train_18771_a/train_18771_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44271",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion with distinguishable borders was detected in both lungs. A few millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Passive atelectatic changes were observed in the right lung middle lobe medial and left lung inferior lingular segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calcified atheroma plaques that did not cause significant stenosis were observed in the abdominal aorta. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Calcified atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcified atheroma plaques that did not cause significant stenosis were observed in the abdominal aorta. The gallbladder was not observed (operated). Bilateral adrenal glands were normal and no space-occupying lesion was detected. Liver, spleen, pancreas and both kidneys are normal as far as can be observed in the sections.\n\nImpression:\nCalcified atheromatous plaques in LAD. Passive atelectatic changes in right lung middle lobe medial and left lung inferior lingular segment.  Several millimetric nonspecific parenchymal nodules in both lungs. Cholecystectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18780/train_18780_a/train_18780_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). It is recommended to be evaluated together with clinical and laboratory. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, areas of nodular-patchy consolidation were observed, tending to be peripheral, more common in the upper lobes.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal.\n\nImpression:\nHiatal hernia . In both lungs; areas of nodular-patchy consolidation, which tend to be more extensive peripheral in the upper lobes; The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?)"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18785/train_18785_a/train_18785_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44324",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Multilobar, multisegmental, central-peripheral weighted nodular ground glass consolidations with crazy paving pattern were observed in both lungs, more common in the right lung. The consolidations are accompanied by pleuroparenchymal linear atelectasis in the right lung upper lobe anterior, middle lobe medial, left lung inferior lingular and basal segments. Nonspecific millimetric nodules were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; liver parenchyma density is diffusely decreased, consistent with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma.  Nonspecific millimetric nodules in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18801/train_18801_b/train_18801_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44327",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are widespread ground glass densities in both lung parenchyma.\n<pleura>: A 4 mm subpleural nodule is observed in the anterior upper lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinum. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are osteophytic degenerative changes in the vertebrae.\n<abdomen>: Thoracic aorta diameter is normal. In the upper abdominal organs included in the sections, there is diffuse density loss in the liver.\n\nImpression:\nFindings consistent with Covid pneumonia  Millimetric nonspecific nodule in the anterior upper lobe of the right lung  Hepatosteatosis  Solid lesions in the liver. Contrast-enhanced MRI of the upper abdomen is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18803/train_18803_a/train_18803_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44334",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: No active infiltration or mass lesion was detected in both lungs. There are areas of increase in density evaluated in favor of atelectasis in the lung parenchyma adjacent to the effusion.\n<pleura>: When examined in the lung parenchyma window; In both pleural spaces, an effusion measuring 25 mm in the deepest part on the left and 15 mm in the deepest part on the right was observed.\n<mediastinum>: Mediastinal main vascular structures and heart were not evaluated optimally because of the lack of contrast. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions.\n<heart>: Calibration of vascular structures and heart contour size are natural. Mediastinal main vascular structures and heart were not evaluated optimally because of the lack of contrast. Pericardial effusion was not detected.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: No lymph node was detected in pathological size and appearance. Intraabdominal free fluid, loculated collection was not observed. In the upper abdomen sections within the image, two slightly hypodense lesions, which cannot be characterized, were observed in both lobes of the liver, the largest of which was at segment 4b level, measuring 13x10 mm in size, within the borders of non-contrast CT.\n\nImpression:\nBilateral pleural effusion and density increases in both lung parenchyma adjacent to the effusion, evaluated in favor of atelectasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18807/train_18807_a/train_18807_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44362",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: A tracheal diverticulum measuring 14x6.7x14 mm was observed in the right posterolateral aspect of the mediastinal entrance in the superior part of the trachea. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The findings are consistent with late-stage Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, multilobar, multisegmental, central-peripheral weighted, crazy paving pattern and irregularly circumscribed ground glass consolidations with vascular enlargement were observed.\n<pleura>: Consolidations are accompanied by diffuse linear atelectasis and subpleural striations.\n<mediastinum>: Millimetric atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Millimetric atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. A 1.5 cm diameter nodular hypodense lesion area was observed in the upper pole medial of the right kidney (cyst?).\n\nImpression:\nTracheal diverticulum  Atherosclerotic wall calcifications in the aortic arch and coronary arteries  Hiatal hernia  Findings consistent with late-stage Covid-19 pneumonia in the lung parenchyma  Cortical cyst in the right kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18821/train_18821_a/train_18821_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44370",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There are mild sequelae changes at the apical level. However, it cannot be clearly differentiated from infiltrative lesions. Density reduction compatible with emphysema is observed. Density increases consistent with pleuroparenchymal sequelae at basal level are observed in the middle lobe and upper lobe level in the lingular segment on the right and left. When examined in the lung parenchyma window; In both lungs, there are consolidative areas and ground-glass-like density increases in the mid-lower zones, which tend to coalesce in places. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia during the pandemic process. No pathological size and configuration lymph nodes were detected at both hilar levels. There are also nodular densities in both lungs.\n<mediastinum>: Millimeter sized lymph nodes are observed. Calibration of pulmonary trunk, ascending aorta and other major mediastinal vascular structures is normal. No lymph node was detected in the mediastinum in pathological size and configuration. Calibration of the aortic arch is at the maximal physiological limit.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calibration of the aortic arch is at the maximal physiological limit. The spleen is full. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There is slight contamination in the perinephric fatty planes around the left kidney. There is a nodular appearance compatible with the millimetric accessory spleen adjacent to the spleen. In the upper abdominal organs, including sections; There is a slight decrease in density consistent with steatosis.\n\nImpression:\nLesions evaluated as compatible with Covid. Clinical and laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Findings compatible with emphysema."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18825/train_18825_a/train_18825_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44374",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18827/train_18827_a/train_18827_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44375",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few millimetric nonspecific nodules were observed in both lungs. There are linear atelectasis in the lower lobes of both lungs. There is no mass or infiltrative lesion in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: There are hypodense lesions in both kidneys. These lesions could not be characterized as no contrast agent was given. No pathologically enlarged lymph nodes were observed. There is a nodular lesion measuring approximately 5 mm in diameter in the left adrenal gland corpus. The described lesion was initially thought to be an adenoma. However, when evaluated together with their density, they were thought to be cysts. If there is, it is recommended to be evaluated together with previous examinations and if there is an indication, USG is recommended. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nLinear atelectasis in the lower lobes of both lungs . Millimetric nodules in both lungs . Hypodense lesions (cysts?) in both kidneys . Millimetric adenoma in the left adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18828/train_18828_a/train_18828_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44378",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18830/train_18830_a/train_18830_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44380",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: The sizes of both thyroid glands have increased, the parenchyma density is heterogeneous and macrocalcifications are observed in the right lobe. US control for nodules is recommended.\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Parenchymal fibrosis and paracicatricial bronchiectatic changes were observed in the middle lobe of the right lung. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. The appearance suggests an infectious process in the first place. Large areas of consolidation including air bronchograms were observed in the lower lobe of the right lung. There are bulla formations in both lungs apical.\n<pleura>: Peripheral subpleural acinar opacities were also observed in the upper lobe of the right lung.\n<mediastinum>: Multiple lymph nodes measuring 6.5 mm in the short axis of the larger one were observed in mediastinal upper-lower paratracheal, subcarinal, prevascular, bilateral hilar localization. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. The diameter of the main pulmonary artery was 31 mm and it shows dilatation. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta-coronary artery.\n<heart>: Heart size increased. The diameter of the ascending aorta was 34 mm. There is an effusion measuring 7 mm in the widest part of the pericardium.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: It is recommended to be evaluated in terms of DISH disease. Degenerative changes were observed in the bone structures in the study area. Bridging spur formations were observed in the thoracic vertebral right anterolateral.\n<abdomen>: Clinical and laboratory correlation is recommended. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta-coronary artery. Millimetric parenchymal calcification was observed in the left lobe of the liver. In the upper abdominal sections included in the study area, reticular-like density increases were observed in bilateral perirenal fatty planes compatible with edema-inflammation.\n\nImpression:\nDilatation of the pulmonary artery, pericardial effusion. Calcified atherosclerotic changes in the wall of the thoracoabdominal aorta and coronary artery, cardiomegaly. Mediastinal multiple millimetrically sized lymph nodes. Hiatal hernia.  Emphysematous changes and bulla formations, sequelae changes in both lungs. Large consolidation area in the lower lobe of the right lung; primarily evaluated in favor of the infectious process. Post-treatment control is recommended.  Edema-inflammation in bilateral perirenal fatty planes. Findings consistent with DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18831/train_18831_a/train_18831_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44382",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Macrocalcifications were observed in the right lobe. US control is recommended for the nodule. The sizes of both thyroid glands have increased and the parenchyma density is heterogeneous.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: There are bulla formations in both lungs apical. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Parenchymal fibrosis and paracicatricial bronchiectatic changes were observed in the middle lobe of the right lung.\n<mediastinum>: Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. As far as can be observed: mediastinal main vascular structures are normal. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta calibration is natural. The transverse diameter of the pulmonary trunk was measured as 31.5 mm and it shows dilatation.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bridging spur formations are observed in the right anterolateral of the thoracic vertebra. It is recommended to be evaluated in terms of DISH disease. Degenerative changes were observed in the bone structures in the study area.\n<abdomen>: Millimetric parenchymal calcifications were observed in the left lobe of the liver as far as can be seen in the sections. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. Right adrenal glands were normal and no space-occupying lesion was detected. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. The sizes of both kidneys decreased, and reticular-like density increases were observed in the perinephric fatty planes, consistent with edema-inflammation. Nodular thickening was observed in the left adrenal gland. Thoracic aorta calibration is natural.\n\nImpression:\nIncreased size of both thyroid glands, parenchymal heterogeneity, macrocalcifications in the right lobe; US control for nodules is recommended.  Dilatation in the pulmonary artery, calcific atheroma plaques in the thoracic aorta, supraaortic branches and coronary arteries. Cardiomegaly. Hiatal hernia.  Emphysematous changes in both lungs and bullae formations and sequelae changes. Paracicatricial bronchiectatic changes with parenchymal fibrosis in the right lung middle lobe.  Findings consistent with DISH disease."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18831/train_18831_b/train_18831_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44384",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Evaluation with USG examinations is recommended. An increase in the size of both thyroid glands is observed, and the parenchyma density is heterogeneous.\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: In both lungs, ground-glass density areas, most of which are peripherally located, are observed to have newly developed in the current examination, and viral pneumonias are considered in the etiology of the findings. Emphysematous changes are observed in both lungs and there are bull formations in the apex of both lungs. No bordering mass lesion was detected in both lungs. In the right lung middle lobe medial segment and left lung upper lobe inferior lingular segment, there are areas of increase in density consistent with linear band-like atelectasis.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. The transverse diameter of the pulmonary trunk is 31 mm, larger than normal.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast, and as far as can be observed; Heart size slightly increased.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: In the thoracic vertebrae, spur formations with a tendency to bridging are observed in the right anterolateral. There are degenerative changes in the bone structures in the examination area.\n<abdomen>: The right adrenal gland is normal, and an increase in nodular thickness is noted in the left adrenal gland. In the upper abdomen sections within the image, no solid mass was detected as far as it can be observed within the borders of non-contrast CT. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. There is a decrease in both kidney sizes consistent with CRF and an increase in reticular density consistent with edema-inflammation in perinephrtic fatty planes.\n\nImpression:\nFindings consistent with newly developed viral pneumonia in both lungs in the current examination. Emphysematous changes in both lungs and bull formations in the apex and parenchymal changes in places with sequelae.  Increased size of both thyroid glands and heterogeneous density in their parenchyma; evaluation by USG is recommended.  Increased pulmonary conus calibration, increased heart size, calcified atheroma plaques on the wall of the torcal aorta and coronary vascular structures.  Decreased size of both kidneys consistent with CRF. Diffuse degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18831/train_18831_c/train_18831_c_1.npy"
        ]
    },
    {
        "id": "report_generation_44400",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Minimal peribronchial thickness increase is observed. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a millimetric parenchymal air cyst in the anterior segment of the right lung upper lobe. There are linear atelectasis areas in the left lung lower lobe medial segment, upper lobe lingular segment inferior subsegment, right lung middle lobe medial segment and lower lobe lateral segment. Mosaic attenuation pattern is observed in both lungs (secondary to insufficient inspiration?). Dependent density increases are observed in the lower lobe posterior segments. No mass or infiltrative lesion was detected in both lungs. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and bilateral hilar regions.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and bilateral hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: Thoracic kyphosis is increased. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as it can be observed, no mass with distinguishable borders was detected in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as it can be evaluated within the non-contrast CT limits; there is microlobulation in the liver contours (chronic liver parenchymal disease?). Splenorenal shunt is present. Calcific atheroma plaques are observed in the aorta.\n\nImpression:\nMosaic attenuation pattern in both lungs (secondary to insufficient inspiration?)  Linear areas of atelectasis in both lungs, minimal peribronchial thickness increase.  Microlobulation in liver contours (chronic liver parenchymal disease?), splenorenal shunt.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18837/train_18837_a/train_18837_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44406",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal emphysematous changes in both lungs. Millimetric nodules were observed in both lungs. Minimal peribronchial thickening was observed in both lungs, more prominent in the lower lobes. Dependent densities were observed in the posterior parts of both lungs. No mass or infiltrative lesion was detected in both lungs. There are minimal uniform interlobular septal thickenings in the lower lobes of both lungs.\n<pleura>: There is also bilateral pleural minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Diffuse atheroma plaques are observed in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. It is understood that the patient underwent coronary by-pass surgery. When the findings were evaluated together, it was primarily thought to be due to a cardiac pathology. As far as can be observed: Heart contour and size are normal.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection was detected in the sections. Diffuse atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtheroma plaques in the aorta and coronary arteries.  Hiatal hernia.  Bilateral minimal pleural effusion, uniform interlobular septal thickening in both lower lobes of the lungs.  Peribronchial thickening in both lungs.  Millimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18839/train_18839_a/train_18839_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44418",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a web-like hyperdense appearance compatible with secretion in both main bronchi. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Right lung upper lobe apical and posterior segment, ortholobe lateral segment and left lung upper lobe atelectasis areas are present.\n<pleura>: There is a 2.5 cm diameter in the right hemithorax, minimal pleural effusion in the left hemithorax, and compression atelectasis adjacent to it.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta. In the mediastinum, there are several lymph nodes with a diameter of 15 mm, the largest of which is in the aortopulmonary window.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected. The diameter of the ascending aorta was 40 mm and increased. There are stent formations in the coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the esophagogastric junction. Several periesophageal lymph nodes with a diameter of 6 mm are observed.\n<bone>: In the thoracic vertebrae, ribs and sternum within the sections, the medullary bone marrow signal is heterogeneous and extensive sclerosis is observed. Widespread bridging osteophytes are observed in the anterior corners of the thoracic vertebra corpus.\n<abdomen>: However, both adrenal glands were not completely included in the field of view. There are several retrocrural lymphadenopathies, the largest of which is 11 mm in diameter. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the organs within the sections. Calcific atheroma plaques are observed in the aorta. Sliding type hiatal hernia was observed at the esophagogastric junction.\n\nImpression:\nMediastinal and retrocrural lymphadenopathies  Significant bilateral minimal pleural effusion on the right, areas of atelectasis in both lungs  Hiatal hernia  Millimetric calcific nodule in the left lobe of the thyroid gland  Widespread heterogeneity and sclerosis (hematologic malignancy?, metastasis?) in the medullary signal density of the bone structures within the sections."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18844/train_18844_a/train_18844_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44424",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: When examined in the lung parenchyma window; There are areas of increased density consistent with linear atelectasis in the anteromedial segment of the lower lobe of the left lung. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia. Viral pneumonias are considered in the etiology of the findings.\n<pleura>: Pericardial-pleural effusion was not detected. Peripheral, subpleural localized ground-glass density increases and areas of density increase consistent with consolidation are observed in both lungs.\n<mediastinum>: There are calcified atheromatous plaques on the wall of the coronary vascular structures of the aortic arch. Calibration of mediastinal vascular structures, heart contour, size are natural. In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance.\n<heart>: Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of mediastinal vascular structures, heart contour, size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: There are calcified atheromatous plaques on the wall of the coronary vascular structures of the aortic arch. As far as it can be seen within the borders of non-contrast CT in the upper abdomen sections within the image; no solid mass was detected. Intraabdominal free liqu- ulated collection is not observed.\n\nImpression:\nPeripheral subpleural ground-glass density increases in both lungs and areas of density increase compatible with consolidation; viral pneumonias are considered in the etiology of the findings. Clinical and laboratory evaluation is recommended for Covid-19 pneumonia.  Density increase consistent with linear atelectasis in the left lung lower lobe anteromedial segment area.  Calcified plaques of atheroma in the wall of the aortic arch and coronary vascular structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18845/train_18845_a/train_18845_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44436",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. The outlook is highly suspicious for early Covid-19 pneumonia or other viral pneumonias. When examined in the lung parenchyma window; More prominent focal nodular consolidation areas were observed in the lower lobe basal segments of both lungs, the right lung middle lobe lateral segment, and the left lower lobe laterobasal.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nHigh suspicious findings in terms of early-stage Covid-19 pneumonia or viral pneumonia in the lung parenchyma. It is recommended to be evaluated together with clinical and laboratory."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18851/train_18851_a/train_18851_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44444",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Linear density changes consistent with atelectasis are observed in the lung parenchyma adjacent to the effusion. No active infiltration or mass lesion was detected in both lung parenchyma. A 3 mm nonspecific nodule is observed in the anterior segment of the right lung upper lobe.\n<pleura>: There is free effusion up to 35 mm deep in the right pleural space. Pericardial and left pleural effusion are not observed.\n<mediastinum>: Mediastinal main vascular structures and heart examination IV. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures.\n<heart>: Mediastinal main vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end of the esophagus. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: There are osteophytic degenerative changes that tend to develop in the vertebral corpus corners. No lytic-destructive lesion was detected in the bone structures within the image, and vertebral corpus heights were preserved. An increase is observed in thoracic kyphosis.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures.\n\nImpression:\nRight pleural effusion, density changes in adjacent lung parenchyma consistent with minimal atelectasis. Millimetric-sized nonspecific nodule in the anterior segment of the right lung upper lobe, emphysematous changes in both lungs; Pneumonic infiltration - no mass lesion was detected in both lungs.  Signs of thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18855/train_18855_a/train_18855_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44448",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: The described findings are compatible with bronchopneumonia. A thin-walled parenchymal air cyst of 1.5 cm in diameter was observed in the superior segment of the left lung lower lobe. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Atelectatic changes were observed in the middle lobe of the right lung and in the lingular segment of the left lung upper lobe, accompanied by cicatricial bronchiectasis, causing volume loss. Reticulonodular sequela fibrotic density increases were observed in both lung apexes. Widespread centracinar nodular infiltrates and budding tree view were observed in the right lung and left lung upper lobe lingular and lower lobe superior and anteromediobasal segments.\n<mediastinum>: As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcific atheroma plaques were observed in the abdominal aorta and iliac arteries. The mediastinum could not be evaluated optimally in the non-contrast examination. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. A plaster-like effusion was observed in the pericardial space. Heart sizes have increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis and diffuse degenerative changes in bone structures were observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the abdominal aorta and iliac arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nCardiomegaly, mild pericardial effusion, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries . Atelectatic changes in the right lung middle lobe and left lung upper lobe lingular segment accompanied by cicatricial bronchiectatic changes causing volume loss . Findings in the lung parenchyma consistent with bronchopneumonia; clinical and laboratory . Thin-walled parenchymal cyst in the superior segment of the lower lobe of the right lung . Scoliosis and degenerative changes with left opening at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18857/train_18857_a/train_18857_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Dependent density increases are observed in the lower lobes of both lungs. Apart from this, no obvious pathology was observed in the parenchyma areas of both lungs. In the anterior segment of the upper lobe of the right lung, an approximately 8x3 mm sized nonspecific linear configuration lesion and a 4 mm diameter nodule with a nonspecific appearance are observed immediately adjacent to it.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nLinear lesion sequelae in the anterior segment of the right lung upper lobe and nodule with nonspecific appearance"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18858/train_18858_a/train_18858_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44457",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open and no obstructive pathology is detected in the lumen. In bilateral bronchial structures, there is diffuse mild ectasia more prominent in the central.\n<lung>: No active infiltration or mass lesion was detected in both lungs. Sequela parenchymal changes are observed in the lower lobes of both lungs, the upper lobe of the left lung, the inferior lingular segment, and the medial segment of the middle lobe of the right lung.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance.\n<heart>: Calibration of vascular structures, heart contour, size are natural. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image, and vertebral corpus heights were preserved.\n<abdomen>: Intraabdominal diffuse free fluid or loculated collection is not observed. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nSequela parenchymal changes in the lower lobes of both lungs, left lung upper lobe inferior lingular segment and right lung middle lobe medial segment, and diffuse mild ectasia more prominently in the central bilateral bronchial structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18862/train_18862_a/train_18862_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44459",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: There are areas of increase in density consistent with linear atelectasis accompanying the pneumonic infiltrative areas in the lower lobes of both lungs. Viral pneumonias are considered in the etiology of the findings.\n<pleura>: No pericardial-pleural effusion or increased thickness was detected. In the evaluation made in the lung parenchyma window: In both lungs, there are multilobar diffuse mostly peripheral, subpleural nodular and ground glass areas with a tendency to coalesce, and areas of increased density compatible with consolidation.\n<mediastinum>: Calibration of mediastinal vascular structures, heart contour, size are natural. In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions.\n<heart>: Calibration of mediastinal vascular structures, heart contour, size are natural.\n<esophagus>: No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, no pathology was observed within the borders of non-contrast CT.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18862/train_18862_b/train_18862_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Areas of centriacinar emphysema were observed in each lung. When examined in the lung parenchyma window; In the anterior segment of the right lung upper lobe, left lung upper lobe apicoposterior segment and left lung lower lobe, crazy paving pattern and vascular enlargement were found, and large nodular consolidation areas with ground glass areas were observed around it. No mass lesion with distinguishable borders was detected in both lungs. A bulla formation with a diameter of 2.5 cm was observed in the apex of the right lung. Calcified lymph nodes were observed in the left lung hilum.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcified atheroma plaques were observed in the aortic arch, LAD and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcified atheroma plaques were observed in the aortic arch, LAD and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: T3-T4 disc is hypoplastic and spinous processes appear to be fused (partial congenital block vertebra).\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcified atheroma plaques were observed in the aortic arch, LAD and coronary arteries. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nCalcified atheroma plaques in the aortic arch and coronary arteries.  Highly suspicious findings for Covid-19 pneumonia in the lung parenchyma  Emphysematous changes in both lungs, bulla formation with 2.5 cm diameter in the right lung apex.  T3-T4 partial congenital block vertebra."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18867/train_18867_a/train_18867_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: However, the presence of atypical pneumonic infiltration accompanying pulmonary edema cannot be excluded. In parenchymal evaluation, diffuse parenchymal ground-glass densities and increased septal thickness are observed in both lungs. More prominent fissural edema is observed on the right bilateral side. In the upper lobe apical segments, consolidation areas with irregular borders are sometimes accompanied. Radiological findings were evaluated in favor of pulmonary edema.\n<pleura>: Pleural effusion reaching 2 cm in diameter is observed between both pleural leaves.\n<mediastinum>: There are non-specific mediastinal lymph nodes located in the mediastinum, bilaterally lower paratracheal and paraaortic. Wall calcifications are observed in the aortic arch and descending aorta.\n<heart>: Cardiac pace maker catheter is available. Heart size increased. Findings of previous bypass surgery are observed.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive space-occupying lesion was detected in bone structures.\n<abdomen>: In the upper abdomen sections, myelolipoma is observed in both adrenal glands. It measures 7 cm in diameter on the left and 2.5 cm in diameter on the right. Wall calcifications are observed in the aortic arch and descending aorta.\n\nImpression:\nFindings secondary to previous coronary bypass surgery, cardiac pacemaker  Bilateral pleural effusion and fissuritis  Diffuse ground glass densities in the lung parenchyma and areas of nodular consolidation in places, radiological findings are in favor of pulmonary edema. However, the presence of atypical pneumonia-viral infection superposed to pulmonary edema could not be excluded. It is recommended to correlate with clinical and laboratory.  Myelolipoma in both adrenal glands  Lymph nodes thought to be reactive in the mediastinum"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18870/train_18870_a/train_18870_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44477",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A nodule with a diameter of 2 mm is observed in the laterobasal segment of the lower lobe of the left lung. In the lower lobe mediobasal segment, parenchymal ground-glass-like focal density increase is observed secondary to degeneration. There was no finding compatible with pneumonia. A little more superiorly, there is another nodule with a diameter of 2 mm in the superior segment of the lower lobe.\n<pleura>: No pleural effusion or pneumothorax was observed. When examined in the lung parenchyma window; 4 mm in diameter subpleural nodule is observed in the upper lobe anterior segment lateral in the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. If necessary, sonographic examination is recommended. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Nodular density compatible with accessory spleen is observed adjacent to the spleen.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18871/train_18871_a/train_18871_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44483",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Dependent density increases are observed in the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Apart from this, the heart and mediastinal vascular structures have a natural appearance. No pathological LAP was detected in the mediastinum. The AP diameter of the ascending aorta is 4.2 cm, and it is wider than normal. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: Apart from this, the heart and mediastinal vascular structures have a natural appearance. The heart and mediastinal vascular structures have a natural appearance.\n<bone>: Dorsal kyphosis was markedly increased. In the dorsal localization, height losses are observed in T5 and T8 vertebrae, over 75% in T5 vertebr and 50% in T8 vertebra.\n<abdomen>: In addition, punctate microcalcular hyperdensities in both kidneys and nodular density that may belong to a hyperdense hemorrhagic cyst smaller than 1 cm in the anterior cortex of the left kidney are observed. Parapelvic cysts with a diameter of 2 cm in the right kidney and cortical cysts with a diameter of 2.7 cm in the left kidney are observed in both kidneys. The AP diameter of the ascending aorta is 4.2 cm, and it is wider than normal. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nEctasia in the ascending aorta . Dependent increases in density in both lung parenchyma . punctate microcalculcular in both kidneys , bilateral renal cysts in the left kidney, hemorrhagic . Over 75% in T5. vertebra, 50% height loss in T8. vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18874/train_18874_a/train_18874_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44492",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There are minimal emphysematous changes in both lungs. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs. Bilateral peribronchial diffuse thickness increase and intrabronchial secretions were observed. In places, there are sequela parenchymal changes. A few nonspecific nodules, some of them purely calcified, are observed in the right lung.\n<mediastinum>: Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. No lymph node was detected in the mediastinum and in both axillary regions in pathological size and appearance. As far as can be seen; It shows aneurysmatic dilatation with a diameter of 42 mm ascending aorta and 32 mm descending aorta.\n<heart>: An increase in heart size is observed. There is a pericardial effusion measuring approximately 40 mm in its deepest part. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. Left-facing scoliosis was observed in the thoracic vertebral column. Vertebra corpus height, their alignment is natural. Thoracic kyphosis has increased. There are osteophytic taperings at the vertebral corpus corners.\n<abdomen>: No lymph node was observed in pathological size and appearance. In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT. Calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. As far as can be seen; It shows aneurysmatic dilatation with a diameter of 42 mm ascending aorta and 32 mm descending aorta. No intraabdominal free fluid, loculated collection was detected.\n\nImpression:\nAscending aorta, increased descending aorta caliber, increased heart size, pericardial effusion, thoracic aorta, calcific atheroma plaques on the wall of coronary vascular structures.  Locally sequela parenchymal changes in both lungs, minimal emphysematous changes, a few nodules in the right lung, some of which are purely calcified.  Peribronchial diffuse mild ectasia and intrabronchial secretions in both lungs.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18877/train_18877_a/train_18877_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44500",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are appearances evaluated in favor of pleuroparenchymal sequela changes and-or atelectasis in both lung apex, both lower lobe of both lungs, middle lobe of right lung and lingular segment of left lung upper lobe. There are minimal emphysematous changes in both lungs. A consolidated lung segment is observed adjacent to the effusion in the posterobasal segment in the lower lobe of the left lung. This appearance may be passive atelectasis or pneumonic infiltration. This distinction was not made in this study. No mass was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the left.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal.\n<heart>: Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no fractures or lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nMinimal pleural effusion on the left, passive atelectasis or pneumonic infiltration in the posterobasal segment of the lower lobe of the left lung.  Findings that may be consistent with atelectasis and/or pleuroparenchymal sequelae changes in both lungs.  Emphysematous changes in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18880/train_18880_a/train_18880_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44502",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; There are subpleural nodular consolidation and ground glass densities in both lung parenchyma, especially in the lower lobes. Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Millimetric stone densities are observed in the upper pole of the right kidney and the lower pole of the left kidney entering the section area.\n\nImpression:\nFindings consistent with Covid pneumonia.  Bilateral nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18881/train_18881_a/train_18881_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44539",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Atelectasis is observed in the middle lobe of the right lung. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: The left atrium is larger than normal. As far as can be observed: Heart contours are normal.\n<esophagus>: There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: Thoracic vertebral corpus heights, alignments and densities are normal. Osteophytes are observed in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were observed. There are atheromatous plaques in the aorta and coronary arteries. It is recommended that the patient be evaluated for liver parenchymal disease. There is slight lobulation in the liver contours.\n\nImpression:\nEmphysematous changes in both lungs. Atelectasis in the middle lobe of the right lung.  Enlargement of the left atrium.  Atherosclerotic changes in the aorta and coronary arteries.  Hiatal hernia. Lobulation in liver contours.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18896/train_18896_a/train_18896_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44541",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland sizes are natural.\n<trachea_and_bronchie>: In the evaluation of lung parenchyma structures; Slight bronchial wall thickness increases are observed in segment bronchi in both lungs.\n<lung>: Aeration differences secondary to small airway involvement in the parenchyma were noted. No difference was detected. In the process, no new suspicious nodular lesion is observed in the lung parenchyma. In the evaluation of lung parenchyma structures; Slight bronchial wall thickness increases are observed in segment bronchi in both lungs.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance. Calibrations of mediastinal main vascular structures were followed naturally.\n<heart>: No effusion was detected between pericardial leaves. Stent material is observed in LAD.\n<esophagus>: No pathological increase in diameter and wall thickness was observed in the esophagus.\n<bone>: No lymph node in pathological size and appearance was observed in the supraclavicular fossa. No space-occupying lesions in lytic-sclerotic structure were detected in bone structures.\n<abdomen>: It could not be fully visualized and characterized in the examination. No space-occupying lesions were detected in the adrenal glands in the upper abdominal sections. There is a hypodense lesion in the right kidney, which is partially cross-sectioned. Loculated or free fluid is not observed in upper abdominal sections. Liver right lobe transplantation was performed.\n\nImpression:\n: It is stable. No newly developed suspicious nodular lesion was detected in the lung parenchyma in the process."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18897/train_18897_a/train_18897_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44549",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Dimensional increases are available. The lesion, the largest of which is described in series 2, image 142, in the lower lobe of the right lung, was observed as two separate lesions in the previous examination, their size increased and these two separate lesions merged. No significant invasion was detected in the current examination. More than one in both lungs, space-occupying lesions with irregular contours and spiculated contours, the largest of which is 62x41 mm in the lower lobe and upper lobe of the left lung, and up to 46x35 mm in the right lung. It is considered to narrow the main vascular structures, although it is considered suboptimal in the non-contrast examination, more prominent on the left in both hilar regions.\n<pleura>: Pleural effusion in the right hemithorax, which was observed in the previous CT radiotherapy planning, is showing resolution in the current examination, and there is a small amount of pleural effusion in the left hemithorax with a thickness of 17 mm, a previous examination of 12 mm, and slightly increasing.\n<mediastinum>: Thoracic aorta diameter is normal. In the mediastinum, more than one paratracheal, carina, and aorticopulmonary window lymph nodes, which were also observed in the previous examination, the size of the larger one measuring 23 mm at the carina level and 19 mm in the previous examination are observed. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. At the level of the observable upper abdominal organs, there are millimetric nodular densities and contaminations in fatty planes, especially in the left upper quadrant. In the liver parenchyma, a hypodense area, which can hardly be distinguished, is observed in the right lobe. The left adrenal gland is thickened. Close follow-up is recommended for suspected peritoneal carcinomatous onset. Follow-up for suspected metastases is recommended.\n\nImpression:\nSome of the lesions described in the lung parenchyma are observed separately in the previous examination and are observed to be combined with an increase in their size.  Space-occupying lesions observed in both hilar regions are evaluated suboptimally within the limits of the non-contrast examination, but it is observed that they compress and narrow the main vascular structures and bronchial structures.  A slight dimensional increase is observed in the lymph nodes observed in the mediastinium.  The effusion observed in the right hemithorax shows resolution, and the pleural effusion observed in the left hemithorax is slightly increased.  Heart sizes have increased.  Suspected hypodense areas in the liver and suboptimal within the limits of the examination were evaluated in favor of metastasis in the first place. Close monitoring is recommended.  Left adrenal gland is thickened.  There are millimetric nodular densities and contaminations in fatty planes, especially in the left upper quadrant, at the level of the observable upper abdominal organs. Close follow-up is recommended for suspected peritoneal carcinomatous onset."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18901/train_18901_a/train_18901_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44551",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: There is an area of increase in density in the ground glass density that covers the lower lobe of the left lung almost completely, areas of density increase in the appearance of a bud tree in the peribronchovascular area, and an area of increase in density in the lower lobe laterobasal segment, which is consistent with the consolidation observed in the air bronchogram. Pneumonic infiltration was considered in the etiology of the findings. In the examination made in the lung parenchyma window; No active infiltration or mass lesion was detected in the right lung.\n<pleura>: No pericardial, pleural effusion or increased thickness was detected.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Mediastinal vascular structures and heart examination IV.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: There is a diffuse decrease in liver parenchyma density secondary to hepatosteatosis in the upper abdominal sections within the image.\n\nImpression:\nFindings consistent with lobar pneumonia in the lower lobe of the left lung.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18902/train_18902_a/train_18902_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44553",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Nodules of 8.5x5.5 mm in size in the anterior segment of the upper lobe of the right lung and 7x5.5 mm in size in the lateral segment of the middle lobe with smooth borders were observed. If available, it is recommended to be evaluated together with an old-dated CT examination or to follow up closely. A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: No pericardial-pleural effusion or increased thickness was detected.\n<mediastinum>: In the mediastinum, no lymph nodes are observed in pathological size and appearance in both axillary regions. Mediastinal vascular structures could not be optimally evaluated due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal as far as can be observed.\n<heart>: Mediastinal vascular structures could not be optimally evaluated due to the absence of IV contrast in the cardiac examination, and the calibration of the vascular structures, heart contour and size are normal as far as can be observed.\n<esophagus>: / and there is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: No pathology was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  2 nodules in the right lung middle lobe lateral segment and upper lobe anterior segment; If there is, it is recommended to be evaluated together with old-dated CT examinations or to follow-up closely."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18903/train_18903_a/train_18903_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44578",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Nodular ground glass consolidations were observed in both lungs, mostly peripherally located, interlobular septal thickenings were observed, and a crazy paving pattern was observed in places.\n<pleura>: Bilateral pleural thickening-effusion was not observed. Subpleural striations were observed in both lung lower lobe posterobasal segments.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. As far as can be seen in the non-contrast sections, the liver parenchyma density has decreased diffusely, consistent with fatty deposits.\n\nImpression:\nHiatal hernia . Nodular ground-glass opacities forming a crazy paving pattern located peripherally in both lungs, subpleural lines in the posterobasal segments of the lower lobe; The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory.  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18912/train_18912_a/train_18912_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation of findings and close follow-up are recommended. When examined in the lung parenchyma window; In both lungs, patchy ground glass densities are observed in the vascular enlargements around which halo sign is observed, more prominently in the lower lobes.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in lung apranchyma were evaluated in favor of viral pneumonia in the patient with known Covid positivity."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18913/train_18913_a/train_18913_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; There are density increases in diffuse ground glass density in all segments of both lungs and areas of density increase in the lower lobes of both lungs consistent with consolidation in which air bronchograms are also observed. Viral pneumonias (Covid-19 pneumonia) are considered in the etiology of the findings.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. No lymph node was detected in the mediastinum in pathological size and appearance.\n<heart>: An increase in heart size is observed. Calibration of vascular structures is natural. Mediastinal main vascular structures and cardiac examination were not evaluated optimally because of the lack of IV contrast. Minimal pericardial effusion was observed.\n<esophagus>: There is no pathological increase in wall thickness in the thoracic esophagus, and there is a slight sliding type hiatal hernia at the lower end.\n<bone>: No lytic or destructive lesions were observed in the bone structures in the study area.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18919/train_18919_a/train_18919_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44594",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Tracheal diverticulum with dimensions of 5.5x5x7.5 mm, associated with the tracheal lumen, was observed in the right posterolateral aspect of the superior part of the trachea.\n<lung>: The appearance was initially evaluated in favor of pneumonic infiltration. Due to the pandemic, Covid-19 pneumonia should be considered in the differential diagnosis. Focal nodular consolidation areas were observed in both lungs, with ground glass halos around the left lung lower lobe basal segment, more commonly in the upper lobes. Pleuroparenchymal fibroatelectatic sequelae changes, which also cause parenchymal distortion, were observed in the right lung middle lobe and lower lobe. No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; right lung upper lobe was not observed secondary to the operation. Diffuse centracinar-paraseptal emphysematous changes were observed in the middle lobe of the right lung. Pleuroparenchymal fibrotic sequela changes, which cause parenchymal distortion, were observed in the apical segment of the left lung upper lobe. Pleuroparenchymal fibroatelectasis sequelae accompanied by bronchiectatic changes were observed in the superior posterior part of the right lung. Surgical suture materials were observed in the right hilum and paramediastinal area.\n<pleura>: Sequela thickening was observed in the posterior and lateral costal pleura in the right hemithorax.\n<mediastinum>: As far as can be seen; The anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is above normal. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. The mediastinum could not be evaluated optimally in the non-contrast examination. The heart and mediastinum are deviated to the right. Calibration of pulmonary arteries is natural.\n<heart>: The heart and mediastinum are deviated to the right. Pericardial effusion-thickening was not observed. Heart contour size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the right anterolateral corner of the thoracic vertebrae, bridged and ankylosed spur formations are observed. Vertebral corpus heights are preserved. No lytic-destructive lesion in favor of metastasis was observed in the bone structures included in the study area.\n<abdomen>: As far as can be seen; The anterior-posterior diameter of the ascending aorta is 40 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, which is above normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcifications were observed in the thoracic aorta, its supraaortic branches and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections.\n\nImpression:\nFusiform aneurysmatic dilatation of the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta, its supraaortic branches and coronary arteries.  Diffuse reticulonodular sequela fibrotic density increases in the right lung and left lung upper lobe apex, emphysematous changes in the right lung.  Appearance compatible with more prominent pneumonic infiltration in the left lung lower lobe basal in both lungs; Due to the pandemic, Covid-19 pneumonia should be considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory.  Ankylosed spur formations in the right anterolateral corner of the thoracic vertebra"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18920/train_18920_a/train_18920_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44597",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Sequelae changes are observed in the inferior lingular segment. There was no significant finding compatible with pneumonia. Density increases are observed in the middle lobe on the right. When examined in the lung parenchyma window; Densities consistent with pleuroparenchymal sequelae are observed in the middle lobe of the right lung.\n<pleura>: No pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Thoracic aorta diameter is normal. A decrease in density consistent with mild hepatosteatosis is observed in the liver.\n\nImpression:\nNo finding compatible with pneumonia. Hepatoseatosis, nonspecific hypodense formation in the lateral segment of the left lobe of the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18922/train_18922_a/train_18922_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44599",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are emphysematous changes in both lungs. When evaluated together with the clinical pre-diagnosis, these appearances were thought to be compatible with infective pathology. Ground glass areas are observed in the posterobasal and laterobasal segments of the lower lobe of the left lung. Since the patient is not breathing properly during the examination, both lung parenchyma cannot be evaluated optimally, especially in terms of focal lesion. There are sometimes linear atelectasis in both lungs. There is also a ground glass appearance in a small area in the posterobasal segment of the lower lobe of the right lung. No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: There are no enlarged lymph nodes in pathological size and appearance. Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are lymph nodes with fatty hiluses in the mediastinum and hilar regions. No enlarged lymph nodes in pathological dimensions were observed. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary bypass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Hypodense lesion is observed in both kidneys. There are stones in the gallbladder. However, the lesions can also be observed in the previous examination of the patient and no significant difference was detected. These lesions could not be characterized as no contrast agent was given. The lesion could not be characterized because contrast agent was not given. There is no upper abdominal free fluid-collection within the sections. No difference was found in its dimensions and appearance. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries. Mediastinal and hilar stable lymph nodes.  Ground-glass areas in the lower lobe of both lungs, more prominent in the left lung. Emphysematous changes in both lungs. Stable hypodense lesions in liver and spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18923/train_18923_a/train_18923_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no accompanying bronchiolitis finding.\n<lung>: The finding was evaluated in favor of bronchiolitis. Bronchial wall thickness increases are also observed in the left lung upper lobe and lower lobe bronchi. Mild endobronchial prominence is observed in this localization. There are several areas of linear subsegmental atelectasis in both lungs. In the posterior segment of the upper lobe of the right lung, there is a 3 mm diameter semisolid nodular lesion with faint borders. When examined in the lung parenchyma window; Significant bronchial wall thickness increases and local secretions are observed in the right lung upper lobe segment bronchus and its distals.\n<mediastinum>: There are wall calcifications in the aortic arch and thoracic aorta. No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: There are suture materials in the coronary arteries.\n<bone>: Sternotomy lines are observed in the sternum. No lymph node was observed in the bilateral subraclavicular fossa in the cross-section and in both axillae in pathological size and appearance.\n<abdomen>: There are wall calcifications in the aortic arch and thoracic aorta. In the sections passing through the upper abdomen, a 14 mm diameter simple cyst was observed in the liver segment 4B localization. The distinction between hemorrhagic cyst and solid lesion could not be made. In the right kidney interfolar localization, there is a 14 mm diameter parenchyma posteriorly and an equi-density exophytic lesion partially included in the section. A 3.5 cm diameter cortical cyst was observed in the left kidney. There are two calculus with a diameter of 9.5 mm in the gallbladder lumen. Examination with USG is recommended.\n\nImpression:\nIncreased bronchial wall thickness in both lung segment bronchi. There are mild endobrochial prominences in the upper lobe of the right lung, and it was evaluated in favor of bronchiolitis.  Findings secondary to previous bypass operation . Cholelithiasis . Cysts in the liver and left kidney . Nodular lesion included in the cross-section as the part that cannot be differentiated from hemorrhagic cyst-solid lesion in the right kidney, it is recommended to be examined by USG."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18923/train_18923_b/train_18923_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Minimal emphysematous changes and locally linear atelectasis were observed in both lungs, and linear density increases and minimal structural distortion were observed in both lungs, which were evaluated in favor of sequelae changes, especially in their peripheral parts. There are millimetric nonspecific nodules in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 18 mm. No pathologically enlarged lymph nodes were observed. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: It is understood that the patient underwent coronary by-pass surgery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: Vertebral corpus heights, alignments and densities are normal. The neural foramina are open. There are osteophytes in the vertebral corpus corners.\n<abdomen>: In the gallbladder there are stones, the largest measuring 1 cm in diameter. There is no upper abdominal free fluid-collection within the sections. There are atheromatous plaques in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes, atelectasis and sequelae changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Mediastinal and hilar lymph nodes.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18923/train_18923_c/train_18923_c_1.npy"
        ]
    },
    {
        "id": "report_generation_44605",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In the lung parenchyma, especially in the lower lobe of the left lung, interlobular septal-weighted thickening and mosaic attenuation patterns are observed. When examined in the lung parenchyma window; subtotal collapse in the lower lobe of the right lung.\n<mediastinum>: There are multiple lymph nodes in the right hilar region and in the mediastinum, some of which are calcified up to 5 mm in size.\n<heart>: Pericardial effusion-thickening was not observed. Mild atherosclerotic changes are observed in the coronary arteries. Heart valve replacement materials are available. The heart size was markedly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction was observed in bone structures. Hypertrophic-osteophytic tapering is observed in the anterior of the end plates of the vertebral corpuscles.\n<abdomen>: Liver sizes increased.\n\nImpression:\nCardiomegaly, changes secondary to cardiac stasis.  Moderate effusion in the right hemithorax.  Total collapsed appearance in the lower lobe of the right lung.  Small lymph nodes, some calcific, in the mediastinium.  Degenerative changes in bone structures.  Increase in liver size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18924/train_18924_a/train_18924_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44607",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In the current examination, there are nodules measuring approximately 8.5 mm in diameter in the right lung, the largest of which is in the posterobasal segment of the lower lobe. Millimetric nodules were observed in both lungs. Other findings observed in the previous CT examination of the described patient are stable. The number and size of the nodules observed in the left lung are stable. No active infiltration or mass lesion was detected in both lungs. Follow-up is recommended. There is an increase in the volume of the ventilated right lung parenchyma.\n<pleura>: The free pleural effusion observed on the right in the previous CT examination of the patient is observed as an ankylosed form in the current examination, and it was measured at the apical level at its deepest point, approximately 80 mm in size. The left pleural effusion observed in the patient's previous CT examination showed total regression.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18924/train_18924_b/train_18924_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There is a mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?). There are diffuse and widespread ground-glass-like density increases in both lungs suggestive of Covid pneumonia. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: Pleural effusion-pneumothorax was not observed. A nodule with a diameter of 8 mm is observed in the subpleural area in the middle lobe of the right lung.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Calibration of the main mediastinal vascular structures is natural. Calcific atheroma plaque is observed in the aortic arch, descending aorta, and coronary arteries.\n<heart>: CTO is within normal limits. Calcific atheroma plaque is observed in the aortic arch, descending aorta, and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area. There are findings compatible with DISH at the lower dorsal level.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diverticulum appearances are observed in the descending colon and at the level of the splenic flexure. Calcific atheroma plaque is observed in the aortic arch, descending aorta, and coronary arteries. Surrounding soft tissue plans are natural. There is a decrease in density consistent with mild steatosis in the liver entering the cross-sectional area. Mild hiatal hernia is observed in the sections passing through the upper abdomen.\n\nImpression:\nFindings compatible with Covid pneumonia. Clinical and laboratory correlation is recommended when other viral pneumonias are included in the differential diagnosis.  Diverticulum appearances in the descending colon and at the level of the splenic flexure."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18934/train_18934_a/train_18934_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44636",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected. No pneumonic infiltration or consolidation area was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural.\n<heart>: Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No feature was observed in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18938/train_18938_a/train_18938_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44642",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are millimetric nonspecific nodules in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Other upper abdominal organs included in the sections are normal. A change in favor of steatosis is observed in the liver parenchyma.\n\nImpression:\nHepatosteatosis.  Millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18940/train_18940_a/train_18940_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44646",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. A 7 mm diameter parenchymal nodular lesion with ground glass density increases was observed in the left lung lower lobe laterobasal segment. The outlook is not typical for Covid-19 pneumonia. A mosaic atteniation pattern was observed in both lung parenchyma (small airway disease? small vessel disease?). When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases were observed in the left lung inferolingular segment and right lung middle lobe. However, early-stage pneumonia cannot be excluded.\n<pleura>: bilateral pleural thickening - effusion was not detected.\n<mediastinum>: As far as can be seen; Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No lymph node was detected in mediastinal and hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: A hypodense lesion with a diameter of 26 mm was observed in the upper pole of the right kidney (cyst). Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. As far as can be seen; Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Pancreatic lipomatosis was observed. Upper abdominal sections entering the examination area are natural. No dilatation was detected in the thoracic aorta.\n\nImpression:\n-Mosaic atteniation pattern in both lungs (small airway disease? small vessel disease?). - Minimal calcified atherosclerotic changes in the wall of the thoracic aorta. -Sequelae changes in both lungs, parenchymal nodular lesion in the left lung lower lobe laterobasal segment around which density increases in the form of ground glass are observed, the appearance is not typical for Covid-19 pneumonia. However, early pneumonia cannot be excluded. Clinical and laboratory correlation is recommended. -Right renal hypodense lesion (cyst)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18943/train_18943_a/train_18943_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44653",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No nodules were detected in the evaluation of both lungs. In the evaluation of both lung parenchyma; There is a more pronounced mosaic perfusion appearance in the lower lobes of both lungs. Minimal pleuroparenchymal subsegmental atelectasis is observed in the middle lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific atherosclerotic plaques are observed in the ascending aorta, aortic arch, and descending aorta.\n<heart>: Calcific atherosclerotic plaques are observed in the ascending aorta, aortic arch, and descending aorta.\n<bone>: Dorsal kyphosis is increased. No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: As far as can be distinguished from the non-contrast examination, hypodensity is observed in the lateral cortex in the middle part of the left kidney, which may be compatible with a cyst of 14 mm in diameter. In the sections passing through the upper part of the west; the medial crus of the left adrenal gland has a nodular appearance. Calcific atherosclerotic plaques are observed in the ascending aorta, aortic arch, and descending aorta.\n\nImpression:\nMosaic perfusion more pronounced in the lower lobes in both lungs. Subsegmental atelectasis in the middle lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18947/train_18947_a/train_18947_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44675",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; In both lung parenchyma, nodular is observed in the peripheral lung at the prevailing ground glass density.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper paratracheal, aortic pulmonary stenosis less than 1 cm in diameter, some lymph nodes with prominent hilar fat are observed. No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: In sections passing through the upper part of the west; Calculus is observed in the gallbladder. No significant pathology was detected in other abdominal sections.\n\nImpression:\nConsolidations in ground glass density in favor of Covid-19 in both lung parenchyma."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18955/train_18955_a/train_18955_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44690",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open.\n<lung>: Active infiltration was not detected in both lungs. In the current examination, there is a significant increase in the aerated left lung parenchyma. As far as can be observed, no significant change was detected in their numbers. The size of the nodule, which was measured as 18x11 mm in the right lung lower lobe posterobasal segment in the current examination, was approximately 11x9 mm in the previous PET-CT examination. No change was detected in their numbers.\n<pleura>: There is massive left pleural effusion in the previous PET-CT examination. Anxious pleural effusions measuring approximately 55 mm in the deepest part of the left pleural space were observed in the current examination, and there are calcifications in the pleura that were evaluated as secondary to pleurodesis.\n<mediastinum>: No newly developed lymph node was detected. It has a catheter extending to the superior distal part of the vena cava. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. The size of the lymph node, whose short diameter was measured as 10.5 mm at the prevascular level in the current examination, was measured as 9.5 mm in the previous CT examination.\n<heart>: Calibration of vascular structures, heart contour, size are natural. Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. Minimal pericardial effusion is observed. There are calcified atheromatous plaques on the walls of the coronary vascular structures.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. No lymph nodes in pathological size and appearance were observed in both axillary regions and in the supraclavicular fossa.\n<abdomen>: No pathology was detected in the upper abdominal sections within the image.\n\nImpression:\nAnxious pleural effusions were observed in the left pleural space in the current examination. There are calcifications in the pleura secondary to pleurodesis.  Newly developed minimal pericardial effusion is observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18959/train_18959_d/train_18959_d_1.npy"
        ]
    },
    {
        "id": "report_generation_44700",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Sequelae calcific plaques are observed in the bronchial walls. The trachea is in the midline. No occlusive pathology was detected in the bronchi. Both main bronchi are open.\n<lung>: Emphysematous changes are observed in both lungs, being more prominent in the left upper lobe of the lung. Lymph nodes with a short axis of 8 mm are observed in the mediastinal region, in the upper-lower paratracheal area, in the subcarinal region and at the level of both lung hiluses, which are not in pathological size and appearance. There are bronchiectasis and linear subsegmental atelectasis, especially in the lower lobes of both lungs. Multiple pulmonary nodules are observed in both lungs. There are sequelae densities in both lungs.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion was not observed in both lungs. The largest of these nodules is observed in the subpleural area in the superior segment of the left lung lower lobe and its diameter was measured as 7 mm.\n<mediastinum>: Aortic diameter is normal. Lymph nodes with a short axis of 8 mm are observed in the mediastinal region, in the upper-lower paratracheal area, in the subcarinal region and at the level of both lung hiluses, which are not in pathological size and appearance. The diameter of the main pulmonary artery was 36 mm, the right pulmonary artery was 29 mm, and the left pulmonary artery was 28 mm. No lymphadenopathy was observed in both axillae in pathological size and appearance. Pulmonary artery dimensions are evident. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Heart size increased. Minimal pericardial effusion is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Widespread degenerative changes are observed in the bone structures in the study area. In the middle and lower thoracic vertebrae, compressions that cause 50% height loss are observed in places.\n<abdomen>: Aortic diameter is normal. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. In the upper abdominal organs included in the sections, hypodense nodular lesions are observed, the largest of which is 4.5 cm in diameter, adjacent to the right lobe caudate lobe of the liver. The skin and subcutaneous structures included in the examination have a natural appearance. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nIncrease in heart size  Calcific plaques in the aorta and coronary arteries  Minimal pericardial effusion  Emphysematous changes, linear atelectasis and sequela fibrotic densities in both lungs  Multiple pulmonary nodules in both lungs (if any, it is recommended to be evaluated together with previous tests)  Multiple hypodenses in the liver nodular lesion  Diffuse degenerative changes in bones"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18965/train_18965_a/train_18965_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44731",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. There are areas of increased density consistent with subsegmental-linner atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe. A millimetric nonspecific nodule was observed in the apicoposterior segment of the left lung upper lobe.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast.\n<heart>: The mediastinal main vascular structures and the heart could not be evaluated optimally due to the lack of IV contrast. Calibration of the vascular structures, heart contour and size are normal as far as can be observed.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes.\n<abdomen>: No solid-cystic mass was detected within the borders of non-contrast CT in the upper abdominal sections within the image.\n\nImpression:\nAreas of increased density consistent with subsegmental-linner atelectasis in the left lung upper lobe inferior lingular segment and right lung middle lobe medial segment.  Millimetric nonspecific nodule in the apicoposterior segment of the upper lobe of the left lung.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18979/train_18979_a/train_18979_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44733",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Millimetric nonspecific parenchymal nodules were observed in both lungs. When examined in the lung parenchyma window; Subsegmental atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSubsegmentary atelectatic changes in the right lung middle lobe medial and left lung upper lobe lingular segment . Millimetric nonspecific parenchymal nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18980/train_18980_a/train_18980_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44739",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: A 4x2 mm nonspecific nodule is observed in the middle lobe on the right. Pathological size and configuration of lymph nodes are not observed at both hilar levels.\n<pleura>: When examined in the lung parenchyma window; 2 mm diameter nonspecific nodule is observed in the right lung upper lobe anterior segment lateral subpleural area. Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly.  Nonspecific nodules in the right lung upper lobe anterior segment, lateral subpleural area and middle lobe."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18983/train_18983_a/train_18983_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44741",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Linear subsegmental atelectatic changes were observed in the upper lobes of the left lung. Total loss of aeration is observed in the lower lobe of the left lung basal, and there is a consolidation-atelectasis appearance. The right hemidiaphragm is elevated. No mass lesion with distinguishable border was detected in the lung parenchyma. Subsegmentary atelectatic changes were observed in the basal segments of the lower lobe of the right lung.\n<pleura>: When examined in the lung parenchyma window; In the left pleural space, pleural effusion reaching 5 cm in diameter was observed in its thickest part, extending from the basal to the apex.\n<mediastinum>: Reticular density increases are observed in anterior mediastinal fatty planes and are consistent with post-op changes. Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size increased. A smear-like effusion was observed in the pericardial space.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Surgical suture materials in the sternum and valvuloplasty material in the mitral valve were observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\n· Surgical suture material in the sternum, valvuloplasty in the mictral valve, cardiomegaly, plaster-like pericardial effusion, post-op changes in the anterior mediastinum. · Left massive pleural effusion . · An area of consolidation-atelectasis that causes total loss of aeration in the lower lobe of the left lung basal. · Atelectatic changes in the basal segments of the upper lobe of the left lung and the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18983/train_18983_b/train_18983_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44749",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: There is an increase in the size of both thyroid glands and sinuses and an appearance of heterogeneous density. Evaluation with USG examination is recommended.\n<trachea_and_bronchie>: Trachea and both main bronchi were open and no obstructive pathology was detected.\n<lung>: Symmetrical ground glass density increases are observed in the lower lobes of both lungs. In the left lung upper lobe inferior lingular segment, there is an area of increased density in which air bronchograms are also observed, which is evaluated in favor of subsegmental atelectasis. There are diffuse uniform interstitial thickness increases that are more evident in the lower lobes of both lungs. In the evaluation made in the lung parenchyma window; No active infiltration or mass lesion was detected in both lungs.\n<pleura>: In the bilateral pleural space, a free effusion measuring 30 mm in the deepest part on the left and 25 mm in the deepest part on the right is observed. There is a peripherally located pleural-based nonspecific nodule measuring 5 mm in diameter in the anterior segment of the right lung upper lobe.\n<mediastinum>: The transverse diameter of the pulmonary trunk is 34 mm, wider than normal. Aberrant right subclavian artery variation is observed. No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures.\n<heart>: An increase in heart size is observed. No pericardial effusion or increased thickness was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image. There are degenerative changes.\n<abdomen>: Intraabdominal free liqu- ulated collection is not observed. In addition, a lesion compatible with an adenoma measuring 21x17 mm with similar features was observed in the lateral crus. No lymph node was detected in intraabdominal pathological size and appearance. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; A low-density nodular lesion measuring 24x26 mm is observed in the body part of the left adrenal gland, and it was first evaluated in favor of adenoma. There are calcified atheromatous plaques on the walls of the aortic arch and coronary vascular structures.\n\nImpression:\nIncreased heart size, increased pulmonary trunk calibration, calcified atheroma plaques on the wall of thoracic aortic-coronary vascular structures, bilateral pleural effusion.  Smooth interlobular septal thickness increases, more prominent in the lower lobes of both lungs, and symmetrical ground-glass density increases in the lower lobes of both lungs; The findings were primarily evaluated as secondary to cardiogenic edema.  Sliding type mild hiatal hernia at the lower end of the esophagus.  Lesions consistent with low-density adenoma in the corpus and lateral crus of the left adrenal gland.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18987/train_18987_a/train_18987_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44751",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Nodular wall calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: The outlook is highly suspicious for Covid-19 pneumonia. It is recommended to evaluate and follow-up together with previous examinations, if any. No mass lesion with distinguishable border was detected in the lung parenchyma. One or two nodules, the largest of which was 8 mm in diameter, were observed in the anterior segment of the right lung upper lobe. It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; In both lungs, patchy consolidation areas with a multilobar-multisegmental crazy paving pattern were observed, in which air bronchograms were also observed, and in the surrounding frosted glass areas. A mosaic attenuation pattern was observed in both lungs (small airway disease?, small vessel disease?).\n<pleura>: Sequelae thickening was observed in the posterior-lateral costal pleura in the bilateral hemithorax.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Prevascular, aortopulmonary, right upper-bilateral lower paratracheal, and the largest right lower paratracheal lymph nodes reaching 9.6 mm in diameter on the short axis and not reaching pathological dimensions were observed. Calcific atheroma plaques were observed in the thoracic aorta, its supraortic branches and coronary arteries. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart sizes are at the upper limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. Mild osteodegenerative changes were observed in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques were observed in the thoracic aorta, its supraortic branches and coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\n· Diffuse atherosclerotic wall calcifications in the thoracic aorta, its supraortic branches and coronary arteries · High suspicious findings for Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with the clinic and laboratory. · Several parenchymal nodules in the anterior segment of the upper lobe of the right lung; If there is, it is recommended to evaluate and follow up with previous examinations. · Mosaic attenuation pattern in the lung(small airway disease)small vessel disease?) · Osteodegenerative changes in bone structures, increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18988/train_18988_a/train_18988_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44757",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: In addition, mosaic density differences are observed, especially in the bilateral lower lobes.\n<pleura>: When examined in the lung parenchyma window; In both lung parenchyma, there are ground glass densities that tend to merge in the form of subpleural weighted bands, more prominent in the lower lobes.\n<mediastinum>: Lymph nodes with a short axis not exceeding 10 mm are observed in the mediastinum and bilateral hilar region. Mediastinal main vascular structures are normal.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed. There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Hiatal hernia is observed.\n<bone>: Bone structures in the study area are natural.\n<abdomen>: Other upper abdominal organs are normal. In the upper abdominal sections, there are density losses consistent with hepatosteatosis in the liver.\n\nImpression:\nPneumonic infiltrates in both lungs, signs are likely for Covid pneumonia. Bilateral mosaic density differences (small airway disease? perfusion defect?).  Hepatosteatosis.  Hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18991/train_18991_a/train_18991_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44765",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; diffusely located patchy nodular-consolidation nodular ground-glass-consolidation areas are observed in both lungs. The findings were evaluated in favor of viral pneumonia. Appearances are among the most common findings in Covid 19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAppearance compatible with viral pneumonia. Findings are frequently encountered in Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18995/train_18995_a/train_18995_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44771",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Diffuse crazy paving pattern is observed in both lungs with patchy ground glass densities. Clinical laboratory correlation of findings in terms of viral pneumonia Covid-19 is recommended.\n<pleura>: There is a small amount of pleural effusion in both hemithorax.\n<mediastinum>: Calcific chrycentric atheroma plaques are observed in the abdominal aorta, thoracic aorta, and aortic arch. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. The gallbladder is distant. Calcific chrycentric atheroma plaques are observed in the abdominal aorta, thoracic aorta, and aortic arch. Upper abdominal organs are partially included in the study and there is a small amount of free fluid in the perisplenic and perihepatic areas. Oval-shaped findings in cortical located fluid attenuation in both kidneys with more than one size up to 30 mm were evaluated in the direction of cysts. Clinical laboratory correlation is recommended for the differential diagnosis of cholecystitis. Its walls cannot be selected within the limits of the examination.\n\nImpression:\nThere are findings evaluated for viral pneumonia Covid-19 in the lung parenchyma. Clinical laboratory correlation is recommended.  Cardiomegaly.  Lymph node with a short axis measuring 10 mm in the paratracheal area in the mediastinum . Bilateral small amount of effusion.  Hepatosteatosis in the liver parenchyma.  Distant gallbladder. Wall structures cannot be distinguished within the limits of the study. USG correlation is recommended for the differential diagnosis of cholecystitis. Small amount of free fluid in the perihepatic perisplenic space. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18998/train_18998_a/train_18998_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44773",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; diffuse patchy ground glass densities are observed, which is more prominent in the lower lobes of both lungs. No mass lesion was detected in the parenchyma.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Cysts and millimetric calculi are observed in both kidneys under examination. Liver density in the cross-sectional area decreased diffusely, consistent with hepatosteatosis. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAppearance compatible with Covid-19 pneumonia.  Hepatosteatosis.  Cardiomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_18998/train_18998_b/train_18998_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There are millimetric non-specific nodules in the bilateral lung. In the evaluation of both lung parenchyma; Patchy consolidations are observed in the posterior segments of the lower lobe of the right lung, which tend to merge, and there are vascular prominences and cylindrical bronchiectasis in these areas.\n<pleura>: There are similar subpleural millimetric consolidations in the left lung base. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nViral pneumonia? Outlooks include classic or probable findings for COVID. Note: Other infectious agents such as influenza, parainfluenza, mycoplasma, other organized pneumonias such as drug toxicity, connective tissue diseases should be considered in the differential diagnosis as they may cause similar appearances."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19000/train_19000_a/train_19000_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Thickening of the peribronchial sheath is observed. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: There are sequelae changes at the apical level. Mild emphysema and decrease in density are observed in both lungs. There are sequelae changes and focal tractional bronchiectasis in the middle lobe. Sequelae changes are observed in the left lung lingular segment. No pathological size and configuration lymph nodes were detected at both hilar levels. A 4x2 mm nodule is observed in the apicoposterior segment of the left lung upper lobe.\n<pleura>: Bilateral pleural effusion-pneumothorax or significant pneumonia was not detected.\n<mediastinum>: Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: CTO slightly increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Operative densities were detected at this level. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with mild steatosis is observed in the liver. Gallbladder could not be observed in the lodge.\n\nImpression:\nThickening of the peribronchial sheath, mild tractional bronchiectasis in the right middle lobe.  No finding compatible with pneumonia was detected.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19009/train_19009_a/train_19009_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44803",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Central cuts of both lungs show minimal bronchiectasis and minimal peribronchial thickening in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?). There are millimetric nodules in both lungs. There are sometimes linear atelectasis in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Transpedicularly placed fixation materials are observed in the thoracic vertebral corpuscles within the sections. The corpuscles of T9 and T10 thoracic vertebrae are not observed and there is surgical material in this localization.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMosaic attenuation pattern in both lungs.  Locally linear atelectasis in both lungs.  Millimetric nodules in both lungs.  Surgical materials in thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19010/train_19010_a/train_19010_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44807",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: A few millimetric calcified nodules are observed in both lung parenchyma. No infiltration was detected in both lungs. Sugsegmenter atelectasis is observed in the middle lobe of the right lung. In the middle lobe of the right lung, a nonspecific nodule with a diameter of 2-3 mm is observed in the neighborhood of the sequela. Pleuroparenchymal fibrotic recessions and interlobular septal thickenings are observed in the lower lobes of both lungs. In the evaluation of both lung parenchyma; Mosaic attenuation is observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Calcific plaques are observed in the coronary arteries in the aortic arch. No pathological LAP was detected in the mediastinum.\n<heart>: Calcific plaques are observed in the coronary arteries in the aortic arch.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific plaques are observed in the coronary arteries in the aortic arch. In the sections passing through the upper part of the abdomen, the right adrenal gland medial crus is slightly thick. The left adrenal gland has a natural appearance.\n\nImpression:\nMosaic attenuation in both lung parenchyma (small airway disease?small vessel disease?).  There are no typical radiological findings for Covid pneumonia. Nodule 2-3 in diameter in the middle lobe of the right lung with non-psychic appearance"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19012/train_19012_a/train_19012_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44810",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripherally located patchy ground glass densities are observed in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Other mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta measures 42 mm and is slightly wider than normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance.  The ascending aorta is slightly wider than normal, measuring 42 mm.  Increase in heart size."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19014/train_19014_a/train_19014_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: There are occasional linear atelectasis in both lungs. A few millimetric nonspecific nodules were observed in the right lung. Minimal mosaic attenuation pattern is observed in both lungs (small airway disease? small vessel disease?). It is understood that the minimally uniform interlobular septal thickening observed in the previous examination of the patient disappeared. There is no mass or infiltrative lesion in both lungs. In addition, it is observed that there is normal aeration in atelectasis segments observed in both lungs in this examination.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Pathological size and enlarged lymph node were not observed. There are millimetric atheroma plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections. The neural foramina are open. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: No upper abdominal free fluid-collection was observed in the sections. There are millimetric atheroma plaques in the aorta and coronary arteries.\n\nImpression:\nMinimal mosaic attenuation pattern in both lungs . Occasional atelectasis in both lungs. Millimetric nonspecific nodules in the right lung. Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19015/train_19015_b/train_19015_b_1.npy"
        ]
    },
    {
        "id": "report_generation_44820",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Atelectasis adjacent to the effusion are seen in the lower lobe of the left lung. Emphysematous appearance is observed in both lungs. At the level of the lower lobe laterobasal segment on the left, a collection with an AP diameter of approximately 38x36 mm, surrounded by linear calcific foci, and air-fluid leveling is seen (may have developed secondary to the procedure in the patient who underwent pleurodesis). There are mosaic density differences in the middle and lower lobes on the right. There are band-shaped atelectatic foci in the middle lobe of the right lung.\n<pleura>: In the current examination, pleural thickening in the form of a layer reaching 31 mm in diameter at its widest level and accompanying pleural effusion are observed in the left hemithorax.\n<mediastinum>: Thoracic aorta diameter is normal. There are lymph nodes in the mediastinum, especially in the left paramediastinal region, with short axes reaching 15 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nIn the patient who was followed up due to Lung Ca;  A collection containing air and fluid with malignant pleural involvement and effusion findings in the left lung, atelectasis in the lower lobe, linear calcifications on the left lower lobe laterobasal wall.  Emphysema, sequelae changes in both lungs.  Mosaic density differences in the right lung (airway disease?, due to perfusion defect?).  Especially left paramediastinal lymph nodes in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19018/train_19018_a/train_19018_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44829",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Viral pneumonias are considered in the etiology of the findings.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19021/train_19021_c/train_19021_c_1.npy"
        ]
    },
    {
        "id": "report_generation_44831",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: Mild sequelae changes are observed at the apical level. Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. No pathological size and configuration lymph nodes were detected at both hilar levels.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: In the anterior mediastinum, there is thymic tissue in trigonal configuration without mass effect. Calibration of the main mediastinal vascular structures is natural. No lymph node was detected in the mediastinum in pathological size and configuration.\n<heart>: CTO is within the normal range.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; spleen, liver, bilateral adrenal, both kidneys, pancreas are normal. In the spleen hilum, there is nodularity compatible with the spleen and two millimetric accessory spleens in isodense appearance.\n\nImpression:\nNo finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19022/train_19022_a/train_19022_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; Patchy-nodular ground-glass consolidations with small dot-like crazy paving pattern were observed in the upper and lower superior segment of the left lung and in the laterobasal segment of the lower lobe of the right lung, and the appearance is compatible with Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be seen in the non-contrast sections, the small intestine mesentery was hazy, and mesenteric lymph nodes were observed, the largest of which was 11x7 mm.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma.  Mesenteric panniculitis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19040/train_19040_a/train_19040_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44915",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles, and diffuse density decreases in the bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nHypertrophic osteophytic tapering in the end plates of the vertebral corpuscles, diffuse density reductions in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19057/train_19057_a/train_19057_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44929",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was observed. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19063/train_19063_a/train_19063_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44937",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Centriacinar nodules and ground-glass appearances are observed in the peripheral area of the posterobasal segment in the lower lobe of the right lung. The views described are not specific. These appearances are not frequently observed findings in viral pneumonia. However, when evaluated together with clinical knowledge, they were primarily thought to be compatible with an infective pathology. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: The neural foramina are open. Intervertebral disc distances are preserved. Vertebral corpus heights, alignments and densities within the sections are normal.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nMinimal ground glass appearance and centriacinar nodules in the lower lobe of the right lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19067/train_19067_a/train_19067_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44945",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are minimal interlobular septal thickenings, more prominent in the lower lobes and peripheral regions of both lungs. There are emphysematous changes in both lungs. There are millimetric nonspecific nodules in both lungs. It is recommended that the patient be evaluated for interstitial lung disease. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: The liver is smaller than normal and its contours are irregular. It is recommended to evaluate the patient for liver parenchymal disease. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nEmphysematous changes in both lungs.  Minimal interlobular septal thickenings in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Smaller than normal liver and lobulation in liver contours (it is recommended to be evaluated for liver parenchymal disease)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19071/train_19071_a/train_19071_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44976",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Nodule formation was observed in both lungs. There are also pleuroparenchymal sequelae changes in the left lung lingular segment.\n<pleura>: When examined in the lung parenchyma window adjacent to pleural effusion; There are air bronchograms in compression atelectasis and atelectasis (pneumonic infiltration accompanying atelectasis?). There is a pleural effusion measuring 18mm in the deepest part of the right hemithorax.\n<mediastinum>: Calcific plaque formations are observed in the walls of the coronary artery in the wall of the descending aorta in the aortic arch. Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific plaque formations are observed in the walls of the coronary artery in the wall of the descending aorta in the aortic arch.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Sternal multiple intact metallic cerclages are observed. When the bone is examined in the window, there are osteophytes in the anterior of the thoracic vertebrae.\n<abdomen>: Calcific plaque formations are observed in the walls of the coronary artery in the wall of the descending aorta in the aortic arch. In the upper abdominal organs included in the study area; liver, spleen, gall bladder, adrenal glands are normal.\n\nImpression:\nPleural effusion in the right hemithorax, compression atelectasis in which air bronchograms are observed adjacent to the effusion (pneumonic infiltration accompanying atelectasis?).  Pleuroparenchymal sequelae changes in the left lung lingular segment.  Calcific plaque formations in the walls of the coronary artery and in the aortic arch.  Findings of thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19087/train_19087_a/train_19087_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Several lymph nodes are observed in the pretracheal area, the largest of which is 5 mm in the short axis.\n<lung>: There is fission in both lung fissures. When examined in the lung parenchyma window; Several lymph nodes were observed in the right lung hilum, the largest of which was 12 mm in the short axis. Findings are consistent with pulmonary edema and were thought to be secondary to cardiac causes. No space-occupying mass lesion was detected in both lungs. There are thickness increases in the interlobular septal areas.\n<pleura>: Pleural effusions with a thickness of approximately 2 cm in the right lung and approximately 1.5 cm in the left lung and compression atelectasis in the accompanying parenchyma are observed in both lungs.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Its contours look natural.\n<heart>: Heart size increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No fracture, lytic or destructive lesion was detected in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the upper abdominal organs included in the sections, free fluid is present in the perihepatic area. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Its contours look natural. Calcific atheroma plaques are observed in the aorta and coronary arteries. Evaluation of solid organs and vascular structures is suboptimal since the technique is non-contrast.\n\nImpression:\nPleural effusion, increased interlobular septal thickness and increased heart size, which were thought to be compatible with pulmonary edema in both lungs, were thought to be secondary to cardiac causes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19088/train_19088_a/train_19088_a_1.npy"
        ]
    },
    {
        "id": "report_generation_44984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Bilateral pleral effusions are stable. There is a slight increase in atelectasis. There is a decrease in the existing consolidations in the middle lobe and bilateral lower lobe on the right, and in the peribronchial area in the upper lobe of the left lung. There are localized protrusions in interlobular septal thickenings in both lungs.\n<mediastinum>: Multiple lymph nodes in the mediastinum are stable.\n<heart>: The heart is larger than normal. Pericardial effusion was not observed.\n\nImpression:\nMinimal decrease in consolidations in both lungs, minimal increase in interlobular septal thickening and pulmonary edema findings, stable pleural effusions, slight increase in atelectasis  Apart from this, no significant difference was found between the examinations."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19088/train_19088_d/train_19088_d_1.npy"
        ]
    },
    {
        "id": "report_generation_44990",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. There are levels of bronchiectasis accompanying infiltration.\n<lung>: When examined in the lung parenchyma window; Diffuse ground-glass density is present in both lung parenchyma, and in addition, newly developed consolidation and ground-glass infiltrations are observed in the upper lobes, more prominently in the anterior.\n<mediastinum>: There are lymph nodes with short axes not exceeding 10 mm located in the mediastinum, especially in the right paratracheal area. Mediastinal main vascular structures, heart contour, size are normal. It is a sliding type hernia of the gastric fundus towards the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen is 136 mm and larger than normal. In the upper abdominal sections, there are stone densities in the gallbladder. It is a sliding type hernia of the gastric fundus towards the mediastinum.\n\nImpression:\nNew infiltrates in addition to diffuse infiltration in both lungs in a patient followed up due to Covid pneumonia  Cholelithiasis  Splenomegaly  Sliding type hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19090/train_19090_b/train_19090_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45000",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Typical findings for Covid-19 pneumonia. There are peripheral patchy consolidations and ground-glass appearances in all segments of both lungs.\n<pleura>: In the evaluation of both lung parenchyma; Placing pleural effusion is observed in both lung parenchyma.\n<mediastinum>: No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the aortic arch, descending and abdominal aorta, and in the walls of the coronary arteries. Right upper-bilateral lower paratracheal, aortopulmonary millimetric lymph nodes are observed.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the aortic arch, descending and abdominal aorta, and in the walls of the coronary arteries.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Calcific plaques are observed in the aortic arch, descending and abdominal aorta, and in the walls of the coronary arteries. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPeripheral patch-like consolidations in both lungs consistent with Covid-19 pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19094/train_19094_a/train_19094_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45009",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: Trachea and both main bronchial lumens are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No gall bladder was observed in the upper abdominal sections included in the examination area (cholecystectomized).\n\nImpression:\nMinimal sequelae changes in the right lung. Cholecystectomized."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19099/train_19099_a/train_19099_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45019",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Fibroatelectasis sequela changes were observed in the left lung upper lobe lingular and right lung middle lobe medial segment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Nonspecific parenchymal nodules with a diameter of 4 mm in the lower lobe laterobasal segment of the right lung and 2.8 mm in diameter in the lateral part of the upper lobe were observed.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A focal, non-limiting focal edema-inflammation area was observed in the omentum at the subhepatic level of the liver, and it was thought to be compatible with omental infarction. In the upper abdominal organs included in the sections, gall bladder, spleen, pancreas, both adrenal glands, both kidneys are normal. It is recommended to be evaluated together with clinical and physical examination.\n\nImpression:\nFibroatelectasis sequelae changes in left lung upper lobe lingular and right lung middle lobe medial segment. Nonspecific parenchymal nodules in right lung upper and lower lobe laterobasal segment. Anterior omental infarct at subhepatic level; it is recommended to be evaluated together with clinical and physical examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19104/train_19104_a/train_19104_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45021",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: In the previous examination, the heterogeneous increase in density observed in the right lung upper lobe omental fatty planes could not be evaluated because it did not enter the field of view. When both lungs are evaluated in the parenchyma window: Fibroatelectatic changes were observed in the left lung upper lobe lingular segment and right lung middle lobe medial segment. According to the previous examination, stable nonspecific parenchymal nodules measuring 4 mm in diameter were observed in the right lung upper lobe and lower lobe laterobasal segment. No mass-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. It is also observed in the previous examination, and no significant change was detected in the size and appearance of the described lymph node. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. No significant pathology was detected in the upper abdominal sections that entered the examination area.\n\nImpression:\nFibroatelectatic changes in both lungs.  Mediastinal stable lymph node.  Stable nonspecific parenchymal nodules of millimeter size in the right lung.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19104/train_19104_b/train_19104_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45039",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; trachea, both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: A millimetric nonspecific parenchymal nodule was observed in the posterior subsegment of the left lung upper lobe apicoposterior segment. Apart from this, no mass - active infiltration with distinguishable borders of both lungs was detected. Passive atelectatic changes were observed in both lung lower lobe basal segments. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: When examined in the lung parenchyma window; Interlobular-intralobar septal thickenings were observed in both lungs and sequelae were thickened in both hemithorax and posterior costal pleura.\n<mediastinum>: Surgical suture materials secondary to bypass surgery, which were passed through the sternum and anterior mediastinum, were observed. The diameter of the pulmonary trunk transfers was 31 mm, and the diameters of the right and left pulmonary arteries were larger than normal with 29 mm and 28 mm, respectively. The anterior-posterior diameter of the ascending aorta was 43.5 mm, and the diameter of the descending aorta was 29 mm. The mediastinum could not be evaluated optimally in the non-contrast examination. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the aortic arch, its supraortic branches and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the aortic arch, its supraortic branches and coronary arteries.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Surgical suture materials secondary to bypass surgery, which were passed through the sternum and anterior mediastinum, were observed. Vertebral corpus heights are preserved. Schmorl nodule impressions were observed in the vertebral end plateaus and degenerative vacuum phenomenon was observed in the disc spaces. At the thoracic level, left-facing scoliosis was observed. Bone structures in the study area are natural.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. In the gallbladder lumen, non-limiting, faintly circumscribed hyperdense lesions were observed (it is recommended to be evaluated together with US for calculus-sludge). The anterior-posterior diameter of the ascending aorta was 43.5 mm, and the diameter of the descending aorta was 29 mm. Atherosclerotic wall calcifications were observed in the aortic arch, its supraortic branches and coronary arteries.\n\nImpression:\nSuture materials secondary to previous bypass surgery in the sternum and anterior mediastinum, cardiomegaly, increase in pulmonary tuncus and anal pulmonary artery diameters (pulmonary hypertension?).  Fusiform aneurysmatic dilatation in the ascending aorta, atherosclerotic wall calcifications in the aortic arch, its supraortic branches, and coronary arteries.  Hiatal hernia . Cardiac stasis and minimal fibrotic changes in both lungs . Atelectatic changes in both lungs . Mosaic attenuation pattern in both lungs (small airway disease? small vessel disease?).  Hyperdense appearances with faint borders in the gallbladder lumen, which do not give a clear contour; it is recommended to evaluate US together in terms of stone and sludge.  Scoliosis with left-facing opening at the thoracic level . Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19111/train_19111_a/train_19111_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45057",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not observed. Heart dimensions and compartments appear natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in the bone structures included in the study area. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No feature was observed in the upper abdomen sections.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19120/train_19120_a/train_19120_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45073",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19127/train_19127_a/train_19127_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45087",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; A few nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative Schmorl nodule impressions were observed in the end plateaus. Vertebral corpus heights are preserved.\n<abdomen>: Accessory spleen with a diameter of 31 mm was observed adjacent to the lower pole of the spleen.\n\nImpression:\nA few millimeter nonspecific parenchymal nodules in both lungs. Pneumonia was not observed in the lung parenchyma.  Mild degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19134/train_19134_a/train_19134_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45091",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal. There is a millimetric plaque of calcified atheroma in the left anterior descending coronary artery.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. No fracture was observed. The neural foramina are open. No significant deformity was detected in the ribs in both hemithorax. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: There is no discernible mass in the upper abdominal organs within the sections. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19136/train_19136_a/train_19136_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45093",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Trachea, lumen of both main bronchi are open.\n<lung>: An air cyst with a diameter of 17 mm was observed in the middle lobe of the right lung. Clinical and laboratory correlation is recommended. Other viral pneumonias can be considered in the differential diagnosis. In addition, ground glass density increases were observed in the left lung lower lobe laterobasal segment and inferior lingular segment. Millimetric nonspecific parenchymal nodules were observed in both lungs. The outlook can be seen in the early stage of Covid-19 pneumonia.\n<pleura>: When both lung parenchyma windows are evaluated; A ground glass density increase with vascular enlargement was observed in the peripheral subpleural area in the anterior segment of the right lung upper lobe.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted.\n<heart>: As far as can be observed: The diameter of the ascending aorta is 40 mm and slightly increased. Pericardial effusion - no thickening was detected. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the examination limits.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSlight dilatation of the thoracic aorta. In the right lung upper lobe anterior segment, peripheral subpleural area, a ground-glass density increase with vascular enlargement was observed. In addition, ground glass density increases were observed in the left lung lower lobe laterobasal segment and inferior lingular segment. The outlook can be seen in the early stage of Covid-19 pneumonia. Clinical and laboratory correlation is recommended.  Millimetrically sized nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19136/train_19136_b/train_19136_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45101",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: In the middle and lower zones of both lungs, ground-glass-like density increments-consolidative areas showing peripheral distribution and tending to coalesce, and accompanying sequelae changes are observed in places. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. A superposed 50x4 mm nodule is observed on the major fissure on the right. No pathological size and configuration of lymph nodes were detected at both hilar levels.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: There are multiple lymph nodes in the mediastinum, the largest of which is in the prevascular area and 14x11 mm in size. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Two nonspecific hypodense lesions with 8x6 mm dimensions in the left lobe and 3 mm and 4 mm diameters in the right lobe are observed in the liver entering the cross-sectional area.\n\nImpression:\nConsolidative areas-ground glass-like density increments and accompanying diffuse sequelae changes in both lungs tending to converge from place to place. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. · One or two nonspecific millimetric hypodense lesions in the liver."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19138/train_19138_a/train_19138_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45125",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There are widespread centriacinar nodular density increases accompanied by prominent peribronchial thickening in the lower lobes of both lungs and a budding tree view in places. The appearances were evaluated secondary to the infective process, and specific infection should be considered in the differential diagnosis. A mild emphysematous appearance is observed in both lungs, and paraseptal air cysts are observed in the right apex. When examined in the lung parenchyma window; In the left lung lower lobe superior segment, a cavitary lesion with a diameter of approximately 20 mm accompanied by reticular density increases and pleuroparenchymal sequelae changes is observed in its periphery, and an increase in round appearance is observed within the cavitary lesion. Linear segmental atelectasis and pleuroparenchymal sequelae bands are observed in the right lung middle lobe medial, left lung lingular segment and both lung bases. A diffuse mosaic attenuation pattern is observed in both lungs. The appearance was evaluated primarily secondary to the fungus ball.\n<pleura>: There are nonspecific pulmonary nodules measuring 4 mm in diameter in both lungs, the largest of which is located subpleural in the upper lobe of the right lung.\n<mediastinum>: There are calcific plaque formations in the aortic arch and coronary arteries. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. There are multiple LAPs, some of which have a calcific appearance, in the paratracheal, aortopulmonary, and prevascular areas, the largest of which is approximately 24x14 mm in the right hilar region, as well as in both hilar regions.\n<heart>: There are calcific plaque formations in the aortic arch and coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Siliding type hiatal hernia is observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse osteodegenerative changes are observed in the vertebrae and bone structures in the study area, and there is an appearance consistent with diffuse idiopathic hyperostosis in the vertebral column.\n<abdomen>: There are calcific plaque formations in the aortic arch and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCavitary lesion surrounded by sequelae changes in the superior left lung lower lobe; the appearance was evaluated in favor of a fungus ball in the first place. Peribronchial thickening in both lungs, diffuse ground glass density, centriacinar nodular densities and widespread budding tree view; In the presence of clinical correlation, the appearances were evaluated secondary to the infective process, and specific infection should also be considered in the differential diagnosis.  Sequelae changes in both lungs. Emphysematous appearance in both lungs.  Nonspecific pulmonary nodules in both lungs. Multiple LAPs, some calcific in the mediastinum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19147/train_19147_a/train_19147_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Subpleural ground glass densities and crazy paving densities are observed in both lung parenchyma.\n<mediastinum>: No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calcific millimetric atheroma plaques are observed in the aortic arch and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal. Calcific millimetric atheroma plaques are observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Anterior osteophyte forms are present in the vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific millimetric atheroma plaques are observed in the aortic arch and coronary arteries.\n\nImpression:\nAtherosclerosis.  Covid pneumonia compatible findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19154/train_19154_a/train_19154_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45152",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The findings were evaluated in accordance with the involvement of the primary disease. A mosaic attenuation pattern is observed in the lower lobes of both lungs (small airway disease?, small vessel disease?).\n<pleura>: In addition, 10x20 mm in the right 5th rib anterior section and 7.5x15 mm in the right 7th rib posterior part, lesions of similar structure and soft tissue density are observed, sitting on the pleura with a broad base. There is a soft tissue density lesion of approximately 20x40 mm, sitting on the right pleural surface adjacent to the T3-T5 vertebra, with a wide base on the right pleural surface, and its neighborhood with the azygos vein cannot be clearly evaluated in the non-contrast examination, and there is suspicious invasion of the right neural foramen at the level of the T4 vertebra.\n<mediastinum>: The diameter of the ascending aorta was 41 mm, the diameter of the descending aorta was 30 mm, and the diameter of the pulmonary trunk was 35 mm, and it was wider than normal. As far as it can be evaluated within the limits of non-contrast CT; Several lymphadenopathies are observed in the paraaortic, paracaval area, the largest of which is 1 cm in diameter. No enlarged lymph node was detected in pathological size and appearance.\n<heart>: The left atrium is dilated. Minimal pericardial effusion is observed. The cardiothoracic ratio increased in favor of the heart. Millimetric calcific atheroma plaques are observed in the coronary arteries.\n<esophagus>: Several nodules with a diameter of 3. No pathological increase in wall thickness was detected in the esophagus.\n<bone>: It was not observed in the previous examination. There are extensive lytic-sclerotic bone lesions in the bone structures within the sections.\n<abdomen>: In the right adrenal gland, there is a low-density hypodense lesion with a diameter of 1 cm in which fat density is observed. The diameter of the ascending aorta was 41 mm, the diameter of the descending aorta was 30 mm, and the diameter of the pulmonary trunk was 35 mm, and it was wider than normal. In addition, there is a soft tissue density lesion of approximately 17x22 mm in size with lobulated contours adjacent to the left kidney-adrenal gland. Compatible with adenoma. As far as it can be evaluated within the limits of non-contrast CT; Several lymphadenopathies are observed in the paraaortic, paracaval area, the largest of which is 1 cm in diameter.\n\nImpression:\nMultiple myeloma at follow-up.  Three soft tissue density lesions on the pleural face in the right hemithorax, suspicious invasion of the right neural foramen at T4- level. The findings have just emerged. It is consistent with the involvement of the primary disease.  A few millimetric nodules in the left lung; has just emerged.  Minimal pericardial effusion.  Dilatation of aorta and pulmonary arteries, atheroma plaques in coronary arteries.  Several paraaortic, paracaval lymphadenopathy; has just emerged.  Lobulated contoured soft tissue density lesion adjacent to the left adrenal gland-kidney; has just emerged. It is consistent with the involvement of the patient's primary malignancy.  Extensive lytic-sclerotic bone lesions; no significant difference was found."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19157/train_19157_c/train_19157_c_1.npy"
        ]
    },
    {
        "id": "report_generation_45163",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; There are focal ground-glass density increases with septal thickening in the upper lobe of the right lung, the lingular segment of the left lung, and the lower lobes of both lungs. There are frequently reported imaging features for Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Diffuse calcified atherosclerotic changes and stent material were observed in the coronary artery wall. Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: In the thoracic vertebrae, bridging spur formations that tend to merge in the right anterolateral are observed. No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: In the upper abdominal sections in the study area; A hypodense cystic lesion with a diameter of 30 mm was observed in the right kidney. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nThere are imaging features frequently reported for Covid-19 pneumonia in both lung parenchyma. Diffuse calcific atherosclerotic changes in the coronary arteries. Right renal cystic lesion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19161/train_19161_a/train_19161_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When the trachea and main bronchus are evaluated, millimetric sized calcific plaques are observed. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; There is a nonspecific nodule with a diameter of 3 mm in the anterior segment of the right lung upper lobe. Passive atelectasis in the lung parenchyma and subsegmental atelectasis in the lower lobes of both lungs are observed adjacent to the effusion.\n<pleura>: There are pleural effusions in the form of thin smears.\n<mediastinum>: The AP diameter of the ascending aorta is 4 cm and wider than normal. Calcific plaques are observed around the ascending aorta, in the aortic arch, and in the coronary arteries. No pathological LAP was detected in the mediastinum. Right upper-bilateral lower paratracheal aortopulmonary lymph nodes with millimetric size are observed.\n<heart>: The cardiothoracic index has increased and a pericardial effusion measuring 14 mm in its thickest part is observed. Calcific plaques are observed around the ascending aorta, in the aortic arch, and in the coronary arteries.\n<bone>: No lytic destructive lesion was observed in the bones.\n<abdomen>: No significant pathology was detected in the abdominal sections. Calcific plaques are observed around the ascending aorta, in the aortic arch, and in the coronary arteries. The AP diameter of the ascending aorta is 4 cm and wider than normal. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPericardial and bilateral smearing pleural effusion.  Cardiomegaly.  Nonspecific nodule in the right lobe, atelectasis in the lower lobes of both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19166/train_19166_a/train_19166_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45179",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are atelectasis in the form of linear thick bands in the middle lobe of the right lung and the inferior lingula of the left lung upper lobe. In the upper lobe of the right lung, a 4 mm nodule with no significant difference is observed in series 2 image 132. Diffuse centrilobular emphysematous changes are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Small, non-significant lymph nodes measuring up to 8 mm in more than one short axis are observed in the mediastinum. For a good differential diagnosis, advanced examination with contrast CT Angiography is recommended in case of doubt.\n<heart>: Calcific atheroma plaques are observed in the coronary arteries. Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. In the ascending aorta, there is evidence of attenuation of thick-walled fluid (new aneurysmatic enlargement?, fluid loculation?) with irregular contours, measured up to 46x24 mm, at the level of the postoperative clips observed in the previous examination.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. For a good differential diagnosis, advanced examination with contrast CT Angiography is recommended in case of doubt.\n\nImpression:\nMild atherosclerotic changes.  Known to have been operated twice on the ascending aorta due to a history of aortic dissection, there is a thick-walled finding measuring up to 24x46 mm (fluid loculation?, new dissection or aneurysmatic dilatation? . For a better differential diagnosis, in case of doubt, advanced examination and contrast-enhanced CT Angiography is recommended.  Mild atelectatic changes in the form of thick bands in both lungs.  Emphysematous changes in both lungs.  A few nonspecific nodules in the right lung that do not show significant changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19166/train_19166_b/train_19166_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45181",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; azygos fissure variation is observed.\n<pleura>: No bilateral pleural effusion or pneumothorax was detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. Thoracic aorta diameter is normal. In the anterior mediastinum, thymic tissue with trigonal configuration without mass effect is observed. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: Surrounding soft tissue plans are natural. Thoracic aorta diameter is normal. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with hepatosteatosis in the liver. In the middle part of the left kidney, there is a density compatible with two calculi with a diameter of 2 mm.\n\nImpression:\nNo finding compatible with pneumonia. Left nephrolithiasis, mild hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19167/train_19167_a/train_19167_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45183",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Mild mosaic pattern attenuations are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Calcifications are observed in the coronary arteries. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the end plates of the vertebral corpuscles.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; There is a finding compatible with a 10 mm spleen in the same density as the spleen adjacent to the spleen.\n\nImpression:\nMild mosaic pattern attenuations in both lungs., Accessory spleen. Degenerative changes in the vertebral corpuscles. Calcifications in the coronary arteries. Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19168/train_19168_a/train_19168_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45188",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Mild sequelae changes are observed at the apical level.\n<pleura>: Pleural effusion-pneumothorax was not detected. A 5 mm diameter subpleural nodule is observed in the laterobasal segment of the lower lobe of the left lung.\n<mediastinum>: No pathologically sized and configured lymph nodes were detected in the mediastinum and at both hilar levels. Calibration of mediastinal major vascular structures is natural. In the anterior mediastinum, thymic tissue with trigonal configuration, which does not show any mass effect, is observed.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Surrounding soft tissue plans are natural. In the left kidney, a density of 3x2 mm compatible with calculi was observed. Both adrenals are normal. In the sections passing through the upper part of the abdomen, the gallbladder is contracted.\n\nImpression:\nNo finding compatible with pneumonia was detected. Left nephrolithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19171/train_19171_a/train_19171_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45191",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tractional bronchiectasis and thickening of the peribronchial sheath are observed in the segmental bronchi at the middle lobe level. The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: On the left, the interlobar fissure appears slightly superiorly displaced, and there are sequelae with pleuroparenchymal extensions at this level. Sequelae changes are observed at the apical level. It is recommended to evaluate the case with clinical and laboratory findings in terms of specific-nonspecific infectious agents. A 5 mm diameter nodule is observed in the superior segment of the right lung lower lobe. No pathological size and configuration lymph nodes were detected at both hilar levels. Sequelae changes are observed in the lingular segment of the left lung. Density reduction consistent with emphysema is observed in both lungs. It extends slightly caudally along the apicoposterior segment. There is another nodule with a diameter of 3 mm in its vicinity.\n<pleura>: Thickening and sequelae changes are observed in interlobular and subpleural septa in this floor and adjacent parenchyma. In the right lung, there are consolidative areas with peripheral subpleural tending to coalesce, accompanied by sequelae changes extending caudally along the upper lobe anterior segment.\n<mediastinum>: Calibration of the aortic arch is within the maximal physiological limits. CTO is within the normal range. Calibration of mediastinal major vascular structures at other levels is natural. There are lymph nodes in the mediastinum, some of them calcific, and the largest of them 16x12 mm in the prevascular area.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Mild degenerative changes are observed in the bone structures in the examination area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. CTO is within the normal range. When the upper abdominal organs included in the sections were evaluated; No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calibration of the aortic arch is within the maximal physiological limits. Millimetric parenchymal calcifications are observed in the spleen.\n\nImpression:\nConsolidation areas in the upper lobe of the right lung, which tend to merge laterally, and thickening of the interlobular septa.  Sequelae changes in both lungs, 1-2 millimetric nodules formation.  Some calcific lymph nodes in the mediastinum.  It is recommended to evaluate the case with clinical and laboratory findings in terms of specific-nonspecific infection.  Mild hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19173/train_19173_a/train_19173_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45197",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nMillimetric nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19176/train_19176_a/train_19176_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45212",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<pleura>: No bilateral pleural thickening-effusion was detected. When examined in the lung parenchyma window; Peripheral subpleural and peribronlovascular nodular ground glass density increases and focal consolidations were observed in the upper lobes of both lungs, in the middle lobe of the right lung, lower lobes and basal segments.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections in the examination area are normal. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nOcal consolidation areas and nodular consolidations that are evident in the superior lobes and basal segments in both lung parenchyma. There are frequently observed typical-probable radiological findings of Covid-19 pneumonia. Other viral pneumonias or organizing pneumonia can be considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory data."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19183/train_19183_a/train_19183_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45214",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: These findings are frequently encountered in Covid-19 pneumonia. Many of the described frosted glass areas are round in shape. Peripheral and central consolidations and ground glass areas are observed in both lungs.\n<pleura>: No pleural or pericardial effusion was observed.\n<abdomen>: There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19183/train_19183_b/train_19183_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45226",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: In lung parenchyma evaluation; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node in pathological pathological size and appearance was observed in the mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Esophageal calibration was followed naturally.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19189/train_19189_a/train_19189_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45233",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the distal part of the trachea, the appearance of fluid density with air bubbles is observed on the right lateral wall and it is evaluated in favor of secretion. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Although the described appearances were not specific, it was learned from the patient's story that he had Covid-19 pneumonia. Apart from these, in both lungs, especially in the peripheral areas, ground-glass appearances without clear borders were observed in places. The manifestations described are therefore primarily considered to be sequelae changes. Both lungs have a mosaic attenuation pattern (small airway disease? small vessel disease?). No mass was detected in both lungs.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Atheroma plaques were observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a decrease in liver parenchyma density consistent with adiposity. Atheroma plaques were observed in the aorta and coronary arteries.\n\nImpression:\nFindings evaluated primarily in favor of sequelae changes in both lungs.  Mosaic attenuation pattern of both lungs.  Atherosclerotic changes in the aorta and coronary arteries.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19191/train_19191_b/train_19191_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45235",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: When examined in the lung parenchyma window; A nonspecific subpleural nodule with a diameter of 2 mm was observed in the posterobasal segment of the lower lobe of the left lung.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: No soft tissue component was detected and there was no bone destruction.\n<abdomen>: Gallbladder, spleen, pancreas, both kidneys and both adrenal glands are normal. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nBilateral gynecomastia . Millimetric nonspecific subpleural nodule in the posterobasal segment of the lower lobe of the left lung . Hepatic steatosis . Benign sclerotic lesion in the T7 vertebral body"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19192/train_19192_a/train_19192_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45247",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass lesion was detected in both lungs. Minimal peribronchial thickening was observed in both lungs. Pleuroparenchymal sequelae changes are observed in both lung apex. There are centriacinar nodules in both lung lower lobe superior segment and right lung upper lobe posterior segment. There are millimetric nodules in both lungs. There are emphysematous changes in both lungs, more prominent in the upper lobes. These views are nonspecific. However, it is recommended that the patient be evaluated for pneumonic infiltration.\n<pleura>: No pleural or pericardial effusion was detected. Both hemithorax have millimetric calcified pleural plaques.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: As far as can be observed: Heart contour and size are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries  Emphysematous changes in both lungs  Pleuroparenchymal sequelae changes and atelectasis in both lungs  Millimetric nodules in both lungs  Millimetric centriacinar nodules in both lungs (pneumonic infiltration?)  Calcified pleural plaques in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19198/train_19198_a/train_19198_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45249",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are pleuroparenchymal sequelae changes in both lung apex. Apart from this, sometimes linear atelectasis was observed in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. Millimetric nonspecific nodules were observed in both lungs. There is atelectasis adjacent to the effusion in the lower lobe of the left lung.\n<pleura>: The pleural effusion measured 35 mm at the level of the lower lobe of the lung at its thickest point. In addition, millimetric calcified pleural plaques were observed in both hemithorax. There is minimal pleural effusion on the left.\n<mediastinum>: No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: The heart is larger than normal. Pericardial effusion was not detected.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: There is a distance of approximately 2.5 mm at its widest point between the sternotomy tips. Vertebral corpus heights, alignments and densities within the sections are normal. As far as can be observed: Median sternotomy is observed. The neural foramina are open. It is observed that the ends of the sternotomy are facing each other. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. Atheroma plaques are observed in the aorta and coronary arteries. Free fluid was not observed.\n\nImpression:\nCoronary bypass surgery, median sternotomy, left pneumothorax and emphysema in both hemithorax and neck.  Minimal pleural effusion on the left, calcified pleural plaques in both hemithorax.  Atelectasis in both lungs.  Emphysematous changes in both lungs.  Pleuroparenchymal sequelae changes in both lungs.  Millimetric nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19198/train_19198_b/train_19198_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45251",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious nodular or mass-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the mediastinum. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nThorax CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19199/train_19199_a/train_19199_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45258",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: Ventilation of both lungs is normal, and no mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion or thickening was detected.\n<mediastinum>: As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No lymph node was detected in pathological size and appearance. There are millimetric lymph nodes in the mediastinum and hilar regions.\n<heart>: As far as can be observed: The heart contour and size and the widths of the mediastinal main vascular structures are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph node was observed.\n\nImpression:\nMediastinal and hilar lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19203/train_19203_a/train_19203_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45274",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is a thickening of the fissure on the left. In the evaluation of both lung parenchyma; Indeterminate ground glass densities were observed in the posterobasal segment of the lower lobe of the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nIndeterminate ground-glass densities in the posterobasal segment of the lower lobe of the right lung. Clinical and laboratory evaluation will be appropriate. There is a thickening of the fissure on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19211/train_19211_a/train_19211_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45281",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No mass or infiltrative lesion was detected in both lungs. Atelectasis is observed in the right lung middle lobe medial segment and left lung upper lobe lingular segment.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nAtelectasis in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19215/train_19215_a/train_19215_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45287",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Mild thickening of the peribronchial sheath is observed. Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Pleuroparenchymal mild sequela changes are observed in the left lung lower lobe laterobasal segment. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Pathological size and configuration of lymph nodes are not observed at both hilar levels. There is a decrease in density consistent with emphysema in both lungs.\n<mediastinum>: CTO is within normal limits. Millimetric sized calcific atheroma plaques are observed in the aortic arch. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of the aortic arch is at the maximal physiological limit.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Mild degenerative changes are observed in the bone structure.\n<abdomen>: CTO is within normal limits. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calibration of the aortic arch is at the maximal physiological limit. A decrease in density consistent with mild steatosis is observed in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal. There is a hypodense lesion in the middle part of the left kidney that may be compatible with a cortical cyst. Surrounding soft tissue plans are natural. Millimetric sized calcific atheroma plaques are observed in the aortic arch.\n\nImpression:\n· Findings consistent with emphysema. · Atherosclerotic changes. · Hepatosteatosis. · Hypodense lesion in the middle part of the left kidney that may be compatible with a cortical cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19218/train_19218_a/train_19218_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45317",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: No mass lesion-active infiltration was detected in both lungs. Pleuroparenchymal fibrotic recession was observed in the middle lobe of the right lung with minimal paracicatricial bronchiectatic changes. Right lung lower lobe and left lung upper lobe inferior lingular and peripherally located crazy paving pattern in the lower lobe, nodular consolidation areas with frosted glass areas are observed around it, and the appearance is suspicious for Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Fibrotic density increases were observed in the upper lobes of both lungs, causing micro-retractions in the pleura.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes are slightly increased. Calcific atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There was no finding in favor of metastasis. Bone structures in the study area are natural. Osteopenia was observed in bone structures. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as can be observed in the sections, the density of liver parenchyma is diffusely decreased, consistent with hepatosteatosis.\n\nImpression:\nCardiomegaly, calcific atheromatous plaques in LAD. Sequelae changes in lung parenchyma.  High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with clinical and laboratory.  Hepatosteatosis.  Osteopenia in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19229/train_19229_a/train_19229_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45330",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected. Minimal emphysematous changes and increased peribronchial thickness are observed in both lungs. There is a mosaic attenuation pattern, more prominent in the lower lobes of both lungs (small airway disease?, small vessel disease?). No mass or infiltrative lesion was detected in both lungs. There are more prominent subsegmental atelectasis areas in the lower lobes of both lungs, interlobular septal thickness increases and nonspecific ground glass areas in places. Findings are compatible with sequelae fibrosis.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: The diameter of the pulmonary trunk was 32 mm and increased. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: There is minimal pericardial effusion. Calcific atheroma plaques are observed in the anterior descending coronary artery. The cardiothoracic ratio increased in favor of the heart.\n<esophagus>: Sliding type minimal hiatal hernia was observed at the esophagogastric junction.\n<bone>: Millimetric osteophytes in the corners of the corpus of the thoracic vertebrae, and vacuum phonomenia secondary to degeneration are observed in the intervertebral disc distances and at the level of the manubrium sterni. No lytic-destructive lesion was observed in bone structures.\n<abdomen>: Sliding type minimal hiatal hernia was observed at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?).  More prominent areas of subsegmental atelectasis, interlobular septal thickness increases, and nonspecific ground-glass areas in the lower lobes of both lungs; The sequelae were primarily evaluated in favor of fibrosis in the patient with a previous history of viral pneumonia.  Cardiomegaly, dilatation of the pulmonary trunk, calcific atheroma plaques in the anterior descending coronary artery, minimal pericardial effusion.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19236/train_19236_a/train_19236_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45340",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19240/train_19240_a/train_19240_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45376",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19255/train_19255_a/train_19255_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45395",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; Calcified nodules are observed in the upper lobe of both lungs, in the middle part of the right lung, and in the lingular segment of the left lung. It is recommended that the patient who is being followed up due to the nodule should be evaluated with the old film, if any. Except for calcified nodules, a noncalcified nodule with a diameter of 3 mm in the right lung (ima 75) is observed.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Right upper - lower paratracheal, aortopulmonary millimetric size 1-2 lymph nodes, some of them calcified, are observed. No pathological LAP was detected in the mediastinum. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCalcified nodules and mediastinal calcified lymph nodes (ghon complex) in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19264/train_19264_a/train_19264_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45397",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. A few calcified lymph nodes with a short axis smaller than 1 cm were observed in the prevascular-left hilar region. In both lungs, nonspecific parenchymal nodules of millimetric size, some of which are calcified, were observed. Band-like sequela fibrotic density increases were observed in the lower lobes of both lungs.\n<pleura>: Bilateral pleural thickening-effusion was not observed.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are degenerative changes in bone structures. There is an increase in trabeculation compatible with osteopenia in the bone structures in the study area.\n<abdomen>: No dilatation was detected in the thoracic aorta. In the upper abdominal sections in the study area; A hypodense lesion containing 4.5 mm diameter areas of fat density was observed in the left lobe of the liver (hepatic lipoma?).\n\nImpression:\nSequelae changes in both lungs.  Mild emphysematous changes in both lungs.  Mediastinal stable calcified lymph nodes.  Stable hypodense lesion (hepatic lipoma?) in the left lobe of the liver, containing millimeter-sized areas of fat density.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19264/train_19264_b/train_19264_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45403",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; A nodule measuring 9 mm in size is observed in the posterior part of the lower lobe of the right lung (series: 2, image: 260).\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheromatous plaques in the aorta and its branches, especially at the levels where the celiac and SMA trunks separate, narrowing of the lumen of the abdominal aorta are observed. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The aorta appears tortuous at these levels. Mediastinal main vascular structures are normal.\n<heart>: An increase in heart size is observed. There are calcific atheroma plaques in the coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Diffuse density reduction, hypertrophic osteophytic tapering in anterior end plates, and bridging tendencies are observed in the bone structures in the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Calcific atheromatous plaques in the aorta and its branches, especially at the levels where the celiac and SMA trunks separate, narrowing of the lumen of the abdominal aorta are observed. Upper abdominal organs included in the sections are normal. The aorta appears tortuous at these levels. The kidney contours are slightly corrugated, especially on the right. The gallbladder is not observed. There are findings in favor of cortical cyst in the first plan, which is evaluated as suboptimal in the margins of a few small sizes of hypodense examination.\n\nImpression:\nNodule 9 mm in size (series: 2, image: 260) in the posterior lower lobe of the right lung  Abdominal aorta and its branches, especially the separation of the celiac and SMA arteries, diffuse calcific atheroma plaques, prominent tortuous appearance in the abdominal aorta at the level of the celiac and SMA artery orifice, and narrowing of the lumen diameter , the lumen diameter at the described level is measured up to 15 mm.  Kidney contours are slightly corrugated, especially on the right. There are findings in favor of cortical cyst in the first plan, which is evaluated as suboptimal in the margins of a few small sizes of hypodense examination.  Cardiomegaly  Calcific atheromatous plaques in coronary arteries  Diffuse density reduction in bone structures, hypertrophic osteophytic tapering in anterior end plates, bridging tendencies"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19267/train_19267_a/train_19267_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45405",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Some calcific millimetric nonspecific parenchymal nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: A well-defined hypodense lesion area of 33x43 mm was observed at the upper outer and middle quadrant of the left breast. It is recommended to be evaluated together with breast US. No mass lesion with discernible borders was detected in the right breast.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nNodular well-circumscribed lesion area in the upper-outer quadrant of the left breast; fibroadenoma? It is recommended to be evaluated together with breast US."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19268/train_19268_a/train_19268_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45450",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; In both lungs, nonspecific parenchymal nodules with a diameter of 5.6x4.7 mm in the lower lobe laterobasal segment on the left and 4.5 mm in diameter in the right lower lobe laterobasal segment were observed. It is recommended to evaluate and follow-up together with previous examinations, if any.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Right aberrant subclavian artery variation is observed and it shows a retroesophageal course. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: At the thoracic level, left-facing scoliosis was observed. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAberrant right subclavian artery variation with retroesophageal course . Millimetric parenchymal nodules in both lungs; It is recommended to evaluate and follow up with previous examinations, if any.  Left-facing scoliosis at the thoracic level"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19284/train_19284_a/train_19284_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45463",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Active infiltration or mass lesion is not observed in both lungs. When examined in the lung parenchyma window; There are sequelae fibrotic structures in the apex of both lungs. There are mild emphysematous changes in both lungs. Calcified nodules are observed in the right lung middle lobe lateral segment and lower lobe laterobasal segment.\n<pleura>: In addition, there is a subpleural nodule of 4.5 mm in the posterobasal segment of the lower lobe of the left lung. No percardial effusion, pleural effusion or thickening was detected. Pleural effusion-thickening was not detected.\n<mediastinum>: Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination. In the mediastinum, there are no lymph nodes in pathological size and appearance in the bilateral axillary region.\n<heart>: Mediastinal vascular structures and heart could not be evaluated optimally due to the lack of contrast in the examination. Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. No solid mass is observed in the upper abdominal organs within the image within the limits of non-contrast CT. No free fluid-loculated collection was detected.\n\nImpression:\nMild emphysematous changes observed more prominently in the upper lobes of the apex of both lungs, sequelae fibrotic structures in the apex of both lungs, calcified nodules in the lateral and lower lobe laterobasal segments of the right lung middle lobe and solid nodules located subpleural in the posterobasal segment of the left lung lower lobe"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19290/train_19290_a/train_19290_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Focal ground glass density increases were also observed in the posterobasal subsegment of the left lung lower lobe. Subsegmental atelectasis was observed in both lungs. A calcified nonspecific parenchymal nodule with a diameter of 4 mm was observed in the superior segment of the lower lobe of the right lung. The outlook can be traced to Covid-19 pneumonia but is not typical. Clinical laboratory correlation is recommended. When examined in the lung parenchyma window; In the lower lobe of the right lung, septal thickenings were observed, and density increases in the form of ground glass were observed. Minimal emphysematous changes were observed in both lungs. Calcified lymph nodes were observed in the left hilar region.\n<mediastinum>: No dilatation was detected in the thoracic aorta. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. There is minimal effusion measuring 5 mm in thickness in the anterior pericardial area.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Both kidneys are atrophic.\n\nImpression:\nGround glass density increases with septal thickenings on the right in both lung parenchyma, appearance can be observed in Covid-19 pneumonia. However, it is not specific. In the differential diagnosis, infectious-non-infectious processes can be considered. Clinical laboratory correlation is recommended.  Mild emphysematous changes in both lungs.  Fibroatelectatic changes in both lungs, millimetric parenchymal nodules.  Pericardial minimal effusion.  Bilateral renal atrophy."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19292/train_19292_a/train_19292_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Both lungs have millimetric nodules. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Mediastinal structures cannot be evaluated optimally because no contrast material is given.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nBoth lung millimetric nodules"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19294/train_19294_a/train_19294_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45475",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. Patchy ground glass consolidations forming a multilobar, multisegmental, central-peripheral crazy paving pattern were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia. No mass lesion with distinguishable borders was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (secondary to small airway disease?).\n<pleura>: When examined in the lung parenchyma window; Diaphragmatic plaques were most prominent in the right hemithorax, and calcific plaques on a smooth surface were observed in the anterior costal pleura.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Calibration of mediastinal major vascular structures is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. Thickening was observed in the left adrenal gland. The right adrenal gland is normal.\n\nImpression:\nCardiomegaly, calcific atheroma plaques in the thoracic aorta and coronary arteries . Hiatal hernia . The most prominent calcific pleural plaques at the anterocostal-subdiaphragmatic level in the right hemithorax . High suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; It is recommended to be evaluated together with clinical and laboratory.  Thickening of the left adrenal gland"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19295/train_19295_a/train_19295_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45508",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected. In both lung lower lobes, linear density increase areas and sequela pleuroparenchymal bands are observed more clearly in posterobasal segments. No active infiltration or mass lesion was detected. Active infiltration or mass lesion was not detected in both lung parenchyma, and there were nonspecific nodules in millimeters.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The diameter of the pulmonary conus was measured at 31 millimeters and increased.\n<heart>: There are calcified atheromatous plaques on the walls of the coronary vascular structures. There was a slight increase in the cardiothoracic ratio in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: A high-density nodular lesion measuring approximately 23 x 20 millimeters under the skin in the medial neighborhood of the right clavicle has been noted, and evaluation with MR examination is recommended. There are degenerative changes in the bone structures within the image.\n<abdomen>: No pathology is observed in the upper abdominal sections within the image.\n\nImpression:\nIncreased pulmonary conus calibration, slight increase in cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of coronary vascular structures, millimeter-sized nonspecific nodules in both lungs and areas of linear density increase more prominently in the posterobasal segments of both lung lower lobes, sequelae pleuroparanchymal bands, right clavicle A high-density nodular lesion under the skin in its medial neighborhood has been noted, and evaluation with MR examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19310/train_19310_a/train_19310_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45510",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are millimetric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There is linear atelectasis in the lingular segment of the left lung upper lobe.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are millimetric osteophytes in the vertebral corpus corners.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nMillimetric nonspecific nodules in both lungs. Minimal thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19311/train_19311_a/train_19311_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45527",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: A mosaic attenuation pattern is observed in both lungs (small airway disease?, small vessel disease?). There are prominence in the interstitial scars, thickening of the peribronchial sheath, more prominently in the mid-lower zones. On the left, consolidative density increases are observed along the peribronchial sheath in the lower lobe superior segment and along the peribronchial sheath in the lingular segment, more prominently in the lower lobe superior segment, extending to basal levels. No prominent lymph nodes were detected at both hilar levels. Ground-glass-like density increases and coarse reticolonodular density increases are observed in the lower zones. The interlobar fissure is prominent on the left.\n<pleura>: When examined in the lung parenchyma window; Pleural effusion extending from the right lung basal to the upper lobe neighborhood is observed and its thickness reaches 50 mm.\n<mediastinum>: Again in the lingular segment, there is a consolidative parenchyma area in the paramediastinal area. Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. Lymph nodes are observed in the upper-lower paratracheal area, aorticopulmonary window, prevascular level, and subcarinal area, the largest of which is in the subcarinal area and its short axis is approximately 11 mm. Calibration of mediastinal major vascular structures is natural.\n<heart>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. Findings were evaluated in accordance with cardiac stasis and possible infection superposition. CTO increased in favor of the heart.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There are sequelae changes in the 1/3 distal of the left clavicle. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Calcific atheroma plaques are observed in the aortic arch, descending and ascending aorta, and coronary arteries. It is recommended to be examined together with clinical and laboratory findings. There is an extrarenal pelvis variation. A nonspecific hypodense lesion with a diameter of approximately 6 mm is observed at the dome level in the liver. Both adrenal and spleen are natural. Multiple cortical cysts are also observed in the left kidney. In the upper abdominal organs included in the sections, there is a decrease in density consistent with steatosis in the liver. There is operative density in the gallbladder lodge. A 22 mm diameter hypodense cortical cyst is observed in the middle part of the right kidney.\n\nImpression:\nCardiomegaly, right pleural effusion, prominence in interstitial scars . Consolidative parenchyma areas in the peribronchial area and lingular segment at the paramediastinal level, ground glass-like density refinements and coarse reticulonodular densities in the lower lobes. It is recommended to evaluate the case together with clinical and laboratory findings in terms of cardiac stasis and possible superposed infection.  Bilateral renal cortical cysts . Nonspecific hypodense lesion at dome level in the liver"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19318/train_19318_a/train_19318_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45529",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Air is present in its lumen.\n<lung>: No infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Sequela fibrotic changes were observed in bilateral lung apex. A stable parenchymal nodule with a diameter of approximately 5.5mm was observed in the superior segment of the left lung lower lobe.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: However, no pathological wall thickening was detected. The mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced. Stable lymph nodes with a short diameter of 6mm were observed in the mediastinal prevascular area, in the aortopulmonary window, in the paratracheal area, and in the bilateral hilar region.\n<heart>: No pericardial effusion or thickening was detected. No obvious pathology was detected. The mediastinal main vascular structures and heart were evaluated as suboptimal because the examination was unenhanced.\n<esophagus>: Thoracic esophagus is in normal calibration.\n<bone>: Thoracic kyphosis increased and degenerative osteoarthritic changes and osteophyte formations were observed in the bone structures included in the imaging area. Rotroscoliotic changes were observed in the thoracic region.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs entering the imaging field are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nStable parenchymal nodule in the superior segment of the lower lobe of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19319/train_19319_a/train_19319_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45534",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. Mild bronchial wall thickness increases are also present.\n<lung>: When examined in the lung parenchyma window; A linear atelectasis area is observed in the anterior segment of the right lung upper lobe. Mosaic attenuation pattern is observed in the lower lobes of both lungs. (secondary to small airway involvement?). No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<mediastinum>: In the mediastinum, there are several paraesophageal pure calcified millimetric lymph nodes. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not observed. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdominal sections.\n\nImpression:\nSlight parenchymal attenuation difference is observed in both lung lower lobes basal segments, mild bronchial wall thickness increases in segment broaches are accompanied (secondary to small airway involvement?) . Pneumonic infiltration is not detected in lung parenchyma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19322/train_19322_a/train_19322_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45557",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: Density increase areas compatible with linear atelectasis are observed in both lung lower lobes, right lung middle lobe medial segment and left lung upper lobe inferior lingular segment. In the examination made in the lung parenchyma window; No active-infiltration or mass lesion was detected in both lung parenchyma. There are minimal emphysematous changes in both lungs. No active infiltration or mass lesion was detected in both lungs.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: It may belong to the residual thymus tissue. Mediastinal vascular structures and heart examination IV. No lymph nodes in pathological size and appearance were observed in the mediastinum, in both axillary regions, bilateral supraclavicular fossae and mediastinum. There is a heterogeneous hyperdense appearance in the anterior mediastinum that does not cause a mass effect.\n<heart>: Calibration of vascular structures, heart contour and size are normal as far as can be observed. It could not be evaluated optimally due to lack of contrast. Mediastinal vascular structures and heart examination IV.\n<esophagus>: No pathological increase in wall thickness was observed in the thoracic esophagus.\n<bone>: No lytic or destructive lesions were observed in the bone structures within the image.\n<abdomen>: No intraabdominal free fluid, loculated collection was detected. In the upper abdominal sections within the image, millimeter-sized hyperdense stones were observed in the middle zone of the left kidney.\n\nImpression:\nAreas of increase in density consistent with linear atelectasis in the lower lobes of both lungs, right lung middle lobe medial segment and left lung upper lobe inferior lingular segment.  Several millimetric nodules in both lungs.  Minimal emphysematous changes in both lungs.  Heterogeneous hyperdense appearance without mass effect in anterior mediastinum may belong to residual thymus tissue.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19331/train_19331_a/train_19331_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45580",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT image mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: An irregularly circumscribed nodule with a diameter of 7 mm is observed in the posteromediobasal region of the lower lobe of the left lung. Mild prominence is observed in the interstitial scars. In the evaluation of the lung parenchyma window; In the right lung, there is a 4 mm diameter nodule adjacent to the fissure in the upper lobe anterior segment caudal. No pathological size and configuration of lymph nodes were detected at both hilar levels. Peribronchial sheath thickening and mild sequelae changes are observed in the middle lobe. There is a 4 mm diameter nodule at the posterobasal level. There are also sequelae changes at the posterobasal level of the lower lobe of the right lung. There are mild emphysematous findings in both lungs and a few air cysts on the right. Mild sequelae changes are observed in the lingular segment on the left.\n<pleura>: Focal pleural thickening is observed in the laterobasal segment. A slight basal thickening is observed in the right pleura.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. Multiple lymph nodes are observed in the mediastinum at the prevascular level in the upper-lower paratracheal area and in the subcarinal area, the largest of which is measured in the subcarinal area and measures approximately 19x12 millimeters.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: At the mid-dorsal level, there are increases in density on both sides of the intervertebral joint in the posterior and anterior parts of the joint, and there are irregularities on the joint. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Surrounding soft tissue plans are natural. Density compatible with 8 mm diameter calculus is observed at the neck level of the gallbladder. In the sections passing through the upper abdomen, a decrease in density consistent with hepatosteatosis is observed in the liver.\n\nImpression:\nDegenerative changes in the bone structure, increase in density on both sides of the intervertebral joint at the middle dorsal level, density increases in the posterior and anterior parts of the joint, irregularities at the joint level . Nodules are observed, the largest of which is at the posteromediobasal level of the left lung. It is recommended that the case be evaluated together with the old films, if any.  Hepatosteatosis, cholelithiasis. No finding compatible with pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19339/train_19339_a/train_19339_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45618",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Atelectic changes are seen in the lungs adjacent to the effusion. There are minimal ground glass densities in the lower lobes. Interlobular septal thickening and prominence in central bronchovascular structures are observed in both lungs.\n<pleura>: When examined in the lung parenchyma window; In bilateral hemithorax, pleural effusion of 76 mm on the right and 80 mm on the left is observed.\n<mediastinum>: Mediastinal examination is suboptimal due to lack of contrast. Lymph nodes with a short axis reaching 13 mm are observed in the mediastinum. The main pulmonary artery is 31 mm and slightly ectatic.\n<heart>: The heart size has increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There are surgical changes of sternotomy. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Periopathic, perispklenic, pathological intra-abdominal free fluid is present in the upper abdominal sections.\n\nImpression:\nCardiomegaly, ectasia in the main pulmonary artery.  Findings of pulmonary edema in both lungs.  Mediastinal lymph nodes  Bilateral pleural effusion.  Free fluid in the abdomen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19359/train_19359_a/train_19359_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45622",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is a slight increase in thickness of the bronchial wall. Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: Nodular opacity increases in the budding tree appearance, which was evaluated in favor of bronchopneumonic infiltration observed in the middle lobe of the right lung in the previous CT examination, were not detected in the current examination. There is an accompanying increase in parenchymal aeration. In the current examination, there is no finding in favor of active infiltration in both lung parenchyma. Peribronchial wall thickness increases and mild tubular bronchiectasis are also observed in the right lung lower lobe bronchi and middle lobe medial segment bronchi. When examined in the lung parenchyma window; Cystic bronchiectasis is observed in the lower lobe of the left lung.\n<pleura>: The heart contour and size were normal, no pericardial or pleural effusion was detected.\n<mediastinum>: No lymph node is observed in the mediastinum and in both axillary regions in pathological size and appearance.\n<esophagus>: There is a sliding type hiatal hernia at the lower end. No pathological increase in wall thickness is observed in the thoracic esophagus.\n<bone>: There is an increase in thoracic kyphosis. Vertebra corpus heights and alignments are natural. No lytic or destructive lesions were observed in the bone structures within the image. Osteophytic degenerative changes, which tend to merge at the vertebral corpus corners, are observed.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections included in the sections; there is a lesion of hypodense fluid density (simple cyst?) in the upper pole of the right kidney that cannot be clearly characterized within the borders of unenhanced CT.\n\nImpression:\nCystic bronchiectasis, peribronchial wall thickness increases in the lower lobe of the left lung and asymmetrical air abscess areas in the vicinity.  Tubular ectasia and peribronchial wall thickness increases in the bronchial structures in the right lung middle lobe and lower lobe; There was no finding in favor of active infiltration in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19361/train_19361_a/train_19361_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45629",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Focal fibrotic changes were observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the upper abdominal organs included in the sections were evaluated; Diffuse density loss was observed in the liver.\n\nImpression:\nMinimal fibrotic changes in both lungs.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19365/train_19365_a/train_19365_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45633",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: No mass, nodule or infiltration was detected. In the evaluation of both lung parenchyma; Minimal dependent density increases are observed in the lower lobes of both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The AP diameter of the ascending aorta is 4 cm, and it has an ectatic appearance. There are right upper paratracheal and aortopulmonary millimetric lymph nodes. Calcific plaques are observed in the walls of the aortic arch, descending aorta, abdominal aorta and coronary artery. No pathological LAP was detected in the mediastinum.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: The AP diameter of the ascending aorta is 4 cm, and it has an ectatic appearance. Calcific plaques are observed in the walls of the aortic arch, descending aorta, abdominal aorta and coronary artery. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No obvious pathology was detected in non-contrast abdominal sections.\n\nImpression:\nCardiomegaly, ectasia of the ascending aorta"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19367/train_19367_a/train_19367_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45666",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A nodule with a diameter of 3 mm is observed in the apicoposterior segment of the left lung upper lobe, adjacent to the interlobular fissure in the posterior. Scattered, round-like, ground-glass-like density increases are observed in both lungs.\n<pleura>: Pleural effusion, pneumothorax were not detected.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is a hemangiomatous focus in the D9 vertebra. Mild degenerative changes are observed in the bone structure entering the examination area. At the corpus sterno level, a hypodense formation of approximately 12x5.5 mm is observed, suggesting a benign lesion with a mildly sclerotic appearance and without cortical destruction.\n<abdomen>: In the right adrenal medial crus, a well-defined hypodense lesion measuring approximately 25x18 mm and an average density of 1 HU is observed. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with hepatosteatosis in the liver. It was evaluated as compatible with adenoma.\n\nImpression:\nFindings considered compatible with Covid-19, clinical and laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis. Right adrenal lesion compatible with adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19382/train_19382_a/train_19382_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45668",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Mild atelectatic changes are observed in the middle lobe on the right, the inferior lingula in the left upper lobe, and the posterobasal level of the lower lobe in both lungs.\n<pleura>: Slight pleural thickening is observed in the lateral lower lobe of the left lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Crescentic calcific atheroma plaques are observed in the aortic arch and descending aorta. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bilateral adrenal glands There are degenerative changes in bone structures.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Crescentic calcific atheroma plaques are observed in the aortic arch and descending aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCrescentic calcific atheroma plaques in the aortic arch and descending aorta.  Mild atelectatic changes in both lungs. Mild pleural thickening in the lower lobe of the left lung.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19383/train_19383_a/train_19383_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45670",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Mild emphysematous changes in the upper lobes of both lungs and density increases consistent with pleuroparenchymal sequelae at the apical level are observed. A nonspecific nodule with a diameter of 3 m is observed in the middle lobe of the right lung. There are ground-glass-like density increments and consolidative areas in the right lung lower lobe basal. There is a mild mosaic attenuation pattern in both lungs. A nonspecific nodule with a diameter of 3 mm is observed in the anterior segment of the left lung upper lobe. There are sequelae changes in the lower lobe of the right lung. Densities compatible with pleuroparenchymal sequelae are observed in the middle lobe.\n<pleura>: Pleural effusion-thickening was not detected. Slight thickening of the pleura is observed in the right lung lower lobe superior segment lateral.\n<mediastinum>: The pulmonary trunk caliber is 31 mm wider than normal. The pulmonary arterial system was evaluated as wider than normal. Diffuse calcific atheroma plaques are observed in the ascending-descending aorta, the main branches of the aortic arch, and the coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The descending aorta is calibrated at 31 mm wide. The aortic arch calibration is wider than normal at 34 mm.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. Diffuse calcific atheroma plaques are observed in the ascending-descending aorta, the main branches of the aortic arch, and the coronary arteries. The ascending aorta is wider than normal with a calibration of 42 mm.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Sequelae fracture appearances are observed in the upper rib structures of the right hemithorax. Dorsal kyphosis is evident. Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Right adrenal is normal. The pancreas is atrophic. Fine calcification is observed in the wall. There is a hypodense lesion in the middle part of the right kidney, which is considered to be compatible with a 12 mm diameter cortical cyst laterally. There is slight prominence in the left kidney collecting system. Evaluation with MRCP is recommended. The gallbladder volume is evident. In the upper abdominal organs included in the sections, a nonspecific hypodense lesion with a diameter of about 10 mm in the subdiaphragmatic area at the level of the liver dome and another smaller hypodense nonspecific lesion adjacent to it are observed. Diffuse calcific atheroma plaques are observed in the ascending-descending aorta, the main branches of the aortic arch, and the coronary arteries. The common bile duct is observed to have increased calibration, especially in the distal section. However, the ureter is observed in normal calibration (past stone disease?). The descending aorta is calibrated at 31 mm wide. There is an increase in density compatible with biliary sludge at the fundus level. Extrarenal pelvis variation is observed in the right kidney. At the level of the splenic hilum, millimetric densities are observed (accessory spleen?). Left adrenal is full. The aortic arch calibration is wider than normal at 34 mm. There is also a hypodense appearance in the left kidney, which may be compatible with 1-2 cortical cysts.\n\nImpression:\nIncreased calibration, atherosclerotic changes in mediastinal main vascular structures  Mosaic attenuation pattern in both lungs (small vessel disease?small airway disease?).  Sequelae changes in both lungs, formation of a few millimetric nonspecific nodules  Elevation in the left diaphragm (diaphragmatic paralysis?). It is recommended to evaluate the case together with US if necessary.  Focal ground-glass-like density increases and consolidative areas, which are more predominantly observed in the left lung adjacent to the diaphragm at the basal level  2 millimetric nonspecific hypodense lesions at the level of the liver dome  Distant gallbladder and biliary sludge in it. Calibration increase in the common bile duct (recommended evaluation by MRCP if necessary).  Cortical cysts in both kidneys, prominent in the collecting system  Intense degenerative changes in bone structure, increase in dorsal kyphosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19384/train_19384_a/train_19384_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45678",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. In the evaluation of both lungs in the parenchyma window, especially in the posterior and basal areas, significant and ground-glass-like density increases that create confluence at these levels are observed. It is recommended to evaluate the case with clinical and laboratory findings in terms of Covid pneumonia.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Lymph nodes with pathological size and configuration are not observed in both hilar levels and mediastinum. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A decrease in density consistent with steatosis is observed in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is natural. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Surrounding soft tissue plans are natural. Nodular formation, which is considered compatible with the 5 mm diameter accessory spleen, is observed in the anterior neighborhood of the spleen.\n\nImpression:\nFindings that may be compatible with Covid pneumonia, clinical laboratory correlation is recommended. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19388/train_19388_a/train_19388_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45686",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are peripheral and centrally located ground-glass appearances in the lower lobe of the right lung. An irregularly circumscribed soft tissue appearance is observed in the posterior segment of the right lung upper lobe. There are other millimetric nonspecific nodules in the right lung. However, although not very specific, appearances in the lower lobe of the right lung during the pandemic may also be related to Covid-19 pneumonia. It is recommended to evaluate the patient together with laboratory findings. Atelectasis was observed in both lungs. In addition, uniform interlobular septal thickenings are observed in the lower lobes of both lungs. When evaluated together with the patient's previous examinations, these appearances were thought to be pleuroparenchymal sequela fibrotic changes. Structural distortion and loss of volume and calcific nodules were observed around the described soft tissue appearance. No mass was detected in both lungs.\n<pleura>: Pleural effusion is observed on the right. It is observed that the pleural effusion entered the fissure and was thought to be loculated in this localization.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. The longest diameter of the described view measured approximately 17 mm. Atheroma plaques are observed in the aorta and coronary arteries.\n<heart>: Atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion was not detected. As far as can be observed: Heart contour and size are normal. The manifestations described were primarily thought to be due to cardiac pathology.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. There are osteophytes in the vertebra corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAtherosclerotic changes in the aorta and coronary arteries.  Pleural effusion on the right.  Findings evaluated primarily in favor of sequelae changes in the upper lobe of the right lung.  Atelectasis in both lungs.  Millimetric nonspecific nodules in the right lung.  Emphysematous changes in both lungs.  Ground glass appearances in the lower lobe of the right lung and smooth interlobular septal thickenings in the lower lobes of both lungs (secondary to cardiac pathology? Covid-19 pneumonia??)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19391/train_19391_a/train_19391_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45688",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi, lobar and segmental broaches air passages are open.\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was observed.\n<mediastinum>: No lymph node in pathological size and appearance was observed in the axilla and mediastinum.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: In the supraclavicular fossa, no lymph node in pathological size and appearance was observed in the cross-section. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdominal sections, there is moderate to severe fat in the liver parenchyma.\n\nImpression:\nInspection within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19392/train_19392_a/train_19392_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45714",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are minimal emphysematous changes in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aorta and coronary arteries. Mediastinal main vascular structures are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Heart sizes were minimally increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Other upper abdominal organs are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Millimetric gallstones are observed in the gallbladder.\n\nImpression:\nCardiomegaly.  Calcific plaques in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19403/train_19403_a/train_19403_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45716",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: A pleural effusion with a diameter of 21 mm was observed on the left at its widest point bilaterally. When examined in the lung parenchyma window; There are centrilobular protrusions in both lungs, subpleural reticular densities, and thickening of the bronchial wall, especially in the lower lobes.\n<mediastinum>: Other mediastinal main vascular structures are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Heart size slightly increased. The ascending aorta is 43 mm and ectatic.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the vertebrae. There is a displaced fragmented fracture anteriorly on the 4th and 5th ribs on the right.\n<abdomen>: Diffuse calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis  Minimal cardiomegaly  Bilateral pleural effusion  Thickening of the bronchial wall in both lungs, centrilobular manifestations (pulmonary edema?).  Drainage catheters placed in the hemithorax on the right  Bilateral pleural effusion  Anterior comminuted fractures in the right 4th, 5th ribs  Extensive subcutaneous and intramuscular emphysema in the right anterior chest wall and axillary region  Minimal pneumothorax on the right"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19403/train_19403_b/train_19403_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45732",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; Active infiltration or mass lesion is not detected in both lung parenchyma, and nonspecific nodules in millimetric sizes, some of them calcific character, are observed.\n<pleura>: No pericardial and pleural thickening or effusion was detected.\n<mediastinum>: Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the heart examination, and as far as can be observed; AP diameter of the ascending aorta was measured as 41 mm and slightly increased. No lymph nodes were detected in the mediastinum, in both axillary regions and in the supraclavicular fossa in pathological size and appearance.\n<heart>: Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the heart examination, and as far as can be observed; AP diameter of the ascending aorta was measured as 41 mm and slightly increased. The heart, contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic or destructive lesions were detected in the bone structures within the image.\n<abdomen>: Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the heart examination, and as far as can be observed; AP diameter of the ascending aorta was measured as 41 mm and slightly increased. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; In the middle zone of the left kidney, there is a lesion with a diameter of 70 mm with a cortical location and exophytic extension with a fluid density (cyst?).\n\nImpression:\nSlight increase in ascending aorta calibration, millimetrically sized nonspecific nodules, some of which are calcified, in both lung parenchyma. A lesion that cannot be clearly characterized due to the absence of contrast in the examination with cortical localized exophytic extension in hypodense fluid density in the left kidney middle zone."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19411/train_19411_a/train_19411_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45736",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19413/train_19413_a/train_19413_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45740",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: Paraseptal emphysematous changes were observed in the right lung apex and upper lobe posterior segment. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. When examined in the lung parenchyma window; A pleuroparenchymal fibroatelectasis sequelae change was observed in the left lung upper lobe inferior lingular segment.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The liver parenchyma density in the cross-sectional area has decreased significantly, which is compatible with hepatosteatosis. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calculus images with a diameter of 9.5 mm were observed in the gallbladder lumen.\n\nImpression:\nParaseptal emphysematous changes in the upper lobe of the right lung.  Pleuroparenchymal fibroatelectasis sequelae changes in the left lung upper lobe inferior lingular segment.  There was no finding in favor of pneumonic infiltration-mass in the lung parenchyma.  Hepatosteatosis.  Cholelithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19415/train_19415_a/train_19415_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45746",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Compatible with Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; In both lungs, patchy ground glass and consolidation areas are observed, which are more dominant in the lower lobes and subpleural area.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAspect consistent with typical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19418/train_19418_a/train_19418_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45754",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; Patchy subpleural nodular and ground-glass opacities are observed in both lungs, which is consistent with typical probable Covid 19 pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTypical-probable Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19422/train_19422_a/train_19422_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45777",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, patchy ground glass densities, air bronchogram signs, enlargement in the vascular structures, and distortion in the bronchial structures are observed, mostly in the peripheral and more centrally located. The findings were evaluated in accordance with the onset of post-Covid interstitial fibrosis in the patient known to have had post-Covid.\n<mediastinum>: Thoracic aorta diameter is normal. There are small lymph nodes in the mediastinum with a short axis measuring 4 mm. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There is degenerative mild height loss in Th12 vertebral body. Vertebral corpus heights are preserved. Bone structures in the other study area are natural.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs included in the sections are normal. Changes in favor of steatosis are observed in the liver parenchyma entering the section area.\n\nImpression:\nFindings consistent with the onset of post-Covid interstitial fibrosis. Clinical correlation and follow-up are recommended.  There is degenerative mild height loss in Th12 vertebral body.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19428/train_19428_b/train_19428_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45802",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: Hepatosteatosis is observed in the sections passing through the upper part of the abdomen.\n\nImpression:\nhepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19437/train_19437_a/train_19437_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45806",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Nodular densities are observed in the parenchyma. Thyroid gland sizes increased. Its contours are lobulated.\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: Segmentary and subsegmental peribronchial thickening was observed. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. It is secondary to small airway involvement. Millimetric nonspecific parenchymal nodules were observed in both lungs. There are air trapping areas in the form of aeration differences in the lung parenchyma. When examined in the lung parenchyma window; There are subsegmental atelectasis areas in the basal and superior segments of the lower lobes of both lungs, the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. It is stable.\n<pleura>: Sequelae thickening was observed in the posterior costal pleura in both hemithoraces. A smear-like pleural effusion was detected on the left.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. The transverse diameter of the pulmonary trunk is 33 mm, which is above normal. The anterior posterior diameter of the descending aorta was 27 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed.\n<heart>: As far as can be seen; The anterior-arch diameter of the ascending aorta was 46 mm, above normal. A smear-like effusion was observed between the pericardial leaves. Examination with USG is recommended. Heart sizes are slightly increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: Nodular densities are observed in the upper inner quadrant of the left breast, the largest of which is 12 mm in diameter. (MNG?) It is recommended to be evaluated together with USG.\n<bone>: Height losses were observed in T6 and L1 vertebra upper end plates. No lytic-destructive lesion was detected. Significant osteoporosis is present in the bone structures entering the cross-sectional area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. An incision scar was observed on the anterior abdominal wall. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The anterior posterior diameter of the descending aorta was 27 mm. As far as can be seen inside the sections; upper abdominal organs are normal.\n\nImpression:\nIncrease in thyroid gland size and contour lobulation, millimetric hypodense nodular lesions; it is recommended to be evaluated together with USG.  Fusiform aneurysmatic dilation in the ascending aorta, increase in the diameter of the pulmonary conus, mild cardiomegaly, minimal effusion in the pericardial space. Sequelae thickening in both bilateral posterior costal pleura and minimal pleural effusion on the left. Subsegmental atelectatic changes and millimetric nonspecific parenchymal nodules in both lungs.  Segmental-subsegmental peribronchial thickening and secondary air trapping areas in both lungs. Diffuse osteoporosis in bone structures, height loss in T6 and L1 vertebra superior end plates."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19439/train_19439_a/train_19439_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45814",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass, nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural effusion-thickening was not detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Sliding type hiatal hernia was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nNo signs of pneumonia detected (CT may be negative early in Covid-19)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19443/train_19443_a/train_19443_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45816",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No active infiltration, consolidation or space-occupying lesion was detected. When examined in the lung parenchyma window; In both lungs, several peripherally located sequela-muscular nodules are observed.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Upper abdominal organs in the study area have a natural appearance.\n\nImpression:\nSequelae of calcific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19443/train_19443_b/train_19443_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45827",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: At this level, there is a hypodense appearance, which is evaluated primarily in favor of artifact.\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea and both main bronchi are open.\n<lung>: More caudally, there is another nodule with a diameter of 2 mm. There is an appearance consistent with a mosaic attenuation pattern in the lung (small vessel disease?, small airway disease?). A nodule with a diameter of 4 mm is observed at the apical level of the left lung. There was no finding compatible with pneumonia in both lungs. A nodule with a diameter of 4 mm is observed in the superior segment of the lower lobe.\n<pleura>: No pneumonia, pleural effusion or pneumothorax was detected. A nodule with a diameter of 2 mm is observed in the lateral subpleural area of the upper lobe apicoposterior segment.\n<mediastinum>: Calibration of other mediastinal major vascular structures is normal. No lymph node with pathological size and configuration was detected at the mediastinal and hilar level. If necessary, sonographic control is recommended. The aortic arch calibration is 30 mm.\n<heart>: Pericardial effusion-thickening was not observed. CTO is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Surrounding soft tissue plans are natural. If necessary, sonographic control is recommended. The aortic arch calibration is 30 mm. In the sections passing through the upper abdomen, findings consistent with a diverticulum are observed in the neighborhood of the colon at the level of both flexures.\n\nImpression:\nNo finding compatible with pneumonia. Mosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  Diverticulum appearances adjacent to the colon at the level of the right and left flexures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19446/train_19446_a/train_19446_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45848",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Mild sequelae changes are observed at the apical level. When examined in the lung parenchyma window; Ground-glass-style round-oval configuration densities are observed in almost all segments of both lungs, tending to merge from place to place, with a predominantly basal and peripheral distribution. Parenchymal bands are observed in the upper lobe anterior segment caudal. Basally, there are parenchymal bands on this floor.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. CTO is normal. It is wider than normal. The aortic arch was calibrated to 38 mm and was wider than normal.\n<heart>: The ascending aorta calibration is 43 mm. Calibration of other vascular structures is natural.\n<bone>: There are degenerative changes in the bone structure in the examination area. Dorsal kyphosis is mildly prominent and there are findings consistent with DISH.\n<abdomen>: CTO is normal. In the evaluation of the upper abdominal organs included in the sections, there is a decrease in density consistent with hepatosteatosis in the liver. It is wider than normal. The aortic arch was calibrated to 38 mm and was wider than normal. There is a hypodense lesion compatible with a cortical cyst in the left kidney.\n\nImpression:\nThe findings suggest Covid19 pneumonia in the first place. Other viral pneumonias are also included in the separate plan. Evaluation together with clinical and laboratory data is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19455/train_19455_a/train_19455_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: There is an appearance of fibroatelectasis in the medial segment of the right lung middle lobe. In the evaluation of both lung parenchyma; No mass, nodule or infiltration was detected in both lungs. Minimal transient atelectasis-like appearances were observed in the depandant areas of the lungs. A few millimetric non-specific nodules were observed in the right lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected. However, it should be known that CT may be false negative in the first few days."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19456/train_19456_a/train_19456_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45852",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious mass or infiltration was detected in both lungs. There are millimetric non-specific nodules in the bilateral lung.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. If there is strong clinical suspicion, repeating the test is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19456/train_19456_b/train_19456_b_1.npy"
        ]
    },
    {
        "id": "report_generation_45854",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Nodular ground glass opacities were observed in the right lung middle lobe and left lung upper lobe apicoposterior segment, adjacent to the major fissure. Correlation with is recommended. The outlook is highly suspicious for ultra-early Covid-19 pneumonia. Clinic and lab. Apart from this, no nodular or infiltrative lesion was detected in either parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial minimal effusion was observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Pericardial thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Slight degenerative changes were observed in the thoracic vertebrae. Vertebral corpus heights were preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPericardial effusion . Nodular ground glass opacities in the right lung middle lobe and left lung upper lobe apicoposterior segment adjacent to the major fissure; The outlook is highly suspicious for ultra-early Covid-19 pneumonia. Clinic and lab. Correlation with is recommended.  Mild degenerative changes in the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19457/train_19457_a/train_19457_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45860",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: In general, emphysematous changes are observed in both lungs. There is a slight ground-glass-like density increase in the lower zones of both lungs. Mild density increase is observed in the paramediastinal level in the middle lobe of the right lung and in the lingular segment of the left lung, which is considered consistent with focal consolidation. No pathological size and configuration lymph nodes were detected at both hilar levels. Sequelae changes are observed in the lingular segment of the left lung.\n<pleura>: There was no significant mass lesion, pleural effusion or pneumothorax in both lungs.\n<mediastinum>: In the upper-lower paratracheal area, millimetric lymph nodes are observed at the prevascular level in the aorticopulmonary window. There are calcific atheroma plaques in the coronary arteries in the ascending aorta and the descending aorta in the aortic arch and its main branches. It is slightly above normal. Calibration of the main mediastinal vascular structures is generally normal. However, the aortic arch calibration is 31 mm.\n<heart>: CTO is within the normal range. There are calcific atheroma plaques in the coronary arteries in the ascending aorta and the descending aorta in the aortic arch and its main branches.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure.\n<abdomen>: There are calcific atheroma plaques in the coronary arteries in the ascending aorta and the descending aorta in the aortic arch and its main branches. The spleen is natural. It is slightly above normal. Millimetric sized calculi in the gallbladder and millimetric density increments on its wall, which may be compatible with the impacted calculi, are observed. Both adrenals are natural. On uncontrasted upper abdominal sections, a decrease in density consistent with hepatosteatosis is observed in the liver. There is microlobulation in the liver contours. However, the aortic arch calibration is 31 mm. It is recommended to be examined in terms of chronic liver parenchymal disease.\n\nImpression:\nFindings consistent with emphysema. Focal consolidative areas in the right middle left lingular segment in both lungs.  Hepatosteatosis, chronic liver parenchymal disease ? . Cholelithiasis, impacted calculus in the gallbladder"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19460/train_19460_a/train_19460_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia. findings that may be compatible with viral pneumonias. Areas of diffuse ground glass density and focal consolidations were observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window; A subpleural nodule with a diameter of 8 mm was observed in the lateral part of the lower lobe of the right lung.\n<mediastinum>: Wall calcifications were observed in the aorta. The diameter of the pulmonary conus is 35 mm and it has a dilated appearance. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Cardiothoracic index increased in favor of the heart (cardiomegaly).\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural.\n<abdomen>: Wall calcifications were observed in the aorta. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nWall calcifications in the aorta, pulmonary conus dilated, cardiothoracic index increased in favor of the heart (cardiomegaly).  A subpleural nodule with a diameter of 8 mm in the lateral part of the lower lobe of the right lung.  Areas of common ground glass density in both lungs, focal consolidations in places, findings that may be compatible with viral pneumonias. It is recommended to be evaluated together with clinical and laboratory findings in terms of Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19465/train_19465_a/train_19465_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45886",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Diffuse patchy ground glass densities are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. It is evaluated as suboptimal in the examination limits, and the area of focal fat?, cyst? evaluated in its favour. Small hiatal hernia is observed. There are findings compatible with sleeve gastrectomy in the gastric loop. In the right lobe of the liver, which enters the cross-sectional area, a hypodense heterogeneous area measuring 22 mm in size is observed in segment 42, adjacent to the falciform ligament.\n\nImpression:\nThere are commonly reported imaging features of Covid-19 pneumonia. Other diseases such as influenza pneumonia, organizing pneumonia, drug toxicity, and connective tissue disease may cause a similar appearance. There is an appearance compatible with sleeve gastrectomy in the gastric loop."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19471/train_19471_a/train_19471_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45908",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; There are also ground glass densities in the left lung upper lobe, anterior and left lung lower lobe superior posterior, and patchy air bronchogram signs in which enlargements are observed in the vascular structures around and inside.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe findings described in the lung parenchyma were evaluated in favor of Covid-19 viral pneumonia. Clinical laboratory correlation and follow-up is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19483/train_19483_a/train_19483_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45951",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: When examined in the lung parenchyma window; Sequelae linear-band atelectatic changes were observed in both lungs. No mass lesion-pneumonic infiltration was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen, the mediastinal main vascular structures, heart contour and size are normal. Calcified atheroma plaques were observed in LAD.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Schmorl nodules were observed in the thoracic endplates and osteophytes were observed in the endplates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Other upper abdominal organs entering the section area are normal. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nCalcific atheroma plaques in LAD. · Sequelae changes in both lungs. · Hepatic steatosis. · Osteodegenerative changes in thoracic vertebrae."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19502/train_19502_a/train_19502_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45978",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; No active infiltrative, space-occupying lesion with consolidation was detected in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be observed, no lymphadenopathy was detected in pathological size and appearance, and the calibrations of the mediastinal main vascular structures appear normal. Evaluation of mediastinal main vascular structures and lymph nodes is suboptimal because the examination is unenhanced.\n<heart>: Pericardial effusion reaching 12 mm in thickness at its widest point was observed in the pericardial space. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nPericardial effusion is observed in the pericardium, reaching 12 mm in its thickest part."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19509/train_19509_a/train_19509_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Consolidated atelectasis areas with air bronchogram sign are observed in the lower lobes of both lungs. Emphysematous changes are observed in the upper lobes of both lungs. There is a patchy ground-glass density in the apicoposterior lateral aspect of the left upper lobe of the lung. Findings were initially evaluated in favor of contusion secondary to trauma.\n<mediastinum>: In the mediastinum, there are several lymph nodes with a short axis measuring 3 mm in quadrants. Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: On the left side, fractures are observed in the 6th, 7th and 8th ribs, which show slight divergence in the lateral side and do not show significant divergence. Hypertrophic-osteophytic taperings are observed in the anteriors of the vertebral corpus endplates, and small Schmorl nodules measuring 7 mm in size are observed in the inferior endplates of the TH9-TH10 vertebral corpuscles. Compression fracture is observed in TH3 vertebral corpus, which causes 1/3 loss of height in the upper end plate. Diffuse density reduction is observed in bone structures.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs are partially observed and no gross pathology was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFractures on the left side with slight divergence in the 6th, 7th, and 8th ribs on the left side, with slight divergence in the lateral side  1/3 loss of height in the upper end plate of the TH3 vertebral body, compression fracture  Small Schmorl nodules in the inferior end plates of the TH9-TH10 vertebral bodies  Bone diffuse density reduction in structures, hypertrophic-osteophytic tapering in the anterior endplates.  Contusions, aconsolidated atelectasis, pleural effusions in the patient with a known history of trauma in the lung parenchyma. Clinical correlation monitoring is recommended.  Pneumothorax was not observed."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19510/train_19510_a/train_19510_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45987",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Right upper-bilateral lower paratracheal millimetric lymph node is observed. In the evaluation of both lung parenchyma; No mass nodule infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the non-contrast examination, no obvious pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nPneumonia imaging findings are not observed in both lung parenchyma. It may be negative in the early period. Clinical and laboratory examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19514/train_19514_a/train_19514_a_1.npy"
        ]
    },
    {
        "id": "report_generation_45999",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Thyroid gland is atrophic.\n<lung>: The findings defined in the case with a previous Covid infection history (1 month interval) may belong to the radiological findings of the parenchymal infiltration during the recovery period. Comparative evaluation with old imaging is recommended. In parenchyma evaluation, there are peribronchial areas of light ground glass density in both lungs. Consolidation area has not been determined. There is an area of subsegmental atelectasis in the lingula inferior segment of the left lung. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma.\n<mediastinum>: Calibrations of mediastinal major vascular structures are natural. No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected within the limits of non-contrast CT in upper abdominal sections.\n\nImpression:\nPeribronchial parenchymal mild density increase areas, which are prominent towards the lower lobes in both lungs, may belong to radiological findings during the recovery period in the case with a previous Covid pneumonia history one month ago. Atrophic thyroid gland."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19520/train_19520_a/train_19520_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46008",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: The described appearances involve approximately 50% of the lung lobes. In this examination, it is understood that lung aeration is minimally improved. Widespread consolidations, more prominent in the upper lobes, and minimal ground-glass appearance accompanying the consolidations are observed in both lungs. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: It is understood that the pleural effusion has just appeared. There is bilateral minimal pleural effusion.\n<heart>: There is no pericardial effusion.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19523/train_19523_c/train_19523_c_1.npy"
        ]
    },
    {
        "id": "report_generation_46014",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No suspicious nodule, mass or infiltration was detected in both lungs. There are fibrotic bands in the bilateral basals.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures have a natural appearance. No pathological lymph node was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<esophagus>: Esophagus is within normal limits.\n<bone>: No obvious pathology was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nNo signs of infection were detected in the lungs. However, it should be known that CT may be false negative in the first few days. Clinical and laboratory evaluation will be appropriate."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19526/train_19526_a/train_19526_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46022",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: It is recommended to evaluate the patient with dyspnea in terms of bronchiolitis.\n<lung>: A slight prominence is observed in the endobronchial structures in both lungs. No suspicious mass or nodular space-occupying lesion was observed in the lung parenchyma. No pneumonic infiltration or consolidation area was detected in the lung parenchyma in the upper abdominal sections. In the current examination, no finding in favor of alveolar infiltration was found.\n<mediastinum>: In the supraclavicular fossa, no lymph node was observed in the mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: In the upper abdomen sections, millimetric-sized nonspecific lymph nodes located in the left paraaortic were observed.\n\nImpression:\nThere is a slight prominence in the endobronchial structures in both lungs, and it was thought that the finding may be significant in terms of bronchiolitis in the patient who was examined for dyspnea."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19530/train_19530_a/train_19530_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46032",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A small amount of effusion is observed in both lungs, more prominent on the left. There are fibrotic sequelae changes at both apical levels. Interlobular septal thickening is observed. Centrilobular emphysematous changes are observed in both lungs. There are mild atelectatic changes in the lower lobes.\n<mediastinum>: Mediastinal main vascular structures are normal. The ascending aorta was measured 40 mm, the descending aorta 30 mm, the aortic arch 29 mm. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. There are calcific atheromatous plaques in the abdominal aorta.\n<heart>: Pericardial effusion-thickening was not observed. The cardiothoracic index increased in favor of the heart. The ascending aorta was measured 40 mm, the descending aorta 30 mm, the aortic arch 29 mm.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Hypertrophic osteophytic tapering and degenerative changes in the end plates of the vertebral corpuscles There are findings consistent with degenerative compression fracture, loss of height, especially in the anterior part of the TH 12 vertebral body.\n<abdomen>: The ascending aorta was measured 40 mm, the descending aorta 30 mm, the aortic arch 29 mm. There are calcific atheromatous plaques in the abdominal aorta. It was evaluated in the direction of cysts. In the fluid attenuation measuring 9 mm in the lower pole of the right kidney, there are a few findings in the lower and upper poles of oval shape. Upper abdominal organs are partially included in the study and were evaluated as suboptimal in the non-contrast study.\n\nImpression:\nClinical laboratory correlation of the findings described above in lung parenchyma for pulmonary edema secondary to heart failure is recommended.  Fibrotic sequelae changes at both apical levels.  Cardiomegaly. In the fluid attenuation measuring 9 mm in size in the lower pole of the right kidney, there are several findings in the lower and upper poles of oval shape. It was evaluated in the direction of cysts.  Osteopenic degenerative appearance in bone structures. Clinical correlation of degenerative height loss in TH 12 vertebral body is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19535/train_19535_a/train_19535_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46050",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: There was no significant change in their numbers.\n<pleura>: In both lungs, multilobar, diffuse in all segments, mostly peripheral subpleural consolidation and increased density in ground glass density were observed.\n<mediastinum>: In the mediastinum, lymph nodes with a fusiform configuration were observed, the largest of which was at the carinal level, with a short diameter of 13 mm. Other findings are stable.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19541/train_19541_b/train_19541_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46062",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Pleuroparenchymal sequelae density increases were observed in the middle lobe of the right lung. A non-specific parenchymal nodule with a diameter of 3.5 mm was observed in the inferior lingular segment of the left lung. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. A millimetric-sized nonspecific hypodense lesion was observed in the left lobe of the liver.\n\nImpression:\nSequelae changes in the right lung, millimetric non-specific parenchymal nodule in the left lung.  No sign of pneumonia was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19547/train_19547_a/train_19547_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46066",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Diffuse patchy ground glass densities are observed in both lungs. Clinical and laboratory correlation and close follow-up are recommended. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nDiffuse patchy ground glass densities are observed in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia. Clinical and laboratory correlation and close follow-up are recommended,  Small hiatal hernia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19549/train_19549_a/train_19549_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46084",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: No mass lesion with distinguishable borders was detected in both lungs. The left hemidiaphragm has an elevated appearance and focal eventration is observed in the central part of the diaphragm. It is recommended to be evaluated together with the clinic and laboratory. When examined in the lung parenchyma window; Patchy ground glass consolidations with multisegmental peripheral crazy paving pattern were observed in both lungs, and the appearance is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Size, contour and parenchymal thickness of both kidneys are normal. Bilateral adrenal glands are normal and no space-occupying lesion was detected. The spleen and pancreas are normal. As far as can be observed in the sections, the liver parenchyma density has decreased diffusely, consistent with hepatosteatosis.\n\nImpression:\nHigh suspicious findings in terms of Covid-19 pneumonia in the lung parenchyma; it is recommended to be evaluated together with the clinic and laboratory.  Elevated appearance in the left hemidiaphragm, focal eventration in the central part of the diaphragm . Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19555/train_19555_a/train_19555_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46096",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are occasional atelectasis in both lungs. No mass or infiltrative lesion was detected in both lungs. A mosaic attenuation pattern was observed in both lungs (small airway disease? small vessel disease?).\n<pleura>: There is minimal pleural effusion on the right.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There are atheromatous plaques in the aorta and coronary arteries. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Vena cava inferior and superior vena cava diameters have increased.\n<heart>: Pericardial thickening was not detected. As far as can be observed: The heart is larger than normal. It is recommended that the patient be evaluated for cardiac tamponade. Significant pericardial effusion is observed. Pericardial effusion was measured 65 mm at its thickest point adjacent to the left ventricle.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSignificant pericardial effusion, increased vena cava inferior and superior diameters (it is recommended to evaluate the patient for cardiac tamponade)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19560/train_19560_a/train_19560_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46100",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: A nodule with 5 mm diameter superposed on the minor fissure is observed on the right. When examined in the lung parenchyma window; mosaic attenuation pattern is observed in both lungs (small vessel disease?small airway disease?. There is band atelectasis in the inferior lingular segment.\n<pleura>: Subpleural interlobular septa are prominent in the middle lobe on the right Pleuroparenchymal sequela changes are observed in the left lung upper lobe anterior segment caudal and in the lingular segment. A subpleural 5x3 mm nodule is observed at the laterobasal level of the lower lobe of the right lung. Pleural effusion-pneumothorax is not detected.\n<mediastinum>: Calcific atheroma plaques are observed in the aortic arch, brachiocephalic artery and descending aorta. The pulmonary trunk is at the maximal physiological limit. Aortic arch calibration is slightly above normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Calibration of other mediastinal major vascular structures is normal.\n<heart>: CTO slightly increased in favor of the heart. Mild pericardial effusion is present. Superior pericardial recess is observed in the case.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<abdomen>: In the upper abdominal organs, including the sections, they are superposed on each other at the level of the gallbladder neck, the largest of which is 10x5 mm, consistent with calculus Densities are observed.Bilateral adrenal glands are normal and no space-occupying lesion is detected.Osteophytic tapering is observed in the corners of the bone structure in the examination area.Vertebral corpus heights are preserved. Calcific atheroma plaques are observed in the aortic arch, brachiocephalic artery and descending aorta. Aortic arch calibration is slightly above normal.\n\nImpression:\nMosaic attenuation pattern in both lungs (small vessel disease?, small airway disease?).  A few millimetric nodule formations and sequelae changes in both lungs  Cholelithiasis  Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19562/train_19562_a/train_19562_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46143",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No mass, nodule-infiltration was detected in both lungs.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: No pathological LAP was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance.\n<heart>: The heart and mediastinal vascular structures have a natural appearance.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCT imaging findings of pneumonia are not observed in both lung parenchyma. It may be negative in the early period. Clinical and laboratory examination is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19582/train_19582_a/train_19582_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: Parenchyma density is homogeneous. Thyroid gland sizes are slightly increased.\n<lung>: In the evaluation of the lung parenchyma; Patchy areas of atypical pneumonic infiltration are observed in the upper and lower lobes of both lungs, with ground glass density areas of consolidation and septal thickening. Radiological findings were evaluated in accordance with the pattern of covid infection lung parenchyma involvement.\n<mediastinum>: Nonspecific lymph nodes less than 1 cm in diameter are observed in the mediastinum, located in the paraaortic, bilateral lower paratracheal and subcarinal regions. Calibrations of mediastinal major vascular structures are natural.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: Sliding type hiatal hernia is present.\n<bone>: In the supraclavicular fossa, no lymph node in pathological size and appearance was observed in the axilla within the cross-section. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: There is a suspicious calculi image with a diameter of 2 mm in the interpolar localization in the middle zone of the right kidney. Correlation with clinical and laboratory would be appropriate. In the evaluation of upper abdominal sections, a diffuse decrease in liver parenchyma density consistent with moderate hepatosteatosis is observed.\n\nImpression:\nBilateral patchy atypical pneumonic infiltration areas are present in the lung parenchyma, and radiological findings were evaluated in accordance with Covid-19 infection and parenchymal involvement. Mediastinal nonspecific lymph nodes may belong to reactive mediastinal lymph nodes.  Sliding type mild hiatal hernia, moderate hepatosteatosis.  Right nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19583/train_19583_a/train_19583_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46161",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Linear atelectasis areas are observed at the level of the lingular segment in the left lung.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion-thickening was not observed. Right atrium enlarged. Metallic density artefacts of valve replacement are observed.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nLinear atelectasis areas at the level of the lingular segment in the left lung  Increase in heart size and especially right atrium size"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19589/train_19589_a/train_19589_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46175",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: A few millimeter-sized non-specific nodules were observed in both lungs. The largest measured 4 mm in diameter in the posterior segment of the right lung upper lobe. There was no change in the number and size of the previous PET-CT examination. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There was no significant change in the number and size of the previous PET-CT examination. Both lungs have a mosaic attenuation pattern (small airway disease?, small vessel disease?). Sequelae are parenchymal changes.\n<pleura>: In the current examination, there is an anx in the right pleural space and an effusion measuring 55 mm in the deepest part is observed. There are calcified thickness increases in the right pleura, which are primarily considered secondary to pleurodesis.\n<mediastinum>: There are lymph nodes measuring 16x9 mm in the mediastinum, the largest of which is at the right infrahilar level. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast.\n<heart>: Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness was detected.\n<breast>: Both breasts were not observed secondary to the operation.\n<bone>: There is a lesion measuring 18x14 mm in the current examination and 16x9 mm in the previous PET-CT examination, showing an increase in soft tissue density in the subcutaneous fatty tissue, approximately adjacent to the anterior 4th rib on the left chest anterior wall. Apart from this, no lytic-destructive lesion was observed in the bone structures within the image.\n<abdomen>: In the upper abdominal sections within the image, there are hypodense nodular lesions in both lobes of the liver, the largest in the right lobe, with no change in size and appearance. No cortical destruction or soft tissue component was detected. It could not be clearly characterized within the limits of unenhanced CT, but it was evaluated primarily in favor of the cyst. No loculated collection was detected in the operation site.\n\nImpression:\nCalcified thickness increases in the right pleura, primarily considered secondary to pleurodesis, and pleural effusion with an anx in place on the right.  Sequela parenchymal changes in both lungs, a few millimetric non-specific nodules, mosaic attenuation pattern.  Stable hypodense lesions in both lobes of the liver.  Stable lesion in the right humeral neck."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19594/train_19594_a/train_19594_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46177",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: It shows significant loculation at the fissure level. When examined in the lung parenchyma window; Diffuse atelectatic changes were observed in both lungs. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Patchy ground glass density increases were observed in both lungs.\n<pleura>: There are increases in thickness in the bilateral pleura and occasional calcifications in the pleura on the right. On the right, diffuse free fluid with localized loculation was observed between the pleural leaves.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart size increased.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: As far as can be seen; In the patient with a history of operation due to breast Ca in the left breast; a soft tissue lesion with a size of 19x13 mm, the largest of which is 19x13 mm, was observed in the inner quadrant of the left breast (recurrence?).\n<bone>: Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: In the upper abdominal sections within the study area, hypodense lesions measuring 26 mm in diameter were observed at the liver segment 2 level and segment 6 level and the largest at segment 6 level (cyst?).\n\nImpression:\nCa in the operated breast, soft tissue lesion in the left breast inner quadrant (recurrence?  Thickness increases in the right pleura.  Stable pleural effusion on the left.  Diffuse atelectatic changes in both lungs, patchy ground-glass density increases.  Two hypodense lesions (cysts?) in the liver.  Mild pericardial effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19594/train_19594_b/train_19594_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46199",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in the upper lobes of both lungs, and minimal bronchiectasis in the lower lobes. No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. No mass was observed in both lungs. There are several nonspecific nodules, some of which are calcific, in both lungs. It is recommended that the patient be evaluated in terms of infectious pathologies, primarily viral. There are noular consolidations in the lower lobes of both lungs, in the posterior segment of the right lung lower lobe, and patchy consolidations in other areas, minimal ground glass areas in the periphery and interlobular septal thickness increases in places.\n<mediastinum>: No enlarged lymph node was detected in the mediastinum and bilateral hilar regions in pathological size and appearance. Calcific atheroma plaques are observed in the coronary arteries and aorta. The widths of the mediastinal main vascular structures are normal.\n<heart>: The left atrium is dilated. Calcific atheroma plaques are observed in the coronary arteries and aorta. Intracardiac defibrillator is observed on the left anterior chest wall, and the catheter tips terminate in the right ventricle.\n<esophagus>: Sliding type minimal hiatal hernia is observed at the esophagogastric junction.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections. There are bubbling osteophytes in the corners of the thoracic vertebra corpus. Left 3-7. There are fracture lines healed with callus formation in the vertebrae.\n<abdomen>: Several hyperdense stones with a diameter of 1 cm are observed in the gallbladder. Sliding type minimal hiatal hernia is observed at the esophagogastric junction. Calcific atheroma plaques are observed in the coronary arteries and aorta. As far as it can be evaluated within the non-contrast CT limits; there is a hypodense lesion with a size of 20x23 mm, containing macroscopic fat, in the right adrenal gland (myelolipoma?).\n\nImpression:\nConsolidated areas, accompanying minimal ground glass areas, and interlobular septal thickness increases in places in the lower lobes of both lungs; It is recommended that the patient be evaluated for infectious pathologies, especially viral pathologies.  Several millimetric nonspecific nodules in both lungs.  Emphysematous and minimal bronchiectatic changes in both lungs.  Nodular appearance with exophytic extension in the left lobe of the thyroid gland; US control is recommended under elective conditions.  Intracardiac defibrillator, calcific atheroma plaques in the aorta and coronary arteries.  Macroscopic fat containing lesion in the right adrenal gland (myelolipoma?).  Cholelithiasis.  Thoracic spondylosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19603/train_19603_a/train_19603_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46224",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There is a 3 mm diameter nodule in the superior segment of the lower lobe. In the case with a previous Covid anamnesis, there is a diffuse mosaic attenuation pattern (small airway disease?, small vessel disease?) and diffuse ground-glass-like density increase in both lungs. Sequelae changes are observed in the middle lobe. A nodule of approximately 6x3 mm is observed at the level of the anterior segment of the right lobe. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Appearance is nonspecific. A 4 mm diameter nodule is observed in the middle lobe, and a 3x2 mm nodule in the interlobar fissure. In the evaluation of both lungs in the parenchyma window; Calibration of trachea and main bronchi is normal, their lumens are clear.\n<pleura>: There are subpleural nodules of 5x3 mm in size in the right lung lower lobe laterobasal segment and 3 mm in diameter more superiorly. A subpleural nodule with a diameter of 5 mm is observed at the posterobasal level. A subpleural nodule with a diameter of 4 mm is observed at the posterobasal level in the left lung. There is a subpleural 3 mm diameter nodule in the lateral, slightly more caudal.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. There are millimetric lymph nodes. Calibration of major vascular structures in the mediastinum is natural. No pathological size and configuration lymph nodes are observed in the mediastinum. Thoracic aorta diameter is normal.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: Surrounding soft tissue plans are natural. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild steatosis is observed in the liver in the sections that pass through the upper abdomen, including the sections.\n\nImpression:\nIn a case with a previous Covid history, it is recommended to evaluate the diffuse mosaic attenuation pattern (small airway disease?, small vessel disease?) in both lungs and diffuse ground glass-style density increases together with clinical and laboratory findings, millimetric nonspecific nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19609/train_19609_a/train_19609_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46229",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The outlook is consistent with Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Widespread patchy subpleural ground-glass areas are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the abdominal organs included in the study area were evaluated, the long axis of the liver increased by 175 mm.\n\nImpression:\nTypical-probable Covid-19 pneumonia should be evaluated together with clinical and laboratory findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19612/train_19612_a/train_19612_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46231",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs. There are millimetric nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. There are linear atelectasis in both lungs, most prominent in the left lung upper lobe lingular segment, and an appearance evaluated in favor of sequelae in the right lung middle lobe lateral segment.\n<pleura>: There is no pleural or pericardial effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: The neural foramina are open. Thoracic vertebral corpus heights, alignments and densities are normal. No fractures or lytic-destructive lesions were observed in the bone structures within the sections. Intervertebral disc distances are narrowed.\n<abdomen>: There are millimetric stones in the gallbladder. Atheroma plaques are observed in the aorta.\n\nImpression:\nThere are emphysematous changes in both lungs. Atelectasis in both lungs.  Millimetric nodules in both lungs. Atherosclerotic changes in the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19613/train_19613_a/train_19613_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46236",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Pleuroparenchymal sequelae density increases are observed in both lung apex. When examined in the lung parenchyma window; Newly emerging bud branch appearance and acinar opacities are observed in the upper-middle lobes of both lungs and in the lower lobes of the left lung.\n<pleura>: Bilateral pleural effusion was not detected. Calcified pleural thickenings are also observed in the anterior costal pleura in the upper lobe of the left lung. A calcified 15x7 mm sized nodular lesion located in the pleura is observed in the anterior segment of the right lung upper lobe.\n<mediastinum>: Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. Calibration of pulmonary arteries is natural. The diameter of the ascending aorta was 40 mm, the diameter of the aortic arch was 35, the diameter of the descending aorta was 38 mm, and it showed fusiform dilatation. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta.\n<heart>: The diameter of the ascending aorta was 40 mm, the diameter of the aortic arch was 35, the diameter of the descending aorta was 38 mm, and it showed fusiform dilatation. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour and size are natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. Siliding type hiatal hernia is observed.\n<bone>: No lytic-destructive lesion was detected. Degenerative changes are observed in bone structures.\n<abdomen>: Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. An area of parenchymal macrocalcification is observed in the right lobe of the liver. Upper abdominal sections entering the examination area are natural. The diameter of the ascending aorta was 40 mm, the diameter of the aortic arch was 35, the diameter of the descending aorta was 38 mm, and it showed fusiform dilatation. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta.\n\nImpression:\nFusiform dilatation of the thoracic aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Mediastinal stable lymph nodes.  Stable pleural-based calcified plaque in the upper lobe of the right lung, calcified pleural thickenings in both pleura.  Sequelae changes in both lungs, peribronchial thickenings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19616/train_19616_a/train_19616_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46240",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; There are areas of increased ground glass density in the lower lobe basal segments of both lungs, primarily considered secondary to the dependent effect. In the parenchyma of both lungs, there is a mosaic attenuation pattern, which is more prominent in the lower lobes.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. There are calcified atheroma plaques on the walls of the abdominal aorta and the main vascular structures arising from the aorta, but no evidence of occlusion or stenosis was detected. Widespread calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n<heart>: Heart size increased. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of the resulting vascular structures is natural.\n<esophagus>: There is a slight sliding type hiatal hernia at the lower end. No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: Grade I retrolisthesis was observed at L2-3 level. In bone structures within the image; Left-facing scoliosis was observed in the thoracic vertebral column. No lytic-destructive lesion was observed. There are degenerative changes.\n<abdomen>: No intraabdominal free fluid or loculated collection is observed. There are calcified atheroma plaques on the walls of the abdominal aorta and the main vascular structures arising from the aorta, but no evidence of occlusion or stenosis was detected. In the upper abdominal sections within the image, within the limits of non-contrast CT; In both kidneys, there are lesions with hypodense fluid density, cortical localized, and exophytic extension. It has not been clearly characterized within the limits of unenhanced CT. However, it was first thought to belong to the cyst. Widespread calcified atheroma plaques were observed on the walls of the thoracic aorta and coronary vascular structures.\n\nImpression:\nIncreased heart size, diffuse calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures, the walls of the abdominal aorta and major vascular structures originating from the aorta.  Areas of increased ground-glass density in the lower lobe basal segments of both lungs, primarily secondary to the dependent effect, and mosaic attenuation pattern in both lungs (small airway disease?, small vessel disease?) and occasional sequelae parenchymal changes in both lungs.  Nodular lesions (cyst?) in hypodense fluid density in both kidneys.  Degenerative changes in bone structures, grade I retrolisthesis at L2-3 level, left-facing scoliosis in the thoracic vertebral column and increase in thoracic kyphosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19618/train_19618_a/train_19618_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46248",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No mass space-occupying lesion was observed in the lung parenchyma. In parenchymal evaluation, bilateral asymmetric patchy consolidation areas are observed in both lungs. The findings were evaluated as compatible with atypical pneumonic infiltration, Covid pneumonia.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was observed in the supraclavicular fossa, axilla and mediastinum in pathological size and appearance.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments are of normal width.\n<bone>: No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nFindings compatible with Covid pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19622/train_19622_a/train_19622_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46269",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The craniocaudal length of the spleen is above normal with 146 mm. A 2 mm diameter calculus was observed in the middle part of the left kidney.\n\nImpression:\nThere was no finding in favor of pneumonia in the lung parenchyma. Splenomegaly.  Left nephrolithiasis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19632/train_19632_a/train_19632_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46307",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Several short axis lymph nodes measuring 6 mm are observed in the mediastinium.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are diffuse density decreases in bone structures, hypertrophic-osteophytic tapering in the end plates of the vertebral corpuscles.\n<abdomen>: The left kidney is atrophic. Thoracic aorta diameter is normal. The adrenal glands are slightly nodular in appearance.\n\nImpression:\nThere was no finding in favor of metastasis in both lungs.  Peribronchial thickenings, slightly faint, ground-glass-like density increases at the lower lobe levels of both lungs do not differ significantly (small vessel disease?, small airway disease?).  No significant difference was found in the small lymph nodes observed in the mediastinium.  Atherosclerotic changes.  Degenerative changes in bone structures.  There are mild nodular appearances in bilateral adrenal glands. It does not differ significantly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19649/train_19649_a/train_19649_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46316",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; No active infiltration or mass lesion was detected.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance. No pathological LAP was detected in the mediastinum.\n<heart>: The heart and mediastinal vascular structures could not be evaluated optimally due to the lack of contrast, and they have a natural appearance.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic or destructive lesions were detected in bone structures.\n<abdomen>: No pathology was detected in the sections passing through the upper part of the abdomen.\n\nImpression:\nFindings within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19654/train_19654_a/train_19654_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46323",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: No suspicious mass or nodular space-occupying lesion was detected in the lung parenchyma. When examined in the lung parenchyma window; Pneumonic infiltration or consolidation area is not observed in the lung parenchyma.\n<heart>: Pericardial effusion was not detected. Heart dimensions and compartments appear natural.\n<esophagus>: The esophagus is observed in normal calibration.\n<bone>: No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. No lytic-destructive lesions were detected in bone structures.\n<abdomen>: No features were detected in the upper abdomen sections.\n\nImpression:\nExamination within normal limits."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19657/train_19657_b/train_19657_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46345",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Consolidation areas showing diffuse air bronchogram sign, honeycomb appearance, crazy paving pattern are observed in both lungs. A significant increase is observed in parenchymal findings, which were evaluated in favor of Covid-19 viral pneumonia in the previous examination.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. A few small lymph nodes measuring 13 mm in short axis are observed in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Millimetric stones are observed in the gallbladder. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. A cortical cyst measuring 37 mm is observed in the right kidney. Upper abdominal organs included in the sections are normal. Mild irregularity and thinning are observed in the left kidney parenchymal structures.\n\nImpression:\nlymph nodes  Millimetric stone in the gallbladder."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19665/train_19665_a/train_19665_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46353",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described findings involve almost the entire lung. It has been understood that the appearances described during the pandemic process are Covid-19 pneumonia. Diffuse ground-glass appearances and interlobular septal thickenings accompanying ground-glass appearances were observed in both lungs. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19666/train_19666_d/train_19666_d_1.npy"
        ]
    },
    {
        "id": "report_generation_46355",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No discernible mass was detected in both lungs. The patient, who was followed up for viral pneumonia, had extensive ground-glass areas showing confluence in both lungs, accompanying interlobular septal thickness increases, and areas of subsegmental atelectasis and tubular bronchiectasis. A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: A few lymph nodes with a short diameter less than 5 mm are observed in the mediastinum and bilateral hilar regions, and no enlarged lymph nodes in pathological size and appearance are detected.\n<heart>: Heart contour and size are normal. Calcific atheroma plaques are observed in the anterior descending coronary artery.\n<esophagus>: Sliding type hiatal hernia is observed at the esophagogastric junction.\n<bone>: At the corners of the corpus of the thoracic vertebrae, bridging milimetric osteophytes are observed. No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Sliding type hiatal hernia is observed at the esophagogastric junction.\n\nImpression:\nIn the patient followed up for viral pneumonia; diffuse ground glass areas showing confluence in both lungs, accompanying interlobular septal thickness increase and areas of subsegmental atelectasis, tubular bronchiectasis.  Hiatal hernia.  Calcific atheroma plaques in the anterior descending coronary artery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19666/train_19666_e/train_19666_e_1.npy"
        ]
    },
    {
        "id": "report_generation_46363",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be observed: A malignant mass surrounding and narrowing the bronchial structures is observed around the bronchial structures in the right pulmonary hilus.\n<lung>: The appearance described in the presence of primary disease was first evaluated in favor of the mass. The described lesion measures approximately 21x24 mm. A thick-walled cavitary lesion was observed in the superior segment of the lower lobe of the right lung. The largest of these nodules is observed in the lower lobe of the left lung and the longest diameter is 6 mm. There are millimetric nodules in both lungs. The appearances described in the presence of primary disease were thought to be compatible with lymphangitis carcinomatosa. Peribronchial thickening, interlobular septal and occasionally interstitial thickening and ground glass appearance are observed in the right lung. The nodules described were also considered to be metastases. A finding that can be evaluated in favor of pneumonic infiltration in both lungs was not detected in this examination.\n<pleura>: There is bilateral pleural effusion, more prominent on the right.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are lymphadenopathies at the mediastinal entrance, paratracheal and subcarinal regions. The widths of the mediastinal main vascular structures are normal. The largest of the described lymphadenopathies is observed in the paratracheal region and measures approximately 35x26 mm. There are atheromatous plaques in the aorta and coronary arteries.\n<heart>: Heart contour and size are normal. There is no pericardial effusion.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: The neural foramina are open. Vertebral corpus heights, alignments and densities within the sections are normal. There are osteophytes in the vertebral corpus corners.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries. There is minimal thickening of both adrenal gland corpuscles.\n\nImpression:\nMalignant mass in the right pulmonary hilum, mediastinal lymphadenopathies, findings in favor of lymphangitis carcinomatosis in the right lung, cavitary lesion evaluated in favor of metastasis in the right lung lower lobe, metastatic nodules in both lungs.  Bilateral minimal pleural effusion."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19670/train_19670_a/train_19670_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46371",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: There are pleuroparenchymal linear density increments in places on this floor. The findings are consistent with the anamnesis in the case that was learned to have had Covid pneumonia. In the evaluation of both lungs in the parenchyma window; both hemithorax are symmetrical. Pathological size and configuration of lymph nodes are not observed at both hilar levels. Ground-glass-like density increments and consolidative areas are observed in both lungs, which tend to coalesce from place to place in the periphery.\n<pleura>: No significant pleural effusion-pneumothorax was detected.\n<mediastinum>: No pathological size and configuration lymph nodes were detected in the mediastinum. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structure cannot be evaluated due to intense motion artifact.\n<abdomen>: The examination is suboptimal due to intense motion artifact. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal. As far as can be evaluated, no obvious pathology was detected in the surrounding soft tissue planes.\n\nImpression:\nGround-glass-style density increases and consolidative areas are observed in both lungs, which have a tendency to coalesce in the periphery. There are pleuroparenchymal linear density increases from place to place on this floor. The findings are consistent with the anamnesis in the case in which it was learned that he had Covid pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19674/train_19674_a/train_19674_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46399",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are subsegmental atelectasis in both lungs, more prominently in the right lung.\n<pleura>: Subpleural areas of ground glass density were observed in the anterior upper lobe of the left lung (secondary to RT?). Thickening was observed on the pleural surfaces of the right hemithorax. There is minimal pleural effusion in the left hemithorax. When examined in the lung parenchyma window; There are widespread, locating pleural effusions in the right hemithorax, including coarse calcifications.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion, which was 11.5 mm in its thickest part, was observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: The left breast was not observed (operated). There are areas of possible post-op parenchymal distortion in the anterior left chest wall.\n<bone>: There are milimetric foci in the middle part of the L2 vertebra, and sclerotic foci in the anterior part of the left 4th rib.\n<abdomen>: Diffuse thickening was observed in the corpus of the right adrenal gland and the lateral crus of the left adrenal gland. Thoracic aorta diameter is normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThe amount of pleural effusion and pericardial effusion observed in the right hemithorax has increased slightly. Apart from these, no significant difference was detected."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19684/train_19684_a/train_19684_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46413",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheomegaly is present. Diameter increase and wall irregularities are observed in the trachea. Filling defects of secretions are observed in ectatic bronchial lumens. It was understood that the nodular irregularly limited densities in places belonged to the secretions in the ectatic bronchus.\n<lung>: It is not accompanied by calcification. The sequela may belong to a parenchymal change. When examined in the lung parenchyma window; more prominent cystic bronchiectasis are observed in the upper lobes of both lungs. Irregularly limited. In the right lung upper lobe posterior segment, soft tissue density extending towards the minor fissure, without mass effect and causing pleuroparenchymal retraction, is observed. It is recommended to encounter or follow up with previous examinations. An increase in aeration due to bronchiectasis is observed in the lung parenchyma. There is paraseptal emphysema in the upper lobe apical segments. No pneumonic infiltration or consolidation area was detected in the lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: The diameter of the ascending aorta was 39 mm, the diameter of the distal aortic arch was 37 mm, and the diameter of the thoracic aorta was 36 mm. In the upper abdominal sections, a slight increase in fusiform diameter due to calcific atherosclerotic plaques is observed in the abdominal aorta. The diameter of the aorta was measured 30 mm in cross-section at its widest point. Calcific atherosclerotic plaques and slight fusiform diameter increase are observed in the ascending aorta, aortic arch and thoracic aorta. In the mediastinum, milimetric, non-specific mediastinal lymph nodes located bilaterally in the upper paratracheal and lower paratracheal region are observed.\n<heart>: The diameter of the ascending aorta was 39 mm, the diameter of the distal aortic arch was 37 mm, and the diameter of the thoracic aorta was 36 mm. Heart sizes are normal. Pericardial effusion was not detected. Findings of previous coronary bypass surgery are observed. Calcific atherosclerotic plaques and slight fusiform diameter increase are observed in the ascending aorta, aortic arch and thoracic aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The diameter of the ascending aorta was 39 mm, the diameter of the distal aortic arch was 37 mm, and the diameter of the thoracic aorta was 36 mm. In the upper abdominal sections, a slight increase in fusiform diameter due to calcific atherosclerotic plaques is observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. The diameter of the aorta was measured 30 mm in cross-section at its widest point. Calcific atherosclerotic plaques and slight fusiform diameter increase are observed in the ascending aorta, aortic arch and thoracic aorta.\n\nImpression:\nParaseptal emphysema at the apex of the lung.  Increased aeration in lung parenchyma due to bronchiectasis  Mediastinal non-specific millimetric lymph nodes.  Findings secondary to previous coronary bypass surgery."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19689/train_19689_a/train_19689_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46429",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Uniform interlobular septal thickenings were observed in the lower lobes of both lungs (secondary to cardiac pathology?). It is not typical for Covid-19 pneumonia. Pleuroparenchymal sequelae density increases were observed in the left lung upper lobe apicoposterior segment and lower lobe superior segment. It just appeared in the review. When evaluated in the parenchyma window of both lungs: Diffuse emphysematous changes were observed in both lungs. Appearance is nonspecific. Millimetric lymph nodes were observed in the right upper-lower paratracheal area. Patchy ground glass density increases were observed in both lungs.\n<pleura>: Bilateral minimal pleural effusion was observed. In the right lung lower lobe laterobasal segment, a subpleural parenchymal nodule with a diameter of 6.5 mm was observed.\n<mediastinum>: Calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. The main pulmonary artery diameter was 38 mm and increased. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: The diameter of the ascending aorta was 43 mm and the descending aorta was 33 mm in diameter, showing fusiform dilatation. No lymph node was detected in mediastinal pathological size and appearance.\n<heart>: Calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls. Heart size increased. Pace maker and electrodes extending to the floor of the ventricle were observed on the left anterior chest wall. Minimal effusion was observed in the anterior pericardium.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: There is minimal fusion in the posterior elements. Diffuse degenerative changes were observed in bone structures.\n<abdomen>: Calcified atherosclerotic changes and stent materials were observed in the thoracic aorta and coronary artery walls. Thickening and calcification were observed in the anterior longitudinal ligament. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Nonspecific hypodense lesions measuring 8 mm in diameter were observed at the level of the liver dome. As far as can be observed: The diameter of the ascending aorta was 43 mm and the descending aorta was 33 mm in diameter, showing fusiform dilatation. It is recommended to be evaluated together with clinical and laboratory data in terms of possible ankylosing spondylitis and inflammatory arthritis.\n\nImpression:\nCardiomegaly. Dilatation of the thoracic aorta and pulmonary artery. Emphysematous changes in both lungs. Smooth interlobular septal thickenings in both lungs.  Nonspecific patchy ground-glass density increases in both lungs, the appearance is not typical for Covid-19 pneumonia. However, it cannot be excluded. Clinical and laboratory correlation is recommended.  Newly emerged parenchymal nodule located subpleural in the right lung lower lobe laterobasal segment.  Millimetrically sized hypodense lesions in the liver are stable. Fusiform dilatation of the thoracic aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19695/train_19695_b/train_19695_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46431",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There are diffuse emphysematous changes and occasional atelectasis in both lungs. Microcystic changes and interlobular septal thickenings, which were evaluated primarily in favor of sequelae changes, were observed in both lung lower lobes. There is a nodule measuring 8 mm in diameter in the lateral part of the superior segment in the lower lobe of the right lung. No mass or infiltrative lesion was detected in both lungs. In addition, minimal bronchiectasis and peribronchial thickening are observed in both lungs. In addition, millimetric nodules were observed in both lungs. The described findings are also observed in the previous examination of the patient and no difference was found.\n<pleura>: There is bilateral minimal pleural effusion.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. There are atheromatous plaques in the aorta and coronary arteries. There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: No significant pericardial effusion was detected. Widespread atheroma plaques are observed especially in the coronary arteries. As far as can be observed: Heart contour and size are normal. Pacemaker electrodes terminate in the right atrium and ventricle.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are syndesmophytes in the vertebral corpuscles. Thoracic vertebral corpus heights, alignments and densities are normal. It is recommended that the patient be evaluated for ankylosing spondylitis.\n<abdomen>: There are atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was observed in the sections.\n\nImpression:\nFindings evaluated primarily in favor of sequelae changes in the lower lobes of both lungs.  Diffuse emphysematous changes in both lungs.  Millimetric stable nodule in the lower lobe of the right lung.  Millimetric nonspecific nodules in both lungs.  Minimal bronchiectasis and minimal peribronchial thickening in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19695/train_19695_c/train_19695_c_1.npy"
        ]
    },
    {
        "id": "report_generation_46433",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There is a millimetric calcific nodule in the superior lower lobe of the right lung and is stable. Findings may belong to pulmonary edema. When examined in the lung parenchyma window; There is diffuse emphysematous appearance in both lungs. There are thickenings in the interlobular septa in both lungs and an increase is observed.\n<pleura>: It is accompanied by bilateral minimal pleural effusion.\n<mediastinum>: Thoracic aorta diameter is normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. The pulmonary trunk and right pulmonary artery are ectatic (39 mm and 34 mm, respectively). Other mediastinal main vascular structures, heart contour, size are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes in the vertebrae and osteophytes tending to merge anteriorly are observed.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nAortic and coronary artery atherosclerosis, ectasia in pulmonary arteries.  Pacemaker on the left anterior chest wall.  Widespread bronchiectasis and increased bronchial wall thickening, more prominently in the lower lobes of both lungs.  Increased prominence of interlobular septa in both lungs (pulmonary edema?). Bilateral minimal pleural effusion.  Degenerative changes in the vertebrae and anterior osteophytes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19695/train_19695_d/train_19695_d_1.npy"
        ]
    },
    {
        "id": "report_generation_46442",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Linear subsegmental atelectatic changes were observed in the right lung middle lobe, left lung upper lobe lingular and right lung lower lobe basal segments. In addition, band atelectatic changes were observed in the left lung lower lobe anteromediobasal subsegment. No mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<mediastinum>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Thoracic kyphosis is increased. Osteoporosis and minimal osteodegenerative changes were observed in the bone structures within the sections.\n<abdomen>: There is severe hepatosteatosis in the liver entering the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nHiatal hernia.  Linear subsegmental atelectatic changes in both lungs.  Hepatic steatosis.  Increased kyphosity at the thoracic level, osteoporosis, minimal osteodegenerative changes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19700/train_19700_a/train_19700_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46469",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There is a patchy ground glass density located in the posterior of the lower lobe of the right lung, adjacent to the vertebral costal junction, located peripherally. It is both, and no nodular lesion was detected in the lung parenchyma. Findings are atypical for the differential diagnosis of early viral pneumonia, and clinical laboratory correlation and close follow-up are recommended for better differential diagnosis.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nRight lung lower lobe posteriorly located peripherally, adjacent to the vertebra-costal junction, patchy style, ground glass density. Findings are atypical for the differential diagnosis of early viral pneumonia, and clinical laboratory correlation and close follow-up are recommended for better differential diagnosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19711/train_19711_a/train_19711_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46473",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no obstructive pathology is observed.\n<lung>: The findings were primarily evaluated as secondary to distal airway diseases. In the examination made in the lung parenchyma window; Centriacinar emphysematous changes are observed in both lungs. No active infiltration or mass lesion was detected in both lungs. In both lungs, there are peripheral interlobular septal thickness increases, which are more evident in the lower lobes, and areas of centriacinar nodular density increase in the lower lobes.\n<pleura>: Pericardial, pleural effusion was not detected.\n<mediastinum>: No lymph node is observed in mediastinal lymph node stations and in both axillary regions and pathological size and appearance. Mediastinal main vascular structures and heart examination could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures was preserved.\n<heart>: Heart contour and size are natural. Mediastinal main vascular structures and heart examination could not be evaluated optimally due to the lack of IV contrast, and the calibration of the vascular structures was preserved.\n<esophagus>: No pathological increase in wall thickness was detected in the thoracic esophagus.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image, and the vertebral corpus heights were preserved.\n<abdomen>: In the upper abdominal sections within the image, no solid mass was detected as far as can be observed within the borders of non-contrast CT.\n\nImpression:\nCentriacinar emphysematous changes in both lungs, smooth interlobular septal thickness increases, which are more prominent in the lower lobes and peripheral areas of both lungs, and centriacinar nodular opacities in the lower lobe posteriors are observed. Distal airway diseases are considered to be the etiology of the findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19713/train_19713_a/train_19713_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46478",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: Pleural effusion-thickening was not detected. When examined in the lung parenchyma window, there are widespread ground glass densities and subpleural consolidated appearances in both lung parenchyma.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal diffuse density loss is observed in the liver entering the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with bilateral Covid pneumonia.  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19716/train_19716_a/train_19716_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46484",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Centriacinar emphysema areas were observed in the central parts of the upper and middle lobes of the right lung. Calcified lymph nodes were observed in the mediastinum and both hilum. Pleuroparenchymal sequelae density increases were observed in the left lung upper lobe inferior lingular, right lung middle lobe medial, and left lung lower lobe posterobasal segments. No mass lesion-pneumonic infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Calcified lymph nodes were observed in the mediastinum and both hilum. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaque was observed in LAD.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<breast>: Bilateral gynecomastia was observed.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nBilateral gynecomastia.  Calcific atheroma plaque in LAD.  Hiatal hernia.  Centriacinar emphysema in the central part of the upper-middle lobe of the right lung.  Pleuroparenchymal sequelae changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19719/train_19719_a/train_19719_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46511",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Tracheal tube is observed. Calcifications and calcific lymph nodes are observed around the trachea and main bronchi.\n<lung>: In the left lung, interlobular septal thickenings in the upper lobe posterior segment, fluids entering the fissure, more prominent interlobular septal thickenings in the lower lobe superior segment, and millimetric-sized consolidations with irregular contours extending to the fissure are observed. A consolidation of approximately 4x3 cm is observed in the posterior segment of the right lung upper lobe. Consolidations of approximately 3.7x7.2 cm are observed in the posterior segment of the lower lobe.\n<pleura>: There is a pleural effusion reaching 6 cm in diameter in the left hemithorax. Bilaterally, pleural effusions also enter the fissure.\n<mediastinum>: The diameter of the main pulmonary artery is 4 cm, the diameter of the right pulmonary artery is 2.9 cm, the diameter of the left pulmonary artery is 2.7 cm, and it is wider than normal.\n<heart>: The cardiothoracic index increased in favor of the heart.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No significant pathology was detected in the abdominal sections. Colon loops are in wide view. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. The largest diameter reaches 4.8 cm.\n\nImpression:\nHydropneumothorax in the right lung, consolidations in the right lung upper lobe posterior segment, lower lobe superior segment, pleural effusions entering bilateral fissures, millimetric irregular consolidated areas in the left lung upper lobe apicoposterior segment and lower lobe superior segment."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19732/train_19732_a/train_19732_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46519",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: In terms of the presence of an underlying mass, it is recommended to evaluate and follow the patient together with previous examinations. Noncalcified nodules, many with irregular borders, were observed in both lungs. A soft tissue density appearance and minimal bronchiectasis are observed in the left lung upper lobe apicoposterior segment apical subsegment causing structural distortion and volume loss around it. The described appearances were first evaluated in favor of pleuroparenchymal sequela fibrotic changes. There are also millimetric calcific nodules in both lungs. Minimal bronchiectasis, peribronchial thickening and minimal volume loss are observed in the anterior segment of the left lung upper lobe. The largest of these nodules is observed in the posterior segment of the right lung upper lobe (series 2 im 133) and measures approximately 11x18 mm in size. There are atelectasis in both lung lower lobes. There are nodules in this localization, most of which are calcific. The presence of irregular borders of these nodules raises suspicion in terms of malignancy. No mass or infiltrative lesion was detected in both lungs. Emphysematous changes are observed in both lungs. The consolidation area, which was observed in the previous examination in the right lung lower lobe base segment, was not detected in the current examination.\n<mediastinum>: There are short lymph nodes less than 1 cm in diameter in the mediastinum and hilar regions. Mediastinal main vascular structures are normal.\n<heart>: Heart contour and size are normal. Pericardial effusion was not detected.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: Hypodense finding of 41 mm in the left lobe of the liver, fluid loculation? It has been evaluated in favor and follow-up is recommended. Upper abdominal organs are partially included in the examination, the liver is operated on the right lobe, a transhepatic percutaneous catheter is observed passing through the stent extending to the right lobe site.\n\nImpression:\n089.2020, the effusions observed in both hemithorax were not observed in the current examination.  Most nodules with irregular borders in both lungs do not differ significantly.  Appearances evaluated in favor of pleuroparenchymal sequela fibrotic changes in the left upper lobe of the lung . Atelectasis in both lungs . Calcific nodules in both lungs . Emphysematous changes in both lungs . The liver is not observed post-operatively in the right lobe. The findings described above."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19736/train_19736_a/train_19736_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46565",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Emphysematous changes and locally linear atelectasis were observed in both lungs. As far as can be observed: It has been learned that the patient was operated for lung cancer, and right upper lobectomy and left lower lobectomy were performed. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: There is minimal pleural effusion on the left. No pleural effusion was detected on the right.\n<mediastinum>: No enlarged lymph node was detected in pathological size and appearance. There are atheromatous plaques in the aorta and coronary arteries. The examination of the patient was evaluated together with the examinations dated 2021. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The aortic arch is elongated. There are millimetric lymph nodes in the mediastinum and hilar regions. The diameters of the pulmonary arteries are normal.\n<heart>: It is understood that the patient underwent aortic valve surgery. Heart contour and size are normal. The anterior-posterior diameter of the ascending aorta was 47 mm at its widest point and was wider than normal. It is understood that the patient underwent coronary bypass surgery.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections. There is a sliding type hiatal hernia at the lower end of the esophagus.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are atheromatous plaques in the aorta and coronary arteries. The aortic arch is elongated.\n\nImpression:\nOperated lung ca.  Atheroma plaques in the aorta and coronary arteries.  Hiatal hernia.  Left pleural effusion.  Emphysematous changes and atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19755/train_19755_b/train_19755_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46571",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: In addition, there are pleuroparenchymal sequelae in the lower lobes of both lungs. In the evaluation of both lung parenchyma; Consolidation areas are observed in the upper part of the right lung in the middle and in the lower part of the left lung, in the upper lobe anterior segment, in the middle lobe.\n<pleura>: Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric calcific plaques are observed in the aortic arch. No pathological LAP was detected in the mediastinum.\n<heart>: Calcifications are observed in the coronary arteries. The cardiothoracic index increased in favor of the heart.\n<bone>: Bone structures appear osteopenic.\n<abdomen>: A cyst is observed in the left kidney. Millimetric calcific plaques are observed in the aortic arch. No obvious pathology was detected. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections.\n\nImpression:\nAreas of focal nodular consolidation in both lungs, some with a ground-glass appearance (infective process?).  Cardiomegaly.  Left renal cyst."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19758/train_19758_a/train_19758_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46579",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<pleura>: When examined in the lung parenchyma window; nodular ground glass and consolidations are observed in both lungs with a predominantly subpleural tendency to merge.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with viral pneumonia in bilateral lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19761/train_19761_a/train_19761_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46592",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: There are mild atelectatic changes in the left lung upper lobe inferior lingula. Emphysematous changes are present in both lungs, especially at the apical levels. When examined in the lung parenchyma window; Centracinar millimetric ground glass densities are observed in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nSmall airway disease? Small vessel disease? clinical lab. Core monitoring is recommended.  No significant difference was detected in the small nodule with a diameter of 2 mm in the anterior segment of the right lung upper lobe.  There are emphysematous changes in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19767/train_19767_a/train_19767_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46601",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: The findings were evaluated in favor of Covid-19 viral pneumonia. When examined in the lung parenchyma window; diffuse spread in both lungs, mostly peripherally located nodular patchy nodules of ground glass density with a halo sign around it are observed.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. There is a lymph node measuring up to 15 mm in size in the posterior of the sternum. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia.  Lymph node measuring up to 15 mm in size in the posterior of the sternum."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19772/train_19772_a/train_19772_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46603",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: A mosaic attenuation pattern was observed in both lung parenchyma (small airway disease?, small vessel disease?). It was determined that infiltration areas were observed at this level before, and the findings were evaluated in favor of regression. No newly emerged infiltration area was detected in the current examination.\n<pleura>: Bilateral pleural thickening-effusion was not detected.\n<mediastinum>: No dilatation was detected in the thoracic aorta. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. As far as can be observed: A lymph node of 18x13 mm was observed in the anterior mediastinum. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced.\n<heart>: Heart size increased. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: No dilatation was detected in the thoracic aorta. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected.\n\nImpression:\nCardiomegaly. It was determined that infiltration areas were observed at this level before, and the findings were evaluated in favor of regression. No newly emerged infiltration area was detected in the current examination."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19772/train_19772_b/train_19772_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46610",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: As far as can be seen; Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; A mosaic attenuation pattern was observed in both lungs (small airway disease? Small vessel disease?).\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected in the non-contrast examination margins.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: When the upper abdominal organs included in the sections were evaluated; liver parenchyma density was diffusely decreased in line with the adiposity. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Accessory spleen with a diameter of 20 mm is observed adjacent to the upper pole of the spleen.\n\nImpression:\nMosaic attenuation pattern in both lungs (small airway disease? Small vessel disease?).  Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19776/train_19776_a/train_19776_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46616",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There is a millimetric nonspecific nodule in the lower lobe of the left lung.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were detected in the bone structures within the sections. Posterocentral-left paramedian disc protrusion is observed in T11-12 intervertebral disc. Posterior contours of other intervertebral discs are normal as far as can be observed in this examination. Intervertebral disc distances are preserved. Thoracic vertebral corpus heights, alignments and densities are normal.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nMillimetric nodule in the lower lobe of the left lung  T11-12 posterocentral-left paramedian disc protrusion"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19778/train_19778_b/train_19778_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46624",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A few millimetric nonspecific nodules are observed in the lateral segment of the lower lobe of the right lung.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in sections; A change in favor of steatosis is observed in the liver parenchyma.\n\nImpression:\nA few millimetric nonspecific nodules in the lateral segment of the lower lobe of the right lung  Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19782/train_19782_a/train_19782_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46652",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: Pneumonic infiltration is considered in the etiology of the described findings. Density increases that cannot be clearly differentiated from atelectasis consolidation in the posterior lower lobe posterobasal segment of the bilateral lung, nodular consolidation area in the left lung apical segment, and tree-like centriacinar opacities in both lungs in multiple localizations, ground glass densities are observed. Clinic and lab.\n<pleura>: An effusion of 15 mm at the deepest part of the pericardium and 14 mm on the right at its deepest point in the bilateral pleural space is observed.\n<mediastinum>: No pathological LAP was detected in the mediastinum. There are calcified atheromatous plaques on the wall of vascular structures.\n<heart>: CTO increased in favor of the heart.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: Degenerative changes are observed in bone structures. Height loss and sclerotic changes are observed in the anterior part of the L1 vertebra.\n<abdomen>: verification is recommended. There is a 14 mm hyperdense stone in the gallbladder lumen. There are calcified atheromatous plaques on the wall of vascular structures.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19794/train_19794_a/train_19794_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46654",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<thyroid>: It is recommended to be evaluated together with US.\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Two nonspecific parenchymal nodules with a diameter of 4.3 mm were observed in both lungs, the largest of which was in the anterobasal segment of the lower lobe of the left lung. When examined in the lung parenchyma window; Pleuroparenchymal atelectatic changes were observed in the right lung middle lobe medial and left lung upper lobe inferior lingular segment. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs are normal as far as can be seen in the sections. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nIncreased size of the right thyroid gland and isthmus; It is recommended to be evaluated together with US.  Pleuroparenchymal atelectatic changes in the right lung middle lobe and left lung lingular segment.  Nonspecific parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19795/train_19795_a/train_19795_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46680",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19805/train_19805_a/train_19805_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46682",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Multilobar, multisegmentary, central-peripheral patchy-nodular consolidation areas were observed in both lungs. The described findings are consistent with Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected. Consolidation areas are accompanied by linear atelectatic changes and subpleural striations.\n<mediastinum>: Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. In the non-contrast examination, the mediastinum was not evaluated optimally.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: A 7.5 mm diameter nonspecific hypodense lesion area was observed in the liver left lobe lateral segment (segment 2). Thoracic aorta diameter is normal. Millimetric calculus was observed in the gallbladder lumen. It could not be characterized in the non-contrast examination.\n\nImpression:\nFindings consistent with Covid-19 pneumonia in the lung parenchyma  Millimetric nonspecific hypodense lesion in the left lobe lateral segment (segment 2) of the liver; could not be characterized in the non-contrast scan.  Cholelithiasis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19806/train_19806_a/train_19806_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46712",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calcifications are observed in the walls of the trachea and main bronchus. Trachea and main bronchi are open.\n<lung>: In the evaluation of both lung parenchyma; more prominent interlobular septal thickening is observed in the diffuse upper lobes of both lungs. Apart from this, nonspecific appearance of ground glass densities is accompanied in both lungs. Effusions also enter bilateral major fissures. Subsegmental atelectasis is observed in the right lung middle lobe, left lung lingular segment, and right lung lower lobe posterobasal segment.\n<pleura>: Pleural effusions reaching a thickness of 7 mm in the right hemithorax and 25 mm in the left hemithorax are observed.\n<mediastinum>: Several lymphadenomegaly are observed in the right upper-lower paratracheal, aortopulmonary larger one with a narrow diameter of 11 mm. Calcific plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<heart>: The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the aortic arch, descending aorta and coronary arteries.\n<bone>: Bone structures are osteopenic. Dorsal kyphosis was markedly increased. Degenerative changes are observed in the dorsal vertebrae.\n<abdomen>: Calcific plaques are observed in the aortic arch, descending aorta and coronary arteries. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural.\n\nImpression:\nCardomegaly . Pleural effusion in both lungs prominent on the left . Subsegmental atelectasis in the right lung middle lobe, left lung lingular segment and lower lobe posterobasal segment, interlobular septal thickenings, and ground glass densities in nonspecific appearance were mostly evaluated as an infective process secondary to cardiac overload. Clinical evaluation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19819/train_19819_a/train_19819_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46720",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT volume provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: It is recommended to be evaluated together with clinical and laboratory. When examined in the lung parenchyma window; focal-patrilineal consolidations accompanied by more common central-peripheral ground-glass densities and accompanying linear atelectasis were observed in the lower lobe basal segments of both lungs. No mass lesion with distinguishable borders was detected in both lungs. The outlook is highly suspicious for Covid-19 pneumonia.\n<mediastinum>: Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries. In the non-contrast examination, the mediastinum could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal.\n<heart>: LAD and RCA placed stents are available. Pericardial effusion-thickening was not observed. As far as can be observed: mediastinal main vascular structures, heart contour, size is normal. Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs included in the sections, a 13x12 mm hypodense nonspecific lesion area was observed in the left lobe segment 4B of the liver, adjacent to the falciform ligament (focal adiposity? hemangioma?). Diffuse calcific atheroma plaques were observed in the aortic arch and coronary arteries. Gallbladder, spleen, both kidneys, right adrenal gland and pancreas are normal. A 20x14 mm adenoma was observed in the left adrenal gland corpus.\n\nImpression:\nCalcific atheroma plaques in arcus aorta and coronary arteries, stents placed in LAD and RCA . Suspicious appearance in lung parenchyma for Covid-19 pneumonia; It is recommended to be evaluated together with clinical and laboratory.  Left adrenal adenoma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19823/train_19823_a/train_19823_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46755",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: No nodular or infiltrative lesion was detected in both lung parenchyma. When examined in the lung parenchyma window; Mild emphysematous changes are observed in the basal segments of the lower lobes of both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. Multiple lymph nodes measuring up to 8 mm in size are observed in the paraaortic retroperitoneal area. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: There are findings compatible with stent in coronary arteries. Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Degenerative changes are observed in the end plates of the vertebral corpuscles. Mild scoliosis is observed with the opening facing left. There is a diffuse density decrease in the bone structures in the examination area.\n<abdomen>: Oval-shaped findings in fluid attenuation measuring up to 18 mm in size from parenchyma to exophytic localization in the left kidney were evaluated as cortical cysts with dense content. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. A few millimetric calcific foci in the right kidney were evaluated in the direction of calcules. Upper abdominal organs included in the sections are normal. Contrast examination of the upper abdomen is recommended for a better differential diagnosis of the finding. Multiple lymph nodes measuring up to 8 mm in size are observed in the paraaortic retroperitoneal area. A space-occupying finding in the left adrenal gland lodge, the size of which is 44x15 mm in axial sections, and strains are observed in the surrounding fatty tissues? It is being watched.\n\nImpression:\nMass lesion in the left adrenal gland site, which was evaluated as suboptimal within the examination limits? Contrast CT or MRI of the upper abdomen is recommended for clinical laboratory correlation and better differential diagnosis.  Right nephrolithiasis . Calcific atherosclerosis in the abdominal aorta and coronary arteries . Paraabdominal aortic and retroperitoneal 8 mm' Multiple lymph nodes measured up to .Atelectatic changes in both lung lower lobe basal segments, more prominent on the left. Mild emphysematous changes in the left lower lobe of the lung.  Mild scoliosis with left-facing opening, degenerative changes in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19841/train_19841_a/train_19841_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46758",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Ground-glass appearances and centriacinar nodules are observed in the lower lobe of the right lung. No mass was detected in both lungs in this examination. Consolidation is observed in the upper lobe of the left lung, which covers almost the entire upper lobe. Findings are consistent with pneumonic infiltration. There is also consolidation and ground glass appearance in the lower lobe of the left lung. There are localized linear atelectasis and minimal emphysematous changes in both lungs.\n<pleura>: Minimal pericardial and pleural effusion was observed.\n<mediastinum>: There are diffuse atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures could not be evaluated optimally because no contrast agent was given. There is a central venous catheter on the right.\n<heart>: The catheter terminates in the right atrium. As far as can be observed: The heart is larger than normal.\n<esophagus>: There is no pathological wall thickness increase in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: There are diffuse atheromatous plaques in the aorta and coronary arteries. No upper abdominal free fluid-collection was detected in the sections. The left adrenal gland corpus has a thickening of 25 mm at its thickest point.\n\nImpression:\nFindings consistent with pneumonic infiltration in both lungs, more prominent on the left."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19841/train_19841_c/train_19841_c_1.npy"
        ]
    },
    {
        "id": "report_generation_46764",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProduce the report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Since the patient does not breathe properly during the examination, the lung parenchyma is not clearly evaluated, especially in terms of focal lesion. No mass or infiltrative lesion was observed in both lungs. There are sometimes linear atelectasis in both lungs.\n<pleura>: Bilateral pleural effusion and atelectasis in the lung adjacent to the pleural effusion are observed more prominently on the left.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta and coronary artery. The widths of the mediastinal main vascular structures are normal.\n<heart>: Atheroma plaques are observed in the aorta and coronary artery. As far as can be observed: Heart contour and size are normal.\n<esophagus>: A mixed type hiatal hernia is observed in the lower end of the esophagus.\n<bone>: Loss of height is also observed in the L1 vertebra superior end plate. A soft tissue component is observed in the lytic bone lesion, adjacent to the costochondral junction of the 5th rib in the right hemithorax. There is significant height loss in the L2 vertebral body. No fracture extending to the posterior elements of the vertebrae was detected. Lytic bone lesions are observed in the bone structures within the sections and are compatible with the diagnosis of multiple myeloma stated in the clinical preliminary diagnosis. Measured 35mm at the thickest part of the soft component.\n<abdomen>: No pathological increase in wall thickness was detected in the herniated bowel segment. Apart from this, no accompanying soft tissue component was detected. Atheroma plaques are observed in the aorta and coronary artery. There is no upper abdominal free fluid-collection within the sections.\n\nImpression:\nMultiple myeloma in follow-up, lytic bone lesions in bone structures within the sections, soft tissue component accompanying lytic bone lesion in the ribs in the right hemithorax . Bilateral minimal pleural effusion, more prominent on the left . Hiatal hernia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19844/train_19844_a/train_19844_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46793",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; A ground-glass nodule with a diameter of 8 mm is observed at the apical level of the upper lobe of the right lung. A ground glass nodule with a diameter of 4 mm is observed in the upper lobe posterior segment, adjacent to the vascular structures. Again, faint ground glass densities are observed at the posterobasal level in both lungs (depending vascular density?).\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nTwo millimetric ground glass nodules in the upper lobe of the right lung . Slight ground glass type densities (depending vascular density?) at posterobasal levels in both lungs.  The findings described are not typical for Covid pneumonia. Evaluation together with clinical and laboratory findings is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19858/train_19858_a/train_19858_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46797",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: The described views were evaluated in favor of Covid-19 pneumonia during the pandemic process. Some of the frosted glass looks are round shaped. In both lungs, there are ground-glass appearances in the peripheral and central regions and interlobular septal thickenings accompanying ground-glass appearances. No mass was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. No enlarged lymph nodes in pathological dimensions were detected. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No fractures or lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections. There is a decrease in liver parenchyma density consistent with moderate adiposity.\n\nImpression:\nFindings consistent with viral pneumonia in both lungs.  Hepatic steatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19860/train_19860_a/train_19860_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46799",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: Widespread consolidation in all segments of both lungs and density increases in ground glass density are observed.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT; There is a diffuse density decrease secondary to hepatosteatosis in the liver parenchyma.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19860/train_19860_b/train_19860_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46801",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: No appearance that can be evaluated in favor of a mass or pneumonic infiltration was detected in both lungs. Mosaic attenuation pattern was observed in both lungs. It was thought that there might be a sequelae change in the mosaic attenuation pattern described in this examination.\n<pleura>: No pleural or pericardial effusion was observed.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19860/train_19860_c/train_19860_c_1.npy"
        ]
    },
    {
        "id": "report_generation_46830",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline and both main bronchi are open.\n<lung>: In the posterior segment of the right lung upper lobe posterior segment, a slight consolidation area is observed with areas of linear atelectasis. These aspects were evaluated primarily in favor of the infective process. A peripherally located nodule with a diameter of approximately 5 mm is observed in the inferior lingular segment of the left lung upper lobe. The differential diagnosis also includes Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Peribronchial wall thickness increases, which are more prominent especially in the lower lobes of both lungs, and ground glass densities and linear consolidation areas are observed in the subpleural areas of both lungs in peripheral areas. In addition, the upper lobe inferior lingular segment of the left lung also has peribronchial thickness increases and subpleural ground-glass appearances.\n<mediastinum>: Mediastinal vascular structures are normal. In the mediastinal area, there are lymph nodes with short axes not exceeding 1 cm, which are evaluated primarily in favor of reactive. Calcific atheroma plaques are observed in the aortic coronary arteries.\n<heart>: Heart size was slightly increased. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophageal wall thickness is normal.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific atheroma plaques are observed in the aortic coronary arteries. Upper abdominal organs included in the sections are normal.\n\nImpression:\nGround glass opacities evaluated in favor of infective process in both lungs. Peribronchial thickness increases are observed. There are also consolidation areas in places. It is recommended to be evaluated together with clinical or laboratory findings.  Heart sizes slightly increased.  There are calcific plaques in the aorta and coronary arteries.  Pulmonary nodule in the upper lobe lingular segment of the left lung."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19874/train_19874_a/train_19874_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46832",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen.\n<lung>: Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. When examined in the lung parenchyma window; A few nonspecific parenchymal nodules less than 5 mm in diameter were observed in both lungs.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: As far as can be observed in the sections, the liver parenchyma density is diffusely decreased secondary to hepatesteatosis.\n\nImpression:\nMillimetric nonspecific parenchymal nodules in both lungs . Hepatic steatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19875/train_19875_a/train_19875_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46836",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: When examined in the lung parenchyma window; trachea, both main bronchi are open.\n<lung>: Sequelae changes are observed in both lungs at the apical level. Mild emphysematous changes in both lungs and a mosaic attenuation pattern in the lower zones are observed (small airway disease? small vessel disease?). There is thickening of the peribronchial sheath in both lungs. On the left, there are sequelae changes adjacent to the interlobular fissure and in the lingular segment. Two superposed nodules with a diameter of 4 mm are observed on the fissure. A 3 mm diameter nodule is observed in the middle lobe of the right lung. There are also sequelae changes in the middle lobe.\n<pleura>: There was no finding compatible with bilateral pleural effusion, pneumonia or pneumothorax.\n<mediastinum>: CTO is normal. It is wider than normal. There are lymph nodes, the largest of which is in the right upper paratracheal area and in oval configuration with a short axis measuring 12 mm, but with hilar fat selected. Calcific atheroma plaques are observed in the main branches of the aortic arch, descending and ascending aorta, and coronary arteries. The aortic arch calibration is 33 mm. No lymph node with pathological size and configuration was detected in the mediastinum. Calibration of mediastinal major vascular structures is natural.\n<heart>: Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the main branches of the aortic arch, descending and ascending aorta, and coronary arteries.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Mild hiatal hernia is observed.\n<bone>: Degenerative changes are observed in the bone structure entering the examination area.\n<abdomen>: In the sections passing through the upper abdomen, there is a decrease in density consistent with steatosis in the liver. CTO is normal. It is wider than normal. Surrounding soft tissue plans are natural. Calcific atheroma plaques are observed in the main branches of the aortic arch, descending and ascending aorta, and coronary arteries. Nodular formation, which is considered compatible with the accessory spleen, is observed in the anterior neighborhood of the spleen. Left adrenal genu level is full. A slightly exophytic peripelvic cyst is observed in the middle part of the left kidney. The aortic arch calibration is 33 mm.\n\nImpression:\nMild emphysematous changes in both lungs and mosaic attenuation pattern in the lower zones (small airway disease? small vessel disease?) . Peripelvic cyst, atherosclerotic changes, bone structure degeneration in the left kidney"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19876/train_19876_a/train_19876_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46850",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen.\n<lung>: Halo-shaped ground glass densities around centriacinar nodules suggest invasive aspergillosis in the differential diagnosis. The outlook was evaluated in favor of pneumonic infiltration. There are consolidation areas characterized by centriacinar nodular infiltrates in the central peribronchial areas of the right lung upper lobe posterior segment and left lung upper lobe apicoposterior segment, in the lower lobes of both lungs, and in the basal part of the right lung middle lobe, and ground glass densities are observed around the centriacinar nodular consolidations.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. At the prevascular, bilateral lower and subcarinal level, a few lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed.\n<heart>: As far as can be observed: Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed.\n<esophagus>: Sliding type hiatal hernia was observed at the lower end of the esophagus. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: In the multiple myeloma patient, widespread millimetric lytic lesions were observed in all bone structures within the sections.\n<abdomen>: No enlarged lymph node in intraabdominal pathological size was detected. Calcified atheroma plaques were observed in the thoracic aorta and coronary arteries. No intraabdominal free fluid-collection was detected. Liver, gall bladder, spleen, pancreas, both adrenal glands and both kidneys are normal in the non-contrast examination.\n\nImpression:\nLymph nodes whose short axes do not reach pathological dimensions below 1 cm at the prevascular, lower paratracheal and subcarinal levels.  The most prominent centriacinar nodular infiltrates in the posterobasal segment of the right lung lower lobe in both lungs and ground glass densities in the form of a halo, the appearance was evaluated in favor of pneumonic infiltration. Invasive aspergillosis should be kept in mind in the differential diagnosis because of the ground-glass halo around centriacinar nodular infiltrates.  Millimetric lytic lesions in all bone structures within the sections in a case with multiple myeloma"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19883/train_19883_a/train_19883_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46874",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: Clinical and laboratory correlation is recommended. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Subsegmental atelectasis areas were observed in the lower lobes of both lungs. Other pneumonias can be considered in the differential diagnosis. The findings suggest classic-probable manifestations of Covid-19 pneumonia.\n<pleura>: When examined in the lung parenchyma window; Focal ground-glass density increases and consolidations were observed in the peripheral subpleural area in the lower lobes of both lungs.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: it is natural. Liver parenchyma density decreased diffusely in the upper abdominal sections in the study area in line with the adiposity. Liver sizes increased.\n\nImpression:\nPeripheral subpleural localized focal ground-glass nodular density increases-consolidations in the lower lobes of both lungs suggest classic-probable findings of Covid-19 pneumonia. Other viral pneumonias can be considered in the differential diagnosis. Clinical and laboratory correlation is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19889/train_19889_a/train_19889_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46904",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Nodular septal consolidation areas extending to the apicoposterior segment, which were observed in the previous study and continued in the current study, are observed in the superior of the lesion. Centrilobular paraseptal emphysematous changes are observed, more prominently in the upper lobes of both lungs. No newly developed metastatic focus was detected in the current examination of the lung parenchyma. The findings described above were primarily evaluated in terms of acute radiation pneumonia and infection in the case with a history of radiotherapy. In the apical segments of the upper lobe of the right lung, there are previous sequelae changes, pleuroparenchymal density increases.\n<pleura>: Although obstructive pneumonia is included in the differential diagnosis, clinical laboratory correlation and follow-up are recommended in terms of viral pneumonia (Covid-19) due to the increase in the described subpleural ground glass densities.\n<mediastinum>: There are calcific atheromatous plaques and stent in the coronary arteries and aorta. Mediastinal main vascular structures, heart contour, size are normal. There are more than one conglomerated short axis lymph nodes measuring up to 10 mm in the aorticopulmonary window, more prominently in the paraaortic area in the mediastinum.\n<heart>: Pericardial effusion-thickening was not observed. There are calcific atheromatous plaques and stent in the coronary arteries and aorta. Mediastinal main vascular structures, heart contour, size are normal.\n<bone>: There is diffuse density reduction in bone structures. No lytic-destructive lesion was detected.\n<abdomen>: There are calcific atheromatous plaques and stent in the coronary arteries and aorta. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCT-RT history in the history followed by Lung Ca.  Increase in the ground glass density areas observed in the apical and lingular segments adjacent to the lesion, obstructive pneumonias are included in the differential diagnosis and were primarily evaluated in favor of radiation pneumonia. Due to the current situation, correlation with clinical and laboratory is recommended in order to exclude the increase in ground glass densities in terms of Covid-19 viral pneumonia.  There is no change in mediastinal aorticopulmonary lymph node dimensions.  Atherosclerosis . Osteopenic degenerative findings in bone structures"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19900/train_19900_a/train_19900_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46916",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: As a result, there is volume loss in the lower lobe of the right lung. There are minimal atelectasis, thickening of the bronchial wall and sequela fibrotic changes in the middle lobe and lower lobe anterobasal in the right lung. Linear fibrotic sequelae changes are observed in the lingula in the left lung. When examined in the lung parenchyma window; Minimal emphysema was observed in the upper lobes of both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific plaques are observed in the coronary arteries and aorta. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Other mediastinal main vascular structures, heart contour, size are normal.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal. The ascending aorta is 43 mm and is ectatic. Calcific plaques are observed in the coronary arteries and aorta.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: On the right, there is an ossification between the 6th and 7th ribs laterally and an anterior defect in the 7th rib (post-op?).\n<abdomen>: A large hernia with intestinal anus partially penetrating into the cyst near the epigastric area on the anterior abdominal wall was observed. Thoracic aorta diameter is normal. There are volume loss and calcifications at the capsular level (lobectomy?, segmentectomy?), especially in the posterior part of the liver, at the level of the right lobe of the liver that enters the cross-sectional area. The gallbladder cannot be seen (operated?). The diaphragm is elevated upwards, and these lesions in the right upper quadrant structures and especially in the liver extend towards the hemithorax. Calcific plaques are observed in the coronary arteries and aorta. The left lobe of the liver is hypertrophied. In segments 4 and 8, there are lesions with hypodense cystic foci containing calcifications and solid foci, measuring 56x41 mm and 78x61 mm, respectively.\n\nImpression:\nEctasia in the ascending aorta, atherosclerosis of the aorta and coronary artery, sequela fibrotic changes in both lungs, atelectasis in the right middle lobe and lower lobe.  Changes of lobectomy and segmentectomy in the right lobe of the liver, cystic hydatid lesions extending towards the right hemithorax with two calcifications at the level of the liver dome (type 5 hydatid cyst)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19904/train_19904_a/train_19904_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46931",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, lumen of both main bronchi are open. No occlusive pathology was detected in the lumen of the tarchea and both main bronchi.\n<lung>: There are areas of bronchiectasis and increased peribronchovascular thickness in both lungs, especially in the lower lobe of the left lung. The bronchi observed in the posterobasal segment of the lower lobe of the left lung are obliterated (secondary to secretion). There are sequelae fibrotic changes in the upper parts of both lungs. When examined in the lung parenchyma window; mosaic attenuation is observed in both lungs (small vessel disease?, small airway disease?).\n<mediastinum>: There are many lymph nodes with a short axis up to 10 mm in the paratracheal, prevascular, aortopulmonary window, and subcarinal area.\n<heart>: Heart size increased. The ascending aorta and pulmonary arteries are dilated.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nCardiomegaly.  Dilatation of the pulmonary artery and ascending aorta. Bronchiectatic changes and peribronchial thickness increases in both lungs, especially in the left lung lower lobe.  Multiple mediastinal stable lymph nodes."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19912/train_19912_a/train_19912_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46959",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT image provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi.\n<lung>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; no mass nodule-infiltration was detected in both lung parenchyma.\n<pleura>: No pleural effusion was detected.\n<mediastinum>: No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance.\n<heart>: Heart contour size is natural. Pericardial thickening-effusion was not detected.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: No lytic-destructive lesion was detected in bone structures.\n<abdomen>: Upper abdominal organs are included in the study partially and evaluated as suboptimal.\n\nImpression:\nPectus Excavatum is observed. Examination within normal limits except as described."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19925/train_19925_b/train_19925_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46961",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Calibration of trachea and main bronchi is normal, their lumens are clear.\n<lung>: Mild sequelae changes are observed at the apical level in both lungs. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. In the right lung upper lobe anterior segment caudal and medial, there is a linear, subtle increase in density, which is also evaluated in favor of mild sequelae.\n<pleura>: Pleural effusion, pneumothorax were not detected.\n<mediastinum>: No lymph node with pathological size and configuration was detected in the mediastinum and hilar level. Calibration of major vascular structures in the mediastinum is natural.\n<heart>: CTO is within normal limits. Pericardial effusion-thickening was not observed. The Haller index was measured as 4.1. It is compatible with severe pectus excavatus.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Both kidneys appear smaller than normal. According to the previous examination, stable-looking millimetric nodularity is observed in the left adrenal medial crus. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Nodular density compatible with the accessory spleen is observed in the spleen hilum. Surrounding soft tissue plans are natural. The right kidney was measured as 75x31, the left kidney as 72x27 mm. The spleen is mature.\n\nImpression:\nMild sequelae changes in both lungs.  Pectus excavatus.  Stable-looking millimetric nodularity in the left adrenal medial crus according to previous examination. Both kidneys are observed to be reduced in size. The spleen is full. Nodular density in the spleen hilum compatible with the accessory spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19925/train_19925_c/train_19925_c_1.npy"
        ]
    },
    {
        "id": "report_generation_46971",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. Thoracic aorta diameter is normal. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nThoracic CT examination within normal limits"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19930/train_19930_a/train_19930_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46980",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and main bronchi are open.\n<lung>: The frosted glass appearances are blurred. In the superior segment of the left lung lower lobe, a millimeter-sized ground-glass density that cannot be clearly distinguished from artifact is observed (IMA 49). Subsegmental atelectasis and linear pleuroparenchymal sequelae are observed in the middle lobe of the right lung. In the evaluation of both lung parenchyma; The budding tree views observed in the superior segment of the right lung lower lobe in the previous examination are clearly regressed.\n<pleura>: In the previous examination, a 2-3 mm diameter nodule observed in the subpleural distance in the left lung persists. Pleural effusion-thickening was not detected in both hemithorax.\n<mediastinum>: Millimetric sized calcific plaques are observed in the aortic arch and coronary artery walls. No pathological LAP was detected in the mediastinum.\n<heart>: Millimetric sized calcific plaques are observed in the aortic arch and coronary artery walls. The cardiothoracic index increased in favor of the heart.\n<abdomen>: In the sections passing through the upper abdomen, a retroperitoneal mass with lobulated contour soft tissue density displacing the left kidney anteriorly and laterally is observed in the left psoas muscle and left paraaortic distance. Millimetric sized calcific plaques are observed in the aortic arch and coronary artery walls. It extends medially to the renal hilum and laterally to the lateroconal fascia. anterolaterally displaced appearance in the left kidney and hypodensity (infarct?) in the renal parenchyma; No lytic-destructive lesion was detected in bone structures.\n\nImpression:\nRegression in the signs of infection observed in the previous examination in the right lung. Subsegmental atelectasis and pleuroparenchymal sequelae in the right lung middle lobe, subpleural stable nodule in the superior segment of the left lung lower lobe, regression in the ground-glass appearance around it, artifact in the left lung lower lobe superior segment in the current examination that could not be clearly distinguished in the previous examination indistinguishable faintly circumscribed ground glass density (IMA 49) . In the current examination, a newly emerged retroperitoneal mass (recurrent lymphoma?) in soft tissue density with lobulated contours extending to the left paraaortic distance, renal pedicle, perirenal space and left lateroconal fascia, adjacent to the left psoas, which could not be observed in the previous examination. anterolaterally displaced appearance in the kidney and hypodensity (infarct?) in the renal parenchyma; evaluation with abdominal MRI is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19935/train_19935_b/train_19935_b_1.npy"
        ]
    },
    {
        "id": "report_generation_46984",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<lung>: However, there are ground-glass-like density increases and areas of consolidation in the upper lobes of both lungs, most prominently at the level of the left lung upper lobe, including airbronchograms. It is recommended to evaluate the case in terms of Covid pneumonia. Since other viral pneumonias are included in the differential diagnosis, clinical and laboratory correlation is recommended. Sequelae changes are observed in the basal on the right and the lingular segment in the left lung.\n<mediastinum>: Calibration of mediastinal major vascular structures is natural. No lend node with pathological size and configuration was detected in the mediastinum and hilar level. CTO is normal. A catheter is observed in the superior vena cava.\n<bone>: Degenerative changes are observed in the bone structures in the study area.\n<abdomen>: Examination is suboptimal because of intense artifact in the upper abdominal organs included in the sections.\n\nImpression:\nConsolidative areas prominent on the left, slightly diminished at basal level in both lungs, but largely persistent. Ground-glass-like density increase and local consolidations in the mid-upper zones of both lungs. It is recommended to evaluate clinical and laboratory findings together in terms of Covid-19 pneumonia."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19935/train_19935_d/train_19935_d_1.npy"
        ]
    },
    {
        "id": "report_generation_46989",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nGenerate radiology report for the CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Focal atelectasis area is observed in the left lung upper lobe lingular segment inferior subsegment and right lung upper lobe medial segment. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. When examined in the lung parenchyma window; Several nonspecific nodules, the largest of which is 3mm in diameter, are observed in both lungs.\n<pleura>: Pleural effusion-thickening was not detected.\n<mediastinum>: An increase in density is observed in the anterior mediastinum, which does not give a clear contour, which may be compatible with the thymic remnant. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. No pathological wall thickening was detected. Several lymph nodes are observed in the mediastinum, the largest of which is left lower paratracheal and the shortest diameter is 5 mm.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus is in normal calibration.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs entering the imaging field are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected.\n\nImpression:\nMediastinal millimetric lymph nodes. Millimetric nonspecific nodules in both lungs.  Areas of focal atelectasis in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19938/train_19938_a/train_19938_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46996",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Clinical laboratory correlation is recommended. When examined in the lung parenchyma window; There are ground-glass densities in both lungs, diffusely located mostly peripherally, accompanied by patchy air bronchogram signs observed in the posterior, and enlarged vascular structures. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the mediastinum, aortic arch, and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are hypertrophic osteophytic taperings in the anterior of the vertebral corpus endplates.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Calcific atheroma plaques are observed in the mediastinum, aortic arch, and coronary arteries.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia.  Hypertrophic osteophytic tapering in the vertebral corpus endplates, diffuse density reduction in bone structures.  Atherosclerosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19941/train_19941_a/train_19941_a_1.npy"
        ]
    },
    {
        "id": "report_generation_46998",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCreate a report for this chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open and no occlusive pathology is detected.\n<lung>: When examined in the lung parenchyma window; No active infiltrative or mass lesion was detected in both lung parenchyma. Ventilation of both lungs is natural.\n<pleura>: No pericardial, pleural effusion or thickening was detected.\n<mediastinum>: In the mediastinum, in both axillary regions and in the supraclavicular fossa, no lymph nodes are observed in pathological size and appearance. Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast and as far as can be observed; The pulmonary trunk is wider than normal with a diameter of 36 mm.\n<heart>: Calcified atheroma plaques were observed on the wall of the coronary vascular structures. Heart contour and size are natural.\n<esophagus>: No pathological increase in thoracic esophagus wall thickness is observed.\n<bone>: No lytic-destructive lesion was observed in the bone structures within the image. Osteophytic degenerative changes with a tendency to coalesce were observed in the anterior of the vertebral corpus.\n<abdomen>: As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; There is a diffuse decrease in liver parenchymal density secondary to hepatosteatosis.\n\nImpression:\nIncreased pulmonary trunk caliber, calcified atheromatous plaques in the wall of coronary vascular structures.  Hepatosteatosis.  Degenerative changes in bone structures."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19942/train_19942_a/train_19942_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47002",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: Right lung lower lobe superior segment over the major fissure, faintly bordered, 4.9 mm diameter; Lentiform shaped, 4.5 mm diameter nodules are observed on the minor fissure in the medial segment of the middle lobe of the right lung, and no difference was observed between their sizes in a 1-year interval (intrapulmonary lymph node?). No mass or infiltrative lesion was detected in both lungs. There are areas of atelectasis in the medial segment of the right lung middle lobe.\n<pleura>: No pleural-pericardial effusion or thickening was detected.\n<mediastinum>: There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is in the subcarinal area and 9 mm in diameter.\n<heart>: Heart contour and size are normal. The diameter of the ascending aorta was 37 mm and was within the physiological upper limits.\n<esophagus>: No pathological increase in wall thickness was observed in the esophagus.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: As far as evaluated within the limits of non-contrast abdomen CT; There is no discernible mass in the upper abdominal organs. Several lymph nodes, the largest of which are 7 mm in diameter, are observed adjacent to the lesser curvature of the stomach.\n\nImpression:\nTwo stable nodules (intrapulmonary lymph node?) on the fissure in the right lung  Linear atelectatic changes in the right lung  Stable lymph nodes in the mediastinal area and at the level of the lesser curvature of the stomach"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19944/train_19944_a/train_19944_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47013",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen.\n<lung>: Paraseptal emphysema areas were observed in the apex of both lungs. Linear atelectatic sequelae change was observed in the left lung inferior lingular segment. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs.\n<pleura>: A nonspecific subpleural nodule of 4 mm in diameter was observed in the apicoposterior segment of the upper lobe of the left lung. When examined in the lung parenchyma window; Focal interlobular septal thickening and ground glass area are observed in the subpleural area in the right lung middle lobe lateral segment, which is consistent with sequelae.\n<mediastinum>: In the non-contrast examination, the mediastinal could not be evaluated optimally. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Descending and pulmonary artery calibrations are natural.\n<heart>: Pericardial effusion-thickening was not observed. As far as can be observed: The ascending aorta is wider than normal with an anterior-posterior diameter of 38 mm. Calcified atheroma plaques were observed in LAD. Heart contour, size is normal.\n<esophagus>: Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There is bilateral gynecomastia.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: The spleen, pancreas, both adrenal glands and both kidneys are normal. As far as can be seen in non-contrast sections; liver parenchyma density was diffusely decreased, compatible with fatty deposits. No intra-abdominal free fluid or pathologically enlarged lymph nodes were detected.\n\nImpression:\nCalcified atheromatous plaques in LAD . Subpleural focal interlobular septal thickening and ground glass density in the right lung middle lobe lateral segment; evaluated in favor of sequelae.  Linear atelectasis and sequelae change in the left lung inferior lingular segment . Paraseptal emphysema areas in the apices of both lungs . Millimetric subpleural nodule in the apicoposterior segment of the left lung upper lobe . Hepatosteatosis"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19948/train_19948_a/train_19948_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47029",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you produce the radiology report for the attached chest CT image?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: Ventilation of both lungs is normal and no mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal. Central venous catheter is seen on the right. No enlarged lymph nodes in pathological dimensions were detected.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: The neural foramina are open. No lytic-destructive lesions were detected in the bone structures within the sections. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved.\n<abdomen>: In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No upper abdominal free fluid-collection was detected in the sections.\n\nImpression:\nSeveral millimetric nonspecific nodules in both lungs"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19954/train_19954_b/train_19954_b_1.npy"
        ]
    },
    {
        "id": "report_generation_47034",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT volume mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The calibration of the trachea and main bronchi is normal and their lumens are clear.\n<lung>: is seen. There are mild sequelae changes at the apical level. However, it cannot be clearly distinguished from infected processes. It is particularly evident in the lower lobe of the right lung. No pathological size and configuration of lymph nodes were detected at both hilar levels. On this background, milimetric nodularities are observed in both lungs from time to time.\n<mediastinum>: No significant pathological size and configuration lymph nodes were detected in the mediastinum. Calibration of the main mediastinal vascular structures is natural. There are lymph nodes at the right paratracheal level, the largest of which cannot be clearly evaluated in non-contrast examination, the largest of which is 12x7 mm in size.\n<heart>: CTO is within the normal range. In the superior vena cava, the appearance of a catheter extending towards the atrium appendix is observed.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Vertebral corpus heights are preserved. Bone structures are natural.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. The spleen is full. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Densities compatible with 1-2 mm calculi adjacent to each other are observed in the collecting system in the middle part of the right kidney. Upper abdominal organs included in the sections are normal. The surrounding soft tissue plans within the study area are natural. Extrarenal pelvis variation is present in both kidneys.\n\nImpression:\nA few millimetric calculi in the right kidney and slight fullness in the spleen."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19954/train_19954_e/train_19954_e_1.npy"
        ]
    },
    {
        "id": "report_generation_47046",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you create a report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: Minimal atelectasis is seen adjacent to the major fissure in the right lobe anterior. In addition, nodules reaching 8 mm in size were observed in the apex of the right lung lower lobe. When examined in the lung parenchyma window; In bilateral lungs, the bronchial walls appear thickened.\n<pleura>: There are interlobular septal thickenings in the peribronchial and subpleural areas, nodular consolidation in both lungs and target lesions accompanied by ground glass shapes around it.\n<mediastinum>: Calcific plaques are observed in the aorta and coronary arteries. Lymph nodes with a short axis reaching 12 mm, the largest of which are located in the right paratracheal region, are observed in the mediastinum.\n<heart>: Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: There are degenerative changes in the vertebrae. Sclerotic foci are observed in the vertebral corpuscles and ribs in the right clavicle sternum.\n<abdomen>: Calcific plaques are observed in the aorta and coronary arteries. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Upper abdominal organs included in the sections are normal.\n\nImpression:\nAortic and coronary artery atherosclerosis.  Mediastinal lymph nodes.  Bilateral pleural effusion.  Bronchial wall thickening, interlobular septal thickening, target lesions (fungal infection?) in both lungs.  Millimetric nodules (metastases?) in both lungs.  Sclerotic lesions in bone structures (consistent with metastasis)."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19958/train_19958_a/train_19958_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47048",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need a detailed report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Peripheral calcifications consistent with tracheobronchopathia osteochondroplastica were observed in the walls of the trachea and both main bronchi. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen.\n<lung>: When examined in the lung parenchyma window; Minimal peribronchial thickening was observed in segmental-subsegmental bronchi in both lungs. Subsegmental atelectatic changes were observed in the anterobasal segment of the lower lobe of the right lung and the basal segment of the lower lobe of the left lung. Mass lesion with distinguishable borders-active infiltration was not detected in both lungs. Passive atelectatic changes were observed in the paracardiac area in the middle lobe of the right lung and the inferior lingular segment of the left lung upper lobe. Several parenchymal nodules with a diameter of 2.6 mm were observed in both lungs, the largest of which was on the fissure in the left lung.\n<pleura>: Bilateral pleural effusion observed in the previous examination is completely regressed.\n<mediastinum>: Calcified atheroma plaques were observed in the thoracic aorta and coronary artery walls. In the non-contrast examination, the mediastinal could not be evaluated optimally. The largest of the existing lymph nodes was measured 12 mm in the short axis in the previous examination, and there is a millimetric decrease in their size. As far as can be seen; main pulmonary artery diameter was 38 mm, and right and left pulmonary artery diameters were 30 mm and 24 mm, respectively. Lymph nodes measuring 9.5 mm in the short axis were observed in the mediastinum, at the right lower paratracheal level.\n<heart>: Pericardial effusion-thickening was not observed. Heart contour, size is normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Widespread sclerotic bone lesions were observed in the bone structures within the sections and it was learned that they had metastases.\n<abdomen>: Calcified atheroma plaques were observed in the thoracic aorta and coronary artery walls. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nMillimetric reduction in mediastinal lymph nodes.  Reduced number and size of parenchymal nodules in both lungs."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19958/train_19958_b/train_19958_b_1.npy"
        ]
    },
    {
        "id": "report_generation_47054",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease generate the report for the chest CT scan provided."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are thickenings of interlobular septa in both lungs, mosaic attenuation patterns and mild patchy ground glass densities in the lower lobe basal segments of both lungs, more prominent on the left.\n<pleura>: There are pleural effusions in both hemithorax with a thickness of 29 mm on the right and 11 mm on the left.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal, axillary and hilar short axis lymph nodes measuring up to 11 mm are observed. Mediastinal main vascular structures are normal.\n<heart>: Heart size increased. Pericardial effusion is 8 mm thick.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: In the upper abdominal organs, including sections; An increase in liver size was observed. Thoracic aorta diameter is normal.\n\nImpression:\nBilateral pleural effusions, with a small amount prominent on the right.  Mediastinal and axillary multiple lymph nodes.  The onset of infectious processes accompanied by cardiac stasis.  Placing pericardial effusion.  Cardiomegaly.  Hepatomegaly."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19959/train_19959_c/train_19959_c_1.npy"
        ]
    },
    {
        "id": "report_generation_47056",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease provide the radiology report for the chest CT scan mentioned."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: No occlusive pathology was detected in the trachea and both main bronchi. Trachea and both main bronchi are normal.\n<lung>: It is recommended to be evaluated together with clinical and laboratory findings in terms of distal airway disease. No mass was observed in both lungs. The views described are nonspecific. The described appearances were also present in the previous examination of the patient, and no significant difference was found in the findings. Centriacinar nodules, some of which have the appearance of budded trees, and ground glass areas are observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. The widths of the mediastinal main vascular structures are normal.\n<heart>: As far as can be observed: Heart contour and size are normal.\n<esophagus>: No pathological increase in wall thickness was detected in the esophagus within the sections.\n<bone>: There are no lytic-destructive lesions in the bone structures within the sections.\n<abdomen>: In the upper abdominal organs within the sections, no mass with distinguishable borders was detected as far as it can be observed within the limits of non-enhanced CT. No upper abdominal free fluid-collection was observed in the sections. No pathologically enlarged lymph nodes were observed.\n\nImpression:\nDiffuse centriacinar nodules and ground glass areas in both lungs, some of which have the appearance of budding trees."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19960/train_19960_a/train_19960_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47070",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi.\n<lung>: There are emphysematous changes in both lungs and sometimes linear atelectasis. No mass or infiltrative lesion was detected in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. Mediastinal structures cannot be evaluated optimally because contrast material is not given. The widths of the mediastinal main vascular structures are normal.\n<heart>: There are atheromatous plaques in the coronary arteries. As far as can be observed: Heart contour and size are normal.\n<esophagus>: There is a belt type hiatal hernia at the lower end of the esophagus. No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No lytic-destructive lesions were observed in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections.\n\nImpression:\nEmphysematous changes in both lungs . Atelectasis in both lungs . Hiatal hernia . Atherosclerotic changes in coronary arteries"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19967/train_19967_a/train_19967_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47071",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nI need the radiology report for the given chest CT scan."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are emphysematous changes and sequela fibrotic changes in both lungs. Compatible with viral pneumonia. Ground-glass nodular infiltrates and mosaic density differences are observed in both lungs.\n<mediastinum>: Thoracic aorta diameter is normal. Other mediastinal main vascular structures, heart contour, size are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Other mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<breast>: There are post-op changes in the left breast at the retroareolar level. A nodular lesion with a diameter of 11 mm is observed in the left upper outer quadrant.\n<bone>: Widespread sclerotic lesions are observed in bone structures within the study area.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Upper abdominal organs included in the sections are normal. Diffuse calcific plaques are observed in the aorta and coronary arteries.\n\nImpression:\nNot given."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19968/train_19968_a/train_19968_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47077",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCould you write the radiology report for this chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi.\n<lung>: There is a mosaic attenuation pattern in both lungs, more prominent in the lower lobes (small airway disease? small vessel disease?). No mass or infiltrative lesion was detected in both lungs. Occasionally, linear atelectasis was observed in both lungs.\n<pleura>: No pleural or pericardial effusion was detected.\n<mediastinum>: Mediastinal structures cannot be evaluated optimally because contrast material is not given. Atheroma plaques are observed in the aorta. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions.\n<heart>: As far as can be observed: The heart is minimally larger than normal.\n<esophagus>: No pathological wall thickness increase was observed in the esophagus within the sections.\n<bone>: No fractures or lytic-destructive lesions were detected in the bone structures within the sections.\n<abdomen>: No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. Atheroma plaques are observed in the aorta.\n\nImpression:\nMosaic attenuation pattern in both lungs.  Locally linear atelectasis in both lungs.  Atherosclerotic changes in the aorta."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19971/train_19971_a/train_19971_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47086",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWrite a radiology report for the following CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; Peripherally located patchy ground glass densities are observed in both lungs. The findings were initially evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Thoracic aorta diameter is normal. Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: No space-occupying lesion was detected in the liver that entered the cross-sectional area. Thoracic aorta diameter is normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Upper abdominal organs included in the sections are normal.\n\nImpression:\nClinical laboratory correlation follow-up is recommended in terms of findings compatible with Covid-19 viral pneumonia and differential diagnosis of other infectious-non-infectious findings."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19972/train_19972_c/train_19972_c_1.npy"
        ]
    },
    {
        "id": "report_generation_47103",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nPlease give the radiology report for the specified chest CT volume."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: The trachea is in the midline.\n<lung>: Although the outlook is not typical for Covid, Covid could not be ruled out. Nodular ground-glass opacities are observed in the right lung upper lobe apical anterior and lateral segments in the middle lobe. In the hilum of the right lung, a soft tissue density lesion causing narrowing of the bronchus is observed.\n<pleura>: When examined in the lung parenchyma window; there are focal pleural effusion areas reaching approximately 4.5 cm in its thickest part on the right.\n<mediastinum>: The mediastinum could not be evaluated optimally in the non-contrast examination. No pathologically sized lymph nodes were detected in the aorta, mediastinum, pretracheal, paravascular, hilar or axillary regions. Calcific atheroma plaques were observed in the aorta.\n<heart>: As far as can be observed: Heart sizes have increased. Metallic artifacts thought to belong to the stent were observed in the coronary arteries. Artefacts of valve operation are observed in the localization of the aortic valve.\n<esophagus>: Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected.\n<abdomen>: Cystic hypoechoic appearances were observed in the fluid density in the right kidney included in the examination. Calcific atheroma plaques were observed in the aorta.\n\nImpression:\nAt the level of the right lung hilum, a mass lesion area is observed in soft tissue density, the borders of which cannot be seen, which causes narrowing of the bronchi. Opacities of ground glass density are observed in the upper and middle lobe parenchyma of the right lung. If present, evaluation together with the patient's previous examinations is recommended."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19979/train_19979_a/train_19979_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47119",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nProvide the radiology report for this CT image."
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen.\n<lung>: The outlook is consistent with Covid-19 pneumonia. Bilateral pelvic thickening was not observed. In both lungs, patchy ground-glass consolidations accompanied by more diffuse central-peripheral crazy paving pattern and vascular enlargement on the right were observed. When examined in the lung parenchyma window; Focal consolidation areas are observed in the posterobasal and laterobasal segments of the left lung lower lobe.\n<pleura>: Pleural effusion reaching 12 mm in its thickest part is observed in the right hemithorax. A smear-like pleural effusion was observed in the left hemithorax.\n<mediastinum>: Atherosclerotic wall calcification was observed in the abdominal aorta. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<heart>: As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Findings consistent with diffuse idiopathic bone hyperostosis were observed in the thoracic vertebrae.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Atherosclerotic wall calcification was observed in the abdominal aorta. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. As far as can be seen within the sections; upper abdominal organs are normal.\n\nImpression:\nAtheroslerotic wall calcifications in the thoracic aorta and coronary arteries  Significant bilateral pleural effusion on the right, focal pneumonic consolidation in the left lung lower lobe basal  Findings consistent with Covid-19 pneumonia in the lung parnachyma  Diffuse idiopathic bone hyperostosis in the thoracic vertebrae"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19986/train_19986_a/train_19986_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47135",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nCan you generate the report for the following chest CT scan?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; There are diffuse nodular ground glass densities in both lungs.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density loss is observed in the liver in the upper abdomen included in the sections.\n\nImpression:\nFindings consistent with Covid pneumonia. Hepatosteatosis."
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19994/train_19994_a/train_19994_a_1.npy"
        ]
    },
    {
        "id": "report_generation_47145",
        "messages": [
            {
                "role": "user",
                "content": "<video>\nWould you mind generating the radiology report for the specified chest CT volume?"
            },
            {
                "role": "assistant",
                "content": "Findings:\n<trachea_and_bronchie>: Trachea, both main bronchi are open.\n<lung>: When examined in the lung parenchyma window; In both lungs, there are ground glass densities in which dilation is observed in the vascular structures around which a halo sign is observed in a diffuse patchy manner. It was evaluated in favor of Covid-19 viral pneumonia.\n<mediastinum>: Mediastinal main vascular structures, heart contour, size are normal. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions.\n<heart>: Pericardial effusion-thickening was not observed. Mediastinal main vascular structures, heart contour, size are normal.\n<esophagus>: Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected.\n<bone>: Bone structures in the study area are natural. Vertebral corpus heights are preserved.\n<abdomen>: Hepatosteatosis is present in the liver parenchyma of the upper abdominal organs included in the sections.\n\nImpression:\nFindings consistent with Covid-19 viral pneumonia"
            }
        ],
        "videos": [
            "CT-RATE/preprocessed_npy/train/train_19999/train_19999_a/train_19999_a_1.npy"
        ]
    }
]